Genomes and Genes
Summary: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.
Publications218 found, 100 shown here
- Redesigning health systems for quality: Lessons from emerging practicesMargaret C Wang
THE RAND CORPORATION, Santa Monica, California, USA
Jt Comm J Qual Patient Saf 32:599-611. 2006..What progress has been made? What lessons have been learned? How should we move forward?..
- Where is the action in organizational learning?Richard B Gunderman
Radiology 242:650-3. 2007
- Comparison of mosquito control programs in seven urban sites in Africa, the Middle East, and the AmericasDaniel E Impoinvil
Global Public Health Program, University of Miami Miller School of Medicine, Miami, FL, USA
Health Policy 83:196-212. 2007....
- Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective surveyS M Borowitz
Division of Pediatric Gastroenterology and Nutrition, University of Virginia, Charlottesville, Virginia 22908, USA
Qual Saf Health Care 17:6-10. 2008..Few residency training programmes formally teach resident physicians how to sign out or assess their ability to sign out, and little research has examined the sign-out process...
- A theoretical framework and competency-based approach to improving handoffsV M Arora
V M Arora, University of Chicago, 5841 S Maryland Ave, MC 2007, AMB W216, Chicago, IL 60637, USA
Qual Saf Health Care 17:11-4. 2008..Yet, few trainees learn the potential risks of these transitions and the strategies to improve patient care during handoffs. Little is known regarding the mechanisms by which handoffs affect patient care...
- A conceptual model of emergency department crowdingBrent R Asplin
Department of Emergency Medicine, Regions Hospital and HealthPartners Research Foundation, and University of Minnesota Medical School, St Paul and Minneapolis, MN 55101, USA
Ann Emerg Med 42:173-80. 2003..The goal of the conceptual model is to provide a practical framework on which an organized research, policy, and operations management agenda can be based to alleviate ED crowding...
- Technical and cost efficiency of oral health care provision in Finnish health centresMiika Linna
National Research and Development Centre for Welfare and Health, Siltasaarenkatu 18, PO Box 220, 00531 Helsinki, Finland
Soc Sci Med 56:343-53. 2003..The health centre specific efficiency scores obtained in this study can be used locally to evaluate, design and implement structural changes in the production processes...
- Alternative methods to examine hospital efficiency: data envelopment analysis and stochastic frontier analysisR Jacobs
Centre for Health Economics, University of York, Heslington, UK
Health Care Manag Sci 4:103-15. 2001..The conclusions concur with previous findings that there are not truly large efficiency differences between Trusts and savings from bringing up poorer performers would in fact be quite modest...
- Managing hospital length of stay reduction: a multihospital approachRonald J Lagoe
Hospital Executive Council, PO Box 35089, Syracuse, NY, USA
Health Care Manage Rev 30:82-92. 2005..These initiatives saved over 28,000 patient days and an average daily census of 96.0 over a 3.5-year period...
- Can electronic medical record systems transform health care? Potential health benefits, savings, and costsRichard Hillestad
RAND, Santa Monica, California, USA
Health Aff (Millwood) 24:1103-17. 2005..However, this is unlikely to be realized without related changes to the health care system...
- Length of stay benchmarking in the Australian private hospital sectorBrian W T Hanning
Australian Health Service Alliance, 979 Burke Road, Camberwell, VIC 3124, Australia
Aust Health Rev 31:150-8. 2007..4% per annum) and a decrease in ONALOS (approximately 4.3% per annum). Overall, the data show significant variation in LOS parameters between private hospitals...
- Variations in financial performance among peer groups of critical access hospitalsGeorge H Pink
North Carolina Rural Health Research and Policy Analysis Center, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27599 7590, USA
J Rural Health 23:299-305. 2007..If these variations have material effects on financial indicators, then performance comparisons among all CAHs are problematic...
- HIV prevention programmes for female sex workers in Andhra Pradesh, India: outputs, cost and efficiencyLalit Dandona
Health Studies Area, Centre for Human Development, Administrative Staff College of India, Hyderabad, India
BMC Public Health 5:98. 2005..Systematic data on the outputs, cost and efficiency for HIV prevention programmes for female sex workers in India are not readily available to understand programme functioning and guide efficient use of resources...
- Improving the efficiency of a chemotherapy day unit: applying a business approach to oncologyWineke A M van Lent
Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands
Eur J Cancer 45:800-6. 2009..To improve the efficiency of a hospital-based chemotherapy day unit (CDU)...
- Systematic review: impact of health information technology on quality, efficiency, and costs of medical careBasit Chaudhry
Southern California Evidence Based Practice Center, RAND, Santa Monica, California 90401, USA
Ann Intern Med 144:742-52. 2006..Experts consider health information technology key to improving efficiency and quality of health care...
- A critical look at Lean Thinking in healthcareT P Young
School of Information Systems, Computing and Mathematics, Brunel University, Uxbridge, UK
Qual Saf Health Care 17:382-6. 2008..With healthcare, Lean Thinking encounters a world, not devoid of value, but awash with sophisticated and mutually unconnected concepts of value...
- Cost and efficiency of HIV voluntary counselling and testing centres in Andhra Pradesh, IndiaL Dandona
Centre for Public Health Research, Administrative Staff College of India, Raj Bhavan Road, Hyderabad 500082, Andhra Pradesh, India
Natl Med J India 18:26-31. 2005..However, systematic data on the cost and efficiency of providing VCT services in India are not available to help guide efficient use of resources for these services...
- The financial impact of ambulance diversions and patient elopementsThomas Falvo
Health Services Design Section, Department of Emergency Medicine, York Hospital, WellSpan Health System, York, PA, USA
Acad Emerg Med 14:58-62. 2007..The objective of this study was to develop a practical method for quantifying the revenues that are potentially lost as a result of patient elopements and ambulance diversion...
