Index

The Contributions of Health Care Management to Grand Health Care Challenges

ISBN: 978-1-80117-801-3, eISBN: 978-1-80117-800-6

ISSN: 1474-8231

Publication date: 6 December 2021

This content is currently only available as a PDF

Citation

(2021), "Index", Hefner, J.L. and Nembhard, I.M. (Ed.) The Contributions of Health Care Management to Grand Health Care Challenges (Advances in Health Care Management, Vol. 20), Emerald Publishing Limited, Leeds, pp. 283-288. https://doi.org/10.1108/S1474-823120210000020017

Publisher

:

Emerald Publishing Limited

Copyright © 2022 Jennifer L. Hefner and Ingrid M. Nembhard. Published under exclusive licence by Emerald Publishing Limited


INDEX

Accountable Care Act (ACA)
, 176

Accountable care organizations (ACOs)
, 128–129, 182

Accreditation Council for Graduate Medical Education (ACGME)
, 157

Ad hoc debt-driven model
, 195–198

Adult social care (ASC)
, 5

Agency theory
, 178

American Medical Association (AMA)
, 80

Analysis of variance (ANOVA)
, 52

Artificial intelligence (AI)
, 101, 124, 126

Association of American Medical Colleges (AAMC)
, 78

Attorney General (AG)
, 176

Best Organizations for Leadership Development (BOLD)
, 227

“Blue sky” approach
, 131

Business model. See also Community-based model

canvas
, 10

categories for homecare models
, 13–14

“Buy and build” strategy
, 181

Care Act 2014
, 4, 6–7, 9

Care Management Company (CMO)
, 186

Care market
, 4

Care Quality Commission (CQC)
, 6

Caritas Christi Health Care
, 175–176

Caritas Christi Network Services (CCNS)
, 193

Centers for Medicare & Medicaid Services (CMS)
, 128–129, 182

Cerberus Capital
, 176

Certified nursing assistants (CNAs)
, 100

Chi-square analysis
, 52

Chief human resource officers (CHROs)
, 225

Chief operating officers (COOs)
, 225

Cleaning robots
, 122–124

Clinical decision support system (CDS system)
, 125

Coherent Regional Health Care Model
, 184–188

Community Health Systems (CHS)
, 198

Community-based model. See also Preventative model
, 18–19

case study
, 19–20

Computer-based learning (CBL)
, 159

Confirmation practices
, 19–20

Continuing medical education (CME)
, 144

Control experiences
, 279

COVID-19 impact on primary care practice sites
, 234

analysis
, 240–241

developing capacity for virtual visits
, 250

innovation preconditions and plans for sustaining virtual visits
, 250, 253, 258

limitations
, 258

measures
, 239–240

methods
, 238–241

practice site organizational characteristics
, 253, 255–256, 258

process innovations
, 255–256

protecting patients at high risk of COVID-19 and of missed, delayed, or postponed care for MCCs
, 242–247

respondents
, 241–242

results
, 241–242

safety and financial precautions
, 242

sample and data collection
, 238–239

survey development
, 238

theory
, 235–238

impact of virtual visits
, 250

COVID-19 pandemic
, 274

importance of recovery process during
, 276

Cross-sector partnerships
, 39

Cultural career constraints
, 84

Data intensity
, 10

Department of Health and Human Services (DHS)
, 116

Dependent variables (DVs)
, 51, 239

Detachment
, 277

Diagnosis-related groups (DRGs)
, 176–177

Digital communications
, 119–122

Direct payments
, 6–7

Disclosure and Barring Service (DBS)
, 6

Electronic health records (EHRs)
, 105

Electronic medical record (EMR)
, 279

Electronic visit verification (EVV)
, 122

Emergency preparedness
, 237–238

Emergent homecare models

impact of
, 5

findings
, 12–21

homecare market
, 5–7

market shaping
, 7–8

methods
, 9–12

time and task homecare model in England
, 8–9

Employee peers
, 163

Employee retention in medical practices
, 47

analysis
, 52

contributions
, 66–67

instrument and data collection
, 51

limitations and directions for future research
, 68–69

managerial implications
, 68

methods
, 50–52

results
, 53–60

sample
, 51

variables
, 52

Employee turnover
, 53–59

Environmental service (EVS)
, 100–101

Evidence-based management
, 222–223

Experiential intensity
, 10

Fee-for-service (FFS)
, 113, 180

Fee-for-value (FFV)
, 180

Filling Employee Vacancies (FEV)
, 52

Financial distress index
, 174

Focused ethnography
, 10

Frontline health care work(ers)

