Health and Medical Administration Commons^™

The Hospitalist: Better Value In Inpatient Care?, Lisa Sprague

National Health Policy Forum

From perhaps a few hundred practitioners in 1996 to an estimated 30,000 today, the discipline called hospital medicine has shown remarkably rapid growth. It represents a fundamental separation of the inpatient and outpatient components of internal and family medicine. The split has implications for the quality and efficiency of care delivery, the outlook for the physician workforce, and the development of new models such as accountable care organizations (ACOs).

Medicare's Bundling Pilot: Including Post-Acute Care Services, Laura A. Dummit

National Health Policy Forum

Fee-for-service Medicare, in which a separate payment is made for each service, rewards health care providers for delivering more services, but not necessarily coordinating those services over time or across settings. To help address these concerns, the Patient Protection and Affordable Care Act of 2010 requires Medicare to experiment with making a bundled payment for a hospitalization plus post-acute care, that is, the recuperative or rehabilitative care following a hospital discharge. This bundled payment approach is intended to promote more efficient care across the acute/post-acute episode because the entity that receives the payment has financial incentives to keep episode costs …

A Primary Care Workload Production Model For Estimating Relative Value Unit Output, Rachel G. Murphy

Theses and Dissertations

Health care costs have grown to unsustainable levels nationally and within the Department of Defense. Military health care costs have historically been difficult to isolate, causing budget cuts to be the vehicle for cost control. Maximum efficiency, therefore, is the goal in order to show improvement. With the Air Force’s new preventive health plan, they aim to drive a long-term posture for cost reduction through prevention. This research effort aimed to develop a tool to assist in future efforts to understand and improve efficiency in workload output, and whether a relationship exists between patient workload demand and the per-encounter variables …

What's Happening: March-April, 2011, Maine Medical Center

What's Happening

No abstract provided.

Update - March 2011, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Quid Pro Quo, Quid Vadis - Conflict of Interest Policy of Loma Linda University School of Medicine
-- San Bernardino - A Case Study in Environmental Justice
-- Editorial

[ Claritás - Clarity in Ethics Essay Contest - Health Care: Business or Service? ]
-- First-place 2009 graduate essay winner, Mark Warren, School of Medicine, Loma Linda University
-- Second-place 2009 undergraduate essay winner, Sidney E. Irving, School of Nursing, Loma Linda University

-- 2009 Contributor's Convocation: A New View
-- 2010 Contributor's Convocation: Ethics in the Inland Empire
-- Ethics Alumni Updates

Detecting Hospital Quality With Pridit., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented for the Temple University, Fox School of Business Department of Risk, Insurance & Healthcare Management. Robert A. Hedges Research Seminar Series, Philadelphia, PA.

25 PowerPoint slides

Associated papers available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2007.00821.x/abstract

and the 2008 Proceedings of the Joint Statistical Meeting.

University Reading: How Do We Turn It On?, John-Nathan Trice, Barbara Johnson Wilmes

Administrative Issues Journal

Universities and colleges are experiencing increasing challenges of educating millennial students, individuals who lack motivation and tenacity to engage in the learning process. Ideally, university students have read materials and are prepared to engage in collegial interaction. The purpose of this study was to determine whether university students are preparing for class and whether instructional reading strategies are effective to engage them in meeting course requirements. Results indicated that participants overwhelmingly do not read prior to class, but with research-based interventions, millennial students engaged in reading assignments and obtained content information relevant to the course.

Administrative Strategies For Preparing Teaching Candidates To Be Building-Level Technology Change Agents, Richard Rose

Administrative Issues Journal

Teacher education graduates in their early years of service are ill-prepared to act as building-level change agents who can advocate for the enhanced use of technology in the classroom. In this study, a group of experienced teachers seeking the M.Ed. in Educational Technology suggest that the lack of confidence which new teachers show in relation to technology can be traced back to the absence of rigorous technical skill-building in both their Introduction to Educational Technology class and methods classes. These tech-savvy mid-career teachers then identify obstacles to enhancing pre-service teacher education programs with more effective preparation in teaching with technology …

A Connection Between Moral Imperative And Women’S Leadership?, Sarah W. Nelson, Patricia L. Guerra, B. Genise Henry

Administrative Issues Journal

This paper describes a qualitative study of two school districts’ efforts to support school leaders in developing the knowledge and skills to analyze, understand, and transform system inequities. The results suggest that, despite being armed with knowledge and skills, leaders may be reluctant to act even when doing so is within the scope of their authority. This work draws from Fullan’s (2003) concept of moral imperative and examines the connection between moral imperative and women’s ways of leading. The findings have implications for educational leadership programs that seek to prepare school leaders capable of challenging and changing inequitable systems.

