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cabraha

The habits of an improver: Thinking about learning for improvement in health care. - 0 views

www.scribd.com/...r-Health-Foundation-Oct-15-pdf

Quality Improvement DNP leadership

shared by cabraha on 16 Nov 15 - No Cached
  • cabraha on 16 Nov 15
     
    "At a time of heightened interest in education and training, this paper offers curriculum designers and all those providing initial or continuing professional development a new way of thinking about education for improvement."
ebiscone

Managing Organizational Complexity. Social Networks as Embedded complex Adaptive Systems. - 1 views

sfxhosted.exlibrisgroup.com/emu

DNP leadership systems theory Social networks complex-adaptive systems

shared by ebiscone on 26 Oct 14 - No Cached
  • ebiscone on 26 Oct 14
     
    Benham-Hutchins, M. & Clancy ,T. R. (2010). Managing organizational complexity. social networks as embedded complex adaptive systems. The Journal of Nursing Administration, 40(9), 352. The authors of this article, both of whom are faculty at Texas Women's University School of Nursing, identify social network analysis (SNA) as a tool that is complementary to the theatrical underpinnings of complexity science. They assert that interprofessional communication is influenced not only by two individuals in communication with one another, but also by the social networks of which each is a part. The authors focus on the non-linear processes involved in communication between professionals and units when transferring a patient. Incorporating the theories of complexity sciences into research on communication networks could increase the applicability to healthcare organizations. Recognizing the complex nature and influence of social networks within an organization will assist the nurse leaders in our case study formulate solutions for the non-linear challenges they face.
  • Phyllis Wright on 29 Oct 14
     
    I thought the dynamic figures in this article were telling. However in the patient centered environment, it was odd to me that very little attention was paid to the patient in the midst of this complex transfer especially in Figure 3. I think we all must be aware that the true definition of a CAS is the ability to learn and adapt based on environmental cues, feedback or events. We often have complex systems but not complex adaptive systems.
ebiscone

Medicare Fines 2,610 Hospitals In Third Round Of Readmission Penalties - 0 views

kaiserhealthnews.org/...re-readmissions-penalties-2015

DNP leadership Medicare Quality Readmission

shared by ebiscone on 26 Oct 14 - No Cached
  • ebiscone on 26 Oct 14
     
    The government is beginning the third year of fining hospitals for having too many readmissions of patients with Medicare, and penalties, as well as the categories of patients included in the data measured, are increasing. The goal is to encourage healthcare systems and care providers within them to manage chronic disease better. The problem is a complex one. Safety-net hospitals, which tend to have sicker patients with less resources, may not be able to meet the same bench marks that hospitals catering to the wealthy can. However, to set a lower goal for these hospitals would be tantamount to the government enforcing a lower standard of care for the poor. In addition, managing chronic disease to reduce readmission will reduce overall admissions, and some hospitals cannot remain financially stable if they do so. The article was produced for Kaiser Health News (KHN) in association with the Scan Foundation, whose stated mission is to promote aging with dignity and independence. It relates to another story published on KHS about a hospital system who has hired a nurse just to talk with people about their diabetes in an effort to promote patient self-care and knowledge, and reduce hospital admissions (McCammon, 2014). Reference McCammon, S. (2014). Personal attention seen as antidote to rising health costs. Georgia Public Radio & Kaiser Health News. Retrieved from http://kaiserhealthnews.org/news/care-coordinators-try-to-save-hospitals-money/
  • Phyllis Wright on 29 Oct 14
     
    Erin, such a telling article and relates to the complexity of the entire process of self care, desire to change, and personal empowerment. Knowledge skills and attitudes are at the core of some of the issues but one also has to consider the socio-cultural-economic environment as well. Identifying those who are at the highest risk for readmission based on multiple inputs may be the next step--both for financial relief for hospital and improved outcomes for patients.
Phyllis Wright

Care Coordination - 6 views

It was interesting in this study that there were not statistical improvements between the two units, specifically pointing to lower costs of care and and quality outcomes. Also telling was the last...

