ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Parts 1 and 2 (July/August and September 1999) in this three-part series presented a detailed overview of the knowledge-intense organization, staffed by knowledge workers who practice primarily in sophisticated interdisciplinary teams. In this article, the authors describe the benefits and challenges of preparing nurses and other healthcare professionals to practice in such interdisciplinary knowledge teams.

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Healthcare organizations are vertically integrating into systems for operational, economic, and quality incentives. These system transformations require that the nurse executive assume new roles, responsibilities, and skills. The authors review the trends in system integration and discuss implications for nurse administrators based on literature and structured interviews with nurse executives who have experience in integrated systems or who are engaged in integrated system planning and development.

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Objectives:With decreasing healthcare reimbursement, nurse administrators need to aggressively manage care for high-resource users of hospital services to ensure the viability of their healthcare organization. The objective of this study was to (1) investigate frequent Medicare inpatient admission and emergency department users, (2) investigate Medicare day outliers, and (3) examine Medicare reimbursement/ charge ratios.Background:Although much research has focused on patients who have been readmitted frequently to the hospital, little research has examined patients who are frequent users of both emergency departments and inpatient services.Methods:In this study, all 4,920 elderly Medicare inpatient admissions and emergency department visits for 1 year in a 222-bed general hospital were included. Patient profiles of two categories of high resource users were created.Results:Results showed the frequent high user group (n = 75), who had six or more combined emergency department and inpatient admissions per year, had cardiac, diabetic, and chronic respiratory conditions, and came to the hospital from their homes. The day outlier profile (n = 148) consisted of older patients who have neoplasms, and respiratory and circulatory diseases. The mean Medicare reimbursement/charge ratio varied for high volume diagnosis-related groups (DRGS.)Implications:From the study, implications include refining case management, monitoring high-resource patients by computer tracking, analyzing high-user trends by several different methods, incorporating many facets of an integrated healthcare delivery into their care, expanding patient, outpatient, and community support programs, and continually monitoring revenue for organizational viability.

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The quantum age is upon us, changing everything before our very eyes. No part of human life is unaffected by the age change and its new realities. The impact on management and leadership is just beginning to be defined. If leaders and their organizations are to thrive in the new era, a whole new mind-set and skill-set must emerge in the manager. The author identifies characteristics of management role changes necessary to thrive on the journey into the quantum age.

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

To demonstrate accountability and responsibility for patient care operations, patient care leaders are reevaluating staffing standards. Typically, activity studies are conducted and statistical methods correlate patient acuity levels to hours per patient day (HPPD). The authors discuss statistical considerations that allow patient care leaders to evaluate the appropriateness of HPPD generated by activity study data.

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The authors discuss how 13 nurse managers in Sweden experienced management direction and the management role before and 1 year after a professional development course in advanced nursing at the masters-degree level. The nurse managers related theoretical knowledge to an increased awareness of further possibilities inherent in managerial positions. They stressed the importance of networking for future support and growth.

ISSN:0002-0443    

出版商:OVID    

年代:1999

数据来源: OVID