Health and Medical Administration Commons^™

Perception Of Lean Adoption Among Emergency Department Personnel In Public Hospitals In Selangor, Malaysia, Azizul Rahman Mohamad Jamil, Mohd Rizal Abdul Manaf, Sharifa Ezat Wan Puteh, Kiran Ganesh Balakrishnan

Makara Journal of Health Research

Background: This research aims to assess the perceptions of the staff working in emergency departments in Selangor, Malaysia, regarding the adoption of lean management and identify the factors that affect their perceptions.

Methods: A cross-sectional study using the Lean in Healthcare Questionnaire was conducted with 251 respondents, which consisted of doctors, nurses and medical assistants employed in three selected hospitals.

Results: One-way analysis of variance (ANOVA) showed a significant difference in every domain score in accordance with the occupation category. For the domain process, a significant negative correlation was found between age and domain score (r = …

Implementation Of An Education Program To Decrease Inpatient Falls, Elizabeth M. Carpenter, Jewyl Gibson

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Inpatient falls are affecting 1 million patients across the United States every year with 25% of fall resulting in injury. Approximately 25% of falls are preventable with accurate assessment and appropriate fall precaution interventions. According to the literature, obtaining an accurate fall risk assessment is the first step in inpatient fall prevention.

LOCAL PROBLEM: Patient falls increased on 2 cardiac stepdown units in a level III trauma center in Knoxville, Tennessee. From 2020- 2022, the combined units experienced a 48% increase in patient falls. Nursing leadership identified staff knowledge deficits and inaccurate scoring of fall assessments as primary contributors …

Analisis Kelengkapan Resume Medis Dan Ketepatan Koding Layanan Operasi Kanker Payudara Di Rumah Sakit Kanker Dharmais Tahun 2022, Yudi Febriadi, Atik Nurwahyuni

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

The background to this research is that there are still National Health Insurance (JKN) claim files being returned to the Dharmais Cancer Hospital (RSKD) with the most common causes being cases of coding confirmation and medical resumes. RSKD started using electronic medical records (eMR) in 2020. In 2018 research with a sample of 45 medical records, it was found that 2.2% of patients were incomplete in filling out the patient identity column, 91.1% of indications for admission, 44.4% of physical examinations and supporting examinations. 8.9%. In addition, it was found that 17.8% of the main diagnosis coding was inappropriate. In …

The Impact Of Telestroke Services On Diagnosis, Patient Outcomes, And Treatment, Dustin Baum

Theses, Dissertations and Capstones

Introduction: In 2011, an estimated 20% of U.S. residents lacked timely access to stroke care. As of 2019, that number plummeted to 4% of patients. A reason for this improved access was the implementation of telestroke services. Telestroke services have utilized remote stroke specialists to help guide local emergency department physicians in reviewing imaging, diagnosing, treating, or transferring patients appropriately.

Purpose: The purpose of this research was to analyze the impact of telestroke implementation in the hospital setting. The study hypothesized the implementation of telestroke services in the hospital setting maintained an accurate stroke diagnosis, decreased inappropriate hospital transfers, reduced …

Reducing Urinary Catheter Usage In The Intensive Care Unit Setting And Education Related To Preventing Cautis: A Qi Project, Kristina Diurno

DNP Projects

Significance and Background: Catheter-associated urinary tract infections (CAUTIs) are common but preventable hospital-associated infections. The inappropriate and prolonged use of indwelling urinary catheters can pose a significant risk for patients and healthcare organizations. The Centers for Disease Control and Prevention identified that the most important factor related to an increased risk of CAUTI is the length of time an indwelling catheter remains in place. This DNP (Doctor of Nursing Practice) project assessed the barriers to removing indwelling catheters in the intensive care unit (ICU) while providing encouragement of prompt removal.

