Assessing The Relationship Between Automated Technology Expenditure And Revenue Cycle Performance,
2022
Walden University
Assessing The Relationship Between Automated Technology Expenditure And Revenue Cycle Performance, Kelsey Macapagal
Walden Dissertations and Doctoral Studies
Despite evidence that the automation of administrative processes may lead to both cost reductions and performance benefits, there was little to no empirical evidence that holistically examined the impact of technology within the healthcare revenue cycle. The purpose of the current quantitative study was to examine the relationship between automated technology expenditure and revenue cycle performance. Correlational analyses were used to determine the relationship between automated technology expenditure and labor, revenue, and denials, respectively, within the revenue cycle of a single, multi entity health system in California. Regression analysis was used to determine the relationship between variables over a 4-year …
U.S. Military Treatment Facility Reform: Decision-Based Plan Of Action And Milestones,
2022
Walden University
U.S. Military Treatment Facility Reform: Decision-Based Plan Of Action And Milestones, Sean E. Marshall
Walden Dissertations and Doctoral Studies
In 2017, the U.S. Congress mandated a specific reorganization and centralized approach in military medicine. The Air Force developed a medical reform construct to organize military treatment facilities (MTFs). The leaders of each unit are required to comply with the reorganization using internal resources with no additional funding or personnel. The purpose of this study was to deliver a plan of action and milestones (POAM) suitable for workgroup implementation to achieve the mandated health unit integration at a medium-sized MTF. The practice-focused question asked how a POAM road map guides effective decision-making. A consultancy approach was used to assist leadership …
Association Between Opioid-Related Emergency Department Visits And Financial Liability Of Hospitals,
2022
Walden University
Association Between Opioid-Related Emergency Department Visits And Financial Liability Of Hospitals, Mary-Zitta Muabe
Walden Dissertations and Doctoral Studies
Emergency departments (EDs) are experiencing an influx of patients with opioid-related which result in increased opioid misuse, abuse, and overdoses. The purpose of this study was to examine the relationship between opioid-related ED visits and financial liability of hospitals by evaluating if an increase in opioid-related ED visits leads to an increase in average ED visit costs. The framework used for this study was Reason’s theory of failures, which involves improving healthcare maturity in terms of risk management, achieved through enhanced efficiency. The analyzed research questions included analysis between the number of opioid-related ED visits and financial liability of hospitals …
Completion Times For Computerized Tomography Tests And Walkout Rates In The Emergency Department,
2022
Walden University
Completion Times For Computerized Tomography Tests And Walkout Rates In The Emergency Department, Chinyere Rumph
Walden Dissertations and Doctoral Studies
AbstractThe efficiency of the emergency department (ED) is important in the provision of quality patient care, which includes avoiding long wait times for tests and treatments. EDs may be overcrowded and understaffed, leading to increased wait times for tests. One of the areas overwhelmed by increased ED cases concerns the number of requests for computerized tomography (CT) scans, which may result in patients leaving the ED before care is completed. The three research questions for this quantitative study focused on the age of patients and CT scan walkout rates, completion time and CT scan walkout rates, and the number of …
California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic,
2022
Walden University
California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic, Stacey R. Varga
Walden Dissertations and Doctoral Studies
A lack of adequate healthcare access can negatively affect asthma management. The purpose of this study was to understand whether there was an association between source of care and asthma management. This study provides important insights concerning the changing landscape of how individuals receive asthma treatment and manage their asthma during a pandemic. Asthma management and asthma care have been studied; however, results have been inconclusive in relation to the barriers to health that are experienced among various adult age groups. Identifying additional subgroup characteristics could provide insight into where health practitioners, practice management, and policymakers direct healthcare resources. The …
Exploring African American Women’S Experiences With Breastfeeding Support In Health Services,
2022
Walden University
Exploring African American Women’S Experiences With Breastfeeding Support In Health Services, Jennifer Johnson
