Efficiency, Organizational

Publication Title: 
Profiles in Healthcare Marketing

Daniel Freeman Hospitals in in Los Angeles committed $11.2 million to its community benefits program, which includes charitable care, reimbursement shortfalls, outreach and community service programs. The Catholic hospitals are part of the Carondelet Health System. Their mission follows the example of the Sisters of St. Joseph of Carondelet who, in France in 1600, departed from the cloistered community life to go beyond the convent and care to people in their local communities.

Author(s): 
Rees, T.
Publication Title: 
Medical care research and review: MCRR

This article evaluates the impact of the Centers for Medicare & Medicaid Services/Premier pay-for-performance demonstration project on performance improvement in three clinical areas in a multihospital health care system. The study compares a group of hospitals participating in this project against a control group of similar hospitals that did not participate. Although the incentives are extremely small, the findings show that participation in the pay-for-performance initiative had a significant impact on the rate and magnitude of performance improvement.

Author(s): 
Grossbart, Stephen R.
Publication Title: 
Modern Healthcare

In less than a decade, Ascension Health has risen to the top tier of U.S. healthcare systems, with operating revenue that bests household names like Google and Amazon.com. Helping lead the system's meteoric rise is CEO Anthony Tersigni, left. "We are a ministry. We're not a business. We do business practices for one basic reason: We have bondholders who are counting on us to repay the bonds."

Author(s): 
Evans, Melanie
Publication Title: 
Healthcare Financial Management: Journal of the Healthcare Financial Management Association

Healthcare organizations that want to implement a productivity program should: Name an executive champion to lead the initiative. Develop a business model. Establish a productivity steering committee in each hospital. Use standardized definitions and auditable data. Define and monitor goals.

Author(s): 
Butrie, Anna Marie
Coakley, Debbie
Graves, Brian
Publication Title: 
The Health Care Manager

Increasingly, organizational leaders must face the perplexing problem of dealing with sexual relationships in the workplace. Given recent changes in the composition of our workforce, there is a critical need for leaders to manage sexual workplace relationships and to do so in a way that acknowledges both individual and organizational needs. As a result, organizations must distinguish between appropriate and inappropriate sexual behaviors.

Author(s): 
Perez, Bianca
Liberman, Aaron
Publication Title: 
Physician Executive

Physicians speak of performance and outcomes. They speak of customers and patients. While many leaders nod their heads, shake hands in agreement, and establish liaisons, agreements are implemented without an appropriate understanding of how to recognize and measure leadership performance. How are physicians and other management team members measured? Are you measuring the right things? Physician executives should be measured for simplicity, for streamlining, for standardization, and for knowing the right processes. That's productivity.

Author(s): 
Carr, J. T.
Publication Title: 
Journal of Health and Human Services Administration

Urban trauma centers have been shown in the medical literature to be effective resources for dealing with traumatic injury in a manner which results in demonstrated increases in survival rates. Given that much debate exists over the relative efficacy of various technological medical interventions, the acceptance and diffusion of a "proven" technology, such as trauma centers, should be assured.

Author(s): 
Culbertson, R. A.
Publication Title: 
Physician Executive

Physicians speak of performance and outcomes. They speak of customers and patients. While many leaders nod their heads, shake hands in agreement, and establish liaisons, agreements are implemented without an appropriate understanding of how to recognize and measure leadership performance. How are physicians and other management team members measured? Are you measuring the right things? Physician executives should be measured for simplicity, for streamlining, for standardization, and for knowing the right processes. That's productivity.

Author(s): 
Carr, J. T.
Publication Title: 
Journal of Health and Human Services Administration

Urban trauma centers have been shown in the medical literature to be effective resources for dealing with traumatic injury in a manner which results in demonstrated increases in survival rates. Given that much debate exists over the relative efficacy of various technological medical interventions, the acceptance and diffusion of a "proven" technology, such as trauma centers, should be assured.

Author(s): 
Culbertson, R. A.
Publication Title: 
Inquiry: A Journal of Medical Care Organization, Provision and Financing

This paper examines the effect of changing state policy, such as Medicaid eligibility, payment generosity, and HMO enrollment on provision of hospital uncompensated care. Using national data from the American Hospital Association for the period 1990 through 1995, we find that not-for-profit and public hospitals' uncompensated care levels respond positively to Medicaid payment generosity, although the magnitude of the effect is small. Not-for-profit hospitals respond negatively to Medicaid HMO penetration.

Author(s): 
Davidoff, A. J.
LoSasso, A. T.
Bazzoli, G. J.
Zuckerman, S.

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