MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'The Health Care Manager' source. Sat, 09 Jan 2010 15:36:49 +0100 http://www.medworm.com/index.php?rid=3099530&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F10000%2FPrivacy_Policy_Analysis_for_Health_Information.8.aspx This article compares several RHIOs including their privacy policies where available. In addition, studies were reviewed considering privacy concerns of people in the United States and elsewhere. Surveys reveal that Americans are concerned about the privacy of their personal health information and ultimately feel it is the role of the government to provide protection. The purpose of this article is to look at the privacy issues and recommend a policy that may help to resolve some of the concerns of both providers and patients. Policy research and action are needed to move the National Health Information Network toward reality. Efforts to provide consistency in privacy laws are a necessary early step to facilitate the construction and maintenance of RHIOs and the National Health Information... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3099530 Fri, 18 Dec 2009 15:40:23 +0100 3099530 http://www.medworm.com/index.php?rid=3082925&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F07000%2FStrategic_Analyses_in_Nursing_Schools__Attracting%2C.6.aspx The shortage of nurses in the United States remains a persistent problem. Faced with this reality, nursing programs in colleges and universities continue to struggle to expand enrollment levels to meet the spiraling demand. This research uses familiar tools in strategic management: the strengths, weaknesses, opportunities, and threats (SWOT) analysis and stakeholder analysis as initial steps to draw more students to the profession of nursing. In a 2-round modified Delphi survey, chief administrators of schools of nursing identify the main SWOT of schools of nursing and the important internal and external stakeholders that influence nursing school success. The authors of the research suggest ways to use that knowledge to increase the enrollment level of nursing students. Part I of this rese... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3082925 Sun, 13 Dec 2009 15:28:35 +0100 3082925 http://www.medworm.com/index.php?rid=3074401&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F01000%2FOrganizational_Characteristics_Associated_With.10.aspx Like several states in the Southeast, Alabama is in the nascent stages of an increase in the population of foreign-born individuals for whom English is a second language. These individuals are also culturally different from the traditional southern population. Given the impact of culture and language on a person's service utilization, the introduction of new cultures may pose significant challenges for Alabama's health care providers if they are not prepared. The purpose of this project is to examine the organizational characteristics associated with the provision of culturally and linguistically appropriate services by Alabama hospitals. The data for the project come from a survey of all medical/surgical hospitals (N = 101). Fifty-nine surveys were returned, giving us a 58% response rate.... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3074401 Thu, 10 Dec 2009 15:32:26 +0100 3074401 http://www.medworm.com/index.php?rid=3074396&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F01000%2FSnapshots_of_Health_Care_Managers__A_Measure_of.9.aspx Based on a global survey of leaders, this article examines the challenges facing health care managers today and uncovers best practices to develop and select leaders, especially those on the frontline. Highlights include hiring processes that identify motivated, potential leaders who have the knowledge, experience, competencies, and attributes to get the job done. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3074396 Thu, 10 Dec 2009 15:32:26 +0100 3074396 http://www.medworm.com/index.php?rid=3074395&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F07000%2FMotivating_Your_Employees_and_Yourself__How.13.aspx Managers often tend to behave as though they are responsive to different motivating forces than their employees. However, employees at all levels are much alike in terms of what they wish to obtain from their work. There are drives that vary in intensity from person to person, but the basic motivating forces remain the same. Essentially, it is not possible to "motivate" another person as such; it is possible only to create the conditions under which the individual can become self-motivated. The manager must appreciate the key principles of motivation, including the relationship between repetition and reinforcement and the importance of timely feedback. Also, the manager must learn what his or her legitimate role is concerning the fulfillment of employee needs. Successful managers will be t... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3074395 Thu, 10 Dec 2009 15:32:26 +0100 3074395 http://www.medworm.com/index.php?rid=3074381&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F04000%2FNurse_Nurse_Manager_Conflict__How_Do_Nurse.8.aspx This study was conducted to determine the conflict management styles used by nurse managers when in conflict with nurses and to ascertain the differences between sociodemographic characteristics and the style used. The study was conducted on 71 nurse managers working in 3 different hospitals in Antalya (Turkey). A personal information form and Rahim Organizational Conflict Inventory II were used for data collection. The most commonly used style by nurse managers when in conflict was integrating, and the least commonly used was avoiding. There was no difference between the style used and the nurses' educational status, marital status, and years of employment. The obliging style was used the most by those 45 years and older and those with 20 years or more of management experience, whereas th... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3074381 Thu, 10 Dec 2009 15:32:26 +0100 3074381 http://www.medworm.com/index.php?rid=3074380&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F10000%2FMedicare_The_Development_of_Publicly_Financed.4.aspx This article discusses the development of Medicare and its administration and serves as an introduction to the complex realities of health care reimbursement policy. (C)2005Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3074380 Thu, 10 Dec 2009 15:32:26 +0100 3074380 http://www.medworm.com/index.php?rid=3058927&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F10000%2FChanging_Workforce_Demographics_Necessitates.6.aspx This article seeks to provide health care managers with a framework for improving the systematic preparation of the next generation of managers by analyzing the succession planning process. The proposition of these models is to initiate and simplify the gap reduction between theoretical concepts and future organizational application. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3058927 Sat, 05 Dec 2009 15:31:59 +0100 3058927 http://www.medworm.com/index.php?rid=3018399&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F01000%2FThe_Causes_and_Consequences_of_Conflict_and.14.aspx Interpersonal conflict, often spiraling to violence and abuse, is one of the most daunting challenges facing nursing home administrators and their departmental heads. Mounting evidence documents how they spend an inordinate amount of time dealing with angry families, adversarial ombudsmen, regulators, and other hostile parties as well as handling the aftermath of the ubiquitous conflict between the residents and their direct caregivers. All this is in addition to coping with the normal interdepartmental and line staff forms of conflict that typify any organization. This paper details the special dynamics that accelerate dysfunctional conflict in nursing homes and presents strategies, tactics, and style recommendations that will help nursing home leaders build more collaborative work cultur... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3018399 Mon, 23 Nov 2009 15:37:52 +0100 3018399 http://www.medworm.com/index.php?rid=2937852&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F07000%2FThe_Bachelor_of_Science_in_Nursing_Degree_as_Entry.11.aspx This article advances the importance of developing a vision for the future of nursing in the United States, in which the Bachelor of Science in Nursing degree is the entry-level standard. (C)2006Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2937852 Thu, 29 Oct 2009 15:40:01 +0100 2937852 http://www.medworm.com/index.php?rid=2922641&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F01000%2FLabor_Relations_Strategies_and_Tactics_in_Hospital.9.aspx This article explores various labor relations strategies and tactics used by hospitals in union elections. Union avoidance and union substitution were the two most widely used, with union avoidance being the best way to fight unions. Regardless of the strategy used, unions won a majority of the elections, most often using a neutral or accommodative strategy. Some widely used management tactics during an election included: hiring a labor lawyer, using a consultant known for breaking unions, and prohibiting distribution of union literature in non-working areas of hospitals. (C) 2003 Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2922641 Sat, 24 Oct 2009 14:22:47 +0100 2922641 http://www.medworm.com/index.php?rid=2904221&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F10000%2FManagers_and_Mergers__Functioning_in_a_Blended.13.aspx Health care is well along in its steady change from a cottage industry of scattered providers to an industry of larger organizations and multi-institutional systems. Various organizational combinations continue to occur, especially in the form of mergers, affiliations, and the creation and expansion of health care systems. In the midst of this ongoing dramatic change, the role of the individual manager remains essentially unchanged in concept, but the arena in which it is applied is rapidly changing. Areas of responsibility are becoming broader, staffs are becoming larger for individual managers, and many of the older "principles" of management are being tested and strained. Today's health care manager is learning that survival and success depend more than ever on flexibility and adaptabil... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2904221 Mon, 19 Oct 2009 14:44:06 +0100 2904221 http://www.medworm.com/index.php?rid=3051356&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F10000%2FThree_Components_of_Organizational_Commitment_and.10.aspx Conclusion and implication: The 3 components of commitment are variously related to job satisfaction. Nursing managers should pay attention to different components of commitment variously to promote the appropriate type of commitment needed for specific situation in which they work. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3051356 Thu, 01 Oct 2009 00:00:00 +0100 3051356 http://www.medworm.com/index.php?rid=3035476&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F10000%2FCreating_a_Winning_Organizational_Culture.6.aspx This article explores the idea of how to create a winning organizational culture. By definition, a winning organizational culture is one that is able to make current innovations stick, while continuously changing based on the demands of the marketplace. More importantly, the article explores the notion that a winning organizational culture can have a profound impact on the conscious of the workforce, helping each individual to become a better, more productive person, who provides important services and products to the community. To form a basis toward defining the structure of what a winning organization culture looks like, 4 experts were asked 12 questions related to the development of an organizational culture. Three of the experts have worked intimately within the health care industry, ... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=3035476 Thu, 01 Oct 2009 00:00:00 +0100 3035476 http://www.medworm.com/index.php?rid=2835953&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F07000%2FEthics__The_Evidence_of_Leadership.9.aspx This article addresses the ethical issues facing today's health care leaders. In this article, an overview of the history and philosophy of ethics is provided along with definitions, guidelines, and a model to assist the leadership in health care organization to pursue and to adhere to a more ethical course. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2835953 Sun, 27 Sep 2009 17:52:52 +0100 2835953 http://www.medworm.com/index.php?rid=2795674&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F04000%2FA_Study_of_the_Skills_and_Roles_of_Senior_Level.11.aspx This study identifies the most essential skills and roles of senior-level health care managers. The study first reviews the literature to describe major forces in the health care environment that impact management and then discusses the skills and roles of managers. From this, a descriptive list of skills and roles is created. Ten senior-level managers were interviewed to reveal six roles and associated skills necessary for managing in the current health care environment. (C)2003Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2795674 Tue, 15 Sep 2009 17:43:46 +0100 2795674 http://www.medworm.com/index.php?rid=2784950&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F04000%2FThe_Generation_Y_Workforce_in_Health_Care__The_New.2.aspx This article identifies the problem and provides guidelines to journey through this new wave of spoilers. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2784950 Fri, 11 Sep 2009 17:42:10 +0100 2784950 http://www.medworm.com/index.php?rid=2771803&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F04000%2FGossip_and_Nurses__Malady_or_Remedy_.3.aspx This article highlights the positive and negative aspects of gossip and provides strategies to help nursing professionals effectively manage this workplace issue. Unmanaged gossip can have a negative effect on the workplace by damaging relationships and reputations. Gossip that is managed effectively can have a positive effect on the workplace by building social bonds within the nursing unit. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2771803 Mon, 07 Sep 2009 17:33:55 +0100 2771803 http://www.medworm.com/index.php?rid=2771802&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F10000%2FNot_For_Profit_Versus_For_Profit_Health_Care.2.aspx This article is part I of a 2-part series on comparing and contrasting the performance records of NFP health care providers with their FP counterparts. Although it is demonstrated that both NFP and FP providers perform virtuous and selfless feats on behalf of America's public, it is also shown that both camps are involved in potentially willful clinical and administrative missteps. Part I contains the background information (eg, legal differences, perspectives on social responsibility, and types of questionable and fraudulent behavior) that is necessary to adequately understand the scope of the comparison issue. Part II offers actual comparisons of the 2 organizational structures using several disparate factors such as specific organizational behaviors, approach to the health care prioriti... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2771802 Mon, 07 Sep 2009 17:33:55 +0100 2771802 http://www.medworm.com/index.php?rid=2743263&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F04000%2FDelegating_Decision_Making_in_Health_Care.2.aspx This article explores the realm of delegation from the behavioral standpoint. Delegation is defined as well as reasons why it fails. The limitations of decision making as related to delegation are covered. Ways in which health care organizations can improve managerial decision making to make a positive impact on delegation are explored. Finally, considerations for managers to engage in effective delegation are delineated. (C)2006Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2743263 Sat, 29 Aug 2009 13:01:47 +0100 2743263 http://www.medworm.com/index.php?rid=2733181&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F07000%2FThe_Paradox_of_the_Not_for_profit_Hospital.2.aspx This study clearly demonstrates that not-for-profit hospital managers are faced with declining profitability and are challenged to reduce hospital-operating expenses while meeting their charitable mission. Additionally, the greater size and increased clinical complexity of not-for-profit hospitals are increasing organizational overhead. In many cases, the increased clinical complexity is a commitment to the organizational mission of providing a full range of services to the community. From a policy perspective, the study suggests that not-for-profit hospitals have aging facilities and reduced cash flow due to lower profit margins. As a result, many not-for-profit hospitals face potential bankruptcy and closure. This study clearly documents a threat to the provision of charity care in local... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2733181 Wed, 26 Aug 2009 13:12:36 +0100 2733181 http://www.medworm.com/index.php?rid=2677739&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F01000%2FMedicare_s_Operational_History_and_Impact_on.8.aspx Medicare was originally designed in the 1960s to fit into the existing health care delivery system. However, the program's early years showed an inflationary impact on health care costs. Medicare was the second largest federal domestic program and the fastest growing one, making it a target for those concerned about the size of government in general. By 1980, Medicare constituted 15% of the nation's expenditures for personal health care; and Medicare's administrators recommended substantive changes in provider payments through the introduction of the prospective payment system. Prospective payment system legislation impacted hospitals initially and later skilled nursing facilities and home health agencies. As policymakers made changes in Medicare payments to providers, providers made chang... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2677739 Fri, 07 Aug 2009 12:01:20 +0100 2677739 http://www.medworm.com/index.php?rid=2663626&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F10000%2FMeasuring_Functional_Service_Quality_Using.5.aspx Although there is a growing concern about health care quality, little research has focused on how to measure quality in long-term care settings. In this article, we make the following observations: (1) most users of the SERVQUAL instrument reassess customers' expectations each time they measure quality perceptions; (2) long-term care relationships are likely to be ongoing, dependent relationships; (3) because of this dependence, customers in the long-term care setting are likely to reduce their expectations when faced with poor service quality; (4) by using this "settled" expectations level, service providers may make biased conclusions of quality improvements. We recommend various methods for overcoming or minimizing this "settling" effect and propose modifications to the SERVQUAL gap 5 m... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2663626 Mon, 03 Aug 2009 12:04:47 +0100 2663626 http://www.medworm.com/index.php?rid=2659934&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F07000%2FStrategies_to_Decrease_Medication_Errors.4.aspx This article discusses strategies to decrease medication errors and increase patient safety during medication administration. (C)2003Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2659934 Sat, 01 Aug 2009 11:55:22 +0100 2659934 http://www.medworm.com/index.php?rid=2652806&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F01000%2FA_Critical_Examination_of_Formal_and_Informal.11.aspx This article focuses on how mentoring among nurses can help them to better serve their profession and health care organizations to more successfully achieve their goals. Specifically, it addresses how formal and informal mentoring can yield benefits to both the nursing profession and health care organizations. It presents some advantages and disadvantages of formal and informal mentoring. Finally, it delineates some important considerations that should be carefully analyzed before establishing a formal program. (C)2005Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2652806 Thu, 30 Jul 2009 12:06:49 +0100 2652806 http://www.medworm.com/index.php?rid=2597283&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F04000%2FStrengthening_Organizational_Commitment_.11.aspx One of the most significant challenges facing any health care leader today is that of building commitment among followers. The last decade, with its tumultuous changes in our organizations, left many employees emotionally detached from their workplace. Mistrust, increasing cynicism, escalating financial pressures, and continuing challenges adversely impact our workforce's organizational commitment. The author explores the concept of commitment, which can serve as a basis for developing practical effective retention strategies. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2597283 Tue, 14 Jul 2009 11:53:52 +0100 2597283 http://www.medworm.com/index.php?rid=2579267&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F01000%2FDoes_Requiring_Continuing_Education_Units_for.11.aspx This study features an extensive review of the literature to analyze the supportive as well as the opposing views of mandatory CEUs for professional license renewal. Most of the studies reviewed reported almost no relationship between participation in traditional continuing education courses and improved patient outcomes. Several recommendations evolved out of this study for improving patient outcomes following the attendance of continuing education courses. (C)2006Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2579267 Wed, 08 Jul 2009 12:00:06 +0100 2579267 http://www.medworm.com/index.php?rid=2579266&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F01000%2FNot_for_profit_Versus_For_profit_Health_Care.3.aspx This article is part II of a 2-part series on comparing and contrasting the performance records of NFP health care providers with their FP counterparts. Although it is demonstrated that both NFP and FP providers perform virtuous and selfless feats on behalf of America's public, it is also shown that both camps have been accused of being involved in potentially willful clinical and administrative missteps. Part I provided the background information (eg, legal differences, perspectives on social responsibility, and types of questionable and fraudulent behavior) required to adequately understand the scope of the comparison issue. Part II offers actual comparisons of the 2 organizational structures using several disparate factors such as specific organizational behaviors, approach to the healt... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2579266 Wed, 08 Jul 2009 12:00:06 +0100 2579266 http://www.medworm.com/index.php?rid=2575535&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F07000%2FHospitalists__Evolution%2C_Evidence%2C_and.8.aspx Hospitalists are physicians who spend at least 25% of their professional time serving as the physicians-of-record for inpatients, during which time they accept "hand-offs" of hospitalized patients from primary care providers, returning the patients to their primary care providers at the time of hospital discharge. The hospitalist movement is only about 5 years old, yet at least 7000 hospitalists practice today and an estimated 19,000 will ultimately practice, approximately the current number of emergency medicine physicians. The emerging positivist literature on hospitalists' impact is the subject of this review. It traces the nature and evolution of the hospitalist movement; summarizes empirical evidence about costs, clinical outcomes, patient satisfaction, and education; and appraises wh... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2575535 Tue, 07 Jul 2009 11:51:37 +0100 2575535 http://www.medworm.com/index.php?rid=2575534&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F07000%2FDiversity_and_Cultural_Competence_Training_in.10.aspx The authors reviewed recent literature on diversity training interventions and identified effective practices for health care organizations. Self-reported satisfaction was especially likely to be found as a result of training, whereas attitude change measured by standardized instruments was mixed. Although those responsible for diversity training in the workplace agree that behavioral change is key, awareness building and associated attitude change remain the focus of most diversity training in the workplace. Consequently, the authors recommend a systems approach to diversity training interventions wherein training is a key component of a health care organization's strategic approach to organizational performance, and diversity training is linked to the organizations' strategic goals for i... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2575534 Tue, 07 Jul 2009 11:51:37 +0100 2575534 http://www.medworm.com/index.php?rid=2572590&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F07000%2FCreating_a_Culture_of_Service_Excellence_.10.aspx Through the shared governance council model, staff nurses at Delnor Community Hospital were empowered in an organization that encouraged professional autonomy over practice, effective communication, and development of leadership skills. Nursing strategic plans were carefully designed and specifically structured to lead to successful implementation of a shared governance model and a new nursing culture of excellence. The shared decision-making structure was the vehicle used to integrate the 14 standards of Magnet Nursing to create a culture of high-quality nursing practice to achieve optimal outcomes. Nursing excellence was further verified by achieving outstanding results in patient, physician, and nurse satisfaction scores and nurse retention. (C)2004Lippincott Williams & Wilkins, Inc. (S... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2572590 Mon, 06 Jul 2009 11:47:39 +0100 2572590 http://www.medworm.com/index.php?rid=2568245&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F01000%2FRoles%2C_Skills%2C_and_Competencies_of_Middle_Managers.10.aspx This article describes the most essential roles, skills, and competencies needed by middle managers in occupational therapy organizations. Middle-level managers are responsible for a specific segment of the organization. They are uniquely positioned to foster changes in the department. Because of the challenges in the health care environment, it is important to discuss the roles that middle managers need to bring out the viability and growth of their departments and organization. These roles include planner, strategic planner, coordinator, leader, problem solver, and negotiator. To conduct these roles, skills and competencies that are closely linked to the effective performance of those roles are also described. Skills include human relations, marketing, and conceptual skills. Competencies... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2568245 Sun, 05 Jul 2009 11:48:37 +0100 2568245 http://www.medworm.com/index.php?rid=2568244&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F10000%2FReducing_Medical_Errors_Through_Better.7.aspx Preventable medical errors occur with alarming frequency in US hospitals. Questions to address include what is a medical error, what errors occur most often, and what solutions can health information technologies offer with better documentation. Preventable injuries caused by mismanagement of treatment happen in all areas of care. Some result from human fallibility and some from system failures. Most errors stem from a combination of the two. Examples of combination errors include wrong-site surgeries, scrambled laboratory results, medication mishaps, misidentification of patients, and equipment failures. Unavailable patient information and illegible handwriting lead to diagnosing and ordering errors. Recent technology offers viable solutions to many of these medical errors. Computer-based... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2568244 Sun, 05 Jul 2009 11:48:37 +0100 2568244 http://www.medworm.com/index.php?rid=2976518&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FThe_Improving_Efficiency_of_Critical_Access.3.aspx Conclusions: The study has policy implications as the federal government attempts to realign scarce health care resources to better meet local community needs. In addition, hospital executives, health care policymakers, taxpayers, and other stakeholders benefit from studies that improve the delivery of health care in rural America. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2976518 Wed, 01 Jul 2009 00:00:00 +0100 2976518 http://www.medworm.com/index.php?rid=2841692&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FA_Manager_Asks___But_the_Boss_Is_Always_the_Boss_.12.aspx No abstract available (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2841692 Tue, 30 Jun 2009 23:00:00 +0100 2841692 http://www.medworm.com/index.php?rid=2827214&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FSimulation_Modeling_for_the_Health_Care_Manager.8.aspx This article addresses the use of simulation software to solve administrative problems faced by health care managers. Spreadsheet add-ins, process simulation software, and discrete event simulation software are available at a range of costs and complexity. All use the Monte Carlo method to realistically integrate probability distributions into models of the health care environment. Problems typically addressed by health care simulation modeling are facility planning, resource allocation, staffing, patient flow and wait time, routing and transportation, supply chain management, and process improvement. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2827214 Tue, 30 Jun 2009 23:00:00 +0100 2827214 http://www.medworm.com/index.php?rid=2827213&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FCrucial_Conversations__The_Most_Potent_Force_for.7.aspx The Joint Commission announced this year that rude language and hostile behavior pose serious threats to patient safety and quality of care. The Silence Kills study, conducted by VitalSmarts and the American Association of Critical-Care Nurses, reveals that more than three-fourths of caregivers regularly work with doctors or nurses who are condescending, insulting, or rude. Although such disruptive and disrespectful behavior can be hurtful, what prompted the Joint Commission to address them as a condition of accreditation is the mounting evidence that such behavior is also harmful. The study found that more than 20% of health professionals have seen actual harm come to patients as a result of such behavior. The most powerful force governing human behavior is social influence. People will d... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2827213 Tue, 30 Jun 2009 23:00:00 +0100 2827213 http://www.medworm.com/index.php?rid=2784949&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FEffective_Oral_Presentations__Speaking_Before.11.aspx Fear of public speaking is a widespread phenomenon that afflicts a large percentage of the population. Some working people will go to great lengths to avoid having to speak before a group; however, inability or unwillingness to speak in public can contribute to limiting an individual's promotional possibilities and thus capping a career at a level beneath the individual's technical abilities. This can be especially true in an arena such as health care in which oral communication in group settings figures so strongly in work relations. Yet anyone can overcome speaking fear through thorough preparation and practice. It is necessary to research one's topic thoroughly, outline the points the intended talk will cover, study the composition of one's audience, and plan on targeting some specific ... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2784949 Tue, 30 Jun 2009 23:00:00 +0100 2784949 http://www.medworm.com/index.php?rid=2745367&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FPersonality_Traits_and_Career_Satisfaction_of.4.aspx Based on Holland's theorizing that vocational satisfaction arises from a good match between one's personality and career choice, one purpose of the study was to examine broad and narrow personality traits that characterize health care workers in comparison with professionals from other occupations. Also investigated were ways in which characteristic traits of health care workers were related to career satisfaction. Professionals utilizing the services of eCareerfit.com responded to online surveys that have been demonstrated to produce reliable and valid measures of broad and narrow personality traits and levels of career satisfaction. An independent sample t test was used to compare means of health care workers with those from other occupations. Pearson product-moment correlations were the... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2745367 Tue, 30 Jun 2009 23:00:00 +0100 2745367 http://www.medworm.com/index.php?rid=2740420&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F07000%2FCoding%2C_Reimbursement%2C_and_Managed_Care.2.aspx This article will discuss the vital link, emerging role, and high financial impact of medical coding to health care reimbursement and managed care. Medical (clinical) coding represents the data requirements needed to support the following: * provider's reimbursement from Medicare and other third-party payers for both inpatient and outpatient services; * sharing clinical data across a network of providers in various health care settings to provide for the continuity of patient care; and * research needed to improve, standardize, and optimize patient treatments to ensure that high-quality care is provided at a reduced cost. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2740420 Tue, 30 Jun 2009 23:00:00 +0100 2740420 http://www.medworm.com/index.php?rid=2555189&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F07000%2FAttitudes_Toward_Incorporating_Fun_Into_the_Health.11.aspx This study examined the extent to which health care workers' attitudes toward fun influenced their level of experienced fun and job satisfaction. We also examined their perceptions of whether 40 workplace activities were fun or not fun. Our results showed that, in general, our sample expressed positive attitudes regarding the appropriateness, salience, and consequences of having fun at work. In addition, those who reported experiencing greater levels of workplace fun had significantly higher job satisfaction. Implications for health care institutions are discussed. (C)2005Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2555189 Tue, 30 Jun 2009 16:18:58 +0100 2555189 http://www.medworm.com/index.php?rid=2526445&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F10000%2FManaging_Immature%2C_Irresponsible%2C_or_Irritating.10.aspx This article discusses attitudinal problems and counterproductive behavior that can lead to lower quality performance. The consequences of these actions for the organization, managers, coworkers, and patients are examined. A variety of managerial approaches for solving these problems are considered. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2526445 Sat, 27 Jun 2009 11:38:56 +0100 2526445 http://www.medworm.com/index.php?rid=2501019&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F10000%2FGenesis_of_a_Professional_Development_Tool_for.11.aspx The purpose of this project was to develop a system that would allow ambulatory pediatric nurses to describe their practice and to develop in their role as nurses. Patricia Benner's novice to expert philosophy has been used to describe the practice of nurses in many specialties; however, it has not been applied to ambulatory pediatric practice. A group of nurses at Children's Hospital of Wisconsin used Benner's philosophy to generate behaviors that evolved from the novice to the expert within the domains of nursing practice outlined in the ambulatory nurse job description. This tool has been implemented as part of the performance review process and is given to new nurses on orientation as a framework for nurses' professional development. (C)2005Lippincott Williams & Wilkins, Inc. (Source: ... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501019 Thu, 25 Jun 2009 08:41:03 +0100 2501019 http://www.medworm.com/index.php?rid=2501018&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F10000%2FThe_Causes_and_Consequences_of_Conflict_and.9.aspx Interpersonal conflict, often spiraling to violence and abuse, is one of the most daunting challenges facing nursing home administrators and their departmental heads. Mounting evidence documents how they spend an inordinate amount of time dealing with angry families, adversarial ombudsmen, regulators, and other hostile parties as well as handling the aftermath of the ubiquitous conflict between the residents and their direct caregivers. All this is in addition to coping with the normal interdepartmental and line staff forms of conflict that typify any organization. This paper details the special dynamics that accelerate dysfunctional conflict in nursing homes and presents strategies, tactics, and style recommendations that will help nursing home leaders build more collaborative work cultur... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501018 Thu, 25 Jun 2009 08:41:03 +0100 2501018 http://www.medworm.com/index.php?rid=2501017&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F04000%2FIntegration_of_Health_Care_Organizations__Using.4.aspx Integration in health care attempts to provide all elements in a seamless continuum of care. Pressures influencing development of system-wide integration primarily come from unsustainable cost increases in the United States over the later part of the 20th century and the early 21st century. Promoters of health care integration assume that it will lead to increased effectiveness and quality of care while concurrently increasing cost-effectiveness and possibly facilitating cost savings. The primary focus of this literature review is on the Power Strategies of Horizontal and Vertical Integration. The material presented suggests that vertical integration is most effective in markets where the partners involved are larger and dominant in the regions they serve. The research has also found that ... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501017 Thu, 25 Jun 2009 08:41:03 +0100 2501017 http://www.medworm.com/index.php?rid=2501016&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F07000%2FThe_Magnet_Designation_Process__A_Qualitative.9.aspx Twelve nurse leaders and 12 registered nurses from 2 hospitals were interviewed to gain an understanding on the process for preparing for magnet designation. These leaders and nurses provided insight into whether a cultural shift within the organization was occurring while striving for magnet designation and the level of staff nurses' engagement during the process. Donabedian's framework provided the conceptual context for this study. According to Donabedian, stable organizational structures will influence professional nursing processes and result in better outcomes as measured by magnet status. The authors discuss how a magnet culture is achieved when structural factors such as adequate staffing and pay are present before building the processes, as well as the ways certain ingredients suc... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501016 Thu, 25 Jun 2009 08:41:03 +0100 2501016 http://www.medworm.com/index.php?rid=2501014&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F10000%2FA_Strategy_for_Enhancing_Financial_Performance__A.2.aspx In conclusion, the results of this study suggest that the profitability of hospitals can be improved despite deteriorating external environmental conditions by facilitating the formation of sound financial structures with optimal capital supplies, optimizing the management of total assets with special emphasis placed on inventory management, and introducing efficient control of fixed costs including labor and administrative expenses. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501014 Thu, 25 Jun 2009 08:41:03 +0100 2501014 http://www.medworm.com/index.php?rid=2501013&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F07000%2FEmployee_Satisfaction_and_Employee_Retention_.7.aspx This study offers a review of how employee satisfaction and retention correlate with patient satisfaction and also examines the current ways health care organizations are focusing on employee satisfaction and retention. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501013 Thu, 25 Jun 2009 08:41:03 +0100 2501013 http://www.medworm.com/index.php?rid=2501011&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F04000%2FImproving_Quality_of_Health_Care_Through.3.aspx The issue of quality of care is not new to the US health care system. Providers have been required to participate in quality improvement activities by governmental and accrediting agencies for quite some time. The public, too, is becoming increasingly involved in evaluating the quality of care provided in facilities from which they seek care. Transparency in pricing and quality of care is of critical interest to patients, health plans, and employers. On August 22, 2006, President George W. Bush signed an executive order supporting the promotion of efficient and quality health care to US citizens in health care programs administered and sponsored by the federal government, such as Medicare, Medicaid, and Tricare. However, the idea of tying reimbursement to these quality standards is growing... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501011 Thu, 25 Jun 2009 08:41:03 +0100 2501011 http://www.medworm.com/index.php?rid=2501010&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F01000%2FThe_Implications_of_Herzberg_s.2.aspx Given that they create what it sells, employees are the Irish Health service's most valuable asset. They are increasingly being asked to embrace change on many different levels. In order to facilitate this process, it behooves management to actively promote employee motivation. Herzberg et al's "motivation-hygiene" theory of motivation proposes that certain "motivator" and "hygiene" factors can respectively affect job satisfaction and dissatisfaction. Considering "motivators," better on-the-job performance may increase motivation. However, work overload can become a dissatisfier. Devolving equal levels of authority and responsibility and providing appropriate recognition may also serve to motivate. Likewise, providing opportunities for promotion and personal growth may maintain motivation,... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501010 Thu, 25 Jun 2009 08:41:03 +0100 2501010 http://www.medworm.com/index.php?rid=2501009&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F07000%2FThe_Health_Care_Professional_as_a_Manager_.11.aspx The health care professional who assumes a management role must recognize that this transition involves adopting a second and concurrent career of equal importance to his/her primary occupation. Many such managers have considerable difficulty balancing the 2 sides of the role because most are well trained in their specialties but enter management with little or no preparation for management. Lack of preparation and inadequate understanding of the requirements of the management side of the combined role lead to discomfort in management matters. This discomfort subsequently causes some managers to seek refuge in the familiar by emphasizing the profession at the expense of attending to management duties. The most successful managers are invariably those who develop the ability to appropriatel... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501009 Thu, 25 Jun 2009 08:41:03 +0100 2501009 http://www.medworm.com/index.php?rid=2501008&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F10000%2FWorkplace_Deviance__Strategies_for_Modifying.2.aspx More than ever, today's health care employees must perform their jobs as efficiently and effectively as possible. Job performance must integrate both technical and necessary soft skills. Workplace deviant behaviors are counterproductive to good job performance. Various deviant behaviors are examined. Areas and strategies of managerial intervention are reviewed which will enable the prevention or modification of undesired employee behaviors. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501008 Thu, 25 Jun 2009 08:41:03 +0100 2501008 http://www.medworm.com/index.php?rid=2501007&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F07000%2FStructured_Interview_Questions_for_Selecting.4.aspx Behavioral description questions for a structured interview format are provided so that managers can probe an applicant's intelligence, emotional intelligence, and organizational citizenship behaviors. Research suggests that the best performing employees are high on intelligence, and the most socially competent employees are high on emotional intelligence. A study was conducted with a nursing department, and results indicate that emotional intelligence is related to organizational citizenship behaviors. Those individuals high on organizational citizenship behaviors exceed formal role expectations and positively influence organization outcomes. (C)2005Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501007 Thu, 25 Jun 2009 08:41:03 +0100 2501007 http://www.medworm.com/index.php?rid=2501006&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F07000%2FThe_Role_of_Clinical_Information_Systems_in_Health.3.aspx This article addresses the increasing use of electronic medical records and supporting clinical information systems in US hospitals. It also addresses the current barriers to implementation of digital technology, which include cost, cultural factors, and the reluctance to embrace new technology. However, despite the barriers, there is evidence from the Veteran's Administration, Partners' HealthCare, Kaiser Permanente, and other organizations that electronic medical records and clinical information systems are a worthwhile investment. The benefits of the electronic medical records include the reduction of errors, improvement in clinical decision making during patient encounters, and universal access to information in real time. From a managerial perspective, health care organizations should... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501006 Thu, 25 Jun 2009 08:41:03 +0100 2501006 http://www.medworm.com/index.php?rid=2501004&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F01000%2FUtilization_of_Performance_Appraisal_Systems_in.6.aspx This article is based on a case study of a health care organization's current performance appraisal techniques. This organization's current use of performance appraisals are discussed in brief, and strategies for health care organizations to improve their performance appraisal system have also been identified. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501004 Thu, 25 Jun 2009 08:41:03 +0100 2501004 http://www.medworm.com/index.php?rid=2501003&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F07000%2FResponding_to_a_Bioterrorism_Attack_One_Scenario_.2.aspx This article continues the discussions introduced in an earlier article submitted to The Health Care Manager entitled "Epidemic Simulation for Syndromic Surveillance," wherein a format for analysis of the incidence of a bioterrorist attack was presented. This article outlines a simulation conducted as part of a federal grant award administered through the Center for Biological Defense at the University of South Florida. The disease entity simulated was an attack of anthrax introduced into the Central Florida region. The spread, effects, and eventual control of the disease entity are highlighted. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501003 Thu, 25 Jun 2009 08:41:03 +0100 2501003 http://www.medworm.com/index.php?rid=2501002&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F04000%2FRelocating_Rheumatology_Patients_to_a_New_Infusion.12.aspx This case study concerns relocating rheumatology patients at Duke University Medical Center to a new infusion center located in a physician-based treatment setting. The case study follows the managerial decision-making process as it describes how the infusion center treatment site was chosen, how it was set up, how it functions, and what benefits to patient care it provides. A successful site-of-care relocation requires strong managers who are able to weigh objectively alternative courses of action. Moreover, the project champion must be able to distinguish key factors inside and outside the organization and chart the project's course accordingly. (C)2003Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501002 Thu, 25 Jun 2009 08:41:03 +0100 2501002 http://www.medworm.com/index.php?rid=2501001&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F04000%2FHospital_Restructuring%2C_Workload%2C_and_Nursing.3.aspx This study examined changes in patient-nurse ratios resulting from hospital restructuring and the relationship of such changes to nursing staff satisfaction, psychological health, and perceptions of hospital functioning. Data were obtained from 744 hospital-based nursing survivors using questionnaires. Fifty-three percent of staff nurses indicated an increased patient-nurse ratio. Nursing staff indicating increased ratios generally reported less job satisfaction, poorer psychological (but not physical) health, and less effective hospital functioning. (C)2003Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501001 Thu, 25 Jun 2009 08:41:03 +0100 2501001 http://www.medworm.com/index.php?rid=2501000&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F01000%2FThe_Mystery_of_Altruism_and_Transcultural_Nursing.8.aspx This article examines this question from the standpoints of sociobiology, evolutionary biology, game theory, and memetics. Implications for transcultural nursing are included. The Giger-Davidhizar Transcultural Assessment Model is presented as a nursing model and might explain altruism even beyond other models. An overview of the Giger-Davidhizar Transcultural Assessment Model is included. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501000 Thu, 25 Jun 2009 08:41:03 +0100 2501000 http://www.medworm.com/index.php?rid=2500999&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F01000%2FNursing_Generations__An_Expanded_Look_at_the.10.aspx Never before have so many generations in nursing been asked to work together. The coexistence of 3 generations in nursing is leading to intergenerational conflict. The current intergenerational conflict is not enticing Generation X to seek or maintain nursing careers, therefore exacerbating the current nursing shortage. Using the theoretic frameworks of Conflict and Cohort theories, this article will examine and suggest the impact of generational diversity on the future of nursing. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500999 Thu, 25 Jun 2009 08:41:03 +0100 2500999 http://www.medworm.com/index.php?rid=2500998&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F04000%2FJob_Redesign_and_the_Health_Care_Manager.2.aspx This article lists sources of change in work and defines key terms. Also reviewed are factors that supervisors and managers can weigh in their redesigns. The article suggests actions aligned to common problems in the work environment. Finally, guidelines for a practical, step-by-step approach are provided. For health care supervisors and managers, the key to a successful job redesign is to achieve the unique balance of factors that matches the situation. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500998 Thu, 25 Jun 2009 08:41:03 +0100 2500998 http://www.medworm.com/index.php?rid=2500997&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F04000%2FEthical_Issues_and_the_Electronic_Health_Record.11.aspx Ethical issues related to electronic health records (EHRs) confront health personnel. Electronic health records create conflict among several ethical principals. Electronic health records may represent beneficence because they are alleged to increase access to health care, improve the quality of care and health, and decrease costs. Research, however, has not consistently demonstrated access for disadvantaged persons, the accuracy of EHRs, their positive effects on productivity, nor decreased costs. Should beneficence be universally acknowledged, conflicts exist with other ethical principles. Autonomy is jeopardized when patients' health data are shared or linked without the patients' knowledge. Fidelity is breached by the exposure of thousands of patients' health data through mistakes or t... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500997 Thu, 25 Jun 2009 08:41:03 +0100 2500997 http://www.medworm.com/index.php?rid=2500996&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F04000%2FDECIDE__A_Decision_Making_Model_for_More_Effective.5.aspx The purpose of this article is to describe a step-by-step process for decision making, and a model is developed to aid health care managers in making more quality decisions, which ultimately determines the success of organizations. The DECIDE model is the acronym of 6 particular activities needed in the decision-making process: (1) D = define the problem, (2) E = establish the criteria, (3) C = consider all the alternatives, (4) I = identify the best alternative, (5) D = develop and implement a plan of action, and (6) E = evaluate and monitor the solution and feedback when necessary. The DECIDE model is intended as a resource for health care managers when applying the crucial components of decision making, and it enables managers to improve their decision-making skills, which leads to more... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500996 Thu, 25 Jun 2009 08:41:03 +0100 2500996 http://www.medworm.com/index.php?rid=2500995&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F01000%2FChange_Management_in_Health_Care.4.aspx This article introduces health care managers to the theories and philosophies of John Kotter and William Bridges, 2 leaders in the evolving field of change management. For Kotter, change has both an emotional and situational component, and methods for managing each are expressed in his 8-step model (developing urgency, building a guiding team, creating a vision, communicating for buy-in, enabling action, creating short-term wins, don't let up, and making it stick). Bridges deals with change at a more granular, individual level, suggesting that change within a health care organization means that individuals must transition from one identity to a new identity when they are involved in a process of change. According to Bridges, transitions occur in 3 steps: endings, the neutral zone, and begi... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500995 Thu, 25 Jun 2009 08:41:03 +0100 2500995 http://www.medworm.com/index.php?rid=2500994&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F04000%2FManaging_Human_Resources_to_Improve_Employee.6.aspx Managers face increased challenges as the demand for health care services increases while the supply of employees with the requisite skills continues to lag. Employee retention will become more important in the effort to service health care needs. Appropriate human resource management strategies and policies implemented effectively can significantly assist managers in dealing with the employee retention challenges ahead. (C)2005Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500994 Thu, 25 Jun 2009 08:41:03 +0100 2500994 http://www.medworm.com/index.php?rid=2500992&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F01000%2FRetention__It_s_All_About_Respect.7.aspx This article examines research conducted by three health service administration graduate students who looked at reasons staff were leaving their jobs or their occupations. Using three different research tools, the students found that job satisfaction is not all about money, or even benefits. Respect, recognition, and organizational commitment are what employees want in their jobs. The article describes the research methods used in the studies and the similarities in results. (C) 2003 Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500992 Thu, 25 Jun 2009 08:41:03 +0100 2500992 http://www.medworm.com/index.php?rid=2500991&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F07000%2FTelemedicine__An_Emerging_Health_Care_Technology.5.aspx Telemedicine uses advanced telecommunication technologies to exchange health information and provide health care services across geographic, time, social, and cultural barriers. All telemedicine applications require the use of the electronic transfer of information. Telemedicine encompasses computer technologies using narrow and high bandwidths for specific types of information transmission, broadcast video, compressed video, full motion video, and even virtual reality. There are many types of common medical devices that have been adapted for use with telemedicine technology, and many clinical services can be provided via telemedicine to patients who live in physician shortage areas. The greatest challenges for telemedicine in the twenty-first century are financing, safety standards, secur... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500991 Thu, 25 Jun 2009 08:41:03 +0100 2500991 http://www.medworm.com/index.php?rid=2500990&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F07000%2FEmployee_Recruitment__Using_Behavioral_Assessments.3.aspx The labor shortage of skilled health care professionals continues to make employee recruitment and retention a challenge for health care managers. Greater accountability is being placed on health care managers to retain their employees. The urgency to retain health care professionals is largely an issue that should be considered during the initial recruitment of potential employees. Health care managers should analyze candidates rigorously to ensure that appropriate hiring decisions are made. Behavioral assessments can be used as a useful employee selection tool to assist managers in the appropriate placement and training of potential new employees. When administered appropriately, these tools can provide managers with a variety of useful information. This information can assist health car... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500990 Thu, 25 Jun 2009 08:41:03 +0100 2500990 http://www.medworm.com/index.php?rid=2500989&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F10000%2FAddressing_the_Phenomenon_of_Disruptive_Physician.7.aspx This timely article provides current information on an age-old issue of disruptive physician behavior within the hospital setting. Documented in medical literature over 100 years ago, disruptive physician behavior has been an ongoing challenge to the hospital staff and the quality of patient care in the hospital. Covered in this article are the negative consequences of disruptive physician behavior and the call to respond. If allowed to go unchecked, a physician exhibiting disruptive behavior may threaten a hospital's image, staff morale, finance, and quality of care. Failure to respond undermines the leadership of the hospital and the trust of the community in the hospital's mission. Included in this article are suggestions obtained from the literature and from the author's experience in ... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500989 Thu, 25 Jun 2009 08:41:03 +0100 2500989 http://www.medworm.com/index.php?rid=2500988&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F10000%2FThe_Effect_of_Routine_Rounding_by_Nursing_Staff_on.8.aspx In this study, nursing administration wanted to increase patient's perception of how well their needs were being met. Regular scheduled rounding provided an opportunity for nursing to interact with patients on a regular schedule. All nursing care categories measured exceeded the goal of 90% in the first month after implementation, with the largest increase of averaged percentages being "attention to special or personal needs. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500988 Thu, 25 Jun 2009 08:41:03 +0100 2500988 http://www.medworm.com/index.php?rid=2500987&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F04000%2FLength_of_Stay_at_an_All_Time_Low.7.aspx Most health care professionals agree that the decreasing length of stay in hospitals is detrimental to the quality of care given to the patient. The growing trend over the past decade is to discharge the patient as quickly as possible. The decreasing length of stay has spurred many questions and controversies in both public and medical domains. It has brought about changes in service delivery and technology. Still, the question remains: Does shortened length of stay decrease the quality of care given? Understanding the factors of change and their effect on the medical environment is beneficial to all health care professionals. (C)2003Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500987 Thu, 25 Jun 2009 08:41:03 +0100 2500987 http://www.medworm.com/index.php?rid=2500985&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F04000%2FNursing_Leadership__Serving_Those_Who_Serve_Others.2.aspx This article encourages nursing leadership to examine the feasibility of implementing a servant-leadership model as a possible methodology for securing and retaining current and future nursing staff. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500985 Thu, 25 Jun 2009 08:41:03 +0100 2500985 http://www.medworm.com/index.php?rid=2500984&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F07000%2FTransformational_Leadership_in_Health_Care_Today.6.aspx Management in nursing is in a state of revolution based on positive transformational changes. Effective leadership on individual nursing units directly affects nursing staff satisfaction. Employees are interested in managers who can lead in a positive and encouraging manner. Nurses who are content in their positions correlate to a reduction in staff turnover and improve retention. When the nursing staff are satisfied with their employment, patient satisfaction rises. Health care organizations can see this trickle-down effect through increases in patient satisfaction scores over time. The promotion of effective communication and positive attitudes enhances a healthy environment for all employees and staff. Health care organizations should evaluate individual nurse managers on units to promo... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500984 Thu, 25 Jun 2009 08:41:03 +0100 2500984 http://www.medworm.com/index.php?rid=2500982&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2006%2F04000%2FSix_Sigma_in_Health_Care_Management_and_Strategy.6.aspx In the years ahead, health care organizations will continue to face numerous challenges from longstanding and currently unresolved issues and new and emerging trends. Some of these include workforce shortages, rising consumerism, patient and stakeholder expectations, quality and patient safety, reimbursement, an aging population, regulatory constraints, and disaster preparedness. Health care organizations will need to adopt effective strategic tools, such as Six Sigma, to improve efficiency and effectiveness. Failure to do so will not only threaten their ability to remain competitive and provide quality care to the communities they serve, but their own survival will also be jeopardized by shrinking margins caused by continued downward pressure on reimbursement. (C)2006Lippincott Williams &... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500982 Thu, 25 Jun 2009 08:41:03 +0100 2500982 http://www.medworm.com/index.php?rid=2500981&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F04000%2FThe_Interrelationship_of_Organizational.2.aspx This study examined whether magnet hospitals continue to provide higher levels of job satisfaction and empowerment among nurses when compared with non-magnet hospitals. Also studied at both types of hospitals was whether job satisfaction discrepancy was interlinked with leadership effectiveness and support of professional nursing practice. Nurses employed at magnet hospitals experienced higher levels of empowerment and job satisfaction due to greater access to work empowerment structures. The elements accounting for differences in empowerment and job satisfaction scores included: (1) greater accessibility of magnet nurse leaders, (2) better support of clinical nurse autonomous decision making by magnet nurse leaders, and (3) greater access to work empowerment structures such as opportunity... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500981 Thu, 25 Jun 2009 08:41:03 +0100 2500981 http://www.medworm.com/index.php?rid=2500980&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2005%2F07000%2FHospital_Design_and_Staff_Perceptions__An.8.aspx This article will examine a subset of results from a recent employee satisfaction survey given at a medical center. Exploratory analysis and interpretation will begin to shed light on whether or not building design can have an impact (positive or negative) on staff satisfaction. This can potentially act as a springboard to guide future empirical research in the area of health care design and its impact on staff satisfaction and well-being. By analyzing findings from a recent employee satisfaction survey, we can begin to understand how the hospital staff perceives the design of their building and begin to determine if these perceptions might impact health outcomes among the employees. (C)2005Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500980 Thu, 25 Jun 2009 08:41:03 +0100 2500980 http://www.medworm.com/index.php?rid=2500978&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2008%2F10000%2FCenters_for_Medicare_and_Medicaid_Services___Never.9.aspx This article identifies key events leading to CMS' ruling regarding nonpayment for hospital-acquired conditions, outlines the main points of interest in CMS' new rules, identifies limitations and concerns with this policy, and suggests measures that each hospital should voluntarily take to comply with 2008 and 2009 deadlines. (C)2008Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500978 Thu, 25 Jun 2009 08:41:03 +0100 2500978 http://www.medworm.com/index.php?rid=2500977&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F01000%2FHealth_Informatics__Ethical_Issues.2.aspx Ethics is a component of the education of health care managers and supervisors. Recent advances in the technologies of health informatics present these leaders with new ethical challenges. Holding the promise of beneficence, these technologies are purported to increase access, improve quality, and decrease the costs of care. Aspects of these technologies, however, create conflicts with the ethical principles of autonomy, fidelity, and justice. Infoethics is suggested as a means to examine these conflicts. A multipronged solution that incorporates adherence to regulations and standards, promotion of codes of conduct and ethics, and creation of a culture of infoethics is recommended. (C) 2003 Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500977 Thu, 25 Jun 2009 08:41:03 +0100 2500977 http://www.medworm.com/index.php?rid=2500976&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2003%2F10000%2FCaring__Utilizing_the_Watson_Theory_to_Transcend.2.aspx The United States is increasingly becoming a multicultural pluralistic society. This is especially true in Florida where the present manuscript was written. Nurse practitioners must respond to growing diversity with competency and theory-based practice strategies. This paper describes application of theoretical models of caring to a diverse population in Florida with emphasis on the Giger and Davidhizar model of transcultural nursing. (C)2003Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500976 Thu, 25 Jun 2009 08:41:03 +0100 2500976 http://www.medworm.com/index.php?rid=2500974&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F01000%2FHealth_Care_in_the_Sultanate_of_Oman_From_a.8.aspx This article presents an overview of health care in the Sultanate of Oman, focusing on areas such as organization, financing, and staffing issues. It further relates the experiences of one graduate student during an administrative graduate internship in the Sultanate of Oman. The student interned at 4 hospital facilities, observing different departments (such as Nursing, Pharmacy, Laboratory, Health Information Management) and shadowing facility administrators. Also presented are student recommendations that were developed for various areas of the facilities (health information management, ancillary services, patient care areas, etc.) based on the student's graduate coursework and observations during the internship. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manage... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500974 Thu, 25 Jun 2009 08:41:03 +0100 2500974 http://www.medworm.com/index.php?rid=2500972&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F01000%2FConflict_Management_Styles_of_Asian_and_Asian.9.aspx Foreign nurses and American nurses who are culturally diverse make up an increasing number of the US nursing workforce. Of foreign nurses, Asians constitute the largest number. Conflict is an inevitable aspect of human relations in health care settings. Nurses and other health team members with diverse cultural background bring to the workplace different conflict behaviors that directly impact the outcomes of conflicts. It is essential for health care team members and managers to be cognizant of different conflict behaviors as well as different conflict management styles so that strategies can be designed to build a culturally diverse health care team that is able to effectively achieve group and organizational objectives. (C)2004Lippincott Williams & Wilkins, Inc. (Source: The Health Care... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500972 Thu, 25 Jun 2009 08:41:03 +0100 2500972 http://www.medworm.com/index.php?rid=2500971&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2004%2F10000%2FManaging_the_Multigenerational_Nursing_Team.8.aspx This study examined the generational profiles of two groups (the Silent Generation, and Baby Boomers vs. Generation X and Generation Y) in terms of the following variables: characteristics, communication styles, and significance of tasks. The purpose was to assist nurse managers to maximize departmental effectiveness by capitalizing on the unique characteristics of the multigenerational nursing team. A descriptive design was used to examine nursing staff perceptions of their generational profiles, communication styles, and significance of tasks. The convenience sample included registered nurses, nurse technicians and nursing secretaries from two departments, a medical-surgical and a critical care department (N = 62). The study provided participants with the opportunity to give their interp... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500971 Thu, 25 Jun 2009 08:41:03 +0100 2500971 http://www.medworm.com/index.php?rid=2500970&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2007%2F01000%2FThe_Challenge_of_Sustaining_Health_Care_in_Oman.3.aspx This article identifies current health status indicators and efforts made to maintain health outcomes in Oman. Threats to the health care system are identified, and international financing opportunities are evaluated to develop a model for sustaining health care reform in Oman. (C)2007Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500970 Thu, 25 Jun 2009 08:41:03 +0100 2500970 http://www.medworm.com/index.php?rid=2703723&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FA_Manager_Asks__Dealing_With_the_Troublesome.12.aspx No abstract available (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2703723 Tue, 31 Mar 2009 23:00:00 +0100 2703723 http://www.medworm.com/index.php?rid=2662247&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FFrom_the_Editor.1.aspx No abstract available (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2662247 Tue, 31 Mar 2009 23:00:00 +0100 2662247 http://www.medworm.com/index.php?rid=2605101&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FThe_Value_Analysis_Team__A_Shared_Mental_Model.10.aspx This article examines what managers need to consider before forming such teams and how to guide the work. It will also look at the qualities and qualifications of the people who must be involved to make the process effective. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2605101 Tue, 31 Mar 2009 23:00:00 +0100 2605101 http://www.medworm.com/index.php?rid=2572589&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FHealth_Care_Globalization__A_Need_for_Virtual.4.aspx This article provides global managers with guidelines for leading and motivating individuals or teams from a distance while overcoming the typical challenges that "virtual leaders" and "virtual teams" face: employee isolation, confusion, language barriers, cultural differences, and technological breakdowns. Fortunately, technological advances in communications have provided various methods to accommodate geographically dispersed or "global virtual teams." Health care leaders now have the ability to lead global teams from afar by becoming "virtual leaders" with a responsibility to lead a "virtual team." Three models of globalization presented and discussed are outsourcing of health care services, medical tourism, and telerobotics. These models require global managers to lead virtually, and ... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2572589 Tue, 31 Mar 2009 23:00:00 +0100 2572589 http://www.medworm.com/index.php?rid=2501005&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FAssessing_Cultural_Competence_at_a_Local_Hospital.2.aspx This article presents the findings of one hospital system's cultural competency assessment. Employee surveys and patient and physician focus groups were conducted to gain insight into cultural differences and challenges encountered in this system. Statistically significant effects of ethnicity and gender on language skills and awareness, as well as differences in awareness and knowledge by the respondent's employment position, were found. Patient concerns included access to care and respect from staff. The need for cross-cultural education and training for all health care delivery personnel was reinforced. Cultural competency will not be achieved if education, attention to diversity, trained interpreters, and the understanding that social factors have a profound influence on health and hea... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501005 Tue, 31 Mar 2009 23:00:00 +0100 2501005 http://www.medworm.com/index.php?rid=2500986&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FA_Bundle_of_Best_Bedside_Practices__Field_Evidence.3.aspx A sequential, evidence-based bundle of 10 best bedside practices serves as a template for professional practice and becomes a shared language and standards for interdisciplinary team communication and development. Improvements in registered nurse leadership skill levels, corresponding clinical outcomes, and patient and staff satisfaction have been realized through implementation of the Relationship & Results Oriented Healthcare certification program and practice model. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500986 Tue, 31 Mar 2009 23:00:00 +0100 2500986 http://www.medworm.com/index.php?rid=2500975&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F04000%2FCreating_a_Culture_of_Accountability_in_Health.5.aspx Health care providers are constantly striving to improve quality and efficiency by using performance management systems and quality improvement initiatives. Creating and maintaining a culture of accountability are important for achieving this end because accountability is the reason for measuring and improving performance. The keys to creating a culture of accountability will be explicated by examining the extant literature, and from this, 6 methods will be outlined for creating such a culture. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500975 Tue, 31 Mar 2009 23:00:00 +0100 2500975 http://www.medworm.com/index.php?rid=2197949&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00014.htm Page: 86DOI: 10.1097/HCM.0b013e318196dee4Authors: McConnell, Charles R. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197949 Fri, 20 Feb 2009 11:36:10 +0100 2197949 http://www.medworm.com/index.php?rid=2197948&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00013.htm Page: 81DOI: 10.1097/HCM.0b013e318196de91Authors: Alexandraki, Irene MD, FACP; Palacio, Carlos MD, MPH, FACP; House, Jeffrey DO, FACP; Catalano, Christina MBA; Mooradian, Arshag D. MD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197948 Fri, 20 Feb 2009 11:36:10 +0100 2197948 http://www.medworm.com/index.php?rid=2197947&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00012.htm Page: 75DOI: 10.1097/HCM.0b013e318196de3dAuthors: Harris, Susie T. PhD, MBA, RHIA, CCS; Kulesher, Robert R. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197947 Fri, 20 Feb 2009 11:36:10 +0100 2197947 http://www.medworm.com/index.php?rid=2197946&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00011.htm Page: 71DOI: 10.1097/HCM.0b013e318196de6cAuthors: Mancilla, Desla MPA, RHIA; Biedermann, Sue MSHP, RHIA (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197946 Fri, 20 Feb 2009 11:36:10 +0100 2197946 http://www.medworm.com/index.php?rid=2197945&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00010.htm Page: 65DOI: 10.1097/HCM.0b013e318196decfAuthors: Harris, Susie T. PhD, MBA, RHIA, CCS; Pokorny, Marie E. PhD, RN (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197945 Fri, 20 Feb 2009 11:36:10 +0100 2197945 http://www.medworm.com/index.php?rid=2197944&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00009.htm Page: 58DOI: 10.1097/HCM.0b013e318196de9eAuthors: Olinzock, Barbara J. EdD, RN; Kruger, Barbara J. PhD, MPH, RN; Wilburn, Sharon T. PhD; Wilburn, Kenneth T. PhD; Roush, Connie PhD, RN (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197944 Fri, 20 Feb 2009 11:36:10 +0100 2197944 http://www.medworm.com/index.php?rid=2197943&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00008.htm Page: 55DOI: 10.1097/HCM.0b013e318196dda3 (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197943 Fri, 20 Feb 2009 11:36:10 +0100 2197943 http://www.medworm.com/index.php?rid=2197942&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00007.htm Page: 44DOI: 10.1097/HCM.0b013e318196df0fAuthors: Impagliazzo, Cira PhD; Ippolito, Adelaide PhD; Zoccoli, Paola PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197942 Fri, 20 Feb 2009 11:36:10 +0100 2197942 http://www.medworm.com/index.php?rid=2197941&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00006.htm Page: 38DOI: 10.1097/HCM.0b013e318196de7eAuthors: Karuppan, Muthu PhD; Karuppan, Corinne M. PhD, CPIM; Craig, Carolyn MT (ASCP) (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197941 Fri, 20 Feb 2009 11:36:10 +0100 2197941 http://www.medworm.com/index.php?rid=2197940&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00005.htm Page: 30DOI: 10.1097/HCM.0b013e318196deaeAuthors: Collins, Sandra K. MBA, ABD; Collins, Kevin S. MS; Jensen, Steven C. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197940 Fri, 20 Feb 2009 11:36:10 +0100 2197940 http://www.medworm.com/index.php?rid=2197939&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00004.htm Page: 19DOI: 10.1097/HCM.0b013e318196de5cAuthors: Guo, Kristina L. PhD, MPH (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197939 Fri, 20 Feb 2009 11:36:10 +0100 2197939 http://www.medworm.com/index.php?rid=2197938&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00003.htm Page: 14DOI: 10.1097/HCM.0b013e318196def8Authors: Angstman, Kurt B. MD; Adamson, Steven C. MD; Furst, Joseph W. MD; Houston, Margaret S. MD; Rohrer, James E. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197938 Fri, 20 Feb 2009 11:36:10 +0100 2197938 http://www.medworm.com/index.php?rid=2197937&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00002.htm Page: 4DOI: 10.1097/HCM.0b013e318196de4dAuthors: Liberman, Aaron PhD; Rotarius, Timothy PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197937 Fri, 20 Feb 2009 11:36:10 +0100 2197937 http://www.medworm.com/index.php?rid=2197936&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200901000-00001.htm Page: 1DOI: 10.1097/HCM.0b013e318196ddc0 (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2197936 Fri, 20 Feb 2009 00:32:03 +0100 2197936 http://www.medworm.com/index.php?rid=2845325&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F01000%2FBuilding_a_Baccalaureate_Community_Nursing.9.aspx We describe the formative evaluation process, the strategies used to engage the key stakeholders, and identify the benefits leading to the sustainability of the Home-base Model. A plan for external evaluation is in progress, building on existing stakeholder involvement and focusing on outcomes. The development of the Home-base Model is offered as an exemplar of how a participatory approach can build community nursing curricula that are consistent with community-driven agendas. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2845325 Thu, 01 Jan 2009 00:00:00 +0100 2845325 http://www.medworm.com/index.php?rid=2703722&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F01000%2FThe_Experience_of_Teaching_in_a_Diabetes_Program.10.aspx Diabetes care accounts for $132 billion of total health care expenditures, and the prevalence of diabetes is increasing. Preparing and managing diabetes educators are a serious challenge for health care managers. A phenomenological approach was used to explore the teaching experiences of 3 diabetes program staff members. Data were collected through 3 face-to-face interviews and 20 e-mail messages over a 6-week period. The individuals included 2 second year marriage and family therapist doctoral students and 1 certified diabetes educator. Reflexivity, triangulation by peers, and member checks were used to ensure trustworthiness. The 4 themes found in this study were roles, awareness, sense of importance, and challenges and frustrations. (C)2009Lippincott Williams & Wilkins, Inc. (Source: Th... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2703722 Thu, 01 Jan 2009 00:00:00 +0100 2703722 http://www.medworm.com/index.php?rid=2677738&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F01000%2FHealth_Information_Privacy__Why_Trust_Matters.11.aspx This article addresses numerous protective measures that are in place and the role of healthcare professionals in building trust with healthcare consumers. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2677738 Thu, 01 Jan 2009 00:00:00 +0100 2677738 http://www.medworm.com/index.php?rid=2501012&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F01000%2FResource_Based_Relative_Value_Scale_Analysis.13.aspx Conclusions: Based on a resource-based relative value scale analysis, the clinical productivity of teaching faculty was superior to that of nonteaching hospitalists. The difference may be attributable to lower time requirements of the teaching attendings compared with full-time hospitalists. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2501012 Thu, 01 Jan 2009 00:00:00 +0100 2501012 http://www.medworm.com/index.php?rid=2500979&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F01000%2FCore_Competencies_of_the_Entrepreneurial_Leader_in.4.aspx This study offers insight into the relationship between leaders and entrepreneurship in health care organizations and establishes the foundation for more in-depth studies on leadership competencies in health care settings. The approach for identifying core competencies and designing a competency model is useful for practitioners in leadership positions in complex health care organizations, so that through the understanding and practice of these 3 areas of core competencies, they can enhance their entrepreneurial leadership skills to become more effective health care entrepreneurial leaders. This study can also be used as a tool by health care organizations to better understand leadership performance, and competencies can be used to further the organization's strategic vision and for indivi... The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500979 Thu, 01 Jan 2009 00:00:00 +0100 2500979 http://www.medworm.com/index.php?rid=2500973&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fjournals.lww.com%2Fhealthcaremanagerjournal%2FFulltext%2F2009%2F01000%2FThe_Importance_of_Encounter_Form_Design.12.aspx This article addresses the negative impact of outdated encounter forms on reimbursement and describes current best practices related to coding, the use of electronic encounter forms, and management of missed appointments. Specific recommendations are offered for ensuring that encounter forms are appropriately maintained and up-to-date. (C)2009Lippincott Williams & Wilkins, Inc. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=2500973 Thu, 01 Jan 2009 00:00:00 +0100 2500973 http://www.medworm.com/index.php?rid=1958111&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00013.htm Page: 369DOI: 10.1097/HCM.0b013e31818b97dbAuthors: McConnell, Charles R. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958111 Sat, 15 Nov 2008 04:37:09 +0100 1958111 http://www.medworm.com/index.php?rid=1958110&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00012.htm Page: 364DOI: 10.1097/HCM.0b013e31818c8079Authors: Davidhizar, Ruth RN, DNS, ARNP, BC, FAAN (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958110 Sat, 15 Nov 2008 04:37:09 +0100 1958110 http://www.medworm.com/index.php?rid=1958109&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00011.htm Page: 357DOI: 10.1097/HCM.0b013e31818c810bAuthors: Danesh, Valerie C. RN, BSN, MS-HSA; Malvey, Donna PhD; Fottler, Myron D. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958109 Sat, 15 Nov 2008 04:37:09 +0100 1958109 http://www.medworm.com/index.php?rid=1958108&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00010.htm Page: 350DOI: 10.1097/HCM.0b013e31818c805fAuthors: Arnold, Edwin PhD; Pulich, Marcia PhD; Wang, Hua PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958108 Sat, 15 Nov 2008 04:37:09 +0100 1958108 http://www.medworm.com/index.php?rid=1958107&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00009.htm Page: 338DOI: 10.1097/HCM.0b013e31818c8037Authors: Mattie, Angela S. JD, MPH; Webster, Barry L. BS (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958107 Sat, 15 Nov 2008 04:37:09 +0100 1958107 http://www.medworm.com/index.php?rid=1958106&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00008.htm Page: 332DOI: 10.1097/HCM.0b013e31819179a1Authors: Sobaski, Tanya RN, BSN; Abraham, Merline RN, BSN; Fillmore, Rhonda RN, BSN; McFall, Dawn E. RN, BSN; Davidhizar, Ruth RN, DNS, ARNP, BC, FAAN (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958106 Sat, 15 Nov 2008 04:37:09 +0100 1958106 http://www.medworm.com/index.php?rid=1958105&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00007.htm Page: 324DOI: 10.1097/HCM.0b013e31818c80c3Authors: Crow, Stephen M. PhD; Hartman, Sandra J. PhD; Mahesh, Sathiadev PhD; McLendon, Christy L. PhD; Henson, Steve W. PhD; Jacques, Paul H. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958105 Sat, 15 Nov 2008 04:37:09 +0100 1958105 http://www.medworm.com/index.php?rid=1958104&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00006.htm Page: 317DOI: 10.1097/HCM.0b013e31818c8088Authors: Rotarius, Timothy PhD; Liberman, Aaron PhD; Trujillo, Antonio PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958104 Sat, 15 Nov 2008 04:37:09 +0100 1958104 http://www.medworm.com/index.php?rid=1958103&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00005.htm Page: 314DOI: 10.1097/HCM.0b013e31818c8127 (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958103 Sat, 15 Nov 2008 04:37:09 +0100 1958103 http://www.medworm.com/index.php?rid=1958102&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00004.htm Page: 307DOI: 10.1097/HCM.0b013e31818b95c7Authors: Harrison, Jeffrey P. PhD, MBA, MHA, FACHE; Harrison, Richard A. BS; Smith, Megan BHA (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958102 Sat, 15 Nov 2008 04:37:09 +0100 1958102 http://www.medworm.com/index.php?rid=1958101&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00003.htm Page: 298DOI: 10.1097/HCM.0b013e31818c80d2Authors: Clarke, Thomas L. PhD; Rotarius, Timothy PhD; Liberman, Aaron PhD; Cattani, Jacqueline PhD; Nieves, Kourtney PhD; Sumner, Jennifer PhD; Palaniappan, Ravi MS (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958101 Sat, 15 Nov 2008 04:37:09 +0100 1958101 http://www.medworm.com/index.php?rid=1958100&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00002.htm Page: 288DOI: 10.1097/HCM.0b013e31818c806eAuthors: Choi, Mankyu PhD; Lee, Keon-Hyung PhD, MPH (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958100 Sat, 15 Nov 2008 04:37:09 +0100 1958100 http://www.medworm.com/index.php?rid=1958099&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200810000-00001.htm Page: 285DOI: 10.1097/HCM.0b013e31818c8096 (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1958099 Sat, 15 Nov 2008 00:36:44 +0100 1958099 http://www.medworm.com/index.php?rid=1699069&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00011.htm Page: 277DOI: 10.1097/01.HCM.0000318759.21654.d2Authors: McConnell, Charles R. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699069 Wed, 13 Aug 2008 06:47:51 +0100 1699069 http://www.medworm.com/index.php?rid=1699068&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00010.htm Page: 269DOI: 10.1097/01.HCM.0000318758.14030.81Authors: Cramer, Connie RNC, MSN; Davidhizar, Ruth RN, DNS, ARNP, BC, FAAN (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699068 Wed, 13 Aug 2008 06:47:51 +0100 1699068 http://www.medworm.com/index.php?rid=1699067&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00009.htm Page: 259DOI: 10.1097/01.HCM.0000318757.14030.65Authors: Pollard, Prudence RD, PhD, MPH; Taylor, Maxine RD, EdD; Daher, Noha DrPH; Davis, Nicceta PT, PhD, MPH (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699067 Wed, 13 Aug 2008 06:47:51 +0100 1699067 http://www.medworm.com/index.php?rid=1699066&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00008.htm Page: 252DOI: 10.1097/01.HCM.0000318756.31956.36Authors: Zhao, Mei PhD; Haley, D. Rob PhD, MBA, MHS; Nolin, JoAnn M. JD; Dunning, Kerry MHA, MSH; Wang, Jian MD, PhD; Sun, Qiangsan MD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699066 Wed, 13 Aug 2008 06:47:51 +0100 1699066 http://www.medworm.com/index.php?rid=1699065&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00007.htm Page: 245DOI: 10.1097/01.HCM.0000318755.24332.4bAuthors: Collins, Kevin S. RT(R)(T), CMD, MsEd; Collins, Sandra K. MBA; McKinnies, Richard RT(R)(T), MsEd; Jensen, Steven PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699065 Wed, 13 Aug 2008 06:47:51 +0100 1699065 http://www.medworm.com/index.php?rid=1699064&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00006.htm Page: 234DOI: 10.1097/01.HCM.0000318754.24332.02Authors: Crow, Stephen M. PhD; Hartman, Sandra J. PhD; Mahesh, Sathiadev PhD; McLendon, Christy L. PhD; Henson, Steve W. PhD; Jacques, Paul PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699064 Wed, 13 Aug 2008 06:47:51 +0100 1699064 http://www.medworm.com/index.php?rid=1699063&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00005.htm Page: 230DOI: 10.1097/01.HCM.0000318753.47203.ee (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699063 Wed, 13 Aug 2008 06:47:51 +0100 1699063 http://www.medworm.com/index.php?rid=1699062&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00004.htm Page: 223DOI: 10.1097/01.HCM.0000285058.70353.24Authors: Arnold, Edwin PhD; Pulich, Marcia PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699062 Wed, 13 Aug 2008 06:47:51 +0100 1699062 http://www.medworm.com/index.php?rid=1699061&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00003.htm Page: 212DOI: 10.1097/01.HCM.0000285057.32235.5eAuthors: Condon, James V. MSA, RHIA, CTR; Miller, Kelly M. MS; Le, Anh H. MS; Quasem, Mohammed MEd; Looney, Stephen W. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699061 Wed, 13 Aug 2008 06:47:51 +0100 1699061 http://www.medworm.com/index.php?rid=1699060&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00002.htm Page: 192DOI: 10.1097/01.HCM.0000285056.24611.c9Authors: Clarke, Thomas L. PhD; Rotarius, Timothy PhD; Liberman, Aaron PhD; Cattani, Jacqueline PhD; Nieves, Kourtney PhD; Sumner, Jennifer PhD, MS; Palaniappan, Ravi MS (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699060 Wed, 13 Aug 2008 06:47:51 +0100 1699060 http://www.medworm.com/index.php?rid=1699059&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200807000-00001.htm Page: 189DOI: 10.1097/01.HCM.0000285055.24611.12 (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1699059 Tue, 12 Aug 2008 23:32:33 +0100 1699059 http://www.medworm.com/index.php?rid=1438021&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00012.htm Page: 177DOI: 10.1097/01.HCM.0000285045.27290.4bAuthors: McConnell, Charles R. (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438021 Tue, 13 May 2008 22:58:54 +0100 1438021 http://www.medworm.com/index.php?rid=1438020&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00011.htm Page: 165DOI: 10.1097/01.HCM.0000285044.19666.a8Authors: Layman, Elizabeth J. PhD, RHIA, CCS, FAHIMA (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438020 Tue, 13 May 2008 22:58:54 +0100 1438020 http://www.medworm.com/index.php?rid=1438019&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00010.htm Page: 159DOI: 10.1097/01.HCM.0000285043.42537.21Authors: Pulich, Marcia PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438019 Tue, 13 May 2008 22:58:54 +0100 1438019 http://www.medworm.com/index.php?rid=1438018&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00009.htm Page: 147DOI: 10.1097/01.HCM.0000285042.42537.68Authors: Haley, D. Rob PhD; Zhao, Mei PhD; Nolin, JoAnn M. JD; Dunning, Kerry MHA; Qiang, Sun PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438018 Tue, 13 May 2008 22:58:54 +0100 1438018 http://www.medworm.com/index.php?rid=1438017&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00008.htm Page: 137DOI: 10.1097/01.HCM.0000285040.96795.05Authors: Mitchell, Michael S. JD; Koen, Clifford M. JD; Crow, Stephen M. PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438017 Tue, 13 May 2008 22:58:54 +0100 1438017 http://www.medworm.com/index.php?rid=1438016&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00007.htm Page: 131DOI: 10.1097/01.HCM.0000285039.89171.71Authors: Crampton, Suzanne M. PhD; Mishra, Jitendra M. PhD; Zerfas, David W. BBA (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438016 Tue, 13 May 2008 22:58:54 +0100 1438016 http://www.medworm.com/index.php?rid=1438015&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00006.htm Page: 128DOI: 10.1097/01.HCM.0000285038.89171.38Authors: , (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438015 Tue, 13 May 2008 22:58:54 +0100 1438015 http://www.medworm.com/index.php?rid=1438014&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00005.htm Page: 118DOI: 10.1097/01.HCM.0000285046.27290.90Authors: Guo, Kristina L. PhD, MPH (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438014 Tue, 13 May 2008 22:58:54 +0100 1438014 http://www.medworm.com/index.php?rid=1438013&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00004.htm Page: 113DOI: 10.1097/01.HCM.0000285041.34913.b2Authors: Kaissi, Amer PhD (Source: The Health Care Manager) The Health Care Manager journals http://www.medworm.com/rss/comments.php?id=1438013 Tue, 13 May 2008 22:58:54 +0100 1438013 http://www.medworm.com/index.php?rid=1438012&cid=s_33821_51_f&fid=33821&url=http%3A%2F%2Fwww.healthcaremanagerjournal.com%2Fpt%2Fre%2Fhcm%2Fabstract.00126450-200804000-00003.htm Page: 104DOI: 10.1097/01.HCM.0000285037.12043.a3Authors: Hazelwood, Anita MLS, RHIA, FAHIMA; Cook, Ellen D. 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