Health Services Research Commons^™

Analisis Pelayanan Kemoterapi Peserta Badan Penyelenggara Jaminan Sosial Di Rawat Singkat Anyelir Rumah Sakit Kanker “Dharmais” Dengan Metode Lean Tahun 2015, Agung Julipriohadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Rumah Sakit Kanker “Dharmais” (RSKD) as a cancer referral centers nationwide in Indonesia, trying to implement a culture of continuous improvement. Lean methods provide analytical approach to the problem of organizing the queue chemotherapy participant of Badan Penyelenggaran Jaminan Sosial (BPJS), particularly in Anyelir ward (One Day Care). Cross-functional Flowchart, Value Stream Mapping, Fishbone diagram, and 5 Why's were used to show the situation and identify activities that Value Added and Non-Value Added based on the patient's perspective. With the proposed improvements, Projected Value Perfomance showed increased activity efficiency up to 43,1%, save the time up to 48%, and cut …

Analisis Kebutuhan Tenaga Perawat Unit Pelayanan Intensif Berdasarkan Beban Kerja Dan Kompetensi Di Unit Pelayanan Intensif Rumah Sakit Dr Oen Solo Baru Tahun 2015, Antonny Halim Gunawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Nurses, as human resources for health also contribute greatly to the health services in hospitals and to provide services directly to patients. Nursing services at Intensive Care Unit has to be developed along with the technology development. Therefore, there is a need to concern the effieciency of nurses in term of quantity and competencies. This research discussed about the needs analysis nursing staff in the Intensive Care Unit of dr. Oen Solo Baru Hospital based on workload (using time and motion technique to 7 nurses then processed by Ilyas Methods) and work competencies based on Aditama 2007 and Ilyas (depth …

Penyusunan Rencana Strategis Rumah Sakit Pertamina Jaya Tahun 2017-2022, Budi Karmawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The focus of this study is how to develop strategic planning for hospitals, with case studies of Pertamina Jaya Hospital which is a class C private hospital. This research is qualitative research with descriptive design. The results showed that environmental factors both external as well as internal hospital put the Pertamina Jaya Hospital on the position of Growth and Build on IE Matrix and Internal Fix-It on TOWS Matrix. An alternative strategy is doing market penetration accompanied improvements in hospital weaknesses to capture opportunities. Implementation plan was drawn up in order to be in line with the achievement of Hospital …

Analisis Efektivitas Biaya Laparoskopik Herniotomy Dan Open Herniotomy Pada Pasien Hernia Inguinalis Unilateral Di Rumah Sakit Gading Pluit Jakarta Utara Tahun 2014, Dewi Saputra Tjitra

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This thesis is an economic evaluation with a cross sectional quantitative method design, observational and using comparative studies between two herniotomy techniques. The aim of this thesis is to analyze the cost effectiveness between patients with Laparoscopic Herniotomy and patients with Open Herniotomy of the inguinal hernia. This research is using Activity Based Costing with simple distribution to achieve total cost and then compared with the output, therefore cost effectiveness ratio (CER) is achieved. The CER is then compared to understand which is the lesser cost therefore is more effective. The research result shows that Open Herniotomy gives a smaller …

Faktor-Faktor Yang Berhubungan Dengan Motivasi Kerja Pegawai Tetap Di Rumah Sakit Umum Daerah Kabupaten Penajam Paser Utara Kalimantan Timur Tahun 2014, Sisvana Damayanti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The study aims to determine the relationship between the characteristics of a permanent employee, factors satisfiers and dissatisfiers factors on employee motivation remains in District General Hospital North Penajam Paser. The study was conducted in May and June 2014 using a questionnaire with closed questions. Analyses were performed quantitative approach with a cross-sectional study design. The sample of the study was 138 from 181 people of the total population. The results of this study indicate that as many as 57,2% of respondents have less motivation to work better, and 42,8% of respondents have a good motivation to work, as well …

Analisis Faktor-Faktor Yang Berhubungan Dengan Keinginan Pindah Kerja Perawat Rumah Sakit X Balikpapan Tahun 2014, Susila Indrayani

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This is a descriptive analytical study with quantitative and qualitative design aim to descripe and analysis factors related to move out of nurses at the X hospital Balikpapan. The study collected using questionnaire to 199 nurses, followed by in-depth interviews to 5 senior management, 1 chief ward and 1 secretary of nursing committe of hospital. Career development, compensation, and communication are the mean factors related to the intention to move out, communication is the most factor influencing the intention to move out. Qualitative methode validated the important communication between the management and the nurses which is not in a good …

Pengembangan Model Instrumen Penilaian Kinerja Dokter Spesialis Obsgyn Melalui Analisis Kinerja Di Rumah Sehat Ibu Dan Anak Budi Kemuliaan, Titi Setyorini