Walden Dissertations and Doctoral Studies
Breastfeeding provides complete nutrition to infants and reduces the risk of many chronic diseases among infants and their mothers, yet disparities exist. African American mothers have the lowest breastfeeding rates compared to other ethnic groups in the United States. There is limited qualitative research on health services support from the African American mother’s perspective. Understanding health behaviors may improve programming, reduce racial and ethnic disparities, and address social determinants of health. The purpose of this study was to explore African American women’s beliefs, experiences, perspectives, and opinions around breastfeeding support provided in healthcare settings by healthcare professionals. From a conceptual …
Coping Strategies Linked To African Americans With Chronic Kidney Disease,
2022
Walden University
Coping Strategies Linked To African Americans With Chronic Kidney Disease, Gabrielle Lawrence
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) is a health problem that affects African Americans more often than Whites and other ethnic groups. Individuals with CKD need to develop strategies to help with the disease and life challenges. Social support, self-management, and self-efficacy are factors that may influence how individuals with CKD cope with the disease. This quantitative correlational study examined the relationships among self-management, self-efficacy, and coping behaviors in African Americans with CKD in Stages 3 or 4. In addition, the moderating effect of social support on the extent to which self-management and self-efficacy account for the variance of coping behaviors in …
Predictors Of Medication Alternative Cost-Saving Strategies Among Adults With Type 2-Diabetes,
2022
Walden University
Predictors Of Medication Alternative Cost-Saving Strategies Among Adults With Type 2-Diabetes, Olaseni Solomon Oduwaye
Walden Dissertations and Doctoral Studies
Adults with type 2 diabetes (T2D) in the United States experience a significant financial burden in managing their condition due to prescription medication, higher out-of-pocket (OOP) costs, number of prescribed medications, and health insurance status to stay compliant with their medications. This study examined the association between the alternative medication cost-saving strategies, including obtaining free samples from doctors or patient assistance programs, splitting pills or changing dosage frequency, purchasing from other countries, purchasing over the internet, and the three independent variables among adults diagnosed with T2D. Reasoned action approach theory helped guide how external factors may influence an alternative medication …
Nursing Staff Education On The Use Of The American Diabetes Association Guidelines,
2022
Walden University
Nursing Staff Education On The Use Of The American Diabetes Association Guidelines, Terrie Hattie Allen
Walden Dissertations and Doctoral Studies
AbstractDiabetes mellitus is a complex chronic condition that requires continuous care and management. Approximately 34 million Americans are diagnosed with diabetes and around 90%–95% suffer from Type 2 diabetes. The problem identified in this project was the need to follow the American Diabetes Association guidelines in place at the study site clinic but are not adhered to by the staff. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to plan, implement, and evaluate a nursing staff education program on the use of the American Diabetes Association Guidelines for diabetes. …
Association Between Staff Patient Safety Grade Mean Rating Score, The Person And Community Engagement Domain Score, And The Hospital Value Based Purchasing Total Performance Score,
2022
Walden University
Association Between Staff Patient Safety Grade Mean Rating Score, The Person And Community Engagement Domain Score, And The Hospital Value Based Purchasing Total Performance Score, Tamara Lynn Awald
Walden Dissertations and Doctoral Studies
AbstractIt is essential for hospitals to focus on improving indicators that positively influence patient experience and clinical outcomes and thereby improve clinical and financial organizational outcomes. The purpose of the study was to examine the association between the staff Patient Safety Grade Mean Rating Score, Person and Community Engagement Domain Score, and the Value Based Purchasing Total Performance Score. The theoretical framework used in this study is the Donabedian model specifically regarding providing structure, process, and outcomes framework relative to the evaluation of care. The research questions examined the association between staff Patient Safety Grade Mean Rating Score, the Person …
Patient Harm And Malpractice Payments In Inpatient Settings According To Type Of Medication Administration Error,
2022
Walden University
Patient Harm And Malpractice Payments In Inpatient Settings According To Type Of Medication Administration Error, Kalyn Jo Barton