- Cost and efficiency of public sector sexually transmitted infection clinics in Andhra Pradesh, IndiaLalit Dandona
Health Studies Area, Centre for Human Development, Administrative Staff College of India, Hyderabad, India
BMC Health Serv Res 5:69. 2005..Data on the cost and efficiency of providing STI services in India are not available to help guide efficient use of public resources for these services...
- Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitalsMarc Berg
Institute of Health Policy and Management, Erasmus University Medical Centre, Rotterdam, The Netherlands
Health Policy 75:59-73. 2005..This paper describes how this simultaneously philosophical, political and pragmatic strategy played out successfully, and how the indicator set was ultimately embraced by all parties involved...
- Lean thinking across a hospital: redesigning care at the Flinders Medical CentreDavid I Ben-Tovim
Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia
Aust Health Rev 31:10-5. 2007..Concepts that emerged in the manufacturing sector have been readily translatable into health care. Lean thinking may play an important role in the reform of health care in Australia and elsewhere...
- Evaluation of Fast TrackShane Combs
Joondalup Health Campus, Shenton Avenue, Perth, WA 6027, Australia
Accid Emerg Nurs 15:40-7. 2007..As a result of Fast Track, the Emergency Department waiting area is less congested and staff moral has increased. A further consequence of Fast Track is that nurses are providing more advanced clinical services to patients...
- The moderate success of quality of care improvement efforts: three observations on the situationTal Katz-Navon
Arison School of Business, The Interdisciplinary Center, Herzliya Kanfei Nesharim st, P O Box 167, Herzliya 46150, Israel
Int J Qual Health Care 19:4-7. 2007..We conclude that health care organizations invest efforts in quality improvement initiatives; however, there is a potential in improving the fit between these efforts and the specific problems these organizations face...
- The economics of specialty hospitalsJohn E Schneider
Health Economics Consulting Group LLC, Morristown, New Jersey, USA
Med Care Res Rev 65:531-53; discussion 554-63. 2008..A better understanding of the economics of specialization will help policy makers evaluate the full spectrum of advantages and disadvantages of specialty hospitals...
- Giving greater financial independence to hospitals--does it make a difference? The case of English NHS TrustsGiorgia Marini
Centre for Health Economics, Alcuin A Block, University of York, Heslington, York, UK
Health Econ 17:751-75. 2008..However, we explore the nature of the trends emerging over time and discuss the implications of our findings for policy...
- When overcrowding paralyzes an emergency departmentJoseph R Twanmoh
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore 21201, USA
Manag Care 15:54-9. 2006..Decreased waiting times should ultimately lead to increased patient satisfaction and better patient care...
- Customer satisfactionRade B Vukmir
University of Pittsburgh Medical Center Northwest, Seneca, Pennsylvania, USA
Int J Health Care Qual Assur Inc Leadersh Health Serv 19:8-31. 2006..Hopefully, this information will be synthesized to generate a cogent approach to correlate customer service with quality...
- Reducing wait time in a hospital pharmacy to promote customer serviceJulie M Slowiak
Department of Psychology, Western Michigan University, Kalamazoo, MI 49008, USA
Qual Manag Health Care 17:112-27. 2008..The relationship between customer satisfaction ratings and wait times was examined to determine whether wait times affected customer service satisfaction...
- Care in the emergency department: how crowded is overcrowded?Ula Hwang
Section of Emergecy Medicine, Yale University School of Medicine, New Haven, CT, USA
Acad Emerg Med 11:1097-101. 2004..To examine how emergency department (ED) overcrowding has been defined in the medical literature...
- Specialty and full-service hospitals: a comparative cost analysisKathleen Carey
VA Center for Health Quality, Outcomes and Economic Research and Boston University School of Public Health, 200 Springs Road, Bedford, MA 01730, USA
Health Serv Res 43:1869-87. 2008..To compare the costs of physician-owned cardiac, orthopedic, and surgical single specialty hospitals with those of full-service hospital competitors...
- Using DEA to evaluate efficiency and formulate policy within a Greek national primary health care network. Data Envelopment AnalysisAthanasios I Zavras
Department of Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts 02115, USA
J Med Syst 26:285-92. 2002....
- Effects of a fast-track area on emergency department performanceMiquel Sanchez
Emergency Medicine Section, Emergency Area, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
J Emerg Med 31:117-20. 2006..In conclusion, the opening of a FTA improved ED effectiveness, measured by decreased WT and LOS, without deterioration in the quality of care provided, measured by rates of mortality and revisits...
- East-west: does it make a difference to hospital efficiencies in Ukraine?Anatoly I Pilyavsky
Lviv Academy of Commerce, Lviv, Ukraine
Health Econ 15:1173-86. 2006....
- The opportunity loss of boarding admitted patients in the emergency departmentThomas Falvo
Health Services Design Section, Department of Emergency Medicine, York Hospital, WellSpan Health System, York, PA, USA
Acad Emerg Med 14:332-7. 2007....
- Scope and scale inefficiencies in physician practicesRobert Rosenman
Department of Economics, Washington State University, Pullman, WA 99164 4741, USA
Health Econ 13:1091-116. 2004..Most of the inefficiency is due to technical rather than allocative reasons. In addition, we find that larger practices are able to capture efficiencies of scope, but incur inefficiencies of scale...
- Economic profiling of primary care physicians: consistency among risk-adjusted measuresJ William Thomas
Health Management and Policy, University of Michigan, Ann Arbor, USA
Health Serv Res 39:985-1003. 2004..To investigate whether different risk-adjustment methodologies and economic profiling or "practice efficiency" metrics produce differences in practice efficiency rankings for a set of primary care physicians (PCPs)...
