A case for safety leadership team training of hospital managers.

Abstract:

BACKGROUND:Delivering safe patient care remains an elusive goal. Resolving problems in complex organizations like hospitals requires managers to work together. Safety leadership training that encourages managers to exercise learning-oriented, team-based leadership behaviors could promote systemic problem solving and enhance patient safety. Despite the need for such training, few programs teach multidisciplinary groups of managers about specific behaviors that can enhance their role as leadership teams in the realm of patient safety. PURPOSE:The aims of this study were to describe a learning-oriented, team-based, safety leadership training program composed of reinforcing exercises and to provide evidence confirming the need for such training and demonstrating behavior change among management groups after training. METHODS:Twelve groups of managers from an academic medical center based in the Northeast United States were randomly selected to participate in the program and exposed to its customized, experience-based, integrated, multimodal curriculum. We extracted data from transcripts of four training sessions over 15 months with groups of managers about the need for the training in these groups and change in participants' awareness, professional behaviors, and group activity. FINDINGS:Training transcripts confirmed the need for safety leadership team training and provided evidence of the potential for training to increase targeted behaviors. The training increased awareness and use of leadership behaviors among many managers and led to new routines and coordinated effort among most management groups. Enhanced learning-oriented leadership often helped promote a learning orientation in managers' work areas. PRACTICE IMPLICATIONS:Team-based training that promotes specific learning-oriented leader behaviors can promote behavioral change among multidisciplinary groups of hospital managers.

journal_name

Health Care Manage Rev

authors

Singer SJ,Hayes J,Cooper JB,Vogt JW,Sales M,Aristidou A,Gray GC,Kiang MV,Meyer GS

doi

10.1097/HMR.0b013e318208cd1d

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

188-200

issue

2

eissn

0361-6274

issn

1550-5030

journal_volume

36

pub_type

杂志文章
  • Not-for-profit not equal to no profit: profitability planning in not-for-profit organizations.

    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

    pub_type: 杂志文章

    doi:10.1097/00004010-199101630-00006

    authors: Fallon RP

    更新日期:1991-07-01 00:00:00

  • Delivery system characteristics and their association with quality and costs of care: implications for accountable care organizations.

    abstract:BACKGROUND:Implementation of accountable care organizations (ACOs) is currently underway, but there is limited empirical evidence on the merits of the ACO model. PURPOSE:The aim was to study the associations between delivery system characteristics and ACO competencies, including centralization strategies to manage org...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000014

    authors: Chukmaitov A,Harless DW,Bazzoli GJ,Carretta HJ,Siangphoe U

    更新日期:2015-04-01 00:00:00

  • High-performance work systems in health care management, part 1: development of an evidence-informed model.

    abstract:BACKGROUND:: Although management practices are recognized as important factors in improving health care quality and efficiency, most research thus far has focused on individual practices, ignoring or underspecifying the contexts within which these practices are operating. Research from other industries, which has incre...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/HMR.0b013e318201d1bf

    authors: Garman AN,McAlearney AS,Harrison MI,Song PH,McHugh M

    更新日期:2011-07-01 00:00:00

  • Application of continuous quality improvement techniques to the treatment of patients with hypertension.

    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

    pub_type: 杂志文章

    doi:

    authors: Waggoner DM

    更新日期:1992-07-01 00:00:00

  • Managed care and processes to integrate physicians/hospitals.

    abstract::This article describes the extent to which hospitals use different integrative processes to assimilate physicians and assesses the extent to which their use is associated with managed care penetration and hospital characteristics. Results from a national survey of 1,495 community hospitals indicate that these integrat...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199810000-00006

    authors: Burns LR,Morrisey MA,Alexander JA,Johnson V

    更新日期:1998-10-01 00:00:00

  • Transformational change in health care systems: an organizational model.

    abstract:BACKGROUND:The Institute of Medicine's 2001 report Crossing the Quality Chasm argued for fundamental redesign of the U.S. health care system. Six years later, many health care organizations have embraced the report's goals, but few have succeeded in making the substantial transformations needed to achieve those aims. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000296785.29718.5d

    authors: Lukas CV,Holmes SK,Cohen AB,Restuccia J,Cramer IE,Shwartz M,Charns MP

    更新日期:2007-10-01 00:00:00

  • Strategic options in capital budgeting and program selection under fee-for-service and managed care.