Walden Dissertations and Doctoral Studies
While preventable, medication administration error rates surpass most estimates and result in poor quality care. Researchers have demonstrated that interventions have been identified, new technology has been deployed, and training and education have increased, yet the errors persist. Researchers have yet been able to establish the most prevalent, harmful, and costly types of medication administration errors. The purpose of this quantitative study was to identify trends in medication administration errors committed in inpatient settings, specific to the type of error, patient outcomes, and malpractice payment amounts. Donabedian’s model for healthcare quality, derived from the three categories of structure, process, and …
Lgbtq Patient Funding And Satisfaction On Patient Volume And Hospital Revenue,
2022
Walden University
Lgbtq Patient Funding And Satisfaction On Patient Volume And Hospital Revenue, Kourtney Denise Carter
Walden Dissertations and Doctoral Studies
AbstractHistorically, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community has reported low patient satisfaction for health care. The purpose of this quantitative study was to examine the statistical relationship between patient satisfaction among LGBTQ patients (independent variable) and patient volume and hospital revenue (dependent variables) in the U.S. state of Georgia. The study was grounded on Andersen's model of healthcare utilization. Two research questions guided this study related to the statistical relationship between hospital revenue and patient satisfaction within health systems and the statistical relationship between patient satisfaction and patient volume. The study included 567 members of the LGBTQ …
Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement,
2022
Walden University
Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi
Walden Dissertations and Doctoral Studies
Low-quality value-based patient care negatively impacts physicians’ ability to maintain private solo practices. Physicians who lack strategies to apply value-based patient care may lose their ability to stay in a private solo practice. Grounded in the complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies used by private solo physicians that provided value-based patient care. Participants were four physicians in solo private practice who successfully applied value-based patient care to maintain their private solo practice. Data were collected from semistructured interviews and organizational documents and analyzed using thematic analysis. Three themes emerged: (a) …
Nurse Manager’S Leadership And Communication Skills And A Registered Nurse’S Organizational Citizenship Behavior, Satisfaction, And Intent To Leave,
2022
Walden University
Nurse Manager’S Leadership And Communication Skills And A Registered Nurse’S Organizational Citizenship Behavior, Satisfaction, And Intent To Leave, Emmitte J. Hall
Walden Dissertations and Doctoral Studies
The Veteran’s Health Administration (VHA) is the largest employer of registered nurses in the United States. The American Association of Colleges of Nursing predicts there will be a nursing shortage through the year 2030 and replacing and training each nurse is expensive and negatively impacts patient care. A review of the literature showed organizations with high levels of organizational citizenship behavior (OCB) had high levels of job satisfaction, which reduces turnover, but there was no research on the existence and impact of OCB in a federal health care facility, specifically the VHA. The purpose of this quantitative, correlational research was …
Improving Egypt’S Access To Vaccines And Medicines: Communication During Covid-19 / تحسين إتاحة الوصول إلى اللقاحات والأدوية في مصر: سياسة توعية الجمهور خلال أزمة فيروس كورونا,
2022
American University in Cairo
Improving Egypt’S Access To Vaccines And Medicines: Communication During Covid-19 / تحسين إتاحة الوصول إلى اللقاحات والأدوية في مصر: سياسة توعية الجمهور خلال أزمة فيروس كورونا, Alaa Abdel-Rahman, Sarah Attef, Helen Gabrah, Reem El-Sayed, Sarah El-Lithy
Papers, Posters, and Presentations
Since the start of the COVID-19 pandemic, the Egyptian government has been following protocol as best as possible when it comes to responding to the needs of the health and economic sectors amid difficult times. From lockdown measures to the WHO’s recommended practices in terms of isolation of cases and treatments, Egypt has been lauded as one of the fastest and most effective countries in terms of COVID-19 emergency response. Authorities have implemented several awareness campaigns directed at citizens to inform them about the pandemic, how to prevent infection, what to do if infected and how to act accordingly. Authorities …
Competencies For Successful Middle Managers In Healthcare And Medical Education,
2022