- Using relative value units to measure faculty clinical productivityT A Albritton
Medical College of Georgia, Augusta 30912, USA
J Gen Intern Med 12:715-7. 1997..Thus, RVUs can be used as a measure of faculty clinical productivity in different settings in an academic medical center. Precepting students does not appear to affect clinical productivity...
- Estimates of physician productivity: an evaluationJoseph P Newhouse
Harvard University, Boston, MA 02115, USA
Health Care Financ Rev 29:33-9. 2007..This evaluation describes six assumptions to which the results are likely to be relatively sensitive as well as a number of other assumptions to which the results are likely to be less sensitive...
- Multifactor productivity in physicians' offices: an exploratory analysisCharles Fisher
Health Care Financ Rev 29:15-32. 2007..For 1993-2000, physicians' office MFP growth was both negative and below general economy rates. For the most recent period analyzed, 2001-2004, physician's office MFP grew nearly as quickly as the general economy...
- Enterprise resource planning for hospitalsGodefridus G van Merode
Department of Health Organization, Policy and Economics, Maastricht University, P O Box 616, NL 6200 MD Maastricht, The Netherlands
Int J Med Inform 73:493-501. 2004..ERP can be very useful for planning and controlling the deterministic processes...
- Principal agent relationships and the efficiency of hospitalsMartijn Ludwig
Department of Health, Medicine and Life Sciences, Maastricht University, P O Box 616, 6200 MD, Maastricht, The Netherlands
Eur J Health Econ 11:291-304. 2010..Further, we find no relationship between the efficiency of departments and the efficiency of the entire hospital. The interest of hospital departments is currently not in line with the interests of the entire hospital...
- Using data envelopment analysis to measure the technical efficiency of public health centers in KenyaJoses M Kirigia
World Health Organization, Regional Office for Africa, Congo
J Med Syst 28:155-66. 2004....
- Efficiency in endoscopy centersSamuel N Marcus
Gastrointest Endosc 64:765-7. 2006
- Measurement of technical efficiency of public hospitals in Kenya: using Data Envelopment AnalysisJoses M Kirigia
World Health Organisation, Regional Office for Africa, Medical School, Harare, Zimbabwe
J Med Syst 26:39-45. 2002..The study singled out the inefficient hospitals and provided the magnitudes of specific input reductions or output increases needed to attain technical efficiency...
- Predicting clinical image delivery time by monitoring PACS queue behaviorNelson E King
Olayan School of Business, American University of Beirut, Bliss Street, P O Box 11 0236, Riad El Solh Beirut, 1107 2020, Lebanon
J Digit Imaging 19:35-43. 2006..A prediction algorithm for studies delayed in a stand-alone PACS queue can be extendible to other potential bottlenecks such as long-term storage archives. Implications of a queue monitor in other PACS architectures are also discussed...
- Impact of PACS on dictation turnaround time and productivityLuigi Lepanto
Department of Radiology, Centre Hospitalier de l Universite de Montreal, 1058 St Denis street, Montreal, Quebec, Canada, H2X 3J4
J Digit Imaging 19:92-7. 2006..PACS benefits, namely, shortened dictation turnaround time and increased productivity, are evident 1 year after PACS implementation. In the immediate post-PACS period, results vary with the different imaging modalities...
- Workflow assessment of digital versus computed radiography and screen-film in the outpatient environmentKatherine P Andriole
Department of Radiology, University of California at San Francisco, 94143 0628, USA
J Digit Imaging 15:124-6. 2002..DR and CR can improve workflow and productivity over analog screen-film in a PACS for delivery of projection radiography services in an outpatient environment, but DR requires high volume to be cost effective over CR...
- Strengthening trauma and critical care globallyCharles Mock
Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington 98104, USA
Curr Opin Crit Care 11:568-75. 2005..Many capable individuals are attempting to meet this challenge in their own countries, however. This review summarizes such efforts and assesses how they might be expanded in a comprehensive, global fashion...
- Technical efficiency of public clinics in Kwazulu-Natal Province of South AfricaJ M Kirigia
WHO Regional Office for Africa, Harare
East Afr Med J 78:S1-13. 2001..In sub-Saharan Africa (SSA) much of the attention of policy makers, health care managers, health systems researchers and donors is focussed almost solely on mobilising additional resources and not on efficiency in their use...
- When is the helicopter faster? A comparison of helicopter and ground ambulance transport timesMarco A Diaz
Department of Emergency Medicine, St Mary Medical Center, Long Beach, California, USA
J Trauma 58:148-53. 2005..A retrospective analysis of 7,854 ground ambulance and 1,075 helicopter transports was conducted...
- Structural versus outcomes measures in hospitals: a comparison of Joint Commission and Medicare outcomes scores in hospitalsJohn R Griffith
University of Michigan School of Public Health, Ann Arbor, Michigan, USA
Qual Manag Health Care 10:29-38. 2002..The few significant correlations that appear are often counterintuitive. We conclude that a potentially serious disjuncture exists between the outcomes measures and Joint Commission evaluations...
- Difference between observed and predicted length of stay as an indicator of inpatient care inefficiencyR Jimenez
Research Section, Hermanos Ameijeiras Hospital, Havana City, Cuba
Int J Qual Health Care 11:375-84. 1999..To evaluate the performance of the difference between observed and predicted length of stay (OLOS-PLOS) as an inefficiency of care indicator for inpatients...
- The evolution of external quality evaluation: observations from the Joint Commission on Accreditation of Healthcare OrganizationsP M Schyve
Joint Commission on Accreditation of Healthcare Organizations, Illinois, USA
Int J Qual Health Care 12:255-8. 2000..External evaluation of health care organizations' quality holds great promise, but its long-term success depends on responding to all those who will want to depend on it...
