Abstract This article examines key leadership issues in community health partnerships. We assert that a partnership is differentiated from traditional, hierarchical organization participation voluntary and egalitarian often entails cooperation by organizations with different cultures agendas. Partnership leaders, accordingly, lack formal control over members their actions. Using qualitative analysis of 115 site‐visit interviews participants four partnerships the Community Care Networks...

Overweight children are often not identified or counseled.We assessed the documentation rate and clinical management of overweight before after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age gender.Family Medicine resident faculty physicians at two sites received EMR upgrade; Site 1 also BMI training education. From years to one year upgrade, randomly selected charts were reviewed all encounters with obesity management.After counseling rates...

Major organizational changes among hospitals, like system affiliation, merger, and closure, would seem to offer substantial opportunities for hospitals health systems be strategic in the local reconfiguration of services. This report presents results a unique survey on what happened after mergers occurring between 1983 1988, inclusive. Building an ongoing verification process American Hospital Association, surviving institutions from all 74 that occurred during study frame were surveyed fall...

Aim(s) This study validates an instrument for measuring the effectiveness of nursing practice councils and offers a framework understanding shared governance. Background Empowerment results from vertical alignment group power with unit practices. The field lacks nurses' power. Method(s) Two studies (n1 = 119; n2 248) are used to validate Nursing Practice Council scale (NPCes). Results NPCes is valid reliable index council effectiveness. suggests specific diagnostic tools understand two...

Hospital governance arrangements affect institutional policymaking and strategic decisions can vary by such organizational attributes as ownership type/control, size, system membership. A comparison of two national surveys shows how hospital governing boards changed in response to environmental pressures between 1989 1997. The magnitude direction changes (1) board structure, composition, selection; (2) CEO-board relations; (3) activity, evaluation, compensation are examined for the...

Background: There is a growing awareness that lifestyle behavior modifications may reduce weight and the atherogenic dyslipidemia associated with obesity type 2 diabetes mellitus (T2DM).

Assistant professor, Sloan Program in Health Administration, Cornell University, Ithaca, New York (Waltson) Senior director of Governance Programs, Division Trustee and Community Leadership, American Hospital Association, Chicago, Illinois (Bogue) For more information on this article, please contact Dr. Walston at: [email protected]. Acknowledgments The authors would like to thank acknowledge the thoughtful suggestions comments Lawton R. Burns John Kimberly. This work was partially funded by...

Law enforcement reporting following sexual assault is lower than for other violent crimes. Sexual nurse examiners (SANEs) provide care patients in the acute period and are well-positioned to identify address barriers reporting. We examined data from medical forensic examination records documented by SANEs a 5-year (2011-2015). 347 of women 18 older factors associated with law at time exam using binomial logistic regression construct odds ratios (OR). A total 56.5% sample reported...

In the United States, health