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 advantage) and about the degree to which the hospital's services fall short of, meet, or exceed physicians' expectations (customer satisfaction). This article describes a strategy for acquiring information about competitive advantage and customer satisfaction and for using the information to identify optimal service improvement opportunities. It then presents a step-by-step application of the Quality Improvement Strategy (QIS) for a large urban hospital.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Burns LR,Beach LRsubject
Has Abstractpub_date
1994-04-01 00:00:00pages
21-31issue
2eissn
0361-6274issn
1550-5030journal_volume
19pub_type
杂志文章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
pub_type: 杂志文章
doi:10.1097/00004010-198601140-00003
更新日期:1986-10-01 00:00:00
abstract::Catholic community hospitals are becoming more like nongovernment, not-for-profit community hospitals of a similar bed size located in the same states. After controlling for state, urban-versus-rural location, and bed-size range, a matched set of 303 Catholic community hospitals are compared with nongovernment, not-fo...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::The formation of health insurance purchasing alliances in Minnesota has caused a restructuring of the provider system. One of the results has been the formation of competing delivery systems that organize hospitals, physicians, and insurance plans into vertically and horizontally integrated organizations termed integr...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract::The postpartum hospital stay has been decreasing in the United States in recent decades. Early discharge to achieve cost savings has been criticized by many inside and outside the health care community as sometimes being detrimental to the mother and infant. This article describes the efforts of the administration, nu...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199910000-00008
更新日期:1999-10-01 00:00:00
abstract::Team level tacit knowledge is related to the collective knowledge of the team members. It is the shared experience that results in the ability to successfully anticipate the reactions of teammates in typical and nontypical situations. This study evaluates how tacit knowledge and related team characteristics influence ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200607000-00008
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES:To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of co...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304496.89684.7f
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:As the pace of health sector transformation accelerates, the importance of leadership continues to grow across all health professions. Advances in a variety of disciplines can inform effective leadership development. However, at present, most health sector leadership competency models do not incorporate thes...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000243
更新日期:2020-10-01 00:00:00
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
更新日期:2011-10-01 00:00:00
abstract::Data Envelopment Analysis (DEA) identifies price and technical inefficiencies among decision-making units. With controls for differences in case-mix and standardized outcomes, DEA's "best practice" frontier can be interpreted as a "cost-effectiveness" frontier. This study illustrates the key concepts, identifies the d...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199301830-00010
更新日期:1993-07-01 00:00:00
abstract::This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater lev...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200304000-00005
更新日期:2003-04-01 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
pub_type: 杂志文章
doi:
更新日期:1988-04-01 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
pub_type: 杂志文章
doi:10.1097/00004010-200610000-00001
更新日期:2006-10-01 00:00:00
abstract::Research on organizational control and multihospital systems has focused on operational and performance characteristics. Little attention has been directed to the role of marketing as an operational strategy. This article examines the practice of marketing across interorganizational types and develops comparative prof...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1991-01-01 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
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::Stringent rules apply to the kinds of things hospitals can say about themselves and their services, over and above the ethics that apply to all advertising. Yet it seems clear from the levels of interest in advertising among hospitals and the growth in the use of this marketing technique in recent years that persuasio...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00009
更新日期:1984-04-01 00:00:00
abstract::An exploratory study of hospital planners was completed to determine if there was agreement between theory and practice concerning mission statement components and development. Results showed that mission statements have received little attention as part of the overall strategic planning process. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199001530-00005
更新日期:1990-07-01 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
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::This study examined whether social capital can enhance an individual's ability in reducing emotional exhaustion and job tension when medical professionals encounter a crisis such as Severe Acute Respiratory Syndrome (SARS). ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200601000-00005
更新日期:2006-01-01 00:00:00
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
更新日期:2015-04-01 00:00:00
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
更新日期:2011-01-01 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
pub_type: 杂志文章
doi:10.1097/00004010-198501010-00005
更新日期:1985-01-01 00:00:00
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
pub_type: 杂志文章
doi:10.1097/00004010-199401930-00006
更新日期:1994-07-01 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
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00006
更新日期:1984-04-01 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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c22bdc
更新日期:2010-01-01 00:00:00
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:
更新日期:1989-04-01 00:00:00
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
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Transformational leadership (TL) has long been popular among management scholars and health services researchers, but no research studies have empirically tested the association of TL with workplace injuries and absenteeism among nursing assistants (NAs). PURPOSE:This cross-sectional study seeks to explore ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3182100bf7
更新日期:2011-10-01 00:00:00
abstract::Major financial constraints on health care payors are increasing pressure on hospitals to become more efficient. This study described the use of common data formats and specific interventions with physicians and nursing homes to reduce inpatient lengths of stay by four hospitals in Syracuse, New York. These initiative...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200504000-00002
更新日期:2005-04-01 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
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000257
更新日期:2019-06-26 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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31823c9b55
更新日期:2012-01-01 00:00:00