- Hospital efficiency targetsRowena Jacobs
Centre for Health Economics, University of York, UK
Health Econ 12:669-84. 2003..A pressing need for future work is the development of measures to encourage efficiency that take account of quality improvement...
- Cost efficiency of US hospitals: a stochastic frontier approachM D Rosko
School of Business Administration, Widener University, Chester, PA 19013, USA
Health Econ 10:539-51. 2001..Inefficiency was negatively associated with health maintenance organization (HMO) penetration and industry concentration. It was positively related with Medicare share and for-profit ownership status...
- Job satisfaction and motivation: how do we inspire employees?Sahar Alshallah
Robert C Byrd Health Sciences Center, West Virginia University, Morgantown, USA
Radiol Manage 26:47-51. 2004..Maslow and Herzberg's theories can be easily applied to the workplace. Managers can help employees achieve overall job satisfaction, which, with the employee's internal motivation drive, increase performance on the job...
- An initial investigation of efficiency in endoscopy deliverySaeed Zamir
Department of Medicine, Indiana University School of Medicine, Indianapolis, USA
Am J Gastroenterol 97:1968-72. 2002..The demand for endoscopic services is increasing rapidly. Of the several potential mechanisms to improve the supply of endoscopic procedures, improved efficiency in the endoscopy unit has received little attention...
- Towards improving hospital performance in Uganda and Zambia: reflections and opportunities for autonomyKara Hanson
Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
Health Policy 61:73-94. 2002....
- Changes in technologist productivity with implementation of an enterprisewide PACSBruce Reiner
Department of Radiology, Maryland Veterans Affairs Healthcare System, Baltimore, MD 21201, USA
J Digit Imaging 15:22-6. 2002..Implementation of an enterprisewide PACS offers the potential to significantly improve departmentwide technologist productivity when compared with traditional film-based operation...
- Random output and hospital performancePedro Pita Barros
Faculdade de Economia, Universidade Nova de Lisboa, Travessa Estêvão Pinto, 1099 032 Lisboa, Portugal
Health Care Manag Sci 6:219-27. 2003..The measured performance difference cannot be attributed to input prices or to economies of scale and/or scope. It reflects pure technological and organisational differences...
- Work flow redesign: the key to success when using PACSEliot Siegel
Department of Radiology, VA Maryland Health Care System, 10 N Greene St, Baltimore, MD 21201, USA
AJR Am J Roentgenol 178:563-6. 2002..Our objective is to emphasize the importance of work flow redesign, rather than filmless operation itself, to achieve cost reduction and improvement in productivity with picture archiving and communication systems (PACS)...
- Use of critical pathways to improve efficiency: a cautionary taleSanjay Saint
Ann Arbor VA Health Services Research and Development Field Program, Ann Arbor, Mich, USA
Am J Manag Care 9:758-65. 2003..More than 80% of hospitals in the United States use critical pathways for at least some of their patients. Unfortunately, critical pathway effectiveness in improving clinical efficiency is unclear...
- A simulation modelling approach to evaluating alternative policies for the management of the waiting list for liver transplantationJ Ratcliffe
Health Economics Research Group, Brunel University, Uxbridge, UK
Health Care Manag Sci 4:117-24. 2001....
- Workflow optimization: current trends and future directionsBruce Reiner
Department of Radiology, Veterans Affairs Maryland Healthcare System, Baltimore, MD, USA
J Digit Imaging 15:141-52. 2002..Additional research is planned to evaluate the potential workflow gains achievable through workflow optimization software, improved systems integration, and automation of advanced image processing techniques...
- SCAR Radiologic Technologist Survey: analysis of the impact of digital technologies on productivityBruce I Reiner
Department of Radiology, Veterans Affairs Maryland Healthcare System, Baltimore, MD, USA
J Digit Imaging 15:132-40. 2002..8% increase in productivity beyond year one. This suggests there is a "PACS learning curve" phenomenon, which should be considered when institutions are planning for PACS implementation...
- Productivity and cost assessment of computed radiography, digital radiography, and screen-film for outpatient chest examinationsKatherine P Andriole
Department of Radiography, University of California at San Francisco, 94143, USA
J Digit Imaging 15:161-9. 2002..Cost justification for DR over CR appears to be tied predominantly to high patient volume and continuous rather than sporadic use patterns...
- Assessing the performance of NHS hospital trusts: the role of 'hard' and 'soft' informationM Goddard
Centre for Health Economics, University of York, Heslington, UK
Health Policy 48:119-34. 1999..However, we also warn against excessive reliance on 'soft' information and suggest that a balanced system which allows both 'hard' and 'soft' information to flourish is the optimal solution to performance assessment in the NHS...
- Measuring hospital efficiency in Austria--a DEA approachMaria M Hofmarcher
Institute for Advanced Studies, Vienna, Austria
Health Care Manag Sci 5:7-14. 2002..Whereas average efficiency in model 1 hardly changes and in model 2 increases modestly in the period 1994-1996, a closer look at single hospitals displays a variety of different efficiency developments over time...
- The efficiency of the delivery of neonatal care in the UKB Hollingsworth
Department of Epidemiology and Public Health, School of Health Sciences, University of Newcastle, Newcastle upon Tyne
J Public Health Med 23:47-50. 2001..Although this form of modelling is useful, analysis of the efficiency of production for individual units is also important...
- Non-parametric and parametric applications measuring efficiency in health careBruce Hollingsworth
Health Economics Unit, Faculty of Business and Economics, Monash University, PO Box 477, West Heidelberg, Melbourne, Victoria 3081, Australia
Health Care Manag Sci 6:203-18. 2003..The paper is meant as a resource in itself, but also points to the future in terms of possible directions for research in efficiency measurement in health care and health...