Purpose: Three aims were developed for this quality improvement project: …

A Roadmap To Engaging Patients In Research: The Experience Of A Large Academic Research Hospital In Canada, Rabia Zaheer, Sara Morassaei, Sander L. Hitzig, Laurie Legere, Mary Jane Torrie, Lisa Di Prospero

Patient Experience Journal

Recent definitions of patient engagement in research (PER) emphasize that engagement should be meaningful, active and an equal collaboration across the research continuum. The increased interest in patient engagement is predicated on the recognition by researchers of the unique experiential knowledge provided by individuals with lived experience, ethical obligations to democratize science and that patient involvement can potentially lead to improved outcomes for patients and researchers. Sunnybrook Health Sciences Center is a large academic research hospital in Toronto, Canada which aimed to create clearer pathways for patients to have a more prominent voice in the development, implementation, and dissemination of …

Evaluation Of Tuberculosis Recording And Reporting Case System At Syarif Hidayatullah Hospital In 2020, Yunita Ratnasari, Amal Chalik Sjaaf

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

The national TB control program target is TB elimination at 2035 and TB eradication at 2050. Hospitals must establish a DOTS Team who have responsibility to implementing the TB control program and must be record and report any disease cases. TB case reporting uses the Integrated Tuberculosis Information System (SITT) since 2020. Integrated Tuberculosis Information System has become the Tuberculosis Information System (SITB). Syarif Hidayatullah Hospital is one of the 3 hospitals that have not completed the report. This research is a descriptive analytic study with a qualitative approach. The data collecting data include documents review, observation, and in-depth interviews …

Increasing Inpatient Volume And Efficiency Through Decreasing Readmission Rates At Fox Chase Cancer Center, Courtney Pokallus, Islande Victorin

Capstone Showcase

This paper outlines the semester long strategic plan created by Islande Victorin and Courtney Pokallus for Fox Chase Cancer Center. This strategic plan includes a background of the organization, SWOT analysis on the organization, identification of potential problems and a gap analysis, a strategic summary, and all outlines and plans for the strategic plan.

Multimethod Process Evaluation Of A Community Paramedic Delivered Care Transitions Intervention For Older Emergency Department Patients, Gwen Costa Jacobsohn, Apoorva P Maru, Rebecca K Green, Angela N Gifford, Matthew D Lukasik, Tikiri Bandara, Thomas V Caprio, Amy L Cochran, Jeremy T Cushman, Courtney M C Jones, Amy J H Kind, Michael Lohmeier, Manish N Shah

Student and Faculty Publications

OBJECTIVE: We assessed fidelity of delivery and participant engagement in the implementation of a community paramedic coach-led Care Transitions Intervention (CTI) program adapted for use following emergency department (ED) visits.

METHODS: The adapted CTI for ED-to-home transitions was implemented at three university-affiliated hospitals in two cities from 2016 to 2019. Participants were aged ≥60 years old and discharged from the ED within 24 hours of arrival. In the current analysis, participants had to have received the CTI. Community paramedic coaches collected data on program delivery and participant characteristics at each transition contact via inventories and assessments. Participants provided commentary on …

Strategi Promosi Medical Check-Up Covid-19 Rsud Matraman, Vellyana Gustik, Wahyu Sulistiadi

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

The community's need for health services during the Coronavirus Disease (COVID-19) pandemic has increased drastically. The need for health services at the hospital level includes examining and issuing a COVID-19 examination certificate. Responding to this, the Matraman Hospital incidentally created a new service, the COVID-19 Medical Check-Up (MCU). The management of RSUD Matraman realizes the importance of a promotional strategy to increase public interest in using the new service. This study aims to obtain an overview of the MCU COVID-19 service promotion strategy at the Matraman Hospital. The case study design in this study uses qualitative methods with in-depth interviews …

Rencana Strategi Pemasaran Rumah Sakit Saat Pandemi Covid-19 (Studi Kasus Rs Xyz Di Bogor), Makassari Dewi

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

The COVID-19 pandemic has changed the behavior of hospital organizations in medical services and patient behavior. This encourages the hospitals to develop specific strategies to restore patient trust by providing a sense of security for patients and customers to obtain hospital services during the COVID-19 pandemic. The purpose of this study is to formulate the design of hospital marketing strategy of XYZ Hospital Bogor during the COVID-19 pandemic. This research method is descriptive qualitative with a case study approach in the XYZ Hospital Bogor using triangulation methods. The results was XYZ Hospital Bogor developed Telemedicine and digital marketing services as …

