Health Care Manager最新文献

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To Catch a Thief: Protecting Proprietary Information Including Trade Secrets From Corporate Espionage. 抓贼:保护包括商业机密在内的专有信息免受商业间谍的侵害。

Q2 Nursing

Health Care Manager

Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000283

Clifford M Koen, Wm Brian London

Corporate espionage is a multifaceted problem causing hundreds of billions of dollars in losses to businesses each year. Health care managers have a wide variety of options available to prevent theft of their organizations' trade secrets and other proprietary information. Organizations should protect their confidential and trade secret information by taking various security measures to limit access to protected material and by using appropriate types of restrictive covenants such as nondisclosure, noncompetition, and nonsolicitation agreements. This article provides helpful guidance for managers to maximize protection against theft of proprietary information.

商业间谍活动是一个多方面的问题，每年给企业造成数千亿美元的损失。医疗保健管理人员有各种各样的选择，以防止其组织的商业秘密和其他专有信息被盗。组织应该通过采取各种安全措施来限制对受保护材料的访问，并通过使用适当类型的限制性契约(如不披露、不竞争和不征求协议)来保护其机密和商业秘密信息。本文为管理人员提供了有用的指导，以最大限度地防止专有信息被盗。

引用次数: 0

Operating Room Culture and Interprofessional Relations: Impact on Nurse's Retention. 手术室文化与专业间关系:对护士保留率的影响。

Q2 Nursing

Health Care Manager

Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000280

Karine Laflamme, Annette Leibing, Mélanie Lavoie-Tremblay

The purpose of this article is to describe interprofessional relations in order to better understand their impact on nurse retention, while considering the operating room culture and its specific context. A focused ethnography was performed between September and October 2017 at a university hospital in an urban center in the province of Quebec, Canada. This was a secondary analysis of 11 nurses' semistructured one-on-one interviews. Additional data were collected through 6 days of observations, informal conversations, field notes, and a journal. A thematic analysis followed. Interprofessional relations and the need for recognition are important for nurse retention. In addition, a nurse's personality appears to be an important aspect in the complex and specific context of the operating room. Nurse retention in the operating room is multifactoral, and like the need for recognition, interprofessional relations are important issues. Interventions to improve working relationships, recognition of nurses, and consideration of a nurse's personality during hiring appear to be promising avenues for improving retention in the operating room.

本文的目的是描述专业间关系，以便更好地理解他们对护士保留的影响，同时考虑手术室文化及其具体背景。2017年9月至10月期间，在加拿大魁北克省城市中心的一家大学医院进行了一项重点人种志研究。这是对11名护士的半结构化一对一访谈的二次分析。通过6天的观察、非正式谈话、实地记录和日志收集了额外的数据。接着是专题分析。专业间的关系和认可的需要是护士保留的重要因素。此外，护士的个性在手术室复杂而特殊的环境中似乎是一个重要的方面。护士在手术室的保留是多因素的，就像对认可的需要一样，专业间关系也是重要的问题。干预措施，以改善工作关系，护士的认可，并考虑护士的个性在招聘过程中，似乎是有希望的途径，以提高保留在手术室。

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引用次数: 4

The 340b Program, Contract Pharmacies, Hospitals, and Patients: An Evolving Relationship Impacting Health Care Delivery. 340b计划，合同药房，医院和患者:影响医疗保健服务的不断发展的关系。

Q2 Nursing

Health Care Manager

Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000279

Morgan Ruley, Morgan Belcher, Hannah Sayre, Alberto Coustasse

The 340B Drug Pricing Program, created by Congress in 1992 through the Veterans Health Care Act, has provided discounted drug prices to hospitals and other health care organizations serving a wide population of low-income patients. Some 340B programs use contract pharmacies, an arrangement whereby the hospital or health care organization signs a contract directly with a pharmacy to provide covered pharmacy services at discounted prices. The federal 340B Drug Pricing Program has provided access to reduced price prescription drugs to more than 35 000 individual health care facilities and sites certified by the US Department of Health and Human Services, and clinics have served more than 10 million people in all 50 states, plus commonwealths and US territories. The 340B program has increased profits for hospitals through contract pharmacies because they have still received the same reimbursement but acquired drugs at a lower rate.

