Prospective payment for hospital capital by Medicare: issues and options.

abstract：BACKGROUND:Health care leaders have called for the development of communication and leadership skills to improve manager-employee relationships, employee job satisfaction, quality care, and work environments. PURPOSES:The aim of the study reported here was to pilot how a 2-day coaching workshop ("Coaching for Impressi...

journal_title：Health care management review

authors： Cummings G,Mallidou AA,Masaoud E,Kumbamu A,Schalm C,Spence Laschinger HK,Estabrooks CA

更新日期：2014-07-01 00:00:00

abstract：:The movement away from cost-based reimbursement by Medicare and other third party payers has prompted an increasing number of hospitals to implement more advanced costing techniques in their operations. Findings from a recent survey of hospital executives regarding cost accounting methods shed light on the extent of t...

journal_title：Health care management review

authors： Orloff TM,Littell CL,Clune C,Klingman D,Preston B

更新日期：1990-10-01 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：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

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

更新日期：2013-01-01 00:00:00

abstract：:A social network analysis of eighty-nine midlevel health care professionals showed that middle managers' strategic knowledge is positively associated with championing alternative ideas and synthesizing new information for upper management. In addition, the relationship between knowledge and middle management strategic...

journal_title：Health care management review

authors： Pappas JM,Flaherty KE,Wooldridge B

更新日期：2004-01-01 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：BACKGROUND:Vendors of hip and knee implants court orthopedic surgeons to adopt their products. Hospitals, which have to pay for these products, now court the same surgeons to help reduce the number of vendors and contain implant costs. PURPOSES:This study measures the surgeon's perceived alignment of interests with bo...

journal_title：Health care management review

authors： Burns LR,Housman MG,Booth RE Jr,Koenig A

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Health information technology (HIT) purports to increase quality and efficiency in health care organizations. However, health care organizations are situated in constantly changing environments. They need dynamic capabilities to implement HIT effectively. PURPOSES:This article builds on the dynamic capabili...

journal_title：Health care management review

authors： Leung RC

更新日期：2012-01-01 00:00:00

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

authors： McCue MJ

更新日期：1996-04-01 00:00:00

abstract：INTRODUCTION:In spite of significant investment in quality programs and activities, there is a persistent struggle to achieve quality outcomes and performance improvements within the constraints and support of sociopolitical parsimonies. Equally, such constraints have intensified the need to better understand the best ...

journal_title：Health care management review

authors： Guzman G,Fitzgerald JA,Fulop L,Hayes K,Poropat A,Avery M,Campbell S,Fisher R,Gapp R,Herington C,McPhail R,Vecchio N

更新日期：2015-07-01 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：:In past years, many SHAs formed in local urban markets to better compete for managed care contracts. In response to 1990s forces, these SHAs appear to have adapted product, production, and selling orientations to their markets, aimed at large institutional purchasers of health care. However, health care markets have e...

journal_title：Health care management review

authors： Olden PC,Roggenkamp SD,Luke RD

更新日期：2002-04-01 00:00:00

abstract：:This research compares the mean severity level, length of stay, and cost of Medicare health maintenance organization (HMO) and Medicare fee-for-service (FFS) inpatients. The results suggest Medicare HMOs have healthier inpatients and shorter lengths of stay, but more costly per-day utilization. These findings are cont...

journal_title：Health care management review

authors： Revere L,Large J,Langland-Orban B

更新日期：2004-10-01 00:00:00

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

authors： Milakovich ME

更新日期：1991-04-01 00:00:00

abstract：:Forecasts based on historical trend analyses can do much to minimize the uncertainty inherent in quantifying the number and type of hospital admissions likely to occur in regional and local markets. A study was undertaken to ascertain whether relationships for admissions and discharges for musculoskeletal disorders ap...

journal_title：Health care management review

authors： Milch RA

更新日期：1981-10-01 00:00:00

abstract：:Antitrust and competitive issues are intertwined with efforts to control health care costs. Whether hospital competition holds down costs is an issue of much controversy and is the topic of this article. The findings are consistent with the hypothesis that hospitals compete primarily on a nonprice basis. This suggests...

journal_title：Health care management review

authors： Nguyen NX,Derrick FW

更新日期：1994-01-01 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：:This article reports on observations of the implementation of a patient-centered care (PCC) work reorganization model in a community hospital setting. Analysis of videotape, direct observation, and interviews with key informants demonstrated the similarities between organizations and families in times of change. We pr...

journal_title：Health care management review

authors： Speice J,Laneri H,Kennedy R,Engerman J

更新日期：1999-01-01 00:00:00

abstract：:Congress has suggested that a prospective payment system for capital should permit the continuation of cost-based reimbursement for certain projects. A study was conducted to examine the components of the capital planning process used by eight hospitals and the effect of this process on completion of capital projects....

journal_title：Health care management review

authors： Anderson GF,Erickson JE

更新日期：1988-04-01 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：BACKGROUND:Hospital purchasing alliances are voluntary consortia of hospitals that aggregate their contractual purchases of supplies from manufacturers. Purchasing groups thus represent pooling alliances rather than trading alliances (e.g., joint ventures). Pooling alliances have been discussed in the health care manag...

journal_title：Health care management review

authors： Burns LR,Lee JA

更新日期：2008-07-01 00:00:00

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

authors： Bos A,Boselie P,Trappenburg M

更新日期：2017-10-01 00:00:00

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

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

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：: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：:Reframing surprise as an opportunity rather than as a threat can be facilitated when we recognize that efforts to deny, control, and prevent uncertainty operate as barriers to reframing. Removing the barriers requires trust and risk-taking among key stakeholders, especially among patients, physicians, and health care ...

journal_title：Health care management review

authors： Montgomery K

更新日期：2003-07-01 00:00:00

abstract：:We evaluated physicians' acceptance of managed care using data from Connecticut physicians. We grouped physicians' attitudinal responses on three dimensions and applied an institutional distance framework to evaluate factors that influence physicians' acceptance of managed care practices. Our results demonstrate the p...

journal_title：Health care management review

authors： Floyd SW,Kramer JA,Born PH

更新日期：2005-07-01 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 economics of cost containment, growing competition, and the introduction of new technology are forcing major changes on the health insurance industry. This transformation will impact the hospital industry in significant ways, hastening its evolution from a cottage industry to a modern corporate structure. ...

journal_title：Health care management review

authors： Higgins CW,Meyers ED

更新日期：1986-10-01 00:00:00

abstract：:Value-based leadership--linking "managership" and leadership approaches--is needed to meet today's ever-proliferating challenges to the fundamental philosophy and mission of health care organizations. To work, however, it requires important changes from everyone in the organization. ...

journal_title：Health care management review

authors： Brozovich JP,Shortell SM

更新日期：1984-10-01 00:00:00