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Health Care Manager

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https://read.qxmd.com/read/30640242/hospital-readmission-and-costs-of-total-knee-replacement-surgery-in-2009-and-2014-potential-implications-for-health-care-managers
#1
Michael P Cary, Victoria Goode, Nancy Crego, Deirdre Thornlow, Cathleen Colón-Emeric, Courtney van Houtven, Elizabeth I Merwin
The purpose of this article is to describe changes in hospital readmissions and costs for US hospital patients who underwent total knee replacement (TKR) in 2009 and 2014. Data came from the Healthcare Cost and Utilization Project net-Nationwide Readmissions Database. Compared with 2009, overall 30-day rates of readmissions after TKR decreased by 15% in 2014. Rates varied by demographics: readmission rates were lower for younger patients, males, Medicare recipients, and those with higher incomes. Overall, costs rose 20% across TKR groups...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640240/job-satisfaction-among-physician-assistants-practicing-cardiovascular-medicine-in-the-united-states
#2
Sondra M DePalma, Jeffrey L Alexander, Eric P Matthews
We assessed overall job satisfaction and factors of job satisfaction among physician assistants (PAs) practicing cardiovascular medicine in the United States. Job satisfaction among health care providers is associated with provider satisfaction and retention, reduced health care costs, increased patient satisfaction, and improved health care. Research regarding job satisfaction among physicians and nurse practitioners has been conducted, but knowledge of job satisfaction among PAs is limited, dated, and inadequate...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640239/still-an-epidemic-the-burnout-syndrome-in-hospital-registered-nurses
#3
Lama Bakhamis, David P Paul, Harlan Smith, Alberto Coustasse
The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout-the state of emotional exhaustion in which the individual feels overwhelmed by work to the point of feeling fatigued, unable to face the demands of the job, and unable to engage with others-is a real concern, having been reported in many hospitals. The purpose of this research was to examine the causes and consequences of burnout syndrome among RNs in US hospitals and its role in the RN shortage in hospitals...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640238/service-utilization-and-costs-of-patients-at-a-cash-based-physical-therapy-clinic
#4
Kyle Pulford, Brittany Kilduff, William J Hanney, Morey Kolber, Xinliang Liu, Ron Miller
Cash-based physical therapy, a model in which the clinicians do not accept insurance payments and accept only direct payment, is quickly becoming an enticing option for clinicians who own their own practice. The purpose of this study was to describe service utilization for a single cash-based physical therapy clinic. Forty-eight charts of patients who had been discharged between 2013 and 2016 were randomly selected. The data were deidentified prior to the researchers gaining access. Chronic diagnoses were predominately prevalent (n = 28)...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640237/caffeine-intake-habits-and-the-perception-of-its-effects-on-health-among-college-students
#5
Jami Bucher, Darcy Fitzpatrick, Allison G Swanson, Samuel P Abraham
The purpose of this study was to explore caffeine intake habits and the perception of its effects on health among college students. After completing a literature review on the topic of caffeine and its effects, a problem was identified relating to increased caffeine consumption and a gap in knowledge about the effects of caffeine among college students. This was a quantitative, cross-sectional study with a descriptive design. The participants were 120 college students in a campus population of about 2000 in Northern Indiana...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640236/global-challenges-to-human-immunodeficiency-virus-prevention
#6
Eun-Bi Jo, Minsoo Jung
Because of the high prevalence of human immunodeficiency virus (HIV), men who have sex with men (MSM) is socially branded in many countries, and epidemiological approaches have become difficult for this group. This study reviewed the clinical development and political challenges associated with HIV infection. Organizing and disseminating clinical medical advances can help us eliminate social stigmas and the dishonor linked to MSM. In addition, dealing with the worldwide infection problem of MSM can help to reestablish international joint confrontation and political agendas to promote disease eradication efforts...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640235/designing-a-performance-measurement-system-for-accountability-quality-improvement-and-innovation
#7
D David Persaud
The purpose of this article is to detail a system for the design of performance measures that will be used to assess the achievement of a health care organization's strategic goals and its need for change. The article begins by emphasizing the importance of accountability and the need for the presence of a dynamic learning culture that is premised on a foundation of accountability, continuous improvement, learning, and innovation. This is followed by describing the importance of utilizing an interdisciplinary team with physician and patient involvement to guide the design and implementation of the performance measurement system...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30640234/organizational-factors-associated-with-quality-perinatal-care
#8
Lisa H Akers, Jon M Thompson, Margaret Sloan, Karen Ford
Perinatal care has been recognized as an integral part of ensuring quality health care in hospitals, and the focus on perinatal care quality is increasing. The previous hospital literature has focused much attention on measuring and improving quality of care generally, but recently there has been a call for a more comprehensive approach to measuring quality in the perinatal care setting. The perinatal literature is limited in addressing the association between organizational factors and perinatal quality. Using chart audit data for more than 10 000 maternity patients, we used multiple regression analysis to examine the association of organizational factors and perinatal quality of care...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30614829/estimation-of-government-health-expenditures-in-iran-during-2006-to-2011-using-panel-data
#9
Ramin Ravangrad, Rouhollah Shahnazi, Fereshteh Karimi, Abdosaleh Jafari, Nasrin Shokrpour
The status of public resources in health has a positive and direct impact on this sector's outcomes because of its effect on the increase of social services. The government's ability to manage health expenditures greatly depends on identifying the determinants of these expenditures. Therefore, this study aimed to determine factors affecting the government health expenditures and estimate the related function in Iran during 2006-2011 using panel data. This was a cross-sectional and time-series study that was conducted using panel data analysis...