Predictor Of Hospital Closure In The United States, Haniyeh Shariatmadari

UNLV Theses, Dissertations, Professional Papers, and Capstones

Hospital closures have recently been more common and a crucial concern in the United States since they can influence many aspects of patients' health conditions. This situation has led many scholars to investigate the adverse effect of hospitals closure. Previous research has well documented the effects of a hospital closure. However, there is a lack of studies on the predictor of a hospital closure. To fill this gap, the objective of this longitudinal study is to explore organizational and market factors associated with hospital closure. We used Data from the American Hospital Association (AHA), the Centers for Medicare and Medicaid …

Transformasi Digital Sebagai Bagian Dari Strategi Pemasaran Di Rumah Sakit Siloam Palangka Raya Tahun 2020, Kevin Chrisanta Budiyatno

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

Digital transformation in healthcare is implemented through a technology-based approach to improve patient-centered care. In relation to marketing strategic planning, digital transformation is included within the marketing mix of product, promotion, and place. Assessment of healthcare technology development can be based on seven major areas, which are 1) Integrated management of information technology in health; 2) Medical images; 3) Electronic Medical Record; 4) Information technology and portable devices in health; 5) Access to e-Health; 6) Telemedicine; and 7) Privacy of medical data. Digital transformation in Siloam Hospitals Palangka Raya has shown to improve cost efficiency and work process flow, although …

Evaluation Of Medical Waste Management Before And During The Covid-19 Pandemic At Sentra Medika Hospital Cikarang, Enny Mar’Atus Sholihah, Amal Chalik Sjaaf

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

One of important things in managing Coronavirus Disease 2019 (COVID-19) pandemic is managing medical waste production. Medical waste management start from waste sort until waste manage by licensed parties, both of patients’ waste and health workers’ waste. Sentra Medika Hospital Cikarang is one of the referral hospitals that handles COVID-19. This research is a descriptive analytic study. Researchers analyze hazardous and toxic waste management before and during a pandemic by conducting interviews with the nursing unit and using secondary data. Secondary data was obtained from the hospital environmental health unit. There is no significant differences medical waste before and during …

The Use Of Patient Experience Data For Quality Improvement In Hospitals: A Scoping Review, Lauren Cadel, Michelle Marcinow, Harprit Singh, Kerry Kuluski

Patient Experience Journal

In this paper we identified what was reported in the literature on qualitative and quantitative approaches used to capture and improve patient experiences in a hospital setting. For inclusion, articles were required to describe an embedded strategy for capturing patient experiences that was used to inform quality improvement in a hospital setting. Articles also had to be published in English between January 2004 and December 2020. Six databases (MEDLINE, EMBASE, PsycINFO, CINAHL, Health and Psychosocial Instruments and Cochrane Library) and grey literature (relevant hospital and government websites) were searched. All articles were screened by two reviewers and any disagreements were …

Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig

Walden Dissertations and Doctoral Studies

A significant portion of individuals with a behavioral health (BH) condition return to emergency departments (ED) seeking care, resulting in reduced quality of care, and contributing to disproportionate healthcare costs. Care can be improved and return visits to the ED reduced where behavioral health care and follow-up care planning are provided as part of their treatment. However, policies expected to create declines in ED use for behavioral conditions are typically in short duration or are difficult to use given other funding and policy constraints. With little known about how policy is supporting the engagement of ED staff who are critical …

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …

Scoping Review: Konsep Layanan Kedokteran Olahraga Di Rumah Sakit, Bunga Listia Paramita, Dumilah Ayuningtyas