- Dedicated minimally invasive surgery suites increase operating room efficiencyT A Kenyon
Department of Minimally Invasive Surgery, Legacy Health Systems, Emanuel Hospital, 2801 N Gantenbein Ave, Portland, OR 97227, USA
Surg Endosc 15:1140-3. 2001..MIS suites integrated monitors and video equipment into the OR on ceiling-mounted columns and moved the controls to a centralized nursing station. The overall effect of this innovation on OR efficiency has not been measured...
- Prospective funding of general hospitals in Norway--incentives for higher production?Egil Kjerstad
Institute for Research in Economics and Business Administration SNF, Program for Health Economics, Beregen HEB, Breiviksv 40, N 5045 Bergen, Norway
Int J Health Care Finance Econ 3:231-51. 2003..We find that the reform has had a significant effect on the number of patients treated and DRG points produced. The results are sensitive as to how the experiment and the comparison group are determined...
- Measuring hospital cost efficiency with panel data modelsM Linna
National Research and Development Centre for Welfare and Health, Helsinki, Finland
Health Econ 7:415-27. 1998..The state subsidy reform of 1993 did not seem to have any observable effects on the hospital efficiency...
- Digital image archiving: challenges and choicesBarbara Dumery
eMed Technologies, Lexington, Mass, USA
Radiol Manage 24:30-8; quiz 39-41. 2002..The multi-tier approach still has its merits for smaller enterprises, but with a detailed long-term cost of ownership analysis, NAS will probably still come out on top as the solution of choice for many imaging facilities...
- Length of stay reduction: two innovative hospital approachesC M Noetscher
Crouse Hospital, Community General Hospital, Syracuse, New York, USA
J Nurs Care Qual 16:1-14. 2001..Each of these approaches has generated notable successes in the reduction of inpatient acute care lengths of stay...
- Technical efficiency of nursing units in a tertiary care hospital in TaiwanThomas T H Wan
Department of Health Administration, Virginia Commonwealth University, Richmond 23298, USA
J Med Syst 26:21-7. 2002..However, the resource reallocation to achieve high efficiency should not be at the expense of quality of care. Future efficiency studies should incorporate the nursing sensitive measures of quality in the analysis...
- Assessing efficiency in the UK breast screening programme: does size of screening unit make a difference?K Johnston
Health Economics Research Centre, University of Oxford, Institute of Health Sciences, Headington, OX3 7LF, Oxford, UK
Health Policy 56:21-32. 2001..It will be necessary for decision-makers to examine the practices of individual screening units before considering options for how best to improve their resource use. DEA can help to identify feasible options...
- Facilitation: the final frontier?Shannon D Scott
School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada
Nurs Womens Health 12:26-9. 2008
- Developing effective prevention services for the real world: a prevention service development modelIrwin Sandler
Arizona State University, USA
Am J Community Psychol 35:127-42. 2005..Questions that are posed at each stage of the PSDM are described. Studies from the development of two preventive interventions are presented to illustrate research at several of the stages of the model...
- Enhancing quality of practice through theory of change-based evaluation: science or practice?David A Julian
The Center for Learning Excellence, The Ohio State University, Columbus, OH 43212 1421, USA
Am J Community Psychol 35:159-68. 2005..This paper concludes by suggesting that the current conceptualization of community science be modified to recognize the importance of community practice as an equal aspiration for community psychologists...
- Learning from communities: overcoming difficulties in dissemination of prevention and promotion effortsRobin L Miller
Michigan State University, Department of Psychology, East Lansing, MI 48824, USA
Am J Community Psychol 35:169-83. 2005..In addition, they should build on theoretical models of how locally developed programs work to make existing programs and polices more effective...
- Transforming care at the bedside: implementation and spread model for single-hospital and multihospital systemsSusan Christie Martin
Center for Quality Improvement and Innovation, University of Pittsburgh Medical Center, 4601 Baum Boulevard, Pittsburgh, PA 15213, USA
J Nurs Adm 37:444-51. 2007..The authors describe Transforming Care at the Bedside as implemented by one of Institute for Healthcare Improvement/Robert Wood Johnson's initial pilot hospitals, including promising outcomes and a model for spreading the initiative...
- Hospital turnarounds: agents, approaches, alchemyDavid H Freed
Nyack Hospital, Nyack, NY, USA
Health Care Manag (Frederick) 24:96-118. 2005....
- The quest for new innovative care delivery modelsBobbi Kimball
Health Workforce Solutions LLC, San Francisco, California 94111, USA
J Nurs Adm 37:392-8. 2007..In this article, the authors profile 5 new care delivery models from their current work sponsored by the Robert Wood Johnson Foundation. In addition, the authors identify common elements underlying the success of the models...
- Target delivery, service modernisation and system reform: reinventing planning in the English National Health ServiceMike Coupe
Peninsula Medical School, Royal Cornwall Hospitals, Cornwall, UK
J Health Organ Manag 20:253-62. 2006..Aims to focus on the imperative to achieve national activity and performance targets in secondary care as set out in the NHS Plan...
- Unleashing the untapped potential of hospital philanthropyJane Haderlein
Huntington Hospital in Pasadena, California, USA
Health Aff (Millwood) 25:541-5. 2006..This paper explores why philanthropy is needed, the challenges hospitals face, and what institutions must do to build an internal culture supporting this new imperative...
- How can we improve the nursing work environment?Julie Holden
Maternal Newborn Services, Melrose Wakefield Hospital, Melrose, MA, USA
MCN Am J Matern Child Nurs 31:34-8. 2006..This transformation could mean that the terms "Nursing Organizations" and "Learning Organizations" would not have to be oxymorons...
- Design of high reliability organizations in health careJ S Carroll
MIT Sloan School of Management, Cambridge, MA 02142, USA
Qual Saf Health Care 15:i4-9. 2006..We suggest how organizations can use the concepts and examples presented to increase their capacity to self-design for safety and reliability...
