Fraud is not only illegal, but it also increases the cost of health care, reduces the quality of services, and, when the defrauded party is the government, raises taxes. Federal and state law enforcement agencies have tried (and failed) to combat the problem single-handedly, but without the assistance of health care industry members, law enforcement agencies will never find an effective solution. As health care professionals, nurse executives have a responsibility to their patients and their country to make every effort to rid their organizations of fraudulent behavior.
{"title":"Waste and neglect: fraud and abuse in the health care industry.","authors":"D L Haron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fraud is not only illegal, but it also increases the cost of health care, reduces the quality of services, and, when the defrauded party is the government, raises taxes. Federal and state law enforcement agencies have tried (and failed) to combat the problem single-handedly, but without the assistance of health care industry members, law enforcement agencies will never find an effective solution. As health care professionals, nurse executives have a responsibility to their patients and their country to make every effort to rid their organizations of fraudulent behavior.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 4","pages":"61-7"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050909","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}
Pub Date : 1998-06-01DOI: 10.1097/00126450-199806000-00011
P P Carson, K D Carson, R Yallapragada, C W Roe
Nursing supervisors, nurses, and nursing aides were surveyed regarding attitudes about their shared work environment. Results support the hypotheses indicating that supervisors will generally be more positive in their perceptions than will employees at lower levels in the organization. In this study, nursing supervisors reported higher levels of distributive justice and team cooperation as well as a more appropriate patient-to-staff ratio than did nurses and nursing aides. Further, the nurses reported significantly higher levels of politics than the supervisors. Suggestions for developing perceptions more realistic and consistent with subordinates are offered.
{"title":"Nursing supervisors' view through rose-colored glasses: an overestimation of employees' positive attitudes.","authors":"P P Carson, K D Carson, R Yallapragada, C W Roe","doi":"10.1097/00126450-199806000-00011","DOIUrl":"https://doi.org/10.1097/00126450-199806000-00011","url":null,"abstract":"<p><p>Nursing supervisors, nurses, and nursing aides were surveyed regarding attitudes about their shared work environment. Results support the hypotheses indicating that supervisors will generally be more positive in their perceptions than will employees at lower levels in the organization. In this study, nursing supervisors reported higher levels of distributive justice and team cooperation as well as a more appropriate patient-to-staff ratio than did nurses and nursing aides. Further, the nurses reported significantly higher levels of politics than the supervisors. Suggestions for developing perceptions more realistic and consistent with subordinates are offered.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 4","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199806000-00011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050910","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}
Pub Date : 1998-06-01DOI: 10.1097/00126450-199806000-00005
T L Huston, J L Huston
Although security technology exists in abundance in health information management systems, the implementation of that technology is often lacking. This lack of implementation can be heavily affected by the attitudes and perceptions of users and management, the "people part" of systems. Particular operational, organizational, and economic factors must be addressed along with employment of security objectives and accountability. Unique threats, as well as controls, pervade the use of microcomputer-based systems as these systems permeate health care information management.
{"title":"Security in the management of information systems.","authors":"T L Huston, J L Huston","doi":"10.1097/00126450-199806000-00005","DOIUrl":"https://doi.org/10.1097/00126450-199806000-00005","url":null,"abstract":"<p><p>Although security technology exists in abundance in health information management systems, the implementation of that technology is often lacking. This lack of implementation can be heavily affected by the attitudes and perceptions of users and management, the \"people part\" of systems. Particular operational, organizational, and economic factors must be addressed along with employment of security objectives and accountability. Unique threats, as well as controls, pervade the use of microcomputer-based systems as these systems permeate health care information management.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 4","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199806000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051157","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}
Pub Date : 1998-06-01DOI: 10.1097/00126450-199806000-00007
J N Giger, R Davidhizar, V Poole
Growing old is not what it used to be. Many self-care actions can enhance one's chance of growing old without illness or disease. This necessitates preparing for old age while one is young. Preparation for second adulthood can vastly improve physical and emotional health in old age. It is important that nurses and other health care professionals teach health promotion strategies to persons at all ages in order to assist individuals to live life to its fullest throughout their lifetime.
