Point/counterpoint: declining public health organizations--will management make a difference?

abstract：:Although small in number, hospitals are increasingly seeking bankruptcy protection. This article explores the potential forces that might motivate hospitals to seek bankruptcy protection and the potential consequences for hospitals that obtain it. Case reviews of 11 hospital bankruptcies that occurred in 1990 and 1991...

journal_title：Health care management review

authors： Bazzoli GJ,Cleverley WO

更新日期：1994-07-01 00:00:00

abstract：BACKGROUND:Double-digit health care inflation, coupled with widespread reports of poor care quality and deadly medical errors, has caused private sector employers to reevaluate their health benefits purchasing strategies, with a focus on supply chain management approaches. In other industries, this strategy has proven ...

journal_title：Health care management review

authors： Ford EW,Scanlon DP

更新日期：2007-07-01 00:00:00

abstract：:This article reports how continuous quality improvement (CQI) techniques were applied to physician care of patients with hypertension. A physician task force at an ambulatory care center used CQI methods to address the needs of two important "customer" groups: (1) third party payors and (2) patients with hypertension....

journal_title：Health care management review

authors： Waggoner DM

更新日期：1992-07-01 00:00:00

abstract：:Using a combination of qualitative and quantitative research methodologies, this study identifies the dimensions of hospital service quality, operationalizes the dimensions, and develops an instrument to measure patient satisfaction. This instrument, the Key Quality Characteristics Assessment for Hospitals (KQCAH) sca...

journal_title：Health care management review

authors： Sower V,Duffy J,Kilbourne W,Kohers G,Jones P

更新日期：2001-04-01 00:00:00

abstract：:In today's competitive health care environment, service excellence is rapidly becoming a major differentiating advantage between health care providers. Too often, senior executives talk about their commitment to a mission statement that extols the virtues of providing world class service to their patients only to unde...

journal_title：Health care management review

authors： Ford RC,Sivo SA,Fottler MD,Dickson D,Bradley K,Johnson L

更新日期：2006-10-01 00:00:00

abstract：:This article proposes a vision, strategies, and structure for the organizations that will replace community hospitals. The vision must embrace health rather than health care, and cost reduction as an explicit, measured goal. Strategies must include immediate cost savings, but also longer-term revision of organizations...

journal_title：Health care management review

authors： Griffith JR

更新日期：1997-07-01 00:00:00

abstract：:Many assets and projects provide value to organizations in excess of the direct and indirect cash flows that they generate. Under pure capitation, the link between individual investment decisions and future cash flows is completely severed. Including the value of strategic options enhances the usefulness of the capita...

journal_title：Health care management review

authors： Magiera FT,McLean RA

更新日期：1996-10-01 00:00:00

abstract：:The reform of the Medicare hospital reimbursement system proposed by HCFA may create incentives for hospitals to transfer costs to other payers, thus reducing the financial incentives to increase efficiency. ...

journal_title：Health care management review

authors： Rosko MD,Broyles RW

更新日期：1984-07-01 00:00:00

abstract：:In a study at 55 hemodialysis facilities, turnover was not associated with organizational size, location, or ownership but varied according to administrative strategies. Technician turnover (32 percent) was lower in facilities with shorter hours and choice of work schedule even though workload was higher. Clerical tur...

journal_title：Health care management review

authors： Bame SI

更新日期：1993-10-01 00:00:00

abstract：BACKGROUND:Patient-centered innovation is spreading at the federal and state levels. A conceptual framework can help frame real-world examples and extract systematic learning from an array of innovative applications currently underway. The statutory, economic, and political environment in Washington State offers a spec...

journal_title：Health care management review

authors： Hernandez SE,Conrad DA,Marcus-Smith MS,Reed P,Watts C

更新日期：2013-04-01 00:00:00

abstract：:This article proposes new bases for the payment of hospital capital costs. Separate distinctions between proprietary and voluntary hospitals are made based on their definition of capital and the requirements for capital maintenance. Replacement cost depreciation is suggested as the payment basis for voluntary hospital...

journal_title：Health care management review

authors： Cleverley WO

更新日期：1984-04-01 00:00:00

abstract：:Managers may desire an approach to combining multiple productivity measurements into one score. This article demonstrates two approaches to aggregating multiple measurements, data envelope analysis (DEA) and the Multicriteria Performance/Productivity Measurement Technique (MCP/PMT). These methods are applied to actual...

journal_title：Health care management review

authors： Young ST

更新日期：1992-04-01 00:00:00

abstract：:The results of a survey of 184 directors from 15 hospitals are analyzed to determine their corporate social responsiveness orientation. They indicate that board members whose occupational background is not in health care exhibit greater concern for economic performance and the legal component of corporate responsibili...

journal_title：Health care management review

authors： Ibrahim NA,Angelidis JP,Howard DP

更新日期：2000-04-01 00:00:00

abstract：:Evidence suggests that prolonging the period of new technology diffusion has the potential of considerable cost savings, although some very real, noneconomic patient costs may be incurred. Yet hospital administrators will continue to face increasing pressure to buy newer and more expensive technologies, even before th...

journal_title：Health care management review

authors： Lawthers-Higgins A,Taft C,Hodgman J

更新日期：1984-07-01 00:00:00

abstract：:American hospitals hoping to capitalize on the lucrative market for international patients may be in for some surprises. Not only is this market limited, but also the drawbacks may outweigh the potential benefits for hospitals seeking to enter this business. ...

