Health and Medical Administration Commons^™

Cited And Underprepared; The Call For Improved Emergency Preparedness In Ltc Facilities, Dawn M. Ide

Walden Dissertations and Doctoral Studies

This research investigated the connection between the Medicare star rating system and E-tags on emergency preparedness of nursing homes for disasters in Hampton Roads, Virginia. Emergency preparedness in nursing homes has been a topic of growing interest within the past decade. Hampton Roads, Virginia, has a history of natural disasters including hurricanes and flooding, which necessitates a proper and efficient emergency preparedness plan in nursing home facilities. The primary purpose of this research was to review the secondary Centers for Medicare and Medicaid Services (CMS) data regarding the star rating system and E-tag surveys of each of the 37 nursing …

Noncompliance With Follow-Up Visits In Primary Care, Amanda Michelle Northern

Walden Dissertations and Doctoral Studies

No-show appointments, also referred to as missed appointments, occur 23% to 34% annually in general practice care settings. Missed appointments can lead to reduction in appointment availability, decrease in provider/staff productivity, patient/provider discordance, disruption in continuity of care, and reduced quality of care. There is a gap in the nursing literature regarding effective interventions to reduce missed appointments. The purpose of this quality improvement, secondary analysis project was to determine whether implementation of an evidence-based no-show, nurse-led intervention would reduce missed appointment rates in a family medicine practice. The health belief model and the plan, do, study, act model guided …

Strategies To Reduce Employee Turnover In Clinical Logistics, Brenda Marc Simon

Walden Dissertations and Doctoral Studies

Clinical supply chain managers who do not apply effective employee turnover strategies could negatively affect team performance, employee morale, employee well-being, patient outcomes, productivity, profitability, and the sustainability of organizational activities. The purpose of this multiple case study was to explore strategies that supply chain managers used to decrease employee turnover in clinical logistics organizations. The targeted population consisted of 6 clinical logistics supply chain managers working in 6 community hospitals located in Maryland who had experience implementing successful strategies to decrease employee turnover. The servant leadership theory served as the study's framework. Data collection included semistructured interviews and a …

Obesity Epidemic In The Military: Implications For Veterans, Tracy Lewis

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the impact of overweight and obesity on veterans' careers. Obesity, once thought unproblematic for the military, is being recognized as a health concern that has expansive implications for the health and readiness of service men and women, as well as for veterans. There is an abundance of information on obesity within the general population, but research on the impact of obesity on military careers is limited. This quantitative, cross-sectional research study investigated how obesity is a challenge throughout a veteran's career, from enlistment to retirement, using an online survey to gather data …

Development Of Nursing Education For An Observation Unit, Donna Mckinney

Walden Dissertations and Doctoral Studies

As healthcare continues to face scrutiny related to the cost and quality of patient care, organizations are challenged with providing the right care to patients in the right setting. Some healthcare organizations are implementing observation units to provide appropriate care to a specific subset of patients. The purpose of this project was to develop education for nursing staff who will work on the dedicated observation unit and are unfamiliar with the care requirements. Benner's novice-to-expert theory was used as the framework for the project. This theorist posits that nurses transitioning to a new area require new knowledge and skills to …

The Impact On Cost, Quality, And Patient Satisfaction When Delivering Care To Acutely Ill Adults In An At-Home Care Model Versus An Inpatient Hospital Setting., Franchesca M. Adams

Honors Theses and Capstones

The impact on cost, quality, and patient satisfaction when delivering care to acutely ill adults in an at-home care model versus an inpatient hospital setting. Hospital level care for certain acute conditions can be safely delivered in the patient’s home while lowering the cost per episode of care, maintaining or improving patient experience, and improving safety and patient/care giver education as well as care coordination, at the Critical Access Hospital (CAH) level.