leadership

started by onturner on 26 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Alex F

Managing Organizational Complexity. Directing: A Complex Systems Perspective - 1 views

sfxhosted.exlibrisgroup.com.proxy.library.emory.edu/emu

leadership

shared by Alex F on 26 Oct 14 - No Cached
  • Alex F on 26 Oct 14
     
    This article, written by Dr. Thomas Clancy, a Clinical Professor at the University of Minnesota's School of Nursing discusses complexities within healthcare systems (specifically hospitals) as it relates to directing. Using a complex systems perspective, the author suggests innovative methods in directing high functioning teams. In congruence with characteristics and models of complex adaptive systems as presented by the Institute of Healthcare Improvement Modules and Dr. Bonnie Jennings (2013), the author gives a clear depiction of how nurses function within these systems. Rapid cognition and structured spontaneity are two skills the author suggests are crucial for nurse administrators to develop among teams within complex environments (high potentials). This article suggests the development of these skills will enable "nurses to make independent decisions within limits defined by policy" (p. 62). In other words, decision making would be less autocratic and more participatory which would enable the director to higher levels of directing. Data from this series of articles are relevant to today's practice and may be particularly resources for healthcare leaders as they redesign and implement innovatieve techniques within macro, mess, or microsystems. Clancy ,T. R. (2008). Managing organizational complexity. Directing: A complex systems perspective. The Journal of Nursing Administration, 38(2), 61-63.
  • Phyllis Wright on 29 Oct 14
     
    A great article and what an interesting contribution to nursing education with use of simulation to develop the rapid cognition and structured spontaneity.
Alex F

Wall Street Journal Article. Why New Health Law Is So Complicated. - 2 views

online.wsj.com/...702303755504579205800232065892

leadership

shared by Alex F on 26 Oct 14 - No Cached
  • Alex F on 26 Oct 14
     
    This article is a useful example of a complex adaptive system. From a personal business perspective, the author discusses several reasons as to why the implementation of The Affordable Care Act has been challenging. This example of a macro system exhibits the need for multiple aspects within the system to work in collaboration with key stakeholders including government parties, insurance companies, business and individuals. Seib, G. (2013). Why new health law is so complicated. The Wall Street Journal. Retrieved from http://online.wsj.com/articles/SB10001424052702303755504579205800232065892
  • Phyllis Wright on 29 Oct 14
     
    This article also provides insight into how the macro, micro and meso systems become so intertwined in such a large undertaking and how its implementation philosophically is even more complex as it advances both parties polar opposite desires of privatization and unification of health care delivery. Great short read!
Phyllis Wright

Wall Street Journal Article: Healthcare.Gov's Flaws Found, Fixes Eyed; Site's Design O... - 3 views

I love this comment from the article: "If you put a critical pathway at the front of the experience, you're going to logjam everything," It so validates much of what we run into in complex systems....

DNP leadership

started by Darlene Pirkle on 27 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Phyllis Wright

Journal of Nursing Administration Article: Managing Organizational Complexity: It's A... - 3 views

This was a very interesting article using the short/long flow of biological systems. The most alarming fact to me was the concurrence that branching patterns of nurse's workflow is increasing (shor...

DNP leadership

started by Darlene Pirkle on 27 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Phyllis Wright

Journal of Nursing Administration Article: Advancing the Evolution of Healthcare: Infor... - 2 views

After reading this article, I do agree this is the utopia in which we would all like to exist; however, until we can place these system interfaces together, then even the models the author cites ca...

Leadership Information Technology

started by Eve Byrd on 27 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Phyllis Wright

Wall Street Journal Article: May Take: Chasing the Vision of Safe, High -Quality, Effec... - 3 views

For our informatics folks, this is a great "so what" article. Improving analytics and giving one a synopsis of care is truly meaningful, however from the clinical improvement perspective, perhaps w...

Leadership Information Technology EHR MU

started by Eve Byrd on 27 Oct 14 2 follow-ups, last by Phyllis Wright on 29 Oct 14
Phyllis Wright

Shaping Humane Healthcare Systems - 2 views

The author does offer a common sense approach, and sadly to see this article was written 7 years ago reflects what little progress we have made in flattening hierarchies and including patients in...

