Health and Medical Administration Commons^™

Letter From The Editor, Kelly S. Moor

Administrative Issues Journal

No abstract provided.

Underpaid Or Overpaid? Wage Analyses For Nurses Using Jobs Versus Worker Attributes, Barry T. Hirsch, Edward J. Schumacher

Health Care Administration Faculty Research

Nursing shortages are common despite the fact that nurses earn far higher wages than other college-educated women. Our analysis addresses the puzzle of "high" nursing wages. Employee data from the Current Population Survey are matched with detailed job descriptors from the Occupational Information Network. Nursing requires high levels of compensable skills and demanding working conditions. Standard log wage regression estimates indicate nursing wage advantages of about 40%. Accounting for job attributes reduces estimates to roughly 20%. Rather than transforming ordinary least squares log gaps to percentages, alternative methods measuring Mincerian gaps produce estimates of 15% or less. We conclude that …

Effectiveness And Best Practices Of Lean And Six Sigma Methodologies In Hospitals, Daniel Branco

Honors Projects in Management

Healthcare quality and costs are a growing problem in the United States. Healthcare organizations are facing increasing costs combined with declining quality (Schoenbaum). This unsustainable trend is putting a great burden on the health care system as a whole. The improvement of quality within the healthcare system would increase the value of the care (Schoenbaum).Improving healthcare quality, and thereby lowering the costs, is critical for the sustainability of healthcare organizations.

There are many different ways that organizations can use quality to reduce costs and increase the quality of service to their patients. There are also various ways an organization can …

Administrative Issues Journal: Table Of Contents

Administrative Issues Journal

No abstract provided.

Factors Contributing To Successful Transitions Into The Role Of A New Superintendency In Texas: A Mixed Methods Triangulation Convergence Inquiry, Nancy B. Jones

Administrative Issues Journal

The purpose of this study was to examine the factors contributing to a successful transition into the role of a new superintendency in Texas. A triangular designed mixed methodology with a convergence model was employed. The setting was urban, suburban, and rural school districts in Texas. The participants were superintendents of public school districts in Texas. Quantitative data were collected through the use of an electronic survey, while a focus group was conducted to collect the qualitative data. Participating superintendents indicated that the training and education they received had adequately prepared them for the role of a new superintendent and …

Business Education And Gender Bias At The ‘C-Level', Gina L. Miller, Faye A. Sisk

Administrative Issues Journal

Women in business are perceived to have been successful; however, the numbers of women in ‘C-level’ positions (e.g., CEO, CFO, CIO, etc.) provide evidence to the contrary. This paper examines obstacles to women rising to ‘C-level’ positions and how business education contributes to, but may ultimately help resolve these problems by identifying ways to increase the effectiveness of business education and educators regarding gender bias. Barriers that prevent women from advancement and contributing factors in business education are identified. Recommendations for strategies in business education to reduce, manage, and create awareness of gender bias in the classroom are presented. For …

Combating Hegemonic Discourse In An Online Multicultural Leadership Course: A Narrative Study Of An Instructor And Student Working At Tandem For Social Justice, Azadeh F. Osanloo, Tim W. Hand

Administrative Issues Journal

This narrative study examines hegemonic discourse in an online multicultural leadership course by translating e-narrative analysis findings into implications for social justice and recommendations for andragogical strategies. These strategies specifically address hegemonic discourse within an online educational environment. The setting for this article is a graduate level class in Multicultural Leadership geared toward Masters’ students in an educational leadership program. Through the e-narrative analysis, four themes emerged that characterized the hegemonic discourse: rejecting social justice; wooing white privilege; he oppressive “other,” and telling it straight. Based on the findings and implications surrounding the research questions, four andragogical strategies were recommended: …

When Government Is No Longer Employer Of Choice; What May The Sector Perceptions Of Public Managers Be Like After The Economy Recovers?, Craig Boardman, Branco Ponomariov

Administrative Issues Journal

In today’s economic climate, government is now considered by many to be the “employer of choice.” However, employers at all levels of government may eventually lose their recent gains in the war for talent, as the economy improves. Accordingly, it is important to explain how public sector managers viewed the relative advantages and disadvantages of government employment before the economic downturn along specific parameters, including opportunities for women and minorities, managerial autonomy, and employee talent and innovativeness. This paper assesses these views for state-level public managers across a broad range of public services, using survey data that preceded the economic …

Effects Of Presence, Copresence, And Flow Onlearning Outcomes In 3d Learning Spaces, Martin D. Hassell, Sandeep Goyal, Moez Limayem, Imed Boughzala

Administrative Issues Journal

The level of satisfaction and effectiveness of 3D virtual learning environments were examined. Additionally, 3D virtual learning environments were compared with face-to-face learning environments. Students that experienced higher levels of flow and presence also experienced more satisfaction but not necessarily more effectiveness with 3D virtual learning environments. There were no significant differences between satisfaction and effectiveness of 3D virtual learning environments and face-to-face environments. These findings suggest that 3D virtual learning environments can be made to provide high levels of learning satisfaction. Additionally, these findings suggest that 3D virtual learning environments may be a viable delivery method for instruction and …

Teacher Preferences For Alternative School Site Administrative Models, Paul M. Hewitt, George S. Denny, John C. Pijanowski

Administrative Issues Journal

Public school teachers with high leadership potential who stated that they had no interest in being school principals were surveyed on their attitudes about six alternative school site administrative organizational models. Of the 391 teachers surveyed, 53% identified the Co-Principal model as the preferred school site administrative structure. In order of preference were the Co-Principal model, the Principal/Business Manager model, the Multi-Principal model, the Principal/Associate Principal model, the Principal Teacher/Principal Administrator model, and the Principal/Educational Specialist model. Among teachers at the elementary, middle, and secondary levels, the only significant difference was on the Multi-Principal model, which was favored more by …