Jurnal Keolahragaan

Kedokteran olahraga berperan penting dalam pelaksanaan "exercise is medicine". Sayangnya, Indonesia belum memiliki dasar kebijakan yang kuat tentang layanan kedokteran olahraga di rumah sakit sebagai salah satu dukungan kesehatan bagi atlet dan siapa saja yang ingin aktif berolahraga. Penelitian ini bertujuan untuk memetakan konsep layanan kedokteran olahraga di rumah sakit mulai dari jenis layanan, personel, bangunan dan infrastruktur, dan peralatan dengan menggunakan metode scoping review berdasarkan Preferred Reporting Items for Systematic Reviews and Meta-Analyze Extensions for Scoping Reviews melalui Pubmed, Google Cendekia, Springeropen, Direktori Open Access Journal, dan Portal Garuda. Hasilnya dikelompokkan dengan pendekatan klasifikasi rumah sakit umum …

The Right Premtm: Rasch Analysis Of A New Patient Reported Experience Measure For Use By Older People In Hospital, Louise Heuzenroeder, Jyoti Khadka, Alison Kitson

Patient Experience Journal

Healthcare rights exist to protect older people from harm and to empower older people to participate in their care with independence, choice and control. Multiple investigations revealing abuse provide evidence that older people’s rights are being breached. Older people must have the opportunity to report on their experience of care against their rights. The Right PREM^TM is a new instrument designed to measure older people’s experience of care against their healthcare rights. The objective of this cross-sectional validation study was to assess the psychometric properties of a new instrument to measure the experience of care consistent with the healthcare …

Pengaruh Bauran Pemasaran Sumber Daya Manusia (Sdm) Terhadap Loyalitas Pasien Rumah Sakit: Systematic Review, Elsa Primasari

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

In today's fast-paced era of information and technology, there is also a demand for advancements in healthcare services, particularly hospitals. Currently, more and more hospitals are being established in Indonesia, resulting in increased competition among them. Therefore, hospitals must innovate by utilizing the marketing mix, especially the human resources factor, to maintain patient loyalty. This article aims to determine the influence of the human resources marketing mix on patient loyalty in hospitals. This study uses a systematic review design. The search was conducted using the keywords "Human Resources Marketing Mix," "Patient Loyalty," "Influence," AND "Hospital." The article search was accessed …

Addressing Productivity For Physical Therapy At Fairfield Medical Center, Evan Urrutia

Masters Theses/Capstone Projects

Fairfield Medical Center is a vibrant healthcare organization focused on providing exceptional healthcare experiences to everyone it serves. Fairfield Medical Center encompasses Cancer care, diabetes managements, emergency care, Gastroenterology, Heartburn Care, Hospice Care, Infectious Disease, Maternity Care, Neurology, Obstetrics & Gynecology Care, and Orthopedic Care.

From a physical therapy standpoint, FMC operates two outpatient clinics, and one inpatient service at the hospital. There are over 40 therapists who will either stay primarily at outpatient and inpatient, and some float between the two depending on the volume of patients.

I had the pleasure of being welcomed with open arms by the …

Program Evaluation Of A Hospital Patient Transportation Service, James Dion Washington

Walden Dissertations and Doctoral Studies

A hospital inpatient transportation process may decrease the time it takes patients to receive care and improve hospital quality and safety outcomes by providing timely and efficient patient handling. Grounded in agency theory, the purpose of this program evaluation was to evaluate the efficacy of the request for transport to measure against hospital objectives. Two specific program goals were to achieve an average 19-minute transport request-to-completion time and a 10-minute response from the time transport request is received when the transporter arrives. Data were collected from a survey, semistructured interviews, focus groups, and archival data analysis. The one sample t-test …

Pengaruh Bauran Pemasaran Terhadap Kepuasan Pasien Yang Diperoleh Dari Tingkat Kunjungan Pasien Ke Rumah Sakit: Literature Review, Akhmad Safi’I, Wahyu Sulistiadi

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

Efforts to satisfy consumer needs are carried out by every company with various strategies and methods with the hope that consumers will be satisfied and will make repeat purchases. If a consumer has turned into a loyal customer because his satisfaction is fulfilled, then the consumer will not switch to other similar company products or services. In the context of a hospital as well, people will selectively choose a hospital that they consider satisfied with hospital services and the impact on loyalty obtained from increased patient visits. This article aims to determine the effect of the marketing mix on patient …