{"title":"Growing older is not what it used to be.","authors":"J N Giger, R Davidhizar, V Poole","doi":"10.1097/00126450-199806000-00007","DOIUrl":"https://doi.org/10.1097/00126450-199806000-00007","url":null,"abstract":"<p><p>Growing old is not what it used to be. Many self-care actions can enhance one's chance of growing old without illness or disease. This necessitates preparing for old age while one is young. Preparation for second adulthood can vastly improve physical and emotional health in old age. It is important that nurses and other health care professionals teach health promotion strategies to persons at all ages in order to assist individuals to live life to its fullest throughout their lifetime.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 4","pages":"40-7"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199806000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051159","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}
Pub Date : 1998-06-01DOI: 10.1097/00126450-199806000-00009
R Davidhizar, S Dowd
Use of a team approach is a technique that can facilitate writing for professional publication. There is an art to writing with a team, which includes carefully selecting a writing partner who will complement personal skills and expertise and being able to work in a collaborative way through the writing process. There are benefits in the team approach that are of particular significance in mentoring novice writing in the publication process. However, there are also obstacles that should be anticipated and planned for.
{"title":"Writing scholarly papers as a team.","authors":"R Davidhizar, S Dowd","doi":"10.1097/00126450-199806000-00009","DOIUrl":"https://doi.org/10.1097/00126450-199806000-00009","url":null,"abstract":"<p><p>Use of a team approach is a technique that can facilitate writing for professional publication. There is an art to writing with a team, which includes carefully selecting a writing partner who will complement personal skills and expertise and being able to work in a collaborative way through the writing process. There are benefits in the team approach that are of particular significance in mentoring novice writing in the publication process. However, there are also obstacles that should be anticipated and planned for.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 4","pages":"53-60"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199806000-00009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051160","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}
Pub Date : 1998-03-01DOI: 10.1097/00126450-199803000-00005
G R Kettlitz, I Zbib, J Motwani
Employee turnover and its associated costs continue to be an important concern for American industry. The purpose of this study was to determine whether differences exist in personal history data (biodata) of nurses aides who remained with the target nursing home corporation and those who either voluntarily or involuntarily separated employment. Results indicate that significant differences exist between the groups with respect to several important dimensions of personal history data.
{"title":"Validity of background data as a predictor of employee tenure among nursing aides in long-term care facilities.","authors":"G R Kettlitz, I Zbib, J Motwani","doi":"10.1097/00126450-199803000-00005","DOIUrl":"https://doi.org/10.1097/00126450-199803000-00005","url":null,"abstract":"<p><p>Employee turnover and its associated costs continue to be an important concern for American industry. The purpose of this study was to determine whether differences exist in personal history data (biodata) of nurses aides who remained with the target nursing home corporation and those who either voluntarily or involuntarily separated employment. Results indicate that significant differences exist between the groups with respect to several important dimensions of personal history data.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 3","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199803000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049370","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}
Pub Date : 1998-03-01DOI: 10.1097/00126450-199803000-00007
P P Carson, K D Carson, C W Roe
Patients often don't have the technical competence to judge the quality of medical care. Therefore, they rely on different criteria than do professionals in assessing quality. They perceive quality as a gestalt of experiences influenced by such issues as empathy, integrity, and appearance of competency. Patients do not complain about service quality when it is appropriately provided. But to satisfy the consumer, providers must go beyond being reliable, polite, and honest. They must provide prompt services, be approachable, and provide individualized attention. To ultimately delight consumers, however, providers must meet the unarticulated needs of the patient.