- An evolving paradigm of supervision within a changing health care environmentC Berger
School of Social Welfare, Stony Brook University, NY 11794-8231, USA
Soc Work Health Care 32:1-18. 2001..While concern is expressed about the erosion of clinical supervision, the data suggests that the majority of social workers are receiving supervision from a social worker...
- Doing better to do good: the impact of strategic adaptation on nursing home performanceJacqueline S Zinn
Fox School of Business and Management, Temple University, 413 Ritter Annex, Philadelphia, PA 19122, USA
Health Serv Res 42:1200-18. 2007..To test the hypothesis that a greater commitment to strategic adaptation, as exhibited by more extensive implementation of a subacute/rehabilitation care strategy in nursing homes, will be associated with superior performance...
- Effective organizational control: implications for academic medicineMichael S Wilkes
University of California, Davis, School of Medicine, 4150 V Street, Suite 2400, Sacramento, CA 98517, USA
Acad Med 80:1054-63. 2005..The enterprise of medicine is quickly learning from the enterprise of business. Achieving goal-action congruence will better position academic medicine to meet its multiple missions...
- Building research productivity in an academic settingVicki S Conn
University of Missouri Sinclair School of Nursing, Columbia 65203, USA
Nurs Outlook 53:224-31. 2005..Academic nursing units can develop research cultures to support meaningful research that secures major external funding...
- Developing effective physician leaders: changing cultures and transforming organizationsAnn Scheck McAlearney
Division of Health Services Management and Policy in the School of Public Health and the Department of Pediatrics at The Ohio State University, Columbus, USA
Hosp Top 83:11-8. 2005..The authors describe the background and development of this program and provide results of their evaluation of the program, with discussion of future extensions to the program...
- How to make innovation happen--Part 2Akran Boutros
St Francis Hospital, The Heart Center, Roslyn, New York, USA
Physician Exec 33:52-5. 2007
- Aligning measurement-based quality improvement with implementation of evidence-based practicesRichard C Hermann
Center for Quality Assessment and Improvement in Mental Health, Tufts NEMC s Institute for Clinical Research and Health Policy Studies, NEMC 345, Boston, MA 02111, USA
Adm Policy Ment Health 33:636-45. 2006..This article explores the degree to which these two approaches are aligned and whether further coordination between them could yield greater effectiveness or efficiency...
- Towards benchmarking in British acute hospitalsC S Jones
School of Management, University of East Anglia, Norwich NR4 7TJ, UK
Health Serv Manage Res 14:125-38. 2001..Only by harnessing the strengths of extant cultures will efforts to identify and adopt the most efficient/effective medical practices succeed and potentially conflicting social tensions be resolved...
- Healthcare managers' roles, competencies, and outputs in organizational performance improvementWilliam G Wallick
Undergraduate Human Resource Studies Program, Department of Health Administration and Human Resources, University of Scranton, Pennsylvania, USA
J Healthc Manag 47:390-401; discussion 401-2. 2002....
- Transforming a run down general practice into a leading edge primary care organisation with the help of the EFQM excellence modelSue Jackson
Centre for Excellence Development, University of Salford, Salford, UK
Int J Health Care Qual Assur Inc Leadersh Health Serv 15:255-67. 2002....
- An empirical investigation of the effectiveness of contemporary managerial philosophies in a hospital operational settingMahmoud M Yasin
East Tennessee State University, Johnson City, Tennessee, USA
Int J Health Care Qual Assur Inc Leadersh Health Serv 15:268-76. 2002..Overall, the results of this study appear to indicate that certain quality improvement philosophies, techniques, and tools have been successful when applied in a hospital operational setting...
- The structure of state health agencies: a strategic analysisEric W Ford
Pennsylvania State University, USA
Med Care Res Rev 60:31-57. 2003..This comprehensive public health agency taxonomy will assist future researchers in analyzing public health organizations' environments, structures, and strategies...
- Trustee workbook 2. Best practices in governance: what makes great boards greatJames E Orlikoff
Trustee 56:15-8. 2003..Yet, "meeting the standards" is not the same as adopting best practices and striving for continuous governance improvement. Good, effective governance is not the same as great governance...
- Warfarin vs. Aspirin in Reduced Ejection Fraction (WARCEF)Shunichi Homma; Fiscal Year: 2010..Other changes in organizational structure were implemented to increase data quality. To increase organizational efficiency in the new funding cycle, the grantee institution is planned to be moved to Columbia Univ...
- CCHS-East Huron Hospital CPOE ProjectBarbara Moran; Fiscal Year: 2006..unreadable] [unreadable]..
- QUALITY OF GERIATRIC TEAM FUNCTIONINGMadeline Schmitt; Fiscal Year: 1993..e., openness of communication, organizational efficiency, solidarity), and TD negatively affects team members' stress/burnout; 2) TD is positively affected by ..
- Organizational Culture and Quality of Life in Nursing Homes: A Qualitative StudyMiriam Ryvicker; Fiscal Year: 2006..homes suggest that the bureaucratic regulations meant to improve quality of care lead to an emphasis on organizational efficiency that conflicts with an ethic of caring...
- Strengthening interdisciplinary research and training at the UPR CayeyJosé Noel Caraballo; Fiscal Year: 2013..abstract_text> ..
- Improving Safety and Quality with Outpatient Order EntryTejal Gandhi; Fiscal Year: 2006..In addition, the applicant will evaluate the impact on organizational efficiency, physician workflow and satisfaction, and perform a cost-benefit analysis...
- An Institutional Framework to Promote Global Health Research & TrainingSioban Harlow; Fiscal Year: 2007..This enhancement, expansion, and integration of existing programs will catalyze research and engage the next generation of scientists in global health. [unreadable] [unreadable]..
