Advances in Health Care Management – serie

"Advances in Health Care Management" is a research annual that publishes state-of-the-art reviews and research on special topics in the field of health care management. As conceived by the founding editors, John D. Blair, Myron D. Fottler, and Grant T. Savage, and as originally commissioned by JAI Press, "Advances in Health Care Management" provides a forum for leading research on health care management. Volumes 1-3 offer reviews of the field, research on selected topics, and best papers from the Health Care Management Division of the Academy of Management.

The papers included in this volume may be categorized loosely into four general thematic sections: theoretical perspectives on the field of health care management; the role and impact of managed care; evolution of the health professions; enhancing health care organizational performance. The three papers in the first general section deal with a range of theoretical issues related to health care management, from complexity science to a theoretical comparison of integrated networks against systems, to how health care management researchers think about the research process. The three papers in the second section address the significant challenges faced by health care managers as they attempt to respond to the increasing impact of managed care. The third section's three papers look at the evolving roles of the health professions, including those of physicians as clinicians and as executives. The four papers in the final section focus on various approaches, from total quality management to use of work groups and transformational leadership, to enhancing health care organizational performance.

Main headings: Special research forum on management issues in nursing. - Clinical and technological issues in health care management. - Organizational and strategic issues in health care management.

A volume that provides a view into the world of Bioterrorism and how it could affect the healthcare system of the United States. It will lead the reader along a journey that shows ramifications to health, politics, and everyday common actions. The book starts out by informing the reader of biological agents and then leads into how organizations and the government should respond in the case that such agents are unleashed. A full understanding of bioterrorism preparedness and response cannot be achieved effectively by considering these phenomena in a vacuum nor informed only by the bioterrorism literature in its current form. The authors identify the key factors that make up the essential pieces of bioterrorism preparedness, attack and response. This volume puts what is normally thought of bioterrorism preparedness issues in their equally important security and terrorist strategy contexts. Here, the editors have sought to bring experts insights on as many of the interlinking factors as possible into one volume. This thematic volumes objectives are to facilitate the readers understanding of the new reality that creates certainty in the uncertainty facing them in the future. It provides knowledge of Bioterrorism and advances skills of preparedness. It shows ramifications of a terrorist attack and gives the reader a view of possible terrorist attacks. It presents a look into security and terrorist strategy.

This fifth volume of "Advances in Health Care Management" examines international health care management. It consists of 12 papers, one of which serves as an introduction, with the other papers arranged into three sections. The first section on patients and providers focuses on such issues as how socio-cultural forces affect the health care experience; how hospital providers function differently under various governance structures; how global strategies affect providers and patients; and why and how provider organizations should consider integrating within a health delivery system. The second section on policy and management addresses such dilemmas as whether some health care issues are impossible to solve through traditional policy reforms; how international refugees should receive health care; and whether policy reform lessons from other countries can be adapted and applied to transform another country's health system. The third and final section on performance and management addresses issues such as whether the quality of care can be managed at the hospital level, how human resource management can be benchmarked within and across health care organizations, how health care informatics and telemedicine can improve the continuity of care, and whether different ways of accessing care within health systems can be systemically compared and improved. Authors from Australia, Chile, Finland, France, Germany, Greece, South Africa, Taiwan, the United Kingdom, and the United States of America contributed to this volume. They explore the delivery and organization of care in health systems from Africa, Asia, Australia, Europe, North America, and South America, encompassing more than 20 countries in their comparisons. The papers included in this volume were only accepted following a rigorous peer review process. Each paper, whether solicited or responding to our open call, went through a double-blind review and revision process. The result is a select collection of outstanding papers.