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The purpose of this studyis to develop an instrument that appropriate to measured Obstetrician and Gynecologist performance in Budi Kemuliaan Hospital through Performance Analysis. Descriptive study with qualitative method aims to constructed a Performance Appraisal’s Instrument. A convenience Informan of Obstetrician and Gynecologists and stakeholders in Budi Kemuliaan Hospital participated in this study. This study successfully developed a valid method to constructed a Performance Appraisal’s Instrument in Budi Kemuliaan Hospital by using Nominal Group Technique Method. A performance appraisal’s instrument contains 8 (eight) specific measurable criteria for Obstetrician and Gynecologists using the JCAHO’s six competencies to evaluated Medical Doctors performance …

Local Health Department Clinical Service Delivery Along The Urban/Rural Continuum, Kate E. Beatty, Nathan Hale, Michael Meit, Paula Masters, Amal Khoury

Frontiers in Public Health Services and Systems Research

Background: Engagement in the core public health functions and ten essential services remains the standard for measuring local health department (LHD) performance; their role as providers of clinical services remains uncertain, particularly in rural and underserved communities.

Purpose: To examine the role of LHDs as clinical service providers and how this role varies among rural and nonrural communities.

Methods: The 2013 National Association of County and City Health Officials (NACCHO) Profile was used to examine the geographic distribution of clinical service provision among LHDs. LHDs were coded as urban, large rural, or small rural based on Rural/Urban Commuting …

Project Achieve – Using Implementation Research To Guide The Evaluation Of Transitional Care Effectiveness, Jing Li, Jane Brock, Brian Jack, Brian Mittman, Mary Naylor, Joann Sorra, Glen P. Mays, Mark V. Williams, Arnold J. Stromberg, Heather M. Bush, Allison Scott, Robert Duff, Emily R. Clear, Hannah Keeler, Project Achieve

Internal Medicine Faculty Publications

Background: Poorly managed hospital discharges and care transitions between health care facilities can cause poor outcomes for both patients and their caregivers. Unfortunately, the usual approach to health care delivery does not support continuity and coordination across the settings of hospital, doctors’ offices, home or nursing homes. Though complex efforts with multiple components can improve patient outcomes and reduce 30-day readmissions, research has not identified which components are necessary. Also we do not know how delivery of core components may need to be adjusted based on patient, caregiver, setting or characteristics of the community, or how system redesign can be …

Wic Participation As A Risk Factor For Loss To Follow-Up In The Wisconsin Ehdi System, Elizabeth L. Seeliger, Rebecca A. Martin, Andrea N. Gromoske, Anne B. Harris

Journal of Early Hearing Detection and Intervention

In 2011, Wisconsin’s Early Hearing Detection and Intervention (EHDI) program, Wisconsin Sound Beginnings (WSB), developed multiple strategies to reduce loss to follow-up (LTFU) for babies who did not pass their newborn hearing screening: Medical Outreach, Family Outreach, Regional Outreach and WIC Alert. WSB evaluated the outcomes of babies identified as at-risk for LTFU to determine whether WIC participation was an indicator of their risk for LTFU. Additionally, WSB evaluated whether babies who were identified as at-risk for LTFU and receiving WIC services in two WIC projects serving areas and populations with known health disparities, were at even greater risk for …

Hospital Discharge Planning In Medicare: Current Requirements And Proposed Changes, Sally Coberly

National Health Policy Forum

Medicare's specific minimum health and safety standards for hospitals, known as conditions of participation, include requirements for discharge planning for patients who need such services. Discharge planning is intended to ensure smooth transitions from hospital to home or other health care facility. This publication reviews the current discharge planning requirements for hospitals as well as changes included in a proposed rule published by the Centers for Medicare & Medicaid Services on November 3, 2015. Key proposed changes include an expanded definition of which patients must receive discharge planning services, a requirement that providers responsible for follow-up care receive timely …

Identification Of Medicare Recipients At Highest Risk For Clostridium Difficile Infection In The Us By Population Attributable Risk Analysis, Erik R. Dubberke, Margaret A. Olsen, Dustin Stwalley, Ciarán P. Kelly, Dale N. Gerding, Yinong Young-Xu, Cedric Mahé

Dartmouth Scholarship

Background: Population attributable risk percent (PAR%) is an epidemiological tool that provides an estimate of the percent reduction in total disease burden if that disease could be entirely eliminated among a subpopulation. As such, PAR% is used to efficiently target prevention interventions. Due to significant limitations in current Clostridium difficile Infection (CDI) prevention practices and the development of new approaches to prevent CDI, such as vaccina- tion, we determined the PAR% for CDI in various subpopulations in the Medicare 5% random sample. Methods: This was a retrospective cohort study using the 2009 Medicare 5% random sample. Comorbidities, infections, and healthcare …

Employing The Precautionary Principle To Evaluate The Use Of E-Cigarettes, Ashley M. Bush, James W. Holsinger Jr., Lawrence D. Prybil

Health Management and Policy Faculty Publications

Electronic cigarettes (e-cigarettes) have emerged onto the public market as an alternative to tobacco cigarettes; however, science is inconclusive as e-cigarettes have not been thoroughly investigated, including their short- and long-term risks and benefits (1, 2). The question arises of whether e-cigarettes will become the future tobacco crisis. This paper connects the precautionary principle to the use of e-cigarettes in an effort to guide decision-makers in the prevention of adverse health outcomes and societal costs.

