Journal of Healthcare Management

Founded in 1956, the Journal of Healthcare Management is a bimonthly journal published by the Health Administration Press located in Chicago, Ill. Its subject matter is hospitals and health care institutions. Its editor is Stephen O'Connor, Ph.D.

Articles from Vol. 63, No. 5, September/October

An Organizational Intervention to Reduce Physician Burnout
INTRODUCTIONBurnout is a specific, personal, and intimate stress reaction of individuals resulting from their perceptions of their workplace. It particularly affects the helping professions and is characterized by emotional exhaustion, depersonalization,...
Editorial
Autumn's approach brings a new school year here where I teach at the University of Alabama at Birmingham. Like the leaves, the old course syllabus is turning yellow with age and could do with some sprucing up. In refreshing any syllabus, one of the main...
Examining the Trade-Off between NICU Length of Stay and Postdischarge Monitoring: An Instrumental Variables Approach
INTRODUCTIONThe United States experiences a high rate of infants born with low birth weight (U.S. Department of Health & Human Services, 2013; Wardlaw, 2004). This imposes substantial costs within the healthcare system (Russell et al., 2007; Schmitt,...
How an Accountable Care Organization Helps Transform Care
In the early 1990s, Walter Cronkite stated, "America's healthcare system is neither healthy, caring, nor a system." Unfortunately, that theme continues today: Healthcare costs too much, and it focuses on treating the ill rather than promoting healthier...
Identification of Approaches to Improve Patient Trust in Health Systems: A Group Concept Mapping Study
INTRODUCTIONPatient trust is an essential element of successful healthcare delivery (LaVeist, Isaac, & Williams, 2009; Schwei, Kadunc, Nguyen, & Jacobs, 2014). Trust within healthcare exists at two related but distinct levels: interpersonal and...
Improving Clinical Documentation in an Academic Setting: A Multidisciplinary Team Approach Focused on the Physician's Perspective
INTRODUCTIONHealthcare reform has highlighted the influence of clinical documentation on reimbursement. Advisory Board places the fiscal impact of improved physician documentation between $2 and $10 million per year per hospital (Richter, Shelton, &...
Innovative Leadership Initiatives to Reduce the Cost of Healthcare
INTRODUCTIONControlling the cost of healthcare services is essential in ensuring access to care (Berwick, Nolan, & Whittington, 2008). According to the Centers for Medicare & Medicaid Services (2016), the national health expenditure increased...
PRACTITIONER APPLICATION: An Organizational Intervention to Reduce Physician Burnout
More than a decade ago, Berwick, Nolan, and Whittington suggested the Triple Aim for modern healthcare: a better patient care experience and better health outcome, delivered at a lower cost (Berwick, Nolan, & Whittington, 2008).Even though the ideal...
PRACTITIONER APPLICATION: Examining the Trade-Off between NICU Length of Stay and Postdischarge Monitoring: An Instrumental Variables Approach
As healthcare providers, we are striving to provide exceptional care for our patients while meeting the Quadruple Aim: enhancing the experience for the patient and family, reducing costs, improving public health, and addressing caregiver burnout. In...
PRACTITIONER APPLICATION: Identifi Cation of Approaches to Improve Patient Trust in Health Systems: A Group Concept Mapping Study
Doty, Powell, Carr, Nelson, and Rising present a topic that is both timely and top of mind in the current healthcare environment. Healthcare systems must reduce their costs and improve quality and safety while also providing more access, availability,...
PRACTITIONER APPLICATION: Improving Clinical Documentation in an Academic Setting: A Multidisciplinary Team Approach Focused on the Physician's Perspective
Whether we lead an academic medical center, for-profit system, critical-access hospital, or multispecialty practice, healthcare executives face growing pressure to advance the quality and safety of healthcare by improving patient outcomes and reducing...
PRACTITIONER APPLICATION: Innovative Leadership Initiatives to Reduce the Cost of Healthcare
Okpala presents a well-timed study that deserves the serious consideration of healthcare executives. As care usage and costs continue to climb, individuals, employers, and insurance companies all seek evidence-based cost-reduction ways to improve patient...
PRACTITIONER APPLICATION: The Association between Hospital ACO Participation and Readmission Rates
There is consensus in both the public and private healthcare sectors that the fee-forservice payment model will not serve to align high-quality care and more affordable prices. Further, as Duggal, Zhang, and Diana discuss in their study, current approaches...
PRACTITIONER APPLICATION: The Politics of Primary Care Expansion: Lessons from Cancer Survivorship and Substance Abuse
Skinner, Franz, Howard, Kelleher, and Crabtree offer a compelling perspective on the politics in healthcare that prevent our industry from evolving to one of full collaboration. They persuasively argue that sharing patients across long-standing "disciplinary...
Richard D. Cordova, FACHE, President Emeritus, Children's Hospital Los Angeles
Even while "semiretired," Richard D. Cordova, FACHE, continues to add to the legacy of his distinguished career, most recently as president and CEO of Children's Hospital Los Angeles (CHLA) in Los Angeles, California.Mr. Cordova served as Chairman of...
Stress among Healthcare Professionals Calls out for Attention
It is no exaggeration to suggest that hospitals can be unintentional incubators of intolerable stress. Emergency physician Natalie Newman has noted that "it almost seems as if the medical industry is designed to destroy the very people who practice within...
The Association between Hospital ACO Participation and Readmission Rates
INTRODUCTIONAccountable care organizations (ACOs) were proposed in the Affordable Care Act in 2010 as a new delivery and payment model to improve healthcare quality while controlling healthcare costs (Berwick, 2011a; Fisher et al., 2009). By participating...
The Politics of Primary Care Expansion: Lessons from Cancer Survivorship and Substance Abuse
INTRODUCTIONPrimary care services improve health outcomes in high-risk and vulnerable populations (Friedberg, Hussey, & Schneider, 2010; Starfield, Shi, & Macinko, 2005). However, significant challenges remain to make primary care the keystone...
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