Reviewing The Roots Of Response To Intervention:Is There Enough Research To Support The Promise?, Tammi R. Ridgeway, Debra P. Price, Cynthia G. Simpson, Chad A. Rose

Administrative Issues Journal

In the United States, Response to Intervention (RtI) is used to promote the use of evidence-based instruction in educational institutions, with the goal of supporting general and specialized educators and enabling these professionals to work together in a comprehensive, integrated manner. In doing so, RtI provides a protocol for identifying students with specific academic deficits and who demonstrate the need for individualized forms of instruction. Specifically, professional educators utilize quantitative data accumulated from common student assessment scores, which is thought to reflect a student’s response to instruction in the general classroom, in addition to his or her response to more …

Socialization Processes Of Engineering Students: Differences In The Experiences Of Females And Males, Mark R. Riney, Janet Froeschle

Administrative Issues Journal

The primary purpose of this study was to explore the personal experiences of female and male engineering students in both Division I (17 females and 16 males) and Division II (11 females and 11 males) programs. Analyses of narratives of 55 undergraduate engineering students revealed that the sociocultural experiences of female and male students differ in substantial ways in that socialization processes into engineering are problematic for women, who often rely on one another to bolster their self-efficacy perceptions and resiliency. Another important finding is that Division II female students were provided much more support by both professors and male …

Do No Harm: Perceptions Of Short-Term Health Camps In Nepal, Dena Seabrook

Independent Study Project (ISP) Collection

Short-term health camps are a growing form of delivering health care services to needy populations. Often these camps, usually lasting around 2 weeks, are led by I/NGOs in developing nations like Nepal and are staffed with volunteers from the Global North. These camps are largely ungoverned, and there are no evaluative techniques in place to monitor the effectiveness of the work done, raising concerns about the unintended consequences of short-term health camps camps. Nepal is particularly vulnerable to this issue because of the vast number of I/NGOs currently operating within its boundaries.

This research sought to expand the conversation surrounding …

Quality Of Care In Ambulatory Surgical Centers, Gina L. Campanella Jd,Mha

Petersheim Academic Exposition

No abstract provided.

What's Happening: April, 2012, Maine Medical Center

What's Happening

No abstract provided.

Member And Non-Member Perceptions Of The Cdpaanys Outreach And Education Grant, Kenneth B. Holmes

MPA Capstone Projects 2006 - 2015

The New York State Department of Health (DOH) recently began funding a grant to the CDPANNYS, on organization whose members focus on the delivery of self-directed home care. This grant funds outreach and education to stakeholders concerning the statewide availability of the Consumer Directed Personal Assistance Program (CDPAP), a home care program for Medicaid eligible New Yorkers. CDPAANYS is an inter-organizational membership organization, and its 14 members do not cover all of the New Yorks 62 counties. However, the DOH grant required CDPAANYS to conduct statewide outreach that promotes both member organization and non-members. This research study examined how the …

Human Papillomavirus: How Social Ideologies Influence Medical Policy And Care, Fadi Hachem

Annual Undergraduate Conference on Health and Society

The purpose of this paper is to discuss the ways in which new advances in the production of a vaccine against human papillomavirus (HPV) have been received by both the general public and the medical community. Despite its high prevalence in the general population, as a sexually transmitted infection, there is a great deal of shame and stigma associated with contracting the virus (Waller, et. al. 2007). HPV is a disease of disparities in that ethnic and sexual minorities are disproportionately affected. Since the HPV vaccine is most effective at both a younger age, and before the first sexual experience, …

Financial Incentives: Pay For Performance (P4p) And The Chronically Ill Patients, David Conley, Alberto Coustasse

Management Faculty Research

P4P is the reimbursement incentive that is based on quality improvement, efficiency, which is dominating the healthcare landscape and CMS. A literature review was conducted to search for and review significant information regarding P4P and how it pertains to chronic conditions and reimbursement methods. This literature review displayed while some programs were able to display a benefit/ profit for those involved such as insurance companies, hospitals, physicians and/or patients, most programs were unable to establish quality measures, cost effectiveness and positive program outcomes worth noting.

Computer Physician Order Entry And Clinical Decision Support Systems: Benefits And Concerns, Joseph Shaffer, Alberto Coustasse

Management Faculty Research

Computerized Physician Order Entry has emerged as the greatest potential to decrease medications errors and improve efficiency. A literature review was conducted in systematic stages that included the research data from the last 25 years. Efficiencies were found with a decrease in overall workload of nurses, pharmacists and clerical workers. This led to decreased operating expenses. A secure way of transferring physician orders electronically will help hospitals and physicians practice a more efficient and higher quality of care in the US healthcare system.

Financial Position And Adoption Of Electronic Health Records: A Retrospective Longitudinal Study, Jay J. Shen, Gregory O. Ginn

School of Public Health Faculty Research

AIM: Financial barriers are a major factor of slow electronic health record (EHR) adoption among US hospitals. All existing literature focuses on relationships between current or short-term financial position and EHR adoption. This study examines relationship between financial position in previous years and the current level of EHR adoption.

METHODS: Retrospective longitudinal data were extracted from (1) the 2009 American Hospital Association (AHA) EHR implementation survey; (2) the 2002 and 2006 Centers for Medicare & Medicaid Cost Reports; and (3) the 2002 and 2006 AHA Annual Survey containing organizational and operational data. The final sample was 2,701 acute care hospitals …