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The Bachelor of Science in Nursing Degree as Entry Level for Practice : Recapturing the Vision in the United Statesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - October 29, 2009 Category: Health Management Tags: Article Source Type: journals

Labor Relations Strategies and Tactics in Hospital Electionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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. (Sour...
Source: The Health Care Manager - October 24, 2009 Category: Health Management Tags: Regular Article Source Type: journals

Managers and Mergers: Functioning in a Blended Organizationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 "pri...
Source: The Health Care Manager - October 19, 2009 Category: Health Management Tags: Article Source Type: journals

Ethics: The Evidence of Leadershipemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - September 27, 2009 Category: Health Management Tags: Article Source Type: journals

A Study of the Skills and Roles of Senior-Level Health Care Managersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - September 15, 2009 Category: Health Management Tags: Articles Source Type: journals

The Generation-Y Workforce in Health Care: The New Challenge for Leadershipemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - September 11, 2009 Category: Health Management Tags: Article Source Type: journals

Gossip and Nurses: Malady or Remedy?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - September 7, 2009 Category: Health Management Tags: Article Source Type: journals

Not-For-Profit Versus For-Profit Health Care Providers-Part I: Comparing and Contrasting Their Recordsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 of...
Source: The Health Care Manager - September 7, 2009 Category: Health Management Tags: Article Source Type: journals

Delegating Decision Making in Health Care Organizationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - August 29, 2009 Category: Health Management Tags: Article Source Type: journals

The Paradox of the Not-for-profit Hospitalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 ...
Source: The Health Care Manager - August 26, 2009 Category: Health Management Tags: Article Source Type: journals

Medicare's Operational History and Impact on Health Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 impact...
Source: The Health Care Manager - August 7, 2009 Category: Health Management Tags: Article Source Type: journals

Measuring Functional Service Quality Using SERVQUAL in a High-Dependence Health Service Relationshipemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 bias...
Source: The Health Care Manager - August 3, 2009 Category: Health Management Tags: Article Source Type: journals

Strategies to Decrease Medication Errorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - August 1, 2009 Category: Health Management Tags: Articles Source Type: journals

A Critical Examination of Formal and Informal Mentoring Among Nursesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - July 30, 2009 Category: Health Management Tags: Article Source Type: journals

Strengthening Organizational Commitment: Understanding the Concept as a Basis for Creating Effective Workforce Retention Strategiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - July 14, 2009 Category: Health Management Tags: Article Source Type: journals

Does Requiring Continuing Education Units for Professional Licensing Renewal Assure Quality Patient Care?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - July 8, 2009 Category: Health Management Tags: Article Source Type: journals

Not-for-profit Versus For-profit Health Care Providers-Part II: Comparing and Contrasting Their Recordsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 is...
Source: The Health Care Manager - July 8, 2009 Category: Health Management Tags: Article Source Type: journals

Hospitalists: Evolution, Evidence, and Eventualitiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: The Health Care Manager - July 7, 2009 Category: Health Management Tags: Article Source Type: journals

Diversity and Cultural Competence Training in Health Care Organizations: Hallmarks of Successemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 ke...
Source: The Health Care Manager - July 7, 2009 Category: Health Management Tags: Article Source Type: journals

Creating a Culture of Service Excellence: Empowering Nurses Within the Shared Governance Councilor Modelemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: The Health Care Manager - July 6, 2009 Category: Health Management Tags: Article Source Type: journals

Roles, Skills, and Competencies of Middle Managers in Occupational Therapyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 competenc...
Source: The Health Care Manager - July 5, 2009 Category: Health Management Tags: Article Source Type: journals

Reducing Medical Errors Through Better Documentationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 patie...
Source: The Health Care Manager - July 5, 2009 Category: Health Management Tags: Article Source Type: journals

A Manager Asks: "But the Boss Is Always the Boss"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Simulation Modeling for the Health Care Manageremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 Wil...
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Crucial Conversations: The Most Potent Force for Eliminating Disruptive Behavioremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 hea...
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Effective Oral Presentations: Speaking Before Groups as Part of Your Jobemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 ne...
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Personality Traits and Career Satisfaction of Health Care Professionalsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 s...
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Coding, Reimbursement, and Managed Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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. ...
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Attitudes Toward Incorporating Fun Into the Health Care Workplaceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 30, 2009 Category: Health Management Tags: Article Source Type: journals

Managing Immature, Irresponsible, or Irritating Employeesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 27, 2009 Category: Health Management Tags: Article Source Type: journals

Genesis of a Professional Development Tool for Ambulatory Pediatric Nursing Practiceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 perf...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

The Causes and Consequences of Conflict and Violence in Nursing Homes: Working Toward a Collaborative Work Cultureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 dy...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Integration of Health Care Organizations: Using the Power Strategies of Horizontal and Vertical Integration in Public and Private Health Systemsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 sugges...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

The Magnet Designation Process: A Qualitative Approach Using Donabedian's Conceptual Frameworkemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 m...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

A Strategy for Enhancing Financial Performance: A Study of General Acute Care Hospitals in South Koreaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Employee Satisfaction and Employee Retention: Catalysts to Patient Satisfactionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Improving Quality of Health Care Through Pay-for-Performance Programsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 adm...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

The Implications of Herzberg's "Motivation-Hygiene" Theory for Management in the Irish Health Sectoremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 res...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

The Health Care Professional as a Manager: Balancing Two Important Rolesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Workplace Deviance: Strategies for Modifying Employee Behavioremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Structured Interview Questions for Selecting Productive, Emotionally Mature, and Helpful Employeesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 o...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

The Role of Clinical Information Systems in Health Care Quality Improvementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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, improvemen...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Utilization of Performance Appraisal Systems in Health Care Organizations and Improvement Strategies for Supervisorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Responding to a Bioterrorism Attack-One Scenario: Part 1email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 ...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Relocating Rheumatology Patients to a New Infusion Center at Duke: A Case Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 proj...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Articles Source Type: journals

Hospital Restructuring, Workload, and Nursing Staff Satisfaction and Work Experiencesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Articles Source Type: journals

The Mystery of Altruism and Transcultural Nursingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Nursing Generations: An Expanded Look at the Emergence of Conflict and Its Resolutionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Job Redesign and the Health Care Manageremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals

Ethical Issues and the Electronic Health Recordemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 pa...
Source: The Health Care Manager - June 25, 2009 Category: Health Management Tags: Article Source Type: journals