journal_title：Health care management review

authors： Berliner HS,O'Toole JB

更新日期：1988-01-01 00:00:00

abstract：:The appropriate discount rate for evaluation of capital expenditures depends on leverage, taxation, cost-based reimbursement, and risk. A method is presented to account for these effects that is both practical and consistent with theory. ...

journal_title：Health care management review

authors： Wheeler JR,Smith DG

更新日期：1988-04-01 00:00:00

abstract：:Can organizational development work in the academic setting? Because current cost constraints and federal regulations are forcing departments and services to integrate, organizational development may be the best option for management. The study reported here shows that it can work successfully in the family medicine d...

journal_title：Health care management review

authors： Aluise JJ,Bogdewic SP,McLaughlin CP

更新日期：1985-01-01 00:00:00

abstract：:Academic health center hospitals face challenges to their survival in an increasingly competitive, challenging, and entrepreneurial environment. University hospitals face a number of major stresses and are responding in various ways to ensure their financial viability. ...

journal_title：Health care management review

authors： Jones KR,Sloate SG

更新日期：1987-07-01 00:00:00

abstract：BACKGROUND:Benchmarking has become very popular among managers to improve quality in the private and public sector, but little is known about its applicability in international hospital settings. PURPOSE:The purpose of this study was to evaluate the applicability of an international benchmarking initiative in eye hosp...

journal_title：Health care management review

authors： de Korne DF,Sol KJ,van Wijngaarden JD,van Vliet EJ,Custers T,Cubbon M,Spileers W,Ygge J,Ang CL,Klazinga NS

更新日期：2010-01-01 00:00:00

abstract：BACKGROUND:A health care organization often engages in the simultaneous implementation of multiple organization change initiatives. However, the degree to which these initiatives are implemented and can be enhanced based on their interdependencies is an open question. How organizations and the change initiatives they p...

journal_title：Health care management review

authors： Spaulding A,Gamm L,Kim J,Menser T

更新日期：2014-01-01 00:00:00

abstract：:In the 1990s, acute care hospitals in the United States encountered an unstable operating environment created by a series of transformations in the health care delivery system and long-term-care market. Confronted with an array of economic pressures and demographic changes, hospitals were motivated to engage in long-t...

journal_title：Health care management review

authors： Shah A,Fennell M,Mor V

更新日期：2001-07-01 00:00:00

abstract：:To prepare for managed competition, many hospitals now focus on service quality as a means to improve their competitive position. To aid in decisions about where best to direct limited resources, managers need physician feedback about how the hospital's services compare with its competitors' services (competitive adva...

journal_title：Health care management review

authors： Burns LR,Beach LR

更新日期：1994-04-01 00:00:00

abstract：BACKGROUND:Redundancy is mostly conceived as "waste" resulting from inefficient operations that ought to be eliminated. However, there are scholars who challenge this view and argue that redundancy is an essential element in facilitating reliable and safe operations in health care delivery processes. The ambiguity on r...

journal_title：Health care management review

authors： Tay HL,Singh PJ

更新日期：2019-06-26 00:00:00

abstract：:A decided advantage of investor-owned companies is their ability to preserve, accumulate and attract capital. This has become increasingly important as the capital requirements of hospitals for new construction, renovation or advances of technology have grown in the past decade. ...

journal_title：Health care management review

authors： Groner PN

更新日期：1979-07-01 00:00:00

abstract：:Using a planning methodology and a structured design technique for analyzing data and data flow, information requirements can be derived to produce a strategic plan for a management information system. Such a long-range plan classifies information groups and assigns them priorities according to the goals of the organi...

journal_title：Health care management review

authors： Rosenberger HR,Kaiser KM

更新日期：1985-01-01 00:00:00

abstract：:Although health care managers pay a great deal of attention to marketing, there appears to be limited substantive action. As more organizations successfully implement the marketing concept, other organizations will follow suit and marketing will become more prevalent throughout the health care industry. ...

journal_title：Health care management review

authors： Clarke RN,Shyavitz L

更新日期：1987-01-01 00:00:00

abstract：BACKGROUND:The rapid increase in the number of hospitals becoming members of multihospital systems in recent decades has led to the formation of local and regional clusters that have the potential to function as regional systems, a model long advocated as a policy strategy for improving health system performance. PURP...

journal_title：Health care management review

authors： Sikka V,Luke RD,Ozcan YA

更新日期：2009-07-01 00:00:00

abstract：:Contrary to common understanding, not-for-profit organizations must earn a profit in order to maintain fiscal solvency. This article presents a methodology to determine the appropriate profitability target with illustrations presented for a health maintenance organization. ...

journal_title：Health care management review

authors： Fallon RP

更新日期：1991-07-01 00:00:00

abstract：BACKGROUND:In 2014, Maryland established a global budget policy for all hospitals in the state. Under this policy, hospitals are incentivized to not only provide clinical care services to individual patients but also address the health needs of their broader patient population through prevention efforts and investment ...

journal_title：Health care management review

authors： Cronin CE,Singh S,Franz B

更新日期：2021-01-26 00:00:00

abstract：:Fitness and wellness programs can be a strategic extension of a hospital's services, assist in attracting totally new patients to a facility, and help improve a hospital's image. ...

journal_title：Health care management review

authors： Boscarino JA

更新日期：1989-04-01 00:00:00