artificial intelligence
, 124–126

digital communications, telehealth, and telepresence
, 119–122

experimentation
, 129–132

impact of new technologies on
, 126–133

power of payment models
, 127–129

reform organizations
, 133

service and cleaning robots
, 122–124

technologies influence
, 118–126

training
, 132–133

workforce
, 133

Frontline health care workforce in United States
, 103–110

jobs
, 103–108

workers
, 108–110

Full-time equivalent (FTE)
, 52

Gender barriers
, 79–80

Gender bias
, 78

conceptual framework
, 79–80

grand challenge and pernicious problem
, 79

methods
, 80–85

results
, 85–89

variables, descriptions, and question wording
, 81–83

General partner (GP)
, 178

Governance
, 179, 184

Health maintenance organizations (HMOs)
, 127–128, 184, 186

Health policy
, 117

Health systems
, 222

Health-care organizations (HCOs)
, 274–275, 280–281

Health-care workers (HCWs)
, 274

importance of recovery process during COVID-19 pandemic
, 276

recovery from work vs. resilience
, 275–276

strategies to foster and facilitate recovery from work
, 276–280

Health-care
, 46

management
, 30

sector
, 234

workforce
, 100–102

Health-care Cost Report Information System (HCRIS)
, 228–229

Healthy foods ambassador
, 138

High road
, 134–139

Homecare market
, 5–7

Honestly significant difference (HSD)
, 52

Horizontal integration
, 186, 195, 198

Horizontal mergers
, 180

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
, 228–229

Hospital ownership and financial stability
, 174

case comparisons
, 209–212

findings
, 183–208

limitations
, 212–213

prior literature
, 176–181

research methodology
, 181–183

Hospital Service Areas (HSAs)
, 32

Hospitals
, 222

Human–patient simulations (HPS)
, 164

Hypothesis testing
, 59–60

Independent Practice Association (IPA)
, 186

Independent variables (IVs)
, 51, 239

“Industry studies” research approach
, 102

Inferential statistics
, 59–60

Information technology (IT)
, 100–101

Innovation preconditions and plans for sustaining virtual visits
, 258

Institutional theory
, 177

Integration strategies
, 180–181, 184, 188

Intercorrelations
, 59–60

Interorganizational relationships
, 31

data collection and analysis
, 32–34

distinct relationship functions
, 34

methods
, 32–34

results
, 34–38

study design and sample
, 32

Introductory agency
, 15–16

Job satisfaction
, 84

Knowledge, skills, and attitudes (KSAs)
, 144

Knowledge Loss Impacts Organizational Operations (KLIOO)
, 52

Knowledge management
, 50

Leadership development (LD)
, 49–50, 52, 222

Licensed practical nurses (LPNs)
, 100

Limited English proficiency (LEP)
, 146–147

Live-in model
, 16–17

case study
, 17–18

Machine learning (ML)
, 124–125

Male culture
, 87

Management Services Agreement (MSA)
, 178

Managerial opportunism
, 177

Market

implications
, 24

shaping
, 7–8

Massachusetts Center for Health Information and Analysis (CHIA)
, 196–197

Mastery experiences
, 279–280

Medical education
, 78

Medical Group Management Association (MGMA)
, 51

Medical Properties Trust (MPT)
, 197

Mentoring, lack of
, 88–90

Mergers and acquisitions (M&As)
, 174–175

Mission
, 179, 184

Montefiore and Steward Health System Expansions
, 210

Montefiore and Steward Health System Financials
, 212

Montefiore Health System
, 175–176, 181–183, 193

integration strategies
, 184–188

ownership, mission, and governance
, 184

scale, scope, financials, and ACO care metrics
, 188–193

Montefiore’s Hospital Acquisitions
, 189–191

Multiple chronic comorbidities (MCCs)
, 235

protecting patients at high risk of COVID-19 and of missed, delayed, or postponed care for
, 242–247