- For-Profit Ownership and End-of-Life CareElizabeth Bradley; Fiscal Year: 2009..Relevance in lay language: We will generate knowledge about the influence of for-profit hospice ownership on the experiences of patients with cancer and their families. ..
- Hospital strategies to improve outcome performanceELIZABETH HOWE BRADLEY; Fiscal Year: 2010..We will work on dissemination strategies with CMS, JCAHO, American College of Cardiology (ACC), American Health Association (AHA), the Veteran's Administration (VA), and the VHA. ..
- Phospholipid metabolism and traffic in T. gondiiKeith Joiner; Fiscal Year: 2006..The long-term goal is to identify strategies to block T. gondii phospholipid acquisition from the host cell and thus to interfere with parasite growth. ..
- Team Performance and Quality of Care in Nursing HomesHelena Temkin Greener; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- UPTAKE OF HOST CELL CHOLESTEROL BY T GONDIIKeith Joiner; Fiscal Year: 2004..gondii endocytic pathway to macromolecule uptake, and open the possibility that this pathway can be used for therapeutic advantage in T. gondii and potentially in other Apicomplexan parasites, most notably Cryptosporidium parvum. ..
- Randomized Trial of an Online Early Intervention for Combat PTSD in Primary CareCharles Engel; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Economic evaluation of naturopathy for low back painPatricia Herman; Fiscal Year: 2005..Hypothesis #2: A naturopathic package of care is more cost effective to the employer than usual care for the treatment of low back pain. ..
- Understanding Change in Physical Activity PostpartumKELLY EVENSON; Fiscal Year: 2009..This proposal directly addresses the need to better understand multi-level factors involved in physical activity behavior change, RFA #CA-04-009 "Mechanisms of Physical Activity Behavior Change". ..
- ACTION - A CHF Trial Investigating Outcomes of ExerciseGregg Fonarow; Fiscal Year: 2006..The trial will take place over 5 years with an initial 6 months for planning, training, and implementation; 3 years of enrollment; 1 year of follow-up; and 6 months for close out, analysis, and presentation. ..
- Stem Cell Therapy for HIEMichael Weiss; Fiscal Year: 2008..This project begins to explore a potential therapy, stem cell transplants, for HIE using an animal model. [unreadable] [unreadable] [unreadable]..
- Improving Safety and Quality with Integrated TechnologyJeanne Marie Guise; Fiscal Year: 2006..The findings, though applied specifically for OB, can be applied to many areas of medicine and surgery. The findings will provide inpatient and outpatient HIT stakeholders needed information to make important decisions. ..
- ECONOMIC ANALYSIS OF THE FAST TRACK INTERVENTIONEDWARD FOSTER; Fiscal Year: 2007..g., special education); (4) collection and processing of administrative data (e.g., on welfare receipt); (5) development and estimation of statistical models used to predict future social costs. ..
- Weight in Secondary Prevention (WISP)Adrianne Feldstein; Fiscal Year: 2006..Understanding which patients will need the most support to manage weight will allow us to design the most cost-effective future programs. ..
- Environmental Approaches for Obesity Management at DowRon Goetzel; Fiscal Year: 2007..The study will also produce extensive information about how employers can successfully implement environmental treatments at worksites. ..
- Oregon's Parity Law: Comprehensive Parity in Today's Healthcare EnvironmentKENNETH MCCONNELL; Fiscal Year: 2009..Our proposed research will provide insight about the tradeoffs between expanding coverage for mental health and substance abuse disorders and the total cost of care. ..
- In Situ Simulation to Detect and Prevent Near Misses during Critical EventsWilliam Riley; Fiscal Year: 2007..Our intervention to improve patient safety is based on an advanced set of event sets and debriefing techniques in use by the Federal Aviation Agency (FAA). [unreadable] [unreadable] [unreadable] [unreadable]..
- Evaluating the Clinical Impact of Simulation & Team Training on OB SafetyJeanne Marie Guise; Fiscal Year: 2007..Our current work evaluates performance in the simulated environment; this proposal focuses on the translation of simulation and team training to the clinical environment. [unreadable] [unreadable] [unreadable]..
- Mental Health Systems and Juvenile Justice OutcomesAlison Evans Cuellar; Fiscal Year: 2008..unreadable] [unreadable]..
- Spousal communication and cancer prevention behaviorKELLY EVENSON; Fiscal Year: 2006..The long-term goal of this research is to develop better interventions which help prevent cancer, and other chronic health conditions, by involving spouses in preventive behavior change programs. [unreadable] [unreadable]..
- Aminocaproic Acid and Bleeding in Spinal SurgerySean Berenholtz; Fiscal Year: 2006..These projects and the career development plan described will build a foundation for a successful career as an independent investigator. ..
- ADHERENCE TO HAART IN THE CONTEXT OF DRUG ABUSEGlenn Wagner; Fiscal Year: 2001..abstract_text> ..
- DEVELOPMENT OF A VACCINE FOR HUMAN PERIODONTITISROY PAGE; Fiscal Year: 2001..These observations will contribute in a major way to closing the gaps in our knowledge of the role of the host immune response in the pathogenesis of periodontitis. ..
- Conference:Dental Informatics and Dental ResearchTitus Schleyer; Fiscal Year: 2002....
- GENETIC INFORMATION AND LIFE INSURANCE UNDERWRITINGMark Rothstein; Fiscal Year: 2002..The conference will focus on building consensus and advancing understanding in areas of disagreement. The chapters, as well as the positions developed at the conference, will form the basis of a book to be published ..
- COMPARISON OF METHODS TO PROVIDE CONSENT INFORMATIONPatricia Agre; Fiscal Year: 2001..The results of this research will help to determine if particular methods work better in particular populations or study types. ..
