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The Key Variables Healthcare Executives Consider When Altering Services, David Meckstroth 2014 Franklin University

The Key Variables Healthcare Executives Consider When Altering Services, David Meckstroth

Learning Showcase 2014

Health care executives face a multitude of challenges and changes on a daily basis. Health care reform and the Accountable Care Act will require executives to increase the value of the services offered by hospitals to insurance companies and patients. The literature search identified 11 key variables executives consider when altering services. The research study conducted a quantitative survey of the entire population of top health care executives in Ohio non-profit short-term acute care hospitals. In addition, qualitative individual depth interviews of 48 top executives at 13 hospitals were conducted by the researcher. A mixed methods approach was utilized to …


Optimizing Public Health Systems For Population Health Improvement: Institutions, Economics, And Metrics, Glen P. Mays 2014 University of Kentucky

Optimizing Public Health Systems For Population Health Improvement: Institutions, Economics, And Metrics, Glen P. Mays

Health Management and Policy Presentations

This lecture reviews the evidence concerning the institutional and economic characteristics of public health delivery systems and their impact on population health. Emerging findings from these studies suggest promising pathways for transforming the U.S. public health system in ways that strengthen its effectiveness, efficiency and equity in producing health. .


What's Happening: November 10, 2014, Maine Medical Center 2014 MaineHealth

What's Happening: November 10, 2014, Maine Medical Center

What's Happening

No abstract provided.


Minutes Of 11/07/2014 Hsc Board Of Directors Mtg, Patrice Martin 2014 University of New Mexico

Minutes Of 11/07/2014 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.


Notice Of 11/07/2014 Hsc Board Of Directors Mtg, Patrice Martin 2014 University of New Mexico

Notice Of 11/07/2014 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.


Agenda Of 11/07/2014 Hsc Board Of Directors Mtg, Patrice Martin 2014 University of New Mexico

Agenda Of 11/07/2014 Hsc Board Of Directors Mtg, Patrice Martin

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

No abstract provided.


Frontiers In Phssr Is On The Move, F. Douglas Scutchfield 2014 University of Kentucky

Frontiers In Phssr Is On The Move, F. Douglas Scutchfield

Frontiers in Public Health Services and Systems Research

Recently, Dr. Jenine Harris and her colleagues examined the use of journals by state chronic disease prevention staff to stay up-to-date on public health evidence. We, at Frontiers in PHSSR, are pleased to be included among the journals listed in the survey. Online open-access journals are shifting the paradigm of scientific publication, allowing free and rapid exchange of information. Another illustration of Frontier’s increasing utility is a forthcoming issue of the American Journal of Public Health (AJPH). We are pleased that AJPH has agreed to publish selected abstracts from Frontiers in PHSSR in their regular issue with links to …


What's Happening: November 3, 2014, Maine Medical Center 2014 MaineHealth

What's Happening: November 3, 2014, Maine Medical Center

What's Happening

No abstract provided.


Local Health Department Collaborative Capacity To Improve Population Health, Hector P. Rodriguez, Jeffrey Mac McCullough, Charleen Hsuan 2014 University of California, Berkeley

Local Health Department Collaborative Capacity To Improve Population Health, Hector P. Rodriguez, Jeffrey Mac Mccullough, Charleen Hsuan

Frontiers in Public Health Services and Systems Research

Local health departments (LHDs) can more effectively develop and strengthen community health partnerships when leaders focus on building partnership collaborative capacity (PCC), including a multisector infrastructure for population health improvement. Using the 2008 National Association of County and City Health Officials (NACCHO) Profile survey, we constructed an overall measure of LHD PCC comprised of the five dimensions: outcomes-based advocacy, vision-focus balance, systems orientation, infrastructure development, and community linkages. We conducted a series of regression analyses to examine the extent to which LHD characteristics and contextual factors were related to PCC. The most developed PCC dimension was vision-focus balance, while infrastructure …


Editorial Comment: Understanding Cost Variation In Std Service Delivery As State And Federal Agencies Reduce Funding, Michael A. Preston, William W. Greenfield, Sharla A. Smith 2014 University of Arkansas for Medical Sciences

Editorial Comment: Understanding Cost Variation In Std Service Delivery As State And Federal Agencies Reduce Funding, Michael A. Preston, William W. Greenfield, Sharla A. Smith

Frontiers in Public Health Services and Systems Research

As health reform gains momentum, many changes have been seen in the way health services are delivered and financed. In an attempt to address the uncertainties and understand the costs of delivering STD prevention services, the authors examined the cost of STDs in a highly centralized public health agency system (PHAS). This commentary covers several implications that arise from this study.