Increasingly, there is a need for managers operating in the complex and dynamic health care environment to better understand the competitive nature of the health care industry and the opportunities that potentially exist within it. In response, this sixth volume of "Advances in Health Care Management" is dedicated to strategic thinking and entrepreneurial action in the health care industry. As implied in the title, this volume of eleven independent chapters is arranged in four sections. The first section is composed of three chapters, focusing on the health care industry itself. The first of these serves as an introduction for this volume, with the other two chapters taking an historical and futuristic perspective of the health care industry, respectively. These two chapters serve as solid contextual reference points for which we can position the remaining manuscripts. The second section contains two chapters that more explicitly examine strategic issues within a specified health care context. The first of these examines strategy and structure fit in a large sample of physician organizations, while the latter studies a single, large medical center to demonstrate the impact culture and human capital have on strategic outcomes. Four chapters make up the third section, which focuses on innovation and entrepreneurship. The first two chapters in this section focus on the processes of entrepreneurship in the health care environment, with both the similarities and dissimilarities between the health care industry and other contexts being discussed. The latter two chapters of the third section, on the other hand, principally demonstrate the activities and implications associated with entrepreneurship, or the lack thereof. Finally, the fourth section contains two chapters that integrate both strategic and entrepreneurial perspectives. One of these chapters creates a typology of new biotechnology ventures; the focus in this chapter is on how such firms exploit opportunities. The final chapter, then, examines strategic corporate entrepreneurship by comprehensively studying one major organization's entry into the health care services marketplace. Collectively, these multi-faceted chapters help to recognize and address the often elusive phenomenon of successful strategic choice over environmental determinism, which is aided by quality strategic thinking and decisive entrepreneurial actions. In summary, these chapters help to emphasize the importance of these issues to the health care industry and the managers operating within it. It examines the health care and hospital industries and their relation to entrepreneurial action and strategy. It provides 11 valuable chapters for scholars and researchers in sociology and healthcare.

This volume is a collection of critical ideas relating organization science to both operations and accomplishments in the health care environment. A thematic guide for current leaders and practitioners, as well as health administration, business administration and organization development professors and students alike, this work pulls in a broad cross-section of perspectives on the important linkage of scholarship and practice with a solid global perspective. Covering key themes from culture, change, leadership, teams, IT and a systemic perspective of health care overall, it provides both practical insights and theoretical perspectives that will support immediate improvements and encourage longer term dialogue on how organization science can impact the delivery, structure and operations of health care systems globally. "Advances in Health Care Management" provides a forum for leading research on health care management with previous volumes providing reviews of the field, conference papers and research on selected topics including bioterrorism, international health care management, entrepreneurship, patient safety and nursing and health professional shortages.

This is the second biennial volume reviewing the state-of-the-art on a wide variety of micro and macro health care management topics in the popular "Advances in Health Care Management" series. It proudly showcases reviews of both empirical and conceptual research in specific areas of health care management, including topics in three basic areas: reviews of empirical and conceptual research on health care industry-specific topics, e.g., role of physicians; reviews of empirical and conceptual research on different types of health care organizations focusing on issues specific to such organizations or their segments of the health care industry, e.g., hospitals, managed care organizations; and, reviews of empirical and conceptual research on health care organizations focusing on topics or variables which cover various sub-disciplines of management, e.g., organizational change or entrepreneurial opportunity recognition. New and established scholars discuss such topics within their expert area of research, as well as emerging themes and divergent views, giving their unique perspective on the directions that will help build theory and improve the practice of health care management.

This volume focuses on management issues in the international context of health information technology (HIT). Nations around the globe have established policies designed to improve the computerization of their health care systems. It is believed that the adoption of HIT including clinical information systems, decision support systems, and networks or systems that facilitate the exchange of clinical and other health data will yield various desirable outcomes. These outcomes may include improvements in the quality of care, a reduction in medical errors, boosts in efficiencies, and improved provider and patient satisfaction. The purpose of this volume on HIT in the international context is to facilitate the exchange of management theory, best practice, implementation challenges, and the impact of adoption as it pertains to HIT adoption in one or more international settings. It offers a holistic viewpoint on health information technology use in health care organizations and systems, providing a managerial perspective from authors around the world that will prove useful for health care practitioners across a variety of settings.

System wide health reform has become the norm across the globe, forcing health care delivery organizations to critically examine the ways in which they are structured and operate on a day to day basis. Resource scarcity has become common while at the same time, quality and clinical outcomes become the basis upon which these organizations are measured and compared with one another. This volume of "Advances in Health Care Management" includes contributions from key academic thought leaders from around the world who critically examine how health reform impacts the macro, meso and micro level strategy and policy decisions of healthcare organizations.