Antioch University - PhD Program in Leadership and Change
Competencies For Successful Middle Managers In Healthcare And Medical Education, Ahmed Al Ansari
Antioch University Dissertations & Theses
The Kingdom of Saudi Arabia (KSA) and the Kingdom of Bahrain (KB) are currently in the process of the rapid transformation of health care to a self-sustained autonomous system. Middle managers play a pivotal role in achieving this goal. The aim of this study is to develop a feasible, reliable, and valid scale for measuring the leadership and managerial competencies of MM in KSA and KB. Zhou’s (2019) conceptual framework using a mixed-method approach was followed. After procuring ethical clearance from concerned authorities and informed consent from all the participants (n = 27), semi-structured interviews were conducted across three groups: …
An Analysis Of The Special Focus Facility Program And Nursing Home Quality,
2022
Virginia Commonwealth University
An Analysis Of The Special Focus Facility Program And Nursing Home Quality, Annie S. Rhodes
Theses and Dissertations
The Special Focus Facility Program is an intensive program meant to rapidly support 88 of the lowest quality nursing homes in the United States, as determined by the Five-Star Quality Ranking system. There are also 435 facility candidates which are similarly low performing but not enrolled in the program. Academic literature has largely ignored this program, and the existing grey literature is more than a decade old and does not include COVID-19 data. Applying a political economy of aging framework and using a case matching methodology, Special Focus Facilities (SFF), Special Focus Facility Candidate (SFFc) nursing homes, and 5-star nursing …
Black Hearts Matter: A Comparative Study Of Sociodemographic, Clinical, And Psychosocial Characteristics In Black And White Persons With Heart Failure,
2022
Virginia Commonwealth University
Black Hearts Matter: A Comparative Study Of Sociodemographic, Clinical, And Psychosocial Characteristics In Black And White Persons With Heart Failure, Hannah M Anderson Hughes
Theses and Dissertations
Heart failure (HF) is a chronic, progressive, debilitating illness that disproportionately affects Black individuals, often leading to poor quality of life (QOL). Various sociodemographic, clinical, and psychological characteristics are related to QOL in patients with HF. Because most studies do not include representative Black samples or report findings from racial subgroup analyses, these relationships and any existing racial differences are not well understood. The purpose of this descriptive, comparative study was to explore the relationships among sociodemographic, clinical, and psychological characteristics and QOL in patients with HF and to determine if there were racial differences between Black and White individuals. …
Interprofessional Education Activities And New Practitioner Competence: Implications For Practice In Nutrition And Dietetics Education,
2022
University of North Florida
Interprofessional Education Activities And New Practitioner Competence: Implications For Practice In Nutrition And Dietetics Education, Stephanie N. Petrosky
UNF Graduate Theses and Dissertations
Interprofessional education (IPE) and interprofessional collaborative practice (IPCP) are associated with improved perception, values, attitudes towards collaborative practice, and therefore benefits patients, practitioners, and health care systems. Notable organizations have long promoted standardized guidelines for best practices in interdisciplinary team-based learning to improve patient safety and health outcomes. The state of IPE in nutrition and dietetics practice was recently addressed by the Nutrition and Dietetic Educators and Preceptors (NDEP) practice group of the Academy of Nutrition and Dietetics. The authors generated a call to action to engage in IPCP while pushing the boundaries of leadership in teaching, research, and practice. …
Integrating Interpersonal Neurobiology In Healthcare Leadership And Organizations,
2022
Antioch University - PhD Program in Leadership and Change
Integrating Interpersonal Neurobiology In Healthcare Leadership And Organizations, Lynn Redenbach
Antioch University Dissertations & Theses
Interpersonal Neurobiology (IPNB) is an interdisciplinary, science-based field that seeks to understand human reality including the nature of mind, brain, and relationships. IPNB has been used extensively by mental health practitioners as well as child development and parenting experts. While practitioners and scholars have described ways that IPNB can be used in leadership and organizations, there has been no systematic inquiry into the practical and phenomenological experience of this application. IPNB offers an alternative to dominant models of care and leading in healthcare settings and fields, which are characterized by disconnection, objectification, and separation. It offers a relationally centered approach …