{"title":"Toward understanding the patient's perception of quality.","authors":"P P Carson, K D Carson, C W Roe","doi":"10.1097/00126450-199803000-00007","DOIUrl":"https://doi.org/10.1097/00126450-199803000-00007","url":null,"abstract":"<p><p>Patients often don't have the technical competence to judge the quality of medical care. Therefore, they rely on different criteria than do professionals in assessing quality. They perceive quality as a gestalt of experiences influenced by such issues as empathy, integrity, and appearance of competency. Patients do not complain about service quality when it is appropriately provided. But to satisfy the consumer, providers must go beyond being reliable, polite, and honest. They must provide prompt services, be approachable, and provide individualized attention. To ultimately delight consumers, however, providers must meet the unarticulated needs of the patient.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 3","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199803000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049371","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}
Pub Date : 1998-03-01DOI: 10.1097/00126450-199803000-00003
R Davidhizar
There is a revolution today in the adult life cycle. People are leaving childhood sooner, but taking much longer to grow up and much longer to die. By the turn of the century, 1 in 5 persons will be over age 55. As people retire earlier and live to be older, extensive preparation needs to be made for retirement. This should be a priority for health professionals as well as for those they serve.
{"title":"It's never too early to plan for retirement.","authors":"R Davidhizar","doi":"10.1097/00126450-199803000-00003","DOIUrl":"https://doi.org/10.1097/00126450-199803000-00003","url":null,"abstract":"<p><p>There is a revolution today in the adult life cycle. People are leaving childhood sooner, but taking much longer to grow up and much longer to die. By the turn of the century, 1 in 5 persons will be over age 55. As people retire earlier and live to be older, extensive preparation needs to be made for retirement. This should be a priority for health professionals as well as for those they serve.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 3","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199803000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049131","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}
Pub Date : 1998-03-01DOI: 10.1097/00126450-199803000-00011
C R McConnell
Employee involvement is subject to a great deal of verbal tribute; there is hardly a manager at work today who will not praise the value of employee input. However, many employee involvement efforts leave employees feeling more manipulated than motivated. This occurs because supervisors and managers, while expecting employees to change the way they work, are themselves either unwilling to change or remain unconscious of the need to change. The result is that, although employee input is regularly solicited in a number of forms, it is often discounted, ignored, or altered to fit the manager's preconceptions. Often the employee is left feeling manipulated. Since the opportunity for involvement can be a strong motivator, it becomes the manager's task to learn how to provide involvement opportunity in manipulative fashion. This can be accomplished by providing involvement opportunity accompanied by clear outcome expectations and allowing employees the freedom to pursue those outcomes in their own way.
{"title":"Employee involvement: motivation or manipulation?","authors":"C R McConnell","doi":"10.1097/00126450-199803000-00011","DOIUrl":"https://doi.org/10.1097/00126450-199803000-00011","url":null,"abstract":"<p><p>Employee involvement is subject to a great deal of verbal tribute; there is hardly a manager at work today who will not praise the value of employee input. However, many employee involvement efforts leave employees feeling more manipulated than motivated. This occurs because supervisors and managers, while expecting employees to change the way they work, are themselves either unwilling to change or remain unconscious of the need to change. The result is that, although employee input is regularly solicited in a number of forms, it is often discounted, ignored, or altered to fit the manager's preconceptions. Often the employee is left feeling manipulated. Since the opportunity for involvement can be a strong motivator, it becomes the manager's task to learn how to provide involvement opportunity in manipulative fashion. This can be accomplished by providing involvement opportunity accompanied by clear outcome expectations and allowing employees the freedom to pursue those outcomes in their own way.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 3","pages":"69-85"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199803000-00011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049130","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}
Pub Date : 1998-03-01DOI: 10.1097/00126450-199803000-00002
W Umiker
Throughout the health care industry, technical and professional employees are moving into supervisory roles, usually without preparation for this major change. They often are frustrated during the transition period. This article discusses how to decide whether supervision is for you and how to prepare for the new role. Several tenets of leadership are offered in the health care setting.
{"title":"From technical professional to group leader.","authors":"W Umiker","doi":"10.1097/00126450-199803000-00002","DOIUrl":"https://doi.org/10.1097/00126450-199803000-00002","url":null,"abstract":"<p><p>Throughout the health care industry, technical and professional employees are moving into supervisory roles, usually without preparation for this major change. They often are frustrated during the transition period. This article discusses how to decide whether supervision is for you and how to prepare for the new role. Several tenets of leadership are offered in the health care setting.</p>","PeriodicalId":79738,"journal":{"name":"The Health care supervisor","volume":"16 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00126450-199803000-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049368","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}