Multiple sclerosis (MS)
, 17

National Academy of Medicine
, 30

National Center for Healthcare Leadership (NCHL)
, 222–223

applying evidence
, 225–227

assessing and presenting evidence
, 224

informing approach through review of prior research
, 223–224

researching leadership development and organization outcomes
, 228–229

subsequent iterations and changes over time
, 227–228

updating guiding research questions
, 223

National Health Service (NHS)
, 5–6

Natural language processing (NLP)
, 124–125

Needs analysis
, 161

New York State (NYS)
, 182–183

Occupational health psychology
, 274–275

Older adults
, 31–32

Open-ended questions
, 84

Operational succession planning (OSP)
, 47, 53

conceptual framework
, 47–48

knowledge management
, 50

leadership development
, 49–50

replacement planning
, 48–49

Ordinary least squares (OLS)
, 84

Organizational analysis
, 161–162

Organizational benchmarking
, 222–223

Organizations
, 7–8

Our Lady of Mercy Medical Center (OLM)
, 186–187

Ownership
, 177, 179, 184

structures
, 175

Patient care quality
, 192

Patient experience
, 222

Per member per month (PMPM)
, 113

Perceived utility of training
, 162

Person analysis
, 162

Personal protective equipment (PPE)
, 274

Planning For Filling Vacancies After (PFFVA)
, 52

Planning For Filling Vacancies Before (PFFVB)
, 52

Political opportunism
, 177

Population health management (PHM)
, 174, 182

Practice site organizational characteristics
, 256–258

Practices Formal Leadership Development (PFLD)
, 52

Practices Informal Leadership Development (PILD)
, 52

Preventative model
, 20

case study
, 20–21

Preventing Knowledge Loss (PKL)
, 52

Primary care physicians (PCPs)
, 121

Primary care practices
, 234–235

Private equity (PE)
, 174

firms
, 174–175, 181

model
, 178

ownership
, 179

Private investment fund
, 174–175

Process innovations
, 255–256

Quadruple Aim
, 100

approach and data
, 102–103

frontline health care workforce in United States
, 103–110

high road
, 134–139

labor market impact of technological change
, 114

impact of new technologies on frontline health care workers
, 126–133

scale, substitution, and reinstatement effects
, 114–115

sector
, 111–114

sector-specific drivers of technology adoption
, 116–118

technologies influence frontline health care work
, 118–126

work-centered vs. technology-centered adoption
, 115–116

Qualitative analysis
, 85

Quantitative analysis
, 84

Queen Bee Syndrome
, 88

Real estate investment trust (REIT)
, 197

Recovery experiences
, 277

Recovery from work
, 274–276

strategies to foster and facilitate
, 276–280

Recovery process during COVID-19 pandemic
, 276

Relative value units (RVUs)
, 164

Relaxation
, 280

Reliability
, 59

Replacement planning
, 48–49

Resilience
, 275–276

Schedules
, 276–277

Sector-specific drivers of technology adoption
, 116–118

Securities and Exchange Commission (SEC)
, 206

Self-funded market
, 7

Self-limited aspirations
, 84

Senior leadership team (SLT)
, 222

Service Employees International Union (SEIU)
, 134, 182–183

Service robots
, 122–124

Smart carts
, 122–123

Social exchange theory (SET)
, 47

Standard deviation (SD)
, 52

State-funded care
, 6–7

State-funded market
, 7

Steward Health Care System
, 181–182

ad hoc debt-driven model
, 195–198

governance structure
, 195

LLC
, 193–208

ownership, mission, and governance
, 193–195

scale, scope, financials, and ACO outcomes
, 198–208

Steward Research & Specialty Projects Corp. (SRSPC)
, 207

Steward’s Hospital Acquisitions
, 199–202

Support for training
, 163

Survey development
, 238

Task analysis
, 162

TeamSTEPPS® teamwork training
, 144

Technology-centered adoption
, 115–116

Telehealth
, 119–122

Telepresence
, 119–122

Three-dimensional breast imaging (3D breast imaging)
, 128

Time and task homecare model in England
, 8–9

“Time and task” model
, 4, 7

Time intensity
, 10

Trainee motivation
, 144

Training

content
, 162

design
, 164

logistics
, 158–159, 163

Training and Education Fund (TEF)
, 137

Training motivation and transfer in hospitals

limitations and future research
, 165–166

methods
, 146–148

practical implications
, 161–165

results
, 148–159

theoretical model
, 145–146

Triple Aim
, 100

Turnover rate (TR)
, 59

Turnover ratio (TR)
, 52

Two-person career structure
, 84

Uberization model
, 12–15

case study
, 15–16

UK Industrial Strategy
, 4

University HealthSystem Consortium (UHC)
, 224

Uses Practices To Share Knowledge (UPTSK)
, 52

Uses Tools To Share Knowledge (UTTSK)
, 52

Validity
, 59

Value proposition
, 9–10

Value-based care (VBC)
, 101–102, 113

Vertical integration strategies
, 180, 184, 186, 195, 198

Virtual reality (VR)
, 144

Virtual visits

impact of
, 250

developing capacity for
, 250

innovation preconditions and plans for sustaining
, 250, 253, 258

Vulnerable populations
, 258–259

Work environment
, 165

Work-centered adoption
, 115–116

Workforce recruitment and retention
, 20

Prelims
Section 1 The Challenge of Caring for Vulnerable Populations
Emergent Homecare Models Are Shaping Care in England: An Ethnographic Study of Four Distinct Homecare Models
Aligning Health Care and Social Services for Patients with Complex Needs: The Multiple Roles of Interorganizational Relationships
Section 2 The Challenge of Maintaining the Workforce – Retention and Equity
The Challenge of Employee Retention in Medical Practices across the United States: An Exploratory Investigation Into the Relationship between Operational Succession Planning and Employee Turnover
An Exploration of Gender Bias Affecting Women in Medicine
Section 3 The Challenges of Translating Innovation into Practice
Technological Change and Frontline Care Delivery Work: Toward the Quadruple Aim
Improving Training Motivation and Transfer in Hospitals: Extension of a Conceptual Model
Section 4 The Challenge of Organizational Sustainability
Hospital Ownership and Financial Stability: A Matched Case Comparison of a Nonprofit Health System and a Private Equity–Owned Health System
NCHL's “Best Organizations for Leadership Development” Program: A Case Study in Improving Evidence-based Practice through Benchmarking and Recognition
Section 5 The Challenge of Pandemics for Patients, Workers, and Practices – Lessons from Covid-19
Impact of COVID-19 on Primary Care Practice Sites and Their Vulnerable Patients
Even Superheroes Need Rest: A Guide to Facilitating Recovery from Work for Health-care Workers during COVID-19 and beyond
Index