Tom Curran, Phd, Frs, Named Executive Director Of Children's Research Institute, Children's Mercy Hospital

Our Story Continues

Tom Curran, PhD, FRS, has been named Chief Scientific Officer and Executive Director of the Children’s Mercy Children’s Research Institute (CRI), effective Feb. 1 [2016]

The Children’s Research Institute at Children’s Mercy Kansas City was established last year to build on the hospital’s century-long history in pediatric research and to focus the hospital’s future research efforts in four key areas:

• Pediatric Genomic Medicine
• Clinical Pharmacology
• Health Services and Outcomes
• Health Care Delivery

Grant Application: Health Practitioners’ Perspective On Caring For Older Adults In Rural Maine – A Pilot Study, Jessica Harnisch, Allie Stanley, Amanda Langley, Jordan Beall

Health Practitioners' Perspective On Caring For Older Adults In Rural Maine

IPEC Mini-grant application for funding of UNE student project Health Practioners’ Perspective on Caring for Older Adults in Rural Maine. This pilot study was designed to identify challenges and determine potential solutions for Maine practitioners delivering health care to rural Maine’s aging population. UNE students from several healthcare professions partnered to interview physicians, physician assistants, nurse practitioners, social workers, occupational therapists, and physical therapists caring for community-dwelling older adults in Rural Maine. The student researchers then analyzed the interviews and identified themes.

Multilevel Analysis Of Individual, Neighborhood, And Health Care Facility Characteristics Associated With Achievement And Maintenance Of Hiv Viral Suppression Among Persons Newly Diagnosed With Hiv In New York City, Ellen W. Wiewel

Dissertations, Theses, and Capstone Projects

Objective

To investigate the effect of individual, health care facility, and neighborhood characteristics on achievement and maintenance of HIV viral suppression, among New York City residents aged 13 years and older diagnosed with HIV between 2006 and 2012.

Methods

I used individual-level data from the New York City HIV surveillance registry and Case Surveillance-Based Sampling, facility-level data from the surveillance registry, and neighborhood-level data from the U.S. Census and American Community Survey. The outcomes of interest were first viral suppression after diagnosis (Aims 1 and 3; ≤400 copies/mL) and virologic failure after first suppression among persons who achieved suppression (Aim …

Health In Housing - Exploring The Intersection Between Housing & Health Care, Bill J. Wright, Grace Li, Keri B Vartanian, Maggie Weller

Articles, Abstracts, and Reports

No abstract provided.

Re-Framing Informal Family Caregiving, Magdalena T. Ornstein-Sloan

Dissertations, Theses, and Capstone Projects

Informal family caregivers are the backbone of the long-term care system, providing an estimated 80% of the long-term care in the United States. Caregivers provide care to people with disabilities, the ill and older adults, often with little to no outside assistance from the formal long-term care system. Although caregivers receive attention in the academic literature, mainstream media and within public policy and services development, caregiver services continue to remain underutilized. The focus on service provision has various goals, including the desire to lessen the burden caregivers experience by providing services so they can provide care at home longer than …

Assessing The Twinning Model In The Rwandan Human Resources For Health Program: Goal Setting, Satisfaction And Perceived Skill Transfer, Esperance Ndenga, Glorieuse Uwizeye, Dana R. Thomson, Eric Uwitonze, Joel Mubiligi, Bethany L. Hedt-Gauthier, Michael Wilkes, Agnes Binagwaho

Dartmouth Scholarship

Because of the shortage of health professionals, particularly in specialty areas, Rwanda initiated the Human Resources for Health (HRH) Program. In this program, faculty from United States teaching institutions (USF) "twin" with Rwandan Faculty (RF) to transfer skills. This paper assesses the twinning model, exploring USF and RF goal setting, satisfaction and perceptions of the effectiveness of skill transfer within the twinning model.

Generational Differences In Practice Site Selection Criteria Amongst Primary Care Physicians., Christopher Duffrin Phd, Mches, Molly Cashion Mph, Doyle M. Cummings Pharmd, Lauren Whetstone Phd, Jonathon Firnhaber Md, Gary Levine Md, Ricky Watson Md, Msph, Aaron Lambert Md

Marshall Journal of Medicine

ABSTRACT

Background and Objectives: Generational differences are often viewed as shaping the overall attitudes and actions of different age cohorts. It is essential to understand the motivations and generational differences in primary care physicians for efforts to recruit, retain, and educate the future physician workforce. Determining what factors most influence different generations of primary care physicians when choosing a practice site is essential to build our future primary care system. This study examined generational differences in the factors that attracted primary care physicians to their current practice.