Health care organizations around the world are judged in terms of a health care triple bottom line: ensuring employee and patient safety, maximizing employee and patient satisfaction, and meeting financial goals. Given the increasing burden of chronic diseases, the increasing complexity of medical interventions, and the increasing costs of care, innovative leadership is required to achieve this triple bottom line. The 14th volume of the Advances in Health Care Management research series addresses the links between leadership and safety, satisfaction or financial performance in health care management by exploring questions such as the following: (1) How does leadership impact employee safety? (2) How does leadership affect patient safety? (3) How does leadership impact employee satisfaction? (4) How does leadership affect patient satisfaction? (5) How does leadership affect financial performance? (6) How do health care organizations deploy multi-level leadership to achieve safety goals? Satisfaction goals? Financial goals? Multiple goals? (7) How do health care organization leaders establish and maintain a safety culture? A patient-centered culture? A high performance culture? Combined cultures?"

Dramatic changes to the structure of health systems since the 1980s has seen the development of large, integrated health organizations designed to provide scale and scope advantages, improve the quality of care and health outcomes, and provide greater bargaining power relative to payers and large employers. This transition has led to greater interest in understanding hospitals and health systems as complex systems. Two important themes emerged from this effort: 1. Creation and organization of physician-health organizations, and alignment of these organizations with hospital or system structure; and 2. Viewing health care organizations as complex systems, leading to new perspectives on design and management of these organizations. In Volume 15, Reuben McDaniel and L. Robert Burns, authors of two influential articles on these themes from earlier volumes of AHCM, revisit the evolution of health systems organization in light of regulatory and organizational evolution in health care, including the Patient Protection and Accountable Care Act of 2010, and increasing consolidation of health systems. Five additional refereed papers assess the latest evidence on physician integration, complexity, and system redesign.

The mission of healthcare organizations has undergone a remarkable transformation from curing disease to caring for the well-being of populations. While health care policy has explored this domain before, notably in Health Maintenance Organizations, the current efforts to create Patient-Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs) represent a broader effort to move organizational responsibilities towards population health and care management. Volume 16 of AHCM presents papers that explore this topic across various levels of the healthcare system and employing multiple research designs including case studies, theoretical pieces, secondary data analyses, survey research and qualitative methodologies. Aspects of health care organization discussed in this volume include the PCMH, ACOs, integration with the public health and mental health systems, hospital-physician alignment, and resource planning. Population health management is presented as a factor driving these organizational changes and as a mechanism to facilitate this change.

Significant variations in the quality of health care management practices are present both within and across local, regional, and international health systems. With increasing globalization of health services, both quality and efficiency of care can benefit from shared learning on a regional and global basis. Although systems and quality of health care delivery differ across the world, empirical research has found that people involved in health care, whether in the role of patients or health care providers, have similar wants and needs. Identifying and documenting best practices within and across countries is more important than ever. Best practices in health care management organize clinical and administrative processes in ways that achieve leapfrog results as compared to normal standards in industry, potentially earning brand status. Advances in Health Care Management Volume 17 helps to shape emerging thinking about best practices in international health care management. The volume is divided into two sections: a set of commentaries from US and European scholars, and research articles that compare two or more health systems and focus on specific topics in health care delivery.

The 20th volume of Advances in Health Care Management showcases how health care management research helps to further understand grand challenges in health care: what they are, why they exist, the consequences that they have, and what can be done to address them. Grand challenges are large, unresolved problems. “Grand health care challenges” include current events such as the COVID-19 pandemic, and ongoing challenges related to the quadruple aim of health care: improving the health of populations, reducing the cost of healthcare, improving patient care experiences, and improving the experience of working in health care. The book demonstrates that these challenges are amenable to organizational and managerial solutions, and therefore health care management research has many important lessons to contribute.For this volume, The Contributions of Health Care Management to Grand Health Care Challenges, we define health care management as the planning, direction, and coordination of health services and the management of health care professionals. Included chapters consider five grand challenges facing the health care sector: (1) caring for vulnerable populations; (2) maintaining the health care workforce; (3) translating innovation into practice; (4) sustaining organizations; and (5) navigating pandemics. Each challenge is discussed in its own section and addressed by two chapters that offer different perspectives and approaches to the challenge. Across chapters a variety of methodologies are used including ethnographic case studies, survey data analysis, interviews, literature review, and informed commentary. Together, the chapters in this volume synthesize current information in the field, direct future research efforts, and generate actionable insights for managers and policymakers.