Understanding Cost Variations In Std Service Delivery As State And Federal Agencies Reduce Funding, William C. Livingood, Lori Bilello, Bonita Sorensen 2014 University of Florida/CHEQR

Understanding Cost Variations In Std Service Delivery As State And Federal Agencies Reduce Funding, William C. Livingood, Lori Bilello, Bonita Sorensen

Frontiers in Public Health Services and Systems Research

Sexually transmitted diseases (STD) continue to be a major health problem in the U.S. Despite the persistence of STDs and the critical role of the public health sector in controlling these diseases, STD services continue to be reduced. A linear regression was performed using county demographic and cost variables. Many of these variables in county public health agencies and the populations they serve were not significantly correlated with cost of service. However, the availability of local tax funding for county health departments (CHDs), which varies extensively across counties within the state, is statistically linked to higher STD expenditure per case. …


Managed Care And Accountable Care Organizations, David P. Paul, Diego Arroyo, Bethany Daniel, Heather Graves, Krisitn Neal, Alberto Coustasse 2014 Monmouth University

Managed Care And Accountable Care Organizations, David P. Paul, Diego Arroyo, Bethany Daniel, Heather Graves, Krisitn Neal, Alberto Coustasse

Management Faculty Research

Managed care generally, and more specifically, accountable care organizations (ACOs) have attempted to provide coordination of patient care in order to eliminate or reduce unnecessary procedures and or test redundancy. The purpose of this research was to study the effects of managed care in accountable care organizations by decreasing health care costs by increasing efficiency in health care.


Quality Of Cancer Registry Data, Alicia Noel Richardson 2014 University of Tennessee Health Science Center

Quality Of Cancer Registry Data, Alicia Noel Richardson

Applied Research Projects

Cancer registry is a growing field and with data being collected year round the data needs to be of good quality standing. Quality of cancer care is measurable per standards when met within the time frame allotted per care regimen. Cancer programs are evaluating and implementing new process to make their data valid and complete through information technology and connection among hospital-based and community-based practices. The aim of this study is to review the available validity, barriers and utilization related to quality of cancer care data. The studies were consistent among each other in that a concurrent review of data, …


The Role Of Leadership In Creating A Strategic Climate For Evidence-Based Practice Implementation And Sustainment In Systems And Organizations, Gregory A. Aarons, Mark G. Ehrhart, Lauren R. Farahnak, Marisa Sklar 2014 University of California, San Diego

The Role Of Leadership In Creating A Strategic Climate For Evidence-Based Practice Implementation And Sustainment In Systems And Organizations, Gregory A. Aarons, Mark G. Ehrhart, Lauren R. Farahnak, Marisa Sklar

Frontiers in Public Health Services and Systems Research

There is a growing impetus to effectively implement evidence-based practices (EBPs) in health and allied health settings in order to improve the public health impact of such practices. To support implementation and sustainment of EBPs, it is important to consider that health care is delivered within the outer context of public health systems and the inner context of health care organizations and work groups (3). This article identifies two relevant types of leadership for implementation and recommends steps that leaders can take in developing a strategic climate for EBP implementation and sustainment within the outer and inner contexts of health …


Editorial Comment: What Influences The Use Of Administrative Evidence-Based Practices In Local Health Departments?, Christopher M. Maylahn 2014 New York State Department of Health

Editorial Comment: What Influences The Use Of Administrative Evidence-Based Practices In Local Health Departments?, Christopher M. Maylahn

Frontiers in Public Health Services and Systems Research

In 2012, Frontiers published an article by Allen et al. about identifying administrative and management practices that make up an evidence-based local health department.1 They recommended that local health departments (LHDs) consider using such practices to implement sustained evidence-based policies, programs, and interventions. Strategies that should be given ‘high priority’ for implementation were highlighted. My accompanying editorial2 acknowledged the value of this practical advice to LHDs in optimizing their performance and achieving desired health outcomes.