Penggunaan Media Sosial Di Rumah Sakit: A Systematic Review, Andini Tri Wijayati, Angesti Drea Habsari Drea Habsari, Arinahaq Arinahaq, Fiki Kusumasari, Rosa Selvia, Rovels Agber Maywell Iroth

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

The progression of Internet access changes from passive consumer interaction becomes active consumer to seek health information. Social media not only a recreational instrument but also for business and organization. Initially, consumers obtained health information from websites that were one-way (only receiving information) but nowadays social media change consumer become two directions (receiving and spread information). This eligibility study was a systematic review with PRISMA (Preferring Reposting Items for Systematic Review and Meta-Analysis Protocols) approach. Conducted by searching articles from one database Science Direct and published from January 2014 to 2019. Searching and screening proces resulted in 5 articles to …

Development And Reliability Of A Patient Experience Inventory Tool For Hospitals, Agnes Barden, Nicole Giammarinaro, Natalie Bashkin, Larry Lutsky

Patient Experience Journal

This study explores the development and reliability testing of the newly developed Patient Experience Inventory for Hospitals (PXI-H). Created as an organizational self-assessment patient experience tool, it guides healthcare leaders in evaluating attitudes and behaviors as well as structures and programs impacting patient experience within a hospital setting. The PXI-H is organized within four pillars: Leadership, Education and Development, Data and Analytics and Patient-and-Family Centeredness, which were determined to be internally consistent based on examining coefficient alphas and the item-total correlations. Principal component analysis also determined items with highest loadings aligned onto the pillars in which there were assigned, confirming …

2020-03-20 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

Impact On Hospital Profitability Due To Covid Safety Guidelines, Khaja Umair Shariff, Anna Noel Franklin

Theses, Dissertations and Capstones

Introduction: The pandemic of COVID 19 presented a unique challenge to hospitals and healthcare systems that they have been struggling to function in. Operating costs had increased with new protocols, planning, operating space, supplies, and staffing. This coupled with the loss of revenue has led to approximately 10% - 20% salary reductions, furloughs, and loss of benefits such as PTO and vacation days to employees. Hospital’s cash reserves are being depleted due to increased operations costs and reduced revenue. Government funding, such as the CARES Act provided by the sanction of the Department of Health and Human Services Office, …

Leadership Strategies To Maintain Hospital Business Office Productivity During A Merger, Scott Alan Hughes

Walden Dissertations and Doctoral Studies

In 2017, healthcare system mergers in the United States set a record with 115 deals made and 11 involved sellers with net revenue of at least $1 billion; however, it is common for hospital business office productivity to suffer during a merger. Grounded in the theory of business process re-engineering, the purpose of this qualitative single case study was to explore strategies hospital leaders in the southeastern United States used to maintain business office productivity as they completed a merger. A review of documentation from archival records supplemented in-depth interviews with 7 purposively selected hospital leaders. Yin’s 5-step analysis guided …

Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner

Walden Dissertations and Doctoral Studies

Eco-friendly healthcare delivery concepts are becoming more accepted as hospital leaders seek to control energy costs, mitigate contributions to climate change, and preserve scarce resources. Leadership in Energy and Environmental Design (LEED) offers healthcare leaders a framework for designing and constructing sustainable facilities that meet efficiency goals. The purpose of this quantitative cross-sectional study was to build an understanding of whether LEED certification influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. Using complex systems theory as the framework, the research questions were focused on exploring if higher levels of LEED certification led to greater HCAHPS overall hospital …

An Exploratory Study To Identify Strategies For Retaining Laboratory Professionals In Hospital Setting, Ambrose E. Ewane

Walden Dissertations and Doctoral Studies

Medical laboratory professionals have faced more than 20 years of workforce shortages. The causes of these workforce shortages include poor retention of new professionals and an insufficient number of new graduates who enter the workforce. The purpose of this qualitative case study was to explore the strategies that are used by managers in hospitals for the retention of laboratory professionals. The theoretical framework comprised Mobley’s theory of turnover and Porter’s organizational commitment theory. The research questions for this study addressed what managers perceived as the biggest challenges for the retention of laboratory professionals and what effective strategies they thought could …