Wellness and engagement in busy and complex healthcare systems are challenging. Much has been written about how individual healthcare workers can prevent their own burnout and improve wellness as well as the role of institutional and organizational goals to promote engagement and wellness. However, while there is clearly not one explanation or one solution for this problem, there is also not one standard approach to assessing these important issues, though surveys are most commonly used to assess the characteristics of the workplace. We suggest a framework of strategies for effective use of surveys to improve employee wellness and engagement based on practical experience that involve operational next steps organizations and programs can take after surveys as well as contextualizing the information they provide. These steps include adapting and leveraging quality improvement (QI) tools customarily used for patient safety for the purpose of wellness and engagement.
{"title":"Effectively utilizing wellness and engagement surveys","authors":"Elizabeth Cerceo, N. Franzblau","doi":"10.5430/jha.v10n6p27","DOIUrl":"https://doi.org/10.5430/jha.v10n6p27","url":null,"abstract":"Wellness and engagement in busy and complex healthcare systems are challenging. Much has been written about how individual healthcare workers can prevent their own burnout and improve wellness as well as the role of institutional and organizational goals to promote engagement and wellness. However, while there is clearly not one explanation or one solution for this problem, there is also not one standard approach to assessing these important issues, though surveys are most commonly used to assess the characteristics of the workplace. We suggest a framework of strategies for effective use of surveys to improve employee wellness and engagement based on practical experience that involve operational next steps organizations and programs can take after surveys as well as contextualizing the information they provide. These steps include adapting and leveraging quality improvement (QI) tools customarily used for patient safety for the purpose of wellness and engagement.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74612235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is a growing demand to increase the representation and empowerment of female leaders, and companies must implement effective policies to rise to the challenge. This article presents a potent new set of DEI (diversity, equity, and inclusion) protocols for healthcare administration to meet this challenge. The paper evaluates DEI practices and provides suggestions on advancing metrics such as recruitment, engagement and retention of women employees. We conducted a literature review and interviewed field experts to investigate best practices for shaping an inclusive healthcare leadership team. We identified four recurring themes, which are the key takeaways for successfully implementing any DEI initiative: 1. Garner support from the CEO and Board of Directors to establish the importance of the initiative throughout the company. 2. Engage employees directly; lead participants in designing diversity initiatives and encourage them to contribute their own ideas, rather than just going through the motions. 3. Involve the entire workforce, not just the top managers. As a definition of inclusion, everyone’s perspective is essential for building a widespread work culture that exemplifies DEI principles. 4. Design DEI protocols that encompass life both in and out of the office, such as assisting women leaders with childcare needs. We then examine the most common DEI strategies: diversity training, employee resource groups, mentorship programs, and leadership development. Though these methods have their merits and shortcomings, expert input can mitigate the pitfalls. Lastly, we validate research-based interventions. According to the literature, healthcare has not adequately taken advantage of sponsorship opportunities, so we designed an executive-emerging leader sponsorship program. This protocol is supplemented with other interventions, such as interactive diversity training and ERG (employee resource group) playbooks, to foster the workspace crucial to the flourishing of program participants. Overall, we conducted secondary research on the best DEI protocols available, and augmented our findings with interviews we conducted. Therefore the findings we share are based on limited knowledge and do not represent the entire solution to diversity, equity and inclusion in healthcare leadership. Based on the best practices we are aware of, we present a multi-pronged approach to help healthcare administration shape a more equitable future for people of all backgrounds.