January 3, 2019: Health Care Manager
https://read.qxmd.com/read/30672831/case-in-health-care-management
#10
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Health Care Manager
https://read.qxmd.com/read/30672830/from-the-editor
#11
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Health Care Manager
https://read.qxmd.com/read/30640243/patient-centered-medical-home-graduate-internship-benefits-to-a-practice-manager-case-study
#12
Susie T Harris, Bonita Sasnett, Elizabeth A Baker, Aleiyah Sanders
Graduate Health Information Management students can and should be involved in collaborations with the Patient-Centered Medical Home at primary care clinics. In this case, the student is not from a Health Services Management background as it was in the first internship article, but rather from a Health Information Management background. This case study is the second of 2 Patient-Centered Medical Home internship studies where the value of an intern to a practice manager is demonstrated.
January 2019: Health Care Manager
https://read.qxmd.com/read/30640241/staff-perceptions-of-improving-emergency-care-for-children-a-qualitative-study
#13
Savithiri Ratnapalan, Chris Bennett, Sue Dopson, Melanie Darwent
The objective of this study was to identify staff perceptions of a service improvement for pediatric emergency care at a university teaching hospital. Semistructured qualitative interviews of stakeholders were conducted, and grounded theory approach was used for analysis. Forty-one interviews were conducted with physicians, nurses, managers, and health care workers. Major themes emerging from the analysis included the physical space of and flow within the pediatric emergency department (ED), impact of technology, staffing in the ED, the effects of frontline pediatricians and emergency physicians managing children in the ED, and the need for and expectations of a pediatric emergency medicine (PEM) consultant...
January 2019: Health Care Manager
https://read.qxmd.com/read/30346355/case-in-health-care-management
#14
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Health Care Manager
https://read.qxmd.com/read/30346354/from-the-editor
#15
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Health Care Manager
https://read.qxmd.com/read/30234642/factors-and-preferences-in-patient-selection-and-location-of-care
#16
Alexander Kowalski, Keiko Yoshioka, Alison Mancuso, Rebecca Moore
There are many factors that influence the decisions that patients make regarding where they receive care. Two hundred thirty-three patients were surveyed in the primary care setting to determine patient satisfaction and characteristics that led patients to seeking treatment at primary care offices, urgent care centers, or emergency rooms. Respondents rated quality of care highest at the primary care office (P < .001). Patients also demonstrated preference for in-person care compared with video conferencing or telephone visits (P < ...
October 2018: Health Care Manager
https://read.qxmd.com/read/30234641/interpersonal-competence-in-the-management-of-people
#17
Charles R McConnell
Interpersonal skills are those essential skills applied in dealing with and relating to other people largely on a one-to-one basis. The interpersonal communication behavior of many people suggests they assume an ability to communicate effectively that they do not possess, taking these skills for granted. One must work conscientiously to develop interpersonal competence by doing the rights things at all times and doing them repeatedly until they become ingrained. As with any human skills, interpersonal skills can be improved through conscious effort...
October 2018: Health Care Manager
https://read.qxmd.com/read/30234639/the-lived-experience-of-first-year-nurses-at-work
#18
Jana Brown, Glendora A Hochstetler, Sarah A Rode, Samuel P Abraham, Deborah R Gillum
The aim of this qualitative phenomenological research study was to gain insight on the lived experiences of newly licensed nurses. First-year nurses describe poor experiences and struggle in their first year of practice, leading to high turnover and burnout. In-depth interviews were conducted with 12 newly licensed registered nurses. Major themes identified were (1) the impact of nursing school, (2) hospital orientation of a new nurse, (3) environment that promotes teamwork, (4) taking time for self-care, (5) confidence, and (6) expectations versus reality in doctor interactions...
October 2018: Health Care Manager
https://read.qxmd.com/read/30234640/case-study-of-nurses-experiences-related-to-the-deaths-of-their-patients
#19
Miriam Mast, Deborah Gillum
A qualitative case study methodology was applied to explore how nurses cope when their patients die. The study utilized a sample of 16 participants at a rural 123-bed community hospital. Nine themes regarding nurses dealing with grief emerged: (a) family issues, (b) patient alone at death, (c) knowing the community, (d) never-forgotten experiences, (e) first experiences, (f) time issues, (g) responses to unexpected deaths, (h) role of nurses, and (i) nurses' response to death itself. It is concluded that nurses need to grieve...
September 17, 2018: Health Care Manager
https://read.qxmd.com/read/30234638/social-capital-community-capacity-and-health
#20
Seongjin Lee, Minsoo Jung
The capacity to practice health behavior is different for each individual. Community capacity and social capital deal with understanding the relationship between community members and with the factors that promote or delay collective activities. This study examines existing literature in relation to social capital, health, and community capacity. Bonding social capital shows the average value of the extent to which individuals trust each other and participate in groups, whereas bridging social capital shows the average value of the extent to which individuals participate in different formal groups...
September 17, 2018: Health Care Manager
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