This book contains two Open Access chapters.The 21st volume of Advances in Health Care Management presents informed commentaries solicited from leaders across the field of health care management. Each chapter tackles a specific health care challenge, describing the state of the research on the challenge, identifying appropriate organizational innovations to respond to the challenge, and setting out a future research agenda. Expert authors consider what is known, what is not known, and what is needed to fill the gaps and advance knowledge. Responding to The Grand Challenges in Healthcare Via Organizational Innovation explores in detail varied scenarios and suggestions for dealing with unexpected crises, improving diversity, equity and inclusion in health care, building strategic alliances for inter-sector collaboration, as well as analyzing organizational governance and physician financial risk models.

This book contains an Open Access chapter.Healthcare organizations today face widespread change as they confront varied grand challenges in uncertain environments. Leaders in healthcare require a comprehensive understanding of effective approaches to organizational change, yet the theoretical and practical landscape is evolving rapidly.Volume 22 of Advances in Health Care Management focuses on environmental uncertainty and the responsiveness of health care organizations, the mechanisms of change and how leaders within organizations frame and execute change, and investigates organizational preparedness and response in the face of acute crisis. The authors highlight the key ways in which organizations must orient toward, and build adaptive resilience to weather, an environment of persistent uncertainty and change.

This volume explores the ways in which structural changes in health care environments impact patient safety. It delves into the potential that design thinking can have when applied to organizational systems and structures, as well as the physical environment, to mitigate risks, reduce medical errors and ultimately improve the quality of care, provider well-being, and the overall patient experience. Much of health management empirical research has focused on the process and outcomes and then attempted to reverse engineer the structure that may reasonably explain that. This volume presents studies from the United States and Europe to demonstrate the benefits of a structure led approach. The chapters employ a variety of methods including needs assessment, consensus building, systems modelling, survey research, secondary analysis of EMR data, and qualitative methodologies. Together they provide meaningful conclusions to the question of how structural approaches in learning health care environments can be improved to create a positive impact on patient safety.

Shedding light on current transformations in payment mechanisms and transparency of hospital performance data and prices, this volume of Advances in Health Care Management presents findings on hospital profitability, cost, and organizational structures.Divided into two sections: 'Reimbursement, Cost and Profitability' and 'The Move Towards Transparency', the chapters employ a variety of research methodologies to explore the impact of transformation in payment and debt structures, profitability, and horizontal or vertical integration on outcomes such as price, clinical outcomes, and health plan selection. The authors examine recent changes including the redesign of the U.S. health care system to achieve higher value, and the establishment of mechanisms that transform reimbursement models and promote consumerism through transparency of data. Additionally, the volume takes a look at the emerging trend of transparency between health care stakeholders such as patients, health care staff, hospitals, insurance companies, and the government, providing a valuable insight into how the future might look.

This volume on patient safety revolves around a central question: How can the increased emphasis on patient safety among healthcare managers be translated into better policy and reduced clinical risk? The twelve contributions in this volume are divided between four sections: theoretical perspectives on managing patient safety; top management perspectives on patient safety; health information technology perspectives on patient safety; and organizational behavior and change perspectives on patient safety. The issue of patient safety provides a fertile niche for management researchers to test existing theories and develop new ones. For example, the goal of reducing medical errors while maximizing patient health requires not only an awareness of the tenets of evidence-based medicine, but also the managerial theories of human relations, organizational culture, organizational development, organizational learning, organizational structure, quality improvement, and systems thinking. Indeed, these and other managerial theories are drawn upon and applied by the various contributors. Taken together, the thirty-five authors of this volume demonstrate that the future of patient safety requires healthcare professionals and managers who can successfully engage in multi-faceted projects that are socially and technically complex.

This proposed volume will provide state-of-the art reviews of health care management, linking concerns about health care workforce management with health care organization management issues. This meso perspective, linking micro and macro organizational processes, should appeal to health care management researchers and doctoral students. Review articles in this volume will orient new and established scholars about current themes within health care management, as well as emerging themes and divergent views. The authors evaluate these future directions and offer their perspective on the direction or directions that would help build theory and improve the practice of health care management. Specifically, the volume will focus both on health care workforce management issues, including allied health professionals, nurses, and physicians, and on health care organization management issues, ranging from organizational governance and strategy to the globalization of health care organizations.