Leadership Mission and Values

started by Eve Byrd on 27 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Phyllis Wright

Values Based Decison Making: A Tool for Achieving the Goals of Healthcare - 3 views

This values based decision making approach has been used successfully in businesses such as the Ritz Carlton to empower employees based on the values of the organization. I often wonder why it take...

Leadership Values Governance

started by Eve Byrd on 27 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Phyllis Wright

Leadership class: Article on how to create culture for improved patient safety - 3 views

Interesting article that also confirmed the root cause analysis of poor leadership and communication failures were consistently among the key factors leading to adverse events. To me personally th...

started by lauraellenprado on 25 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14
Eve Byrd

Reinventing the Academic Health Center - 1 views

Kirch, D.G., Grigsby, K., Zolko, W.W., Moskowitz, J., Hefner, D.S., Souba, W.W., Carubia,J.M., &Baron, S.D., (2005) Reinventing the academic health center. Academic Medicine, 80, 980-989 The autho...

Leadership Mission Values

started by Eve Byrd on 27 Oct 14 no follow-up yet
Eve Byrd

Use of Triple Aim to Improve Population Health - 2 views

Levine, J.F., Herbert, B., Mathews, J., Serra, A., & Rutledge, V., (electronically published 2011, September 25) Use of triple aim to improve population health. NCMEDICALJOURNAL.COM 72, 201-204 The...

Leadership Mission and values

started by Eve Byrd on 27 Oct 14 no follow-up yet
Eve Byrd

Exploring the Organizational Cultur of Exemplary Community Health Center Practices - 2 views

Craigei, F.C., & Hobbs, R.F., (2004) Exploring the organizational culture of exemplary community health center practices. Family Medicine, 36, 733-738 This article is a follow up piece to a 1999 ...

Leadership organization culture

started by Eve Byrd on 27 Oct 14 no follow-up yet
lauraellenprado

Companies Try to Escape Health Law's Penalties - 3 views

online.wsj.com/...alth-laws-penalties-1413938115

shared by lauraellenprado on 25 Oct 14 - No Cached
  • lauraellenprado on 25 Oct 14
     
    With companies set to face fines next year for not complying with the new mandate to offer health insurance, some are pursuing strategies like enrolling employees in Medicaid to avoid penalties and hold down costs. This is the first sentence in the WSJ article that published on 10/21/14. It also discusses how some employers are adopting bare bones insurance plans, changing their work force to part time to minimize those needed to be covered or accepting the fines for not covering their employers.
Kristy Martyn

Evidence based tool for Triage - 9 views

Erin, sorry I changed your post. Still learning!

DNP leadership projects triage evidence based obstetrical

started by ebiscone on 10 Oct 14 3 follow-ups, last by Kristy Martyn on 12 Oct 14
lauraellenprado

Nurse practitioner and physician assistant scope of practice in 118 acute care hospital... - 3 views

onlinelibrary.wiley.com.proxy.library.emory.edu/...abstract

nurse practitioner inpatient setting

shared by lauraellenprado on 06 Oct 14 - No Cached
  • lauraellenprado on 06 Oct 14
     
    Interesting article comparing NP and PA's in the input setting and how they functioned. Each was rated by the medical officers and nurse managers. Each had strengths and weakness.
  • Alex F on 09 Oct 14
     
    Laura, Thank you for sharing this recently released article. Very interesting, I was unaware that despite similar scope of practice, reimbursement varies between NPs and PAs.
Alex F

Is Eligibility for Tenure Possible for the Doctor of Nursing Practice-Prepared Faculty? - 4 views

www.sciencedirect.com.proxy.library.emory.edu/...S8755722311001566

shared by Alex F on 09 Oct 14 - No Cached
  • Alex F on 09 Oct 14
     
    Interesting debate related to the topic of tenure for DNP prepared faulty. Do we need to redefine the definition of scholarship?
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