Setting Research Priorities Within Allied Health: What Do Clinicians Think?, Annette Davis, Den-Ching Angel Lee, Lisa-Anabell Wenzel, Terry Haines

Internet Journal of Allied Health Sciences and Practice

Background: Research activity among allied health clinicians working in publicly funded health care organisations is growing, yet little attention has been paid to how these activities are prioritised. Without a specific framework to guide research direction, it is likely that research will be conducted in areas that are prioritised by individual clinicians. However, it is presently unknown what areas are prioritised by clinicians and the reasoning behind their prioritisation. Purpose: The aims of this study were to identify what clinicians identify to be the highest priority research across personal, department, and health service levels, and the reasons why. It also …

Use Of The Kawa Model To Facilitate Interprofessional Collaboration: A Pilot Study, Jennifer E. Lape, Ashley Lukose, Diana R.M. Ritter, Brian D. Scaife

Internet Journal of Allied Health Sciences and Practice

Purpose: The Kawa (river in Japanese) model uses the metaphor of a river to view one’s life from a metaphysical perspective, with consideration given to the interaction between social and physical environments, life circumstances, assets, and liabilities. Preliminary research suggests that the Kawa model may be an effective tool for interprofessional collaboration, but studies employing the model with diverse groups of healthcare professionals have not been undertaken. The purpose of this pilot study was to determine if the Kawa model could serve as an effective collaboration tool for a diverse healthcare team within a skilled nursing facility.

Method: A pilot …

What's Happening: December 31, 2018, Maine Medical Center

What's Happening

No abstract provided.

01-08-2019 Hsc Committee Meeting Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

The Role Of An Advanced Practice Provider (App) And Its Relation To Physician Shortages And Rural Healthcare Survival: A State-By-State Analysis, Allen Anderson

Dissertations, Theses, and Projects

The extent that Advanced Practice Providers (APPs) are able to practice independently with a full scope of practice varies state-by-state. The purpose of this paper was to review how APPs could help in a number of different areas of healthcare. This analysis examines the state of rural healthcare and reviews physician shortage statistics and hospital closures by state. In the examination, it also evaluates which states have full scope, reduced scope, and restricted scope of practice laws and cross-references that with states that have experienced a hospital closure. Through case studies, this research finds that APPs can be an alternative …

What's Happening: December 17, 2018, Maine Medical Center

What's Happening

No abstract provided.

Multiple Sclerosis Drugs Have Been Getting A Lot More Expensive, Ben Jay

Capstones

Multiple Sclerosis is a very expensive disease. According to a 2016 study in the American Journal of Managed Care, treating it can cost patients anywhere from $30,000 to $100,000 per year, which can meet or even exceed the average US household median income, depending on how severe your case is. For a disease that has no known cure, and requires frequent medical attention to manage symptoms that can completely debilitate a person if left untreated, that can mean spending $4.1 million over the course of a lifetime, according to the same study. However, in the last 20 years, that …

Improving Breastfeeding In Rural Tanzania Using Bardach’S Policy Analysis Methodology, Katherine Skiff

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Appropriate breastfeeding has the potential to have the broadest impact on childhood survival in children under five years (U5Y) compared to all other preventive interventions. The World Health Organization (WHO) and United Nations International Children’s Emergency Fund (UNICEF) recommend that all facilities providing maternal services and newborn care have a written policy addressing breastfeeding that is routinely disseminated to staff. Shirati hospital, in rural Tanzania, does not have a breastfeeding policy. Bardach’s 8-Fold Pathway for policy analysis methodology (adapted by Collins for health policy) was used to evaluate three promising breastfeeding policies to improve compliance with this recommendation. They include …

Root Cause Analysis To Improve Incident Reporting In An Ambulatory Care Setting, Lisa Ann Duncan

Doctor of Nursing Practice (DNP) Projects

Problem: The subject organization (SO) is a Federally Qualified Health Center (FQHC) with an internally developed incident reporting system. The SO wanted to improve patient and employee safety using data from incident reports, but the incident reporting system did not give enough information to recognize patterns and develop countermeasures.