{"title":"Best practices and a working model for promoting inclusion of women in healthcare leadership","authors":"Alan H. Dorsey, R. Lee, W. Zheng, M. Fassiotto","doi":"10.5430/jha.v10n6p12","DOIUrl":"https://doi.org/10.5430/jha.v10n6p12","url":null,"abstract":"There is a growing demand to increase the representation and empowerment of female leaders, and companies must implement effective policies to rise to the challenge. This article presents a potent new set of DEI (diversity, equity, and inclusion) protocols for healthcare administration to meet this challenge. The paper evaluates DEI practices and provides suggestions on advancing metrics such as recruitment, engagement and retention of women employees. We conducted a literature review and interviewed field experts to investigate best practices for shaping an inclusive healthcare leadership team. We identified four recurring themes, which are the key takeaways for successfully implementing any DEI initiative: 1. Garner support from the CEO and Board of Directors to establish the importance of the initiative throughout the company. 2. Engage employees directly; lead participants in designing diversity initiatives and encourage them to contribute their own ideas, rather than just going through the motions. 3. Involve the entire workforce, not just the top managers. As a definition of inclusion, everyone’s perspective is essential for building a widespread work culture that exemplifies DEI principles. 4. Design DEI protocols that encompass life both in and out of the office, such as assisting women leaders with childcare needs. We then examine the most common DEI strategies: diversity training, employee resource groups, mentorship programs, and leadership development. Though these methods have their merits and shortcomings, expert input can mitigate the pitfalls. Lastly, we validate research-based interventions. According to the literature, healthcare has not adequately taken advantage of sponsorship opportunities, so we designed an executive-emerging leader sponsorship program. This protocol is supplemented with other interventions, such as interactive diversity training and ERG (employee resource group) playbooks, to foster the workspace crucial to the flourishing of program participants. Overall, we conducted secondary research on the best DEI protocols available, and augmented our findings with interviews we conducted. Therefore the findings we share are based on limited knowledge and do not represent the entire solution to diversity, equity and inclusion in healthcare leadership. Based on the best practices we are aware of, we present a multi-pronged approach to help healthcare administration shape a more equitable future for people of all backgrounds.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82369515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Ly, T. Win, Jessica Mantilla, Ching-Hsiu Chiu, Allan Leung, Chia-Hsing Yeh, Wen-Hsiang Teng, Su-yen Wu, Stanley Toy, Wenxiang Chiu, Jonathan Wu
Objective: This study aims to analyze COVID-19 hospitalization and death rate in the Asian population of a predominantly Asian-serving multi-hospital system (ASMHS).Methods: The COVID-19 patient information was collected electronically from March 1 to November 12, 2020, including demographics, insurance, mortality, ICU admissions, and length of stay (LOS). Demographic characteristics were compared with the county-level and national data. A comparison of hospital LOS between Asians and non-Asians was conducted.Results: The prevalence ratio of deaths in Asians at ASMHS was 1.29, which was 53% higher than the county and 77% higher than the nation. The ICU admission for ASMHS Asian patients was 11.8% compared to 5.6% for non-Asian. Overall Asians and Asians aged > 65 had significantly longer LOS than non-Asians (p < .001).Conclusions: High prevalence ratio of deaths was noted in ASMHS’s Asian patients which may be related to older age, higher ICU rate, and longer LOS.