    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

    pub_type: 杂志文章

    doi:

    authors: Magiera FT,McLean RA

    更新日期:1996-10-01 00:00:00

  • Evaluation of an international benchmarking initiative in nine eye hospitals.

    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

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e3181c22bdc

    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

  • A premerger profile of Columbia and HCA hospitals.

    abstract::This article profiles the premerger marketing, management, and mission characteristics of the combined Columbia and Hospital Corporation of America (HCA) entity relative to local market hospitals. The findings show that the Columbia/HCA hospitals had fewer Medicaid patients, lower proportion of outpatient revenues, hi...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199605000-00006

    authors: McCue MJ

    更新日期:1996-04-01 00:00:00

  • An assessment of health care supervisory training needs.

    abstract::Managerial and supervisory skills are seldom included as part of health care workers' education. This article explores activities performed by supervisors and managers, past training, perceived needs for additional training, and factors influencing attendance at training programs. ...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:

    authors: Paradis LF,Lambert JL,Spohn BB,Pfeifle WG

    更新日期:1989-04-01 00:00:00

  • Managed care and the relevant costs for pricing.

    abstract::An important factor in pricing decisions is the concept of cost analysis. The objective of this article is to describe the relevant costs for pricing medical services in the managed care environment. It discusses how a proper understanding of costs enables one to make correct pricing decisions. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199701000-00011

    authors: Heshmat S

    更新日期:1997-01-01 00:00:00

  • Interpersonal mentoring and its influence on retention of valued health care workers: the moderating role of affective commitment.

    abstract:BACKGROUND:Health care organizations (HCOs) invest in knowledge transfer to promote improved patient outcomes; however, these investments prove costly when health care workers with enhanced knowledge and skills leave to seek better employment opportunities. PURPOSE:The aim of this study was to examine the impact of in...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000011

    authors: Fleig-Palmer MM,Rathert C

    更新日期:2015-01-01 00:00:00

  • Factors affecting the value of professional association affiliation.

    abstract:BACKGROUND:The resource-based view of the firm suggests that organizations must obtain valuable resources from external sources to obtain lasting benefits. Professional associations today exist in every industry and offer resources to assist their affiliates' organizations and individual members. Today, there are more ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e31822aa40c

    authors: Walston SL,Khaliq AA

    更新日期:2012-04-01 00:00:00

  • Career paths of physician executives.

    abstract::Survey data from a sample of physicians whose primary professional activity is administration were used to examine their previous administrative positions and career paths. Forty percent reported administrative positions in more than one type of health care organization, and time spent in administration increased with...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Kindig DA,Dunham NC,Chun LM

    更新日期:1991-10-01 00:00:00

  • To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.

    abstract:BACKGROUND:For almost a decade, public and private organizations have pressured hospitals to improve their patient safety records. Since 2008, the Centers for Medicare & Medicaid Services has no longer been reimbursing hospitals for secondary diagnoses not reported during the point of admission. This ruling has motivat...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318225998b

    authors: Fareed N,Mick SS

    更新日期:2011-10-01 00:00:00

  • An epidemiological approach to quality assurance in the hospital.

    abstract::This article discusses epidemiological methodology: comparing rates, confounding, the use of confidence intervals, Bayes' theorem, and occurrence screening. An appreciation of the limits of epidemiological methods will provide the manager with realistic expectations of the quality assurance process. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Everett WD

    更新日期:1993-01-01 00:00:00

  • Health care marketing: lots of talk, any action?

    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

    pub_type: 杂志文章

    doi:

    authors: Clarke RN,Shyavitz L

    更新日期:1987-01-01 00:00:00

  • The more things change, the more they stay the same.

    abstract::For decades, the hospital environment has been described as turbulent and hostile. At the same time, the transfer of business practices into hospitals has been advocated, accompanied by the largely untested assumption that these practices are crucial to performance and even survival. As this pattern became entrenched,...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-200001000-00008

    authors: Bigelow B,Arndt M

    更新日期:2000-01-01 00:00:00

  • Law, medicine, and the terminally ill: humanizing the approach to risk management.

    abstract::In advising health care providers about care of the terminally ill in hospitals, risk managers generally take a legally conservative, narrow, risk avoidance approach. This orientation is generally unnecessary legally, since the legal risks in this context are exaggerated, and often lead to suboptimum medical treatment...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198701220-00006

    authors: Kapp MB

    更新日期:1987-04-01 00:00:00

  • Understanding patient e-loyalty toward online health care services.