Context: Supervisors welcomed the opportunity to learn more about incident report follow-up and conducting root cause analysis (RCA). Members of the Safety Committee were eager for data to use to develop countermeasures to improve patient and employee safety. Decreases in employee injuries can save the SO from increases in the …

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In …

Essays On The Patient-Centered Medical Home In The United States Military Health System, Glen N. Gilson

Theses & Dissertations

The Patient-Centered Medical Home has been endorsed by the primary care community as the model of the future, with hopes that it will increase quality of care and the patient and provider experience while decreasing costs. Many aspects of the implementation of the Patient-Centered Medical Home model remain unexplored. This dissertation comprises three independent studies examining Patient-Centered Medical Home implementation in the Military Health System, including (1) the effects of environmental correlates on the time to implement the model, (2) the impact of differences in implementation on preventive care quality outcomes, and (3) the effect of differences in implementation on …

Letter From The Editors, Administrative Issues Journal Editors

Administrative Issues Journal

No abstract provided.

Examining The Relationship Of Textbooks And Labs On Student Achievement In Eighth Grade Science, Don Jones, Marie-Ann Mundy, Lavonne Fedynich, Anacita Sugalan

Administrative Issues Journal

One of the most important objectives of teachers, parents, school administrators, and students is to improve student scores on standardized tests, such as the State of Texas Assessment for Academic Readiness (STAAR) in eighth-grade science. This quasi-experimental study examined the science achievement scores between schools that used different textbooks and labs when delivering instruction. This study utilized a quantitative approach, using archival data and survey design. Analysis of covariance (ANCOVA) and multiple regression were used to analyze the data while controlling STAAR eighth-grade reading scores to reveal significant differences between classes. The sample and population for this study were predominantly …

State Of Practice In Accessible Instructional Material Policy In Public Post-Secondary Settings, Veronica Mcgowan

Administrative Issues Journal

For many students, easy access to instructional materials is an expectation of course enrollment. However, for students with disabilities, obtaining instructional materials may involve hurdles such as transcription, captioning, and requesting a braille or large-print version. In order to explore themes related to accessibility and services for students with disabilities, the goal of this study was to examine the similarities and differences between publicly communicated policies related to accessible instructional materials in public post-secondary educational settings. To that end, this study consists of website-provided accessible instructional materials policy of 60 higher educational institutions, representing five American geographic areas and four …

The Relationship Between Admission Criteria And Pre-Service Teacher Preparedness For A Small Rural Educator Preparation Provider, Gerald Mihelic, Chancey Bosch, Kim Boyd, Mary Lou Miller

Administrative Issues Journal

Pre-service teacher preparedness is a measurement of a teacher candidate’s ability to become an effective teacher (Clark, Byrnes, & Sudweeks, 2015). A growing number of Educator Preparation Providers’ (EPPs’) accrediting agencies are insisting that to improve pre-service teacher preparedness, EPPs must increase the rigor of their admission criteria. However, the research is inconclusive regarding whether a relationship exists between admission criteria and pre-service teacher preparedness. Therefore, the purpose of this study was to investigate the relationship between the Educator Preparation Provider’s (EPP’s) current teacher education program admission criteria and pre-service teacher preparedness measurements to determine if the EPP should increase …

Universities Can Learn Too: Extracting The Value Stram From Small-Dollar Transactions, Richard J. Palmer, Mahendra Gupta, James Brandt

Administrative Issues Journal

Based on survey responses of 350 colleges and universities in North America in 2017, we find that the majority of benefits from purchasing card use are falling to a minority of card-using educational institutions. This study examines the extent to which p-card programs at colleges and universities in North America “fail to launch,” and presents an outline for program selfassessment, identifies common obstacles in implementing a successful p-card program, and provides a roadmap to rehabilitate a languishing p-card program.

Overcoming Employer Perceptions Of Online Accounting Education With Knowledge, Rhonda J. Richards, Robert Stevens, Lawrence Silver, Stephanie Metts

Administrative Issues Journal

Accounting education is moving toward an online learning environment. While many universities teach in the face-to-face environment, or at least offer that option, there are also many universities offering online accounting education. Attitudes and intentions of potential employers of accounting students need to be understood by academics as well as by university students. Accreditation and training can play a key role in effective online accounting education. The purpose of this study was to identify and examine factors that have a significant impact on employer perceptions of online accounting education. A survey was developed from literature review and interviews and then …

Using Curriculum Mapping And Visualization To Maximize Effective Change, Kelli Schutte, Chris Mccullick, David Line