{"title":"Impact of COVID-19 on hospitalization, death rate, and other inpatient measures among Asian patients in hospitals in California","authors":"L. Ly, T. Win, Jessica Mantilla, Ching-Hsiu Chiu, Allan Leung, Chia-Hsing Yeh, Wen-Hsiang Teng, Su-yen Wu, Stanley Toy, Wenxiang Chiu, Jonathan Wu","doi":"10.5430/jha.v10n5p31","DOIUrl":"https://doi.org/10.5430/jha.v10n5p31","url":null,"abstract":"Objective: This study aims to analyze COVID-19 hospitalization and death rate in the Asian population of a predominantly Asian-serving multi-hospital system (ASMHS).Methods: The COVID-19 patient information was collected electronically from March 1 to November 12, 2020, including demographics, insurance, mortality, ICU admissions, and length of stay (LOS). Demographic characteristics were compared with the county-level and national data. A comparison of hospital LOS between Asians and non-Asians was conducted.Results: The prevalence ratio of deaths in Asians at ASMHS was 1.29, which was 53% higher than the county and 77% higher than the nation. The ICU admission for ASMHS Asian patients was 11.8% compared to 5.6% for non-Asian. Overall Asians and Asians aged > 65 had significantly longer LOS than non-Asians (p < .001).Conclusions: High prevalence ratio of deaths was noted in ASMHS’s Asian patients which may be related to older age, higher ICU rate, and longer LOS.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72701022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ynhi T. Thomas, Sara Andrabi, N. Moukaddam, Asim A. Shah, G. Buehler, J. Carnell, Richina Bicette, C. Dark, S. Bezek
Background: While the volume of Emergency Department (ED) visits has declined during the 2019 novel coronavirus disease or COVID-19, the opposite has been observed with mental-health related visits. The need to screen and manage potential COVID-19 symptoms in parallel with psychiatric complaints have imposed new challenges in the ED at an academic public hospital.Objective: The objective is to share operational modifications in addressing the challenges related to the influx of ED mentalhealth related complaints at the departmental, hospital-wide, and city-wide level within an academic, public hospital.Methods: At the departmental level, a triage algorithm for screening patients with concerning symptoms was developed. A dedicated Respiratory Decision Unit with psychiatrically safe rooms that adhered to infection prevention protocol was also created. All staff were trained to utilize personal protective equipment through lectures, asynchronous learning, and multidisciplinary simulations. The ED team worked with hospital leadership to increase inpatient medical psychiatric bed capacity and to develop testing protocols for patients being admitted to allow for cohorting of symptomatic patients. At the city level, leadership within the three main organizations that provide mental health services to the city met regularly to address operational issues.Conclusions: The COVID-19 pandemic has imposed new challenges in terms of increased psychosocial needs while limiting transmission risks. Based on the experiences shared, a multitier approach is necessary. At all levels, the goals were to screen appropriately, decrease transmission risk, and maintain throughput. The purpose of this descriptive manuscript is to encourage dialogue and to raise awareness about the unique needs of the mental health system.
{"title":"Operationalizing the emergent management of psychiatric patients during the COVID-19 pandemic at an academic public hospital","authors":"Ynhi T. Thomas, Sara Andrabi, N. Moukaddam, Asim A. Shah, G. Buehler, J. Carnell, Richina Bicette, C. Dark, S. Bezek","doi":"10.5430/jha.v10n5p24","DOIUrl":"https://doi.org/10.5430/jha.v10n5p24","url":null,"abstract":"Background: While the volume of Emergency Department (ED) visits has declined during the 2019 novel coronavirus disease or COVID-19, the opposite has been observed with mental-health related visits. The need to screen and manage potential COVID-19 symptoms in parallel with psychiatric complaints have imposed new challenges in the ED at an academic public hospital.Objective: The objective is to share operational modifications in addressing the challenges related to the influx of ED mentalhealth related complaints at the departmental, hospital-wide, and city-wide level within an academic, public hospital.Methods: At the departmental level, a triage algorithm for screening patients with concerning symptoms was developed. A dedicated Respiratory Decision Unit with psychiatrically safe rooms that adhered to infection prevention protocol was also created. All staff were trained to utilize personal protective equipment through lectures, asynchronous learning, and multidisciplinary simulations. The ED team worked with hospital leadership to increase inpatient medical psychiatric bed capacity and to develop testing protocols for patients being admitted to allow for cohorting of symptomatic patients. At the city level, leadership within the three main organizations that provide mental health services to the city met regularly to address operational issues.Conclusions: The COVID-19 pandemic has imposed new challenges in terms of increased psychosocial needs while limiting transmission risks. Based on the experiences shared, a multitier approach is necessary. At all levels, the goals were to screen appropriately, decrease transmission risk, and maintain throughput. The purpose of this descriptive manuscript is to encourage dialogue and to raise awareness about the unique needs of the mental health system.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75085801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Transforming dysfunctional medical groups into high-performing departments is a process that physician leaders are not typically trained to enact. Multiple issues challenge the ability to successfully create a financially sound department that offers high-quality care along with impactful academic deliverables.Methods: We present an example of a critical care group that was highly dysfunctional that was transformed into a highperforming medical department. It underwent a change that was achieved through three stages: (1) Defining Purpose; (2) Relationship Building and Problem Solving; and (3) Group Development. The later stage is approached in a three-phase cycle.Results: Success was achieved on all deliverables including clinical care, academics and finances as validated by external measures. The department was awarded best practice for delivery of clinical care by an international accreditation group. It was twice recognized as their hospital’s highest engaged medical group. Academic deliverables increased to become a high performer all while financial stability was achieved. The importance of health and wellness is highlighted.Conclusions: The process for transforming departments is suggested in a step-wise approach for other groups to achieving similar success.