University Technology Transfer Factors As Predictors Of Entrepreneurial Orientation, Dorothy M. Kirkman

Administrative Issues Journal

University technology transfer is a collaborative effort between academia and industry involving knowledge sharing and learning. Working closely with their university partners affords biotechnology firms the opportunity to successfully develop licensed inventions and gain access to novel scientific and technological discoveries. These factors may enhance a firm’s entrepreneurial orientation by supporting innovative, proactive, and risk-taking behaviors. This study investigates whether university technology transfer characteristics such as the transfer process, transfer modes (formal and informal), and transfer terms influence entrepreneurial orientation. Using survey data from biotechnology firms that develop human health therapies, the findings suggest that the transfer process and informal …

University In Transition: Faculty Sense-Making And Responses, Leslie D. Gonzales, Rodolfo Rincones

Administrative Issues Journal

Across the institutional spectrum, universities are attempting to reposition themselves as more research dominant institutions, a pattern referred to as “mission creep.” Such changes in university missions have several critical implications for faculty members and their work. In this qualitative study, we interviewed ten tenure-track faculty members to explore how they make sense of and respond to Sun University’s creeping university mission. Through qualitative data analysis, we found that faculty use organizational scripts to construct and make sense of their role, yet they do so towards different ends. Some faculty members own the transition and attempt to contribute to its …

Radical Change In Faculty And Student Evaluation: A Justifiable Heresy?, Jeffery Gentry

Administrative Issues Journal

This article addresses the connection between two continuing trends in higher education: semester evaluation of faculty by students (SE’s) and grade inflation. The two phenomena are explored historically; then a two-part plan is proposed to enhance the evaluation of both students and faculty. This solution does not replace current evaluation practices; it merely adds information on each student’s relative performance. Although subject to criticism as radical reform, the plan is offered as a feasible check on grade inflation and diminished student responsibility—one that is consistent with long held higher education values, as well as recent calls for increased educational accountability. …

Innovation In Competency-Based Program Development: Leveraging The Advisory Board Faculty Alliance, Esmeralda De Los Santos, Daniel G. Dominguez, Kevin Lafrance

Administrative Issues Journal

This paper describes the use of advisory boards in the development of two competency-based business programs: one graduate and the other undergraduate. Though the programs varied significantly in structure and content, both used focus group methodology to collect comprehensive and relevant input from advisory board members comprised of local subject matter experts. Analysis of each program’s developmental efforts demonstrates that, while the programs varied significantly in many aspects, both achieved the intended outcome. In both cases, advisory board input contributed to the development of a competency model and associated program curriculum that closely aligned with the program’s specific disciplines.

Pedagogical Design For A Cross-Functional Course In The Accelerated Mba Program, Bhanu Balasubramnian, Tanja Steigner, Kevin R. Coulson

Administrative Issues Journal

The sub-prime financial crisis exposed weaknesses in the financial risk management of several prominent firms. A deficient risk management is mainly attributed to the lack of integration of finance with other business disciplines. In this paper, we describe a tested implementation of a cross-functional project that improves students’ understanding of firm-value creation and risk management. While this approach can be implemented in any MBA program, we focus specifically on accelerated MBA programs with tight time constraints. Our methods are different from most other integrated courses in several ways. Our cross-functional project bridges the knowledge gaps of students in the area …

Final Report: The Practice And Impact Of Shared Decision-Making, Shared Decision-Making Study Group For The Dirigo Health Agency’S Maine Quality Forum

Population Health & Health Policy

Several recent developments are likely to address those factors seen as contributing to shared decision-making’s mixed results: the lack of a nationally recognized certification process; insufficient funds to adequately invest in the training and infrastructure to support shared decision-making; and adequate methods for monitoring its effectiveness.

Administrative Issues Journal: Table Of Contents

Administrative Issues Journal

No abstract provided.

Letter From The Editor-In-Chief, Tami Moser

Administrative Issues Journal

No abstract provided.

The Interim Superintendent: A Case Study, Gary Bigham, Susan J. Nix

Administrative Issues Journal

Considering the vitally important role that the superintendent plays in the overall functioning and wellbeing of any school district, the filling of that position should never be done in haste. Due to the importance of this process and the time it requires, school districts often employ an interim superintendent. In this single case study, one researcher engaged in qualitative research by actually assuming the role of an interim superintendent in a small West Texas school. The findings that emerged from this study consisted of identifying duties and roles of the interim superintendent in comparison with those of the regular superintendent. …

The District-Wide Sustainability Of A Professionallearning Community During Leadership Changesat The Superintendency Level, Chuey Abrego, Anita Pankake

Administrative Issues Journal

The purpose of this mixed methods follow-up single case study was two-fold: to determine if a school district was able to sustain a professional learning community (PLC) and to identify factors that enhanced, inhibited, or promoted the sustainability of a PLC from a district-wide perspective, with particular focus on how a change in leadership, i.e. a new superintendent, affected the sustainability of PLC attributes. In addition, the role of trust in influencing the sustainability of a professional learning community will be discussed in this paper.

Mentoring Postsecondary Tenure-Trackfaculty: A Theory-Building Case Study Andimplications For Institutional Policy, Dannielle Joy Davis, Patricia Boyer, Isela Russell

Administrative Issues Journal

The featured research uses theory-building case study to understand the experiences of junior faculty in a mentoring program. Findings suggest the importance of professional interaction for faculty members’ integration into their campus communities. An explanatory model illustrates the findings and supplements discussion of the implications for administrators in terms of retention of new faculty members in postsecondary settings.