Methods: A survey instrument was mailed to all active members of the North …

Factors Associated With Unmet Needs Among African-American Dementia Care Providers, P. J. Desin, Allison M. Caban-Holt, Erin L. Abner, Linda J. Van Eldik, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

Racial and ethnic minorities currently comprise 20% of the U.S. population; in 2050, this figure is expected to rise to 42%. As a result, Alzheimer’s disease (AD), the 5th leading cause of death for people aged 65 and older, is likely to increase in these groups. Most dementia caregiving for these populations comes from family and friends, especially among families with lower socioeconomic status. A convenience sample of 30 African-American dementia caregivers was interviewed to determine unmet needs. Participants expressed a limited desire for formal services, such as support groups, legal advice, case management, and homemaker services. Instead, commonly expressed …

Models For Hsv Shedding Must Account For Two Levels Of Overdispersion, Amalia Magaret

UW Biostatistics Working Paper Series

We have frequently implemented crossover studies to evaluate new therapeutic interventions for genital herpes simplex virus infection. The outcome measured to assess the efficacy of interventions on herpes disease severity is the viral shedding rate, defined as the frequency of detection of HSV on the genital skin and mucosa. We performed a simulation study to ascertain whether our standard model, which we have used previously, was appropriately considering all the necessary features of the shedding data to provide correct inference. We simulated shedding data under our standard, validated assumptions and assessed the ability of 5 different models to reproduce the …

Harvesting Health: A Community-Based Participatory Evaluation Of The Veggie Rx Program, Natalie Royal, Kristin Brown, Fanny Rodriguez, Bianca Fernandez, Leticia Valle, Elizur Bello

Articles, Abstracts, and Reports

No abstract provided.

Reorienting Adolescent Sexual And Reproductive Health Research: Reflections From An International Conference, Kristien Michielsen, Sara De Meyer, Olena Ivanova, Ragnar Anderson, Peter Decat, Céline Herbiet, Caroline W. Kabiru, Evert Ketting, James Lees, Caroline Moreau, Deborah L. Tolman, Ine Vanwesenbeeck, Bernardo Vega, Elizabeth Verhetsel, Venkatraman Chandra-Mouli

Publications and Research

On December 4th 2014, the International Centre for Reproductive Health (ICRH) at Ghent University organized an international conference on adolescent sexual and reproductive health (ASRH) and well-being. This viewpoint highlights two key messages of the conference - 1) ASRH promotion is broadening on different levels and 2) this broadening has important implications for research and interventions – that can guide this research field into the next decade. Adolescent sexuality has long been equated with risk and danger. However, throughout the presentations, it became clear that ASRH and related promotion efforts are broadening on different levels: from risk to well-being, from …

Medicaid Financing, Sally Coberly

National Health Policy Forum

This publication provides an overview of how the Medicaid program is financed. It explains how the federal and state shares of funding are determined, briefly describes disproportionate share hospital payments and how those are affected by the Patient Protection and Affordable Care Act of 2010, and outlines financing mechanisms states have used to maximize federal Medicaid matching funds.

Medicaid Eligibility And Benefits, Sally Coberly

National Health Policy Forum

This publication provides a brief overview of the Medicaid program. It highlights the range of eligibility and benefits requirements and options and it briefly describes the program's financing structure.

The Medicare Drug Benefit (Part D), Sally Coberly

National Health Policy Forum

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit for Medicare beneficiaries that began January 1, 2006. This publication provides an overview of the drug benefit.

Medicare, Sally Coberly

National Health Policy Forum

This publication provides an overview of the Medicare program including eligibility, covered services, cost-sharing requirements, and program financing.

Western Kentucky University College Of Health And Human Services (Chhs) Strategic Plan 2016-2020, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Realizing Improved Patient Care Through Human-Centered Design In The Operating Room, Volume 2, Clemson Center For Health Facilities Design & Testing

Center for Health Facilities Design and Testing

This 4-year grant from the Agency for Healthcare Research and Quality supports the development of a learning lab focused on designing a safer, more ergonomic operating room. Sponsor: Agency for Healthcare Research Quality Project period: 9/1/15 to 8/31/19 Project Description: The overarching goal of the learning lab titled, “Realizing Improved Patient Care through Human-Centered Design in the Operating Room (RIPCHD.OR) is to develop an evidence-based framework and methodology for the design and operation of operating rooms such that it impacts improved perioperative outcomes including surgical site infections, surgical errors and staff injuries.