    abstract:BACKGROUND:Public health institutions are making a great effort to develop patient-targeted online services in an attempt to enhance their effectiveness and reduce expenses. However, if patients do not use those services regularly, public health institutions will have wasted their limited resources. Hence, patients' el...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e31824b1c6b

    authors: Martínez-Caro E,Cegarra-Navarro JG,Solano-Lorente M

    更新日期:2013-01-01 00:00:00

  • Interaction effect of Medicaid census and nursing home characteristics on quality of psychosocial care for residents.

    abstract:BACKGROUND:Numerous studies have identified disparities in nursing home quality of care. Although previous studies have found the overlap among Medicaid census, nursing home characteristics, and negative quality of care outcomes, few studies have examined how the psychosocial well-being of nursing home residents is ass...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e3181f8a864

    authors: Kang-Yi CD,Mandell DS,Mui AC,Castle NG

    更新日期:2011-01-01 00:00:00

  • Financial performance, employee well-being, and client well-being in for-profit and not-for-profit nursing homes: A systematic review.

    abstract:BACKGROUND:Expanding the opportunities for for-profit nursing home care is a central theme in the debate on the sustainable organization of the growing nursing home sector in Western countries. PURPOSES:We conducted a systematic review of the literature over the last 10 years in order to determine the broad impact of ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000121

    authors: Bos A,Boselie P,Trappenburg M

    更新日期:2017-10-01 00:00:00

  • Market factors and electronic medical record adoption in medical practices.

    abstract:BACKGROUND:Previous studies identified individual or practice factors that influence practice-based physicians' electronic medical record (EMR) adoption. Less is known about the market factors that influence physicians' EMR adoption. PURPOSE:The aim of this study was to explore the relationship between environmental m...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e3182352562

    authors: Menachemi N,Mazurenko O,Kazley AS,Diana ML,Ford EW

    更新日期:2012-01-01 00:00:00

  • Employment selection in health care: the case for structured interviewing.

    abstract::The literature related to selection interviewing dates, at least, to 1915. The focus of that literature and the conclusions represented by the various authors assumed that the employment selection interview had limited validity or predictive value until the late 1980s. Papers appearing since contradict those conclusio...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-199801000-00006

    authors: Foster C,Godkin L

    更新日期:1998-01-01 00:00:00

  • Collaboration to improve services for the uninsured: exploring the concept of health navigators as interorganizational integrators.

    abstract::This study examines one specific type of collaboration activity in a community health collaborative. The focus of the research is the operations level where services are coordinated, patients are referred, and access may be improved for vulnerable populations. Using a case study approach, we examine the creation of a ...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-200407000-00005

    authors: Lemak CH,Johnson C,Goodrick EE

    更新日期:2004-07-01 00:00:00

  • Integrated networks and health care provider cooperatives: new models for rural health care delivery and financing.

    abstract::Minnesota's 1994 health care reform legislation authorized the establishment of community integrated service networks (CISNs) and health care provider cooperatives, which were envisioned as new health care delivery models that could be successfully implemented in rural areas of the state. Four CISNs are licensed, and ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Casey MM

    更新日期:1997-04-01 00:00:00

  • Toward a departmental bottom-line perspective.

    abstract::In the absence of developing a relationship between price paid and cost expended, health care management has no basis for setting financial objectives much less subsequent evaluation. Departmental P&Ls bring the cost-price relationship into perspective. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Schroeder DH

    更新日期:1989-01-01 00:00:00

  • Unintended consequences of prospective payment: erosion of hospital financial position and cost shifting.

    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

    pub_type: 杂志文章

    doi:10.1097/00004010-198400930-00010

    authors: Rosko MD,Broyles RW

    更新日期:1984-07-01 00:00:00

  • The quality improvement strategy.

    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

    pub_type: 杂志文章

    doi:

    authors: Burns LR,Beach LR

    更新日期:1994-04-01 00:00:00

  • Creating a total quality health care environment.

    abstract::Until recently, health professionals lacked incentives to integrate internal management processes, depending instead on external quality assurance and regulatory standards. Competitive markets and increased regulatory pressures now encourage managers to reorient systems from a cost-driven reimbursement approach to the...

    journal_title:Health care management review

    pub_type: 指南,杂志文章

    doi:10.1097/00004010-199101620-00005

    authors: Milakovich ME

    更新日期:1991-04-01 00:00:00