- Hospital quality indicatorsJeffrey Alexander; Fiscal Year: 2002..abstract_text> ..
- The Epidemiology of Fecal Incontinence after ChildbirthJeanne Marie Guise; Fiscal Year: 2004..These data will provide a better understanding of the extent of the problem and will provide data essential for future trials of prevention and treatment of fecal incontinence. ..
- MGED 9&10 Student Travel AwardsCatherine Ball; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- Creation and demonstration of a palliative care research cooperative groupJean S Kutner; Fiscal Year: 2010....
- Integration Difusion for SMI Service DeliveryKIMBERLEY ISETT; Fiscal Year: 2005..Analysis will be completed using repeated measures regression techniques. ..
- Education in Genetic Ethics ('EDGE')Mark Rothstein; Fiscal Year: 2005..The project includes a curriculum steering committee comprised of experts in the field of genetics research and genetics education, as well as select project team members, to provide on-going advance to the project. ..
- Improving Heart Failure Risk Stratification in the EDAlan B Storrow; Fiscal Year: 2010..In collaboration with outcomes and effectiveness researchers, we plan to conduct further studies to test the efficacy of our risk model. ..
- Staffing Characteristics of Nursing Homes and QualityNicholas Castle; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- ACTIVATION OF CHONDROCYTE MATURATION IN OSTEOARTHRITISRandy Rosier; Fiscal Year: 2008..Finally, the expression of Smurf1 and Smurf2 in human normal and OA cartilage will be examined. These studies should provide a comprehensive picture of the function of Smurfs in regulating normal and OA cartilage phenotype. ..
- ASGE Imaging Workshop: Next Generation in Endoscopic ImagingGrace Elta; Fiscal Year: 2008..These improved imaging tools have the potential to allow earlier cancer detection and less invasive treatment. [unreadable] [unreadable] [unreadable]..
- Economic Evaluation of Addiction ServicesJENNIFER RUGER; Fiscal Year: 2007..unreadable] [unreadable] [unreadable] [unreadable]..
- AMINO ACID TRANSPORT IN HYPOXIC-ISCHEMIC ENCEPHALOPATHYMichael Weiss; Fiscal Year: 2003..abstract_text> ..
- Minimizing Error, Maximizing Outcome (MEMO): The Physic*Mark Linzer; Fiscal Year: 2003..We also anticipate being able to answer questions about women and minority physicians, groups that are typically underrepresented in physician-centered research. ..
- International Conference on Complex SystemsYaneer Bar Yam; Fiscal Year: 2004..abstract_text> ..
- Worksite Health Promotion: Private-Public PartnershipsRon Goetzel; Fiscal Year: 2006..A return-on-investment [ROI]) for this publicly supported health promotion intervention will also be determined. ..
- Strategies to reduce time to reperfusion therapy for MIHarlan Krumholz; Fiscal Year: 2005..Data generated from these studies will guide efforts by clinicians, administrators, researchers, and policy makers to decrease time to reperfusion therapy for patients with STEMI. ..
- Nursing Effort and Quality in Long-Term Care FacilitiesRobert Kane; Fiscal Year: 2004..The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards. ..
- Measuring quality adjusted life years in children with autism spectrum disordersJOHN M contact TILFORD; Fiscal Year: 2010..Despite the potential for informing resource allocation to treatment of children with ASDs, methods and data for measuring QALYS in this population are lacking. ..
- The Influence of Staff Turnover on QualityNicholas Castle; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- Information-Processing in Chemosensory ExperiencePamela Dalton; Fiscal Year: 2007....
- International Conference On Complex Systems (ICCS)Yaneer Bar Yam; Fiscal Year: 2002..However, this is the only major international conference series to bring the wide diversity of researchers together, demonstrating the interdisciplinary but coherent nature of these efforts. ..
- School Wide Prevention of Risk Factors for Drug AbuseTed Taylor; Fiscal Year: 2005....
- Targeting BCL-XL Expression in MesotheliomaW Smythe; Fiscal Year: 2006..Upstream targets regulating bcl-xl expression for use in future therapeutic paradigms may be identified. ..
- Nurse Staffing, Financial Performance, Quality of CareBarbara Mark; Fiscal Year: 2009....
- Improving Care for the Dying: Transforming Patiens's Wi*John Combes; Fiscal Year: 2005..A tool will be developed to measure outcomes including length of stay, patient satisfaction and financial implications of hospital-based palliative care. ..
- SCAR TRIP Conference: Transforming Medical ImagingKatherine Andriole; Fiscal Year: 2004..abstract_text> ..
- PHARMACOGENOMICS AND MINORITY POPULATIONSMark Rothstein; Fiscal Year: 2002..abstract_text> ..
- In-Home Caregiving and Use of Medical ServicesJennifer Wolff; Fiscal Year: 2006..unreadable] [unreadable] [unreadable]..
- Symptom Management in Blood and Marrow TransplantationMarlene Cohen; Fiscal Year: 2003..Future research will focus on developing and testing appropriate interventions. ..
- A Model of Patient and Nursing Administration OutomesBarbara Mark; Fiscal Year: 2006..abstract_text> ..
- RESEARCH TRAINING IN TRANSFUSION MEDICINEJeffrey McCullough; Fiscal Year: 2003..abstract_text> ..
- Trial to Enhance Adherence to Multiple GuidelinesBenjamin Crabtree; Fiscal Year: 2006..The intervention will be translatable into ongoing implementations of evidence-based guidelines in the primary care setting where the majority of Americans receive their medical care. ..
- GENETIC TIES AND THE FUTURE OF THE FAMILYMark Rothstein; Fiscal Year: 2002..All lines of research would culminate in a major conference in the fall of 2002. The conference would be open to the public and structured to attract a diverse audience. ..