国会于1992年通过《退伍军人医疗保健法》(Veterans Health Care Act)制定了340B药品定价计划(340B Drug Pricing Program)，该计划向医院和其他医疗机构提供了药品折扣价格，这些医疗机构为大量低收入患者提供服务。一些340B计划使用合同药房，这是一种安排，医院或卫生保健组织直接与药房签订合同，以折扣价提供涵盖的药房服务。联邦340B药品定价计划已向35000多家经美国卫生与公众服务部认证的个人卫生保健设施和场所提供了降价处方药，诊所已为所有50个州以及联邦和美国领土的1000多万人提供服务。340B计划通过合同药房增加了医院的利润，因为他们仍然获得相同的报销，但以较低的费率获得药品。

引用次数: 1

Managing Security Risk: Modeling the Root Causes of Data Breaches. 管理安全风险:数据泄露的根本原因建模。

Q2 Nursing

Health Care Manager

Pub Date : 2019-10-01 DOI: 10.1097/HCM.0000000000000282

Diane Dolezel, Alexander McLeod

Health care data breaches are occurring at unprecedented rates, but breach causes are challenging to identify. The purpose of this exploratory study was to identify potential root causes associated with health care data breaches and to create a model of potential data breach factors to inform risk assessment and future predictive analysis. We considered organizational factors, business processes, and technological tools that may be associated with health care data breach occurrences. Using legal requirements, security industry frameworks, and health care standards, we developed a testable health care data breach model. This security model can inform managers who are working to conduct risk assessments, allocate resources, and minimize security risks.

医疗保健数据泄露正以前所未有的速度发生，但泄露原因很难确定。本探索性研究的目的是确定与医疗保健数据泄露相关的潜在根本原因，并创建潜在数据泄露因素模型，为风险评估和未来预测分析提供信息。我们考虑了可能与医疗保健数据泄露事件相关的组织因素、业务流程和技术工具。使用法律需求、安全行业框架和医疗保健标准，我们开发了一个可测试的医疗保健数据泄露模型。此安全模型可以告知正在进行风险评估、分配资源和最小化安全风险的管理人员。

引用次数: 7

Case in Health Care Management. 医疗保健管理案例

Q2 Nursing

Health Care Manager

Pub Date : 2017-10-01 DOI: 10.1097/HCM.0000000000000191

The ‘‘Case in Health Care Management’’ is a regular feature of The Health Care Manager. Readers are invited to analyze the problem presented in the case and develop a reasonable response to the situation. In analyzing a case: Look for the principles that appear to be involved, and look for the applicability of rules of reason, common sense, and fairness. Seek help from published sources. Associate the concerns of the case with key words that describe principles, concepts, theories, or techniques, and look these up in texts on supervision and basic management. Make whatever reasonable assumptions you need to ‘‘fill in the blanks’’ in the information given. Keep your assumptions reasonable, and state your key assumptions in your conclusions. Recognize that there are few solutions to a case problem that are entirely right or wrong. You are dealing primarily with human behavior, and all people will not necessarily behave the same way in similar situations.

引用次数: 0

From the Editor. 来自编辑。

Q2 Nursing

Health Care Manager

Pub Date : 2017-10-01 DOI: 10.1097/HCM.0000000000000181

Charles R McConnell

Humility appears to be one of the most important characteristics of effective communicators. Perhaps, this is because the genuinely humble communicator is the person who does not automatically snap out a message and assume it is properly understood by all, and it is the person who does not simply assume that his or her initial understanding upon receiving a message is always accurate. The humble communicator is one who knows that he or she can easily be incorrect as either sender or receiver of a message unless the message is immediately confirmed. Two of the greatest causes of communication failure are embodied in a pair of implicit assumptions to which anyone can fall victim: 1. Assuming that others know what you are talking about without obtaining and/or confirming feedback. 2. Assuming that you understand what another has said without initiating feedback to make certain. A measure of genuine humility is required of a person who will automatically take the initiative to ensure the feedback needed to minimize or eliminate the causes of misunderstanding. We can suggest, however, that a great many people in organizational life are not sufficiently humble to initiate this critical feedback in all situations. This is perhaps because so many people tend to associate humility with timidity, tentativeness, and other perceived weaknesses rather than seeing it as the strength that it can be. Yet, perceived weakness or not, we would all be better off giving serious attention to the need for basic feedback, to the necessity to ‘‘close the loop’’ in even the simplest communication where the correct information appears so obvious that to seek or provide reassurance seems foolish. If we do not always close the loop without being conscious of the need to do so—and in fact most of us do not— we can perhaps train ourselves to do so if we can agree with the necessity. We should accept as fundamental the need to close the loop in every interpersonal exchange and behave accordingly. Managers account for many of the communication problems resulting from violation of the closed-loop principle. It often appears that, the higher in the chain of command and the supposedly more ‘‘successful’’ the manager, the more likely is this manager to be lacking the humility required to ensure effective communication. Think of some of the characteristics encountered in managers, especially those at the executive level, characteristics that are often actively sought in persons being recruited for such positions. Organizations tend to regard successful executive types as self-confident, self-assured, decisive, focused, no-nonsense individuals. An individual describable by these characteristics usually possesses a strong selfimage and a healthy ego, and more often than not, a person so described may be found lacking humility. In brief, humility is not usually a characteristic sought in selecting executives; in fact, many selection processes essentially guarantee the absence of humilit

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引用次数: 0

A manager asks: motivational implications. Is sick time used "because it's there"? 一位经理问:动机暗示。请病假是“因为它在那里”吗?

Q2 Nursing

Health Care Manager

Pub Date : 2002-12-01

引用次数: 0

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