Administrative Issues Journal

This paper shares the process of developing a fully integrated assessment framework and model for a mapping curriculum. The foundational aspects of this model are the development of layered outcomes that occur at each level of the curriculum and the linking of courses together to ensure building blocks that are progressive within a program. The presented framework not only measures this integrated nature but also allows for assessment that is both summative and formative. A view of the different aspects of curriculum application—from knowledge building, application of knowledge, and transferability of knowledge to new contexts—is a focus of the course …

Macc Curriculum And Cpa Exam Passage Rates: An Exploratory Study, Evan M. Shough, Beth Stetson, Aubree Walton, Kaimee Tankersley

Administrative Issues Journal

The growing popularity of Master of Accounting programs can be attributed to multiple factors, but the states’ adoption of the 150-credit hour educational prerequisite for Certified Public Accountant licensure was clearly influential in stimulating enrollment growth. Despite the growth and importance of Master of Accounting programs, comparative data of program prerequisites and curriculum is scarce. Equally limited are empirical analyses of the effects of graduate curriculum upon CPA Exam passage rates. To address the paucity of information, we examined the program prerequisites and curriculum of 283 Master of Accounting programs, all of which are based in the United States and …

The Relationship Of Academic Indicators And Professional Disposition To Teaching Skills: A Secondary Data Analysis, Justin J. Wageman, Sarah K. Anderson, Stacy Duffield, James Nyachwaya

Administrative Issues Journal

This study compared teaching skill evaluations and professional disposition evaluations for candidates accepted and denied admission to an educator preparation program based upon GPA and testing requirements. The study sought to determine the relationship between academic and non-academic indicators and teaching skills. The data revealed academic indicators of GPA and test scores do not relate to teaching skills. A correlation was found between non-academic indicators, professional dispositions, and the teaching skills evaluation score. The results suggest professional dispositions may be a stronger indicator of success for admission to educator preparation programs and future licensure than GPA and test scores.

Ready For Action: Developing Classroom Teams To Prepare Students For The Business World, Bradley Wesner, Ashly Smith, Traci Austin

Administrative Issues Journal

The ability to work in teams is one of the most highly valued professional skills. Preparing students to operate effectively in workplace teams, therefore, is naturally a priority for business and management faculty. Managing course-based teams, however, can be a challenging and complicated process for many instructors. This article offers instructors practical solutions to those challenges. After a brief review of relevant literature on workplace and course-based teams, the authors provide the results of a survey of 207 current undergraduate business students conducted in the fall of 2015 in which the authors sought to determine: (1) the factors that influence …

"This Doesn't Happen Here": Child Sex Trafficking In Rural Oklahoma, Denise Blum, Tania Benoiton, Sean Kinder

Administrative Issues Journal

The sex trafficking of minors is a hard-to-detect and underreported crime. Its insidiousness makes it exceedingly difficult to recognize, and treatment, once a victim is recovered, is long-term and costly. Urban areas are in the spotlight when it comes to the trafficking of minors. However, the unsuspecting rural context consists of specific dynamics that may make children in the countryside more vulnerable than in the city. Using the case of an Oklahoma town, the researchers conducted a presentation on child sex trafficking for school personnel at a K-8 rural school. They administered pre- and post-surveys and conducted follow-up interviews with …

Teamwork, Communication, And Data: 3 Keys To Large- Scale Practice Change In Opioid Prescribing, Linda Cruz, Ryan Dix

Books, Presentations, Posters, Etc.

This session will share lessons learned from the four-year implementation of a pain-care pathway across 45 patient-centered medical home (PCMH) clinics in Oregon. Leveraging the PCMH team, communication, and data to improve pain management and reduce risk, Providence Medical Group was able to realize a 68% reduction of patients on high-dose opioids. After this presentation you will be able to:

1. Explain a scalable approach, using CDC guidelines, to implement a pathway to reduce opioid prescribing in primary care
2. Discuss three key principles of implementing a pain-care pathway in a team-based care environment
3. Develop an opioid care pathway action plan at …

What's Happening: December 10, 2018, Maine Medical Center

What's Happening

No abstract provided.