What Influences The Use Of Administrative Evidence-Based Practices In Local Health Departments?, Kathleen Duggan, Peg Allen, Ross Brownson, Paul C. Erwin, Robert Fields, Rodrigo S. Reis, Carson Smith, Katherine Stamatakis 2014 Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO

What Influences The Use Of Administrative Evidence-Based Practices In Local Health Departments?, Kathleen Duggan, Peg Allen, Ross Brownson, Paul C. Erwin, Robert Fields, Rodrigo S. Reis, Carson Smith, Katherine Stamatakis

Frontiers in Public Health Services and Systems Research

Evidence based public health (EBPH) in local health departments (LHDs) is a process that involves translating the best available scientific evidence into practice. However, EBPH and implementation of evidence based programs and policies in LHDs are not widespread. This report outlines the patterns and predictors of the use of administrative evidence based practices (A-EBPs) in a national sample of LHD directors. LHDs can improve performance, prepare for accreditation and ultimately improve community health by utilizing an administrative evidence based process.


Rencana Aksi Pelayanan Berkesinambungan Rawat Jalan Dalam Rangka Meningkatkan Citra Rsup Fatmawati, Andi Wahyuningsih Attas 2014 Rumah Sakit Umum Pusat (RSUP) Fatmawati

Rencana Aksi Pelayanan Berkesinambungan Rawat Jalan Dalam Rangka Meningkatkan Citra Rsup Fatmawati, Andi Wahyuningsih Attas

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This study aims to identify the continuous action plan in Fatmawati General Hospital outpatient services in order to increase the Fatmawati General Hospital’s image. The study is conducted through interviewing patients, health workers, managements staff, and the macro analysis is done through policy analysis. The results showed that thegap in outpatient service is in the compatibility quality (service speed, drug completeness, comfort) and communication. The dissatisfaction occured in Fatmawati General Hospitals is the cultivation of the main root problem which is the rising numbered of patients as a result of the referral system ineffectiveness. The action plan designed in a …


Rencana Strategis Pengembangan Pusat Kanker Nasional Indonesia, Sebuah Studi Kasus, Sonar Soni Panigoro 2014 Rumah Sakit Kanker Dharmais

Rencana Strategis Pengembangan Pusat Kanker Nasional Indonesia, Sebuah Studi Kasus, Sonar Soni Panigoro

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Cancer is a chronic disease and its prevalence is increasing nowadays. Uptudate, Indonesia doesn’t have a comprehensive program for National Cancer Control. This study aims to develop a strategic plan for the development of National Cancer Center for Indonesia. This study is conducted by using operational research approach, and is conducted during the months of March to December 2013 by involving various stakeholders. In Indonesia, cancer is the third killer disease among the NCD (Non Communicable Disease), the incidence is increasing as well as the funding for cancer treatment. All informants expressed the importance of establishing a national institute that …


Hasil Pengobatan Dan Variasi Biaya Tb-Mdr/Xdr Dengan Strategi Pmdt Di Rsup Persahabatan, Priyanti Soepandi 2014 Rumah Sakit Umum Pusat (RSUP) Fatmawati

Hasil Pengobatan Dan Variasi Biaya Tb-Mdr/Xdr Dengan Strategi Pmdt Di Rsup Persahabatan, Priyanti Soepandi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The treatment duration of MDR-TB patients is very long approximately, 18 until 24 months and the cost is very expensive. This study aimed to find out the treatment outcome as well as the cost variation of MDR/XDR-TB patients. This is an operational research using quantitative and qualitative mix methods. The sample were treatedMDR/XDR-TB patients who started the treatment from August 2009 until December 31, 2010. Total number of sample were 104 patients. The study revealed that the duration of treatment for XDR-TB patients is longer than MDR TB patients with lower success rate. The cost per patient of TB XDR …


Analisis Kelengkapan Catatan Rekam Medis Kasus Tetralogy Of Fallot Pada Implementasi Ina-Cbgs Di Rspjn Harapan Kita, Indriwanto Sakidjan 2014 Rumah Sakit Pusat Jantung Nasional (RSPJN) Harapan Kita

Analisis Kelengkapan Catatan Rekam Medis Kasus Tetralogy Of Fallot Pada Implementasi Ina-Cbgs Di Rspjn Harapan Kita, Indriwanto Sakidjan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This qualitative study discusses the inaccuracies on medical record entry charging, and inaccuracy on coding that caused provider bear the financial risk in the case of Tetralogy of Fallot in INA-CBG at the Pediatric Cardiology and congenital heart disease unit RS Harapan Kita from January-September 2013. This study showed that 21.4% of cases with incomplete secondary diagnosis and the difference between the claim of Rp 251.273.615,- (4%). Factors contributed incomplete secondary diagnoses are: responsiblity, physical facilities, standard operating procedure of medical record, training, monitoring, and socialization. Therefore, tt is recommended to improve: physical facilities, structure and infra-structure, standard operating procedure …


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