{"title":"Creation of high-performing medical department","authors":"D. Neilipovitz, John Kim","doi":"10.5430/jha.v10n5p18","DOIUrl":"https://doi.org/10.5430/jha.v10n5p18","url":null,"abstract":"Background: Transforming dysfunctional medical groups into high-performing departments is a process that physician leaders are not typically trained to enact. Multiple issues challenge the ability to successfully create a financially sound department that offers high-quality care along with impactful academic deliverables.Methods: We present an example of a critical care group that was highly dysfunctional that was transformed into a highperforming medical department. It underwent a change that was achieved through three stages: (1) Defining Purpose; (2) Relationship Building and Problem Solving; and (3) Group Development. The later stage is approached in a three-phase cycle.Results: Success was achieved on all deliverables including clinical care, academics and finances as validated by external measures. The department was awarded best practice for delivery of clinical care by an international accreditation group. It was twice recognized as their hospital’s highest engaged medical group. Academic deliverables increased to become a high performer all while financial stability was achieved. The importance of health and wellness is highlighted.Conclusions: The process for transforming departments is suggested in a step-wise approach for other groups to achieving similar success.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78306342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prakash Swaminathan, K. Singh, A. Singh, Devender Kumar Sharma
During the Covid Pandemic, a lot of structural and process changes had to be made in a quick time in almost all the hospitals to accommodate the patients and admit them with the least exposure to the Hospital Staff and the bystanders of the patients. AIIMS Hospital in New Delhi India is a premier tertiary care teaching hospital, which is spread out in different areas. Two Hospital centers of AIIMS were designated as COVID Hospitals. Since there was no previous experience of intrahospital transfers of this magnitude, the hospital had to face lots of difficulties in such transfers and this translated into increased turnaround time. This paper concentrates on the mechanisms in which the Department of Hospital Administration found out the various issues plaguing this process. Later by Change Management, an Intervention was brought in, which helped in the framing of a standard operating procedure that helped in the easy transfer of the patients which was hassle-free and which continued to the second wave of the COVID pandemic.
{"title":"Establishing an ambulance dispatch system for intrahospital transfers in a large teaching hospital in India","authors":"Prakash Swaminathan, K. Singh, A. Singh, Devender Kumar Sharma","doi":"10.5430/jha.v10n5p11","DOIUrl":"https://doi.org/10.5430/jha.v10n5p11","url":null,"abstract":"During the Covid Pandemic, a lot of structural and process changes had to be made in a quick time in almost all the hospitals to accommodate the patients and admit them with the least exposure to the Hospital Staff and the bystanders of the patients. AIIMS Hospital in New Delhi India is a premier tertiary care teaching hospital, which is spread out in different areas. Two Hospital centers of AIIMS were designated as COVID Hospitals. Since there was no previous experience of intrahospital transfers of this magnitude, the hospital had to face lots of difficulties in such transfers and this translated into increased turnaround time. This paper concentrates on the mechanisms in which the Department of Hospital Administration found out the various issues plaguing this process. Later by Change Management, an Intervention was brought in, which helped in the framing of a standard operating procedure that helped in the easy transfer of the patients which was hassle-free and which continued to the second wave of the COVID pandemic.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77421834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Barr, S. Ronca, Rodney X. Sturdivant, D. Harris
Background: There are many coronaviruses of significant medical and veterinary concern, all of which are the result of spillover from another species. Disinfection of healthcare and veterinary environments is an important factor in limiting the transmission of coronaviruses. Disinfection agents for coronaviruses use bleach, quaternary compounds, hydrogen peroxide, and sodium hydroxide. Product labels list contact times that range from 10-30 minutes for total inactivation. Decon7 is a combination disinfectant that is currently used in the food and agriculture, medical facilities, and other industries. While Decon7 has been shown to inactivate a variety of pathogens and disrupt biofilms, its effectiveness and rate of coronavirus inactivation has not been evaluated.Objective: This project sought to evaluate Decon7’s effectiveness and rate of coronavirus inactivation.Methods: This study evaluated the disinfection efficacy of Decon7 (diluted at 1:4) and bleach (diluted at 1:10) after 3 coronaviruses (SARS-CoV-2, HCoV OC43, and HCoV NL63) were inoculated onto up to sixteen environmental surface materials.Results: A 1:4 dilution of Decon7 inactivated all coronaviruses on all surfaces with 1 minute contact time. A 1:10 dilution of bleach was not effective in inactivating coronaviruses with a contact time of 1 minute on all surfaces.Conclusions: New technologies and chemistries may offer more efficient inactivation of pathogens on environmental surfaces. These disinfection methods and materials, which require less than 10 minutes contact time, may improve the efficacy of cleaning and disinfecting surfaces in the built environment.
{"title":"Efficiency of coronavirus inactivation on environmental surfaces: A comparison study of two available disinfectants","authors":"K. Barr, S. Ronca, Rodney X. Sturdivant, D. Harris","doi":"10.5430/jha.v10n5p1","DOIUrl":"https://doi.org/10.5430/jha.v10n5p1","url":null,"abstract":"Background: There are many coronaviruses of significant medical and veterinary concern, all of which are the result of spillover from another species. Disinfection of healthcare and veterinary environments is an important factor in limiting the transmission of coronaviruses. Disinfection agents for coronaviruses use bleach, quaternary compounds, hydrogen peroxide, and sodium hydroxide. Product labels list contact times that range from 10-30 minutes for total inactivation. Decon7 is a combination disinfectant that is currently used in the food and agriculture, medical facilities, and other industries. While Decon7 has been shown to inactivate a variety of pathogens and disrupt biofilms, its effectiveness and rate of coronavirus inactivation has not been evaluated.Objective: This project sought to evaluate Decon7’s effectiveness and rate of coronavirus inactivation.Methods: This study evaluated the disinfection efficacy of Decon7 (diluted at 1:4) and bleach (diluted at 1:10) after 3 coronaviruses (SARS-CoV-2, HCoV OC43, and HCoV NL63) were inoculated onto up to sixteen environmental surface materials.Results: A 1:4 dilution of Decon7 inactivated all coronaviruses on all surfaces with 1 minute contact time. A 1:10 dilution of bleach was not effective in inactivating coronaviruses with a contact time of 1 minute on all surfaces.Conclusions: New technologies and chemistries may offer more efficient inactivation of pathogens on environmental surfaces. These disinfection methods and materials, which require less than 10 minutes contact time, may improve the efficacy of cleaning and disinfecting surfaces in the built environment.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"C-24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84424467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: CMS reimbursement regulations for telemedicine changed after the onset of the COVID-19 pandemic. This study aimed to assess telemedicine utilization patterns offered by health care providers and used by Medicare beneficiaries during the COVID-19 pandemic during 2020.Methods: This study used the Fall 2020 Medicare Current Beneficiary Survey (MCBS) supplemental COVID-19 survey to identify Medicare beneficiaries (≥ 65 years) with a regular place for medical care that offered telemedicine during 2020. Major outcomes: prevalence for whether telemedicine was offered before and during the pandemic, telemedicine use, and digital access to telemedicine. Logistic regression identified the demographic factors associated with telemedicine use.Results: The study sample included 4,380 eligible individual Medicare beneficiaries ≥ 65 years. Of those, 42.9% made telemedicine visits during the pandemic. Approximately 60% of the telemedicine visits were conducted via telephone. Telemedicine was offered to 18% of the respondents before the pandemic vs. 64% during year 2020 of the pandemic. Among telemedicine users, 57.2%, 28.3%, and 14.5% used voice calls, video calls, and both voice and video calls for health care appointments, respectively. Overall telemedicine use varied by sex, race, and region. Individuals 65-74 years, female, living in a metropolitan area, with higher incomes were more likely to make video visits. Experience using telecommunications via the internet influenced telemedicine use significantly.Conclusions: Telemedicine offered to older Medicare beneficiaries increased dramatically after the onset of the COVID-19 pandemic. Yet, less than half used telemedicine and differences in utilization existed by demographic characteristics.
{"title":"Telemedicine use in 2020 during the COVID-19 pandemic among community dwelling U.S. Medicare beneficiaries","authors":"M. Davis-Ajami, Z. Lu, Jun Wu","doi":"10.5430/jha.v10n4p32","DOIUrl":"https://doi.org/10.5430/jha.v10n4p32","url":null,"abstract":"Objective: CMS reimbursement regulations for telemedicine changed after the onset of the COVID-19 pandemic. This study aimed to assess telemedicine utilization patterns offered by health care providers and used by Medicare beneficiaries during the COVID-19 pandemic during 2020.Methods: This study used the Fall 2020 Medicare Current Beneficiary Survey (MCBS) supplemental COVID-19 survey to identify Medicare beneficiaries (≥ 65 years) with a regular place for medical care that offered telemedicine during 2020. Major outcomes: prevalence for whether telemedicine was offered before and during the pandemic, telemedicine use, and digital access to telemedicine. Logistic regression identified the demographic factors associated with telemedicine use.Results: The study sample included 4,380 eligible individual Medicare beneficiaries ≥ 65 years. Of those, 42.9% made telemedicine visits during the pandemic. Approximately 60% of the telemedicine visits were conducted via telephone. Telemedicine was offered to 18% of the respondents before the pandemic vs. 64% during year 2020 of the pandemic. Among telemedicine users, 57.2%, 28.3%, and 14.5% used voice calls, video calls, and both voice and video calls for health care appointments, respectively. Overall telemedicine use varied by sex, race, and region. Individuals 65-74 years, female, living in a metropolitan area, with higher incomes were more likely to make video visits. Experience using telecommunications via the internet influenced telemedicine use significantly.Conclusions: Telemedicine offered to older Medicare beneficiaries increased dramatically after the onset of the COVID-19 pandemic. Yet, less than half used telemedicine and differences in utilization existed by demographic characteristics.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87780854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The current study investigates the possible impact of creating a comprehensive international electronic medical file that is part of a database which can be used in various areas to achieve the highest levels of satisfaction for patients and official bodies and enhance the quality of medical services at hospitals as well. One of the key purposes of this e-file is achieving the readiness and confidentiality of data so that it can be shared among hospitals whether inside the Kingdom of Saudi Arabia or even abroad. In addition, the medical e-file may contribute to reducing the costs of treatment, monitoring the performance of doctors and minimising medical errors. Moreover, the e-file may be used for even other purposes such as security or financial reasons.Methods: The study employed the quantitative research design where 171 questionnaires were distributed to patients, managers and staff in 19 small private hospitals in Jeddah city. The questionnaire 44 questions were designed after conducting a small pilot study on 15 participants. The response rate was about 82.5% in terms of the study questionnaire as only 141 questionnaires were collected. 84 male and 57 female participants took part in the study.Results: The study shows that there is a statistically significant correlation between the use of the international electronic medical file and the enhancement of the quality level of services provided at hospitals, the electronic rehabilitation, training, integrity and awareness of medical staff, and the productivity of hospital workers in line with the Kingdom’s 2030 vision. Moreover, there is a statistically significant correlation between the use of the comprehensive international electronic medical file and raising the level of patient satisfaction by working to protect their medical and financial information and speeding up the process of providing it whenever needed, whether inside the KSA or abroad, as well as reducing the costs of treatment locally and internationally and raising the rates of patient awareness of their medical rights. The results also reveal that using the comprehensive international electronic medical file helps to link patients’ data to all concerned authorities, which leads to enabling them to monitor the performance of hospitals and their staff, monitor the performance of doctors, reduce medical errors, and follow up on patients’ cases and rights to the fullest extent.Conclusions: The study recommends the necessity of selecting and training medical personnel in a professional manner, including those working in the field of the database, and the necessity of maintaining the confidentiality of personal information.
{"title":"The role of comprehensive international electronic medical file in improving the quality of medical services and achieving the satisfaction of stakeholders: An exploratory study in Jeddah, Saudi Arabia","authors":"Nayef Al-Ghamri","doi":"10.5430/JHA.V10N4P15","DOIUrl":"https://doi.org/10.5430/JHA.V10N4P15","url":null,"abstract":"Objective: The current study investigates the possible impact of creating a comprehensive international electronic medical file that is part of a database which can be used in various areas to achieve the highest levels of satisfaction for patients and official bodies and enhance the quality of medical services at hospitals as well. One of the key purposes of this e-file is achieving the readiness and confidentiality of data so that it can be shared among hospitals whether inside the Kingdom of Saudi Arabia or even abroad. In addition, the medical e-file may contribute to reducing the costs of treatment, monitoring the performance of doctors and minimising medical errors. Moreover, the e-file may be used for even other purposes such as security or financial reasons.Methods: The study employed the quantitative research design where 171 questionnaires were distributed to patients, managers and staff in 19 small private hospitals in Jeddah city. The questionnaire 44 questions were designed after conducting a small pilot study on 15 participants. The response rate was about 82.5% in terms of the study questionnaire as only 141 questionnaires were collected. 84 male and 57 female participants took part in the study.Results: The study shows that there is a statistically significant correlation between the use of the international electronic medical file and the enhancement of the quality level of services provided at hospitals, the electronic rehabilitation, training, integrity and awareness of medical staff, and the productivity of hospital workers in line with the Kingdom’s 2030 vision. Moreover, there is a statistically significant correlation between the use of the comprehensive international electronic medical file and raising the level of patient satisfaction by working to protect their medical and financial information and speeding up the process of providing it whenever needed, whether inside the KSA or abroad, as well as reducing the costs of treatment locally and internationally and raising the rates of patient awareness of their medical rights. The results also reveal that using the comprehensive international electronic medical file helps to link patients’ data to all concerned authorities, which leads to enabling them to monitor the performance of hospitals and their staff, monitor the performance of doctors, reduce medical errors, and follow up on patients’ cases and rights to the fullest extent.Conclusions: The study recommends the necessity of selecting and training medical personnel in a professional manner, including those working in the field of the database, and the necessity of maintaining the confidentiality of personal information.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75933989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Pumpure, D. Rezeberga, G. Lazdane, I. Briedīte, D. Mihailova, Ieva Pitkevica, Laura Marta Gravina, S. Olsena, Ināra Kantāne, A. Ķīvīte-Urtāne
Objective: Although the World Health Organization (WHO) recommends the presence of a support person, several hospitals in Latvia have restricted the presence of supporting persons due to COVID-19. This study was conducted to understand the importance of partnership and the role of the accompanying person in childbirth in the context of COVID-19 in Latvia. Methods: A mixed method study with sequential explanatory design was conducted from 26 July to 30 October 2020. The quantitative study consisted of a behavioral cross-sectional online survey with convenience sampling. The survey items, methods, and implementation were performed as part of the I-SHARE study carried out in 33 countries, with standardized survey instruments that were focused on sexual and reproductive health issues. In Latvia it was supported by the National Research Program to lessen the effects of COVID-19. Our study analyses only one part of all data. To answer the research question besides quantitative data the qualitative study that consisted of 7 semi-structured in-depth interviews and 11 focus group discussions was integrated. Results: 1,173 people of Latvia have participated in the I-SHARE online survey. The answers of 662 women of reproductive age and 70 pregnant women have been analyzed. Pregnant women had less tension with their partners and received higher partner emotional support before the COVID-19 pandemic than other women of reproductive age, and pregnant women were less frustrated during COVID-19 than non-pregnant women of reproductive age ( p < .05). More than half (61.4%) of the pregnant women felt anxiety and depression due to COVID-19 restrictions. The qualitative part of the study revealed that having a partner during childbirth was an important aspect when choosing a facility to give birth in, as the lack of an accompanying person caused anxiety and additional stress. Conclusions: COVID-19 has increased anxiety and depression among pregnant women. Birth companions should not be considered third parties, and establishing a delivery unit visitor policy is necessary to balance the benefits and risks in an evidence-based and compassionate manner.
{"title":"Relationship between pregnant women and their partners during COVID-19 and the role of accompanying persons during childbirth","authors":"E. Pumpure, D. Rezeberga, G. Lazdane, I. Briedīte, D. Mihailova, Ieva Pitkevica, Laura Marta Gravina, S. Olsena, Ināra Kantāne, A. Ķīvīte-Urtāne","doi":"10.5430/JHA.V10N4P1","DOIUrl":"https://doi.org/10.5430/JHA.V10N4P1","url":null,"abstract":"Objective: Although the World Health Organization (WHO) recommends the presence of a support person, several hospitals in Latvia have restricted the presence of supporting persons due to COVID-19. This study was conducted to understand the importance of partnership and the role of the accompanying person in childbirth in the context of COVID-19 in Latvia. Methods: A mixed method study with sequential explanatory design was conducted from 26 July to 30 October 2020. The quantitative study consisted of a behavioral cross-sectional online survey with convenience sampling. The survey items, methods, and implementation were performed as part of the I-SHARE study carried out in 33 countries, with standardized survey instruments that were focused on sexual and reproductive health issues. In Latvia it was supported by the National Research Program to lessen the effects of COVID-19. Our study analyses only one part of all data. To answer the research question besides quantitative data the qualitative study that consisted of 7 semi-structured in-depth interviews and 11 focus group discussions was integrated. Results: 1,173 people of Latvia have participated in the I-SHARE online survey. The answers of 662 women of reproductive age and 70 pregnant women have been analyzed. Pregnant women had less tension with their partners and received higher partner emotional support before the COVID-19 pandemic than other women of reproductive age, and pregnant women were less frustrated during COVID-19 than non-pregnant women of reproductive age ( p < .05). More than half (61.4%) of the pregnant women felt anxiety and depression due to COVID-19 restrictions. The qualitative part of the study revealed that having a partner during childbirth was an important aspect when choosing a facility to give birth in, as the lack of an accompanying person caused anxiety and additional stress. Conclusions: COVID-19 has increased anxiety and depression among pregnant women. Birth companions should not be considered third parties, and establishing a delivery unit visitor policy is necessary to balance the benefits and risks in an evidence-based and compassionate manner.","PeriodicalId":15872,"journal":{"name":"Journal of Hospital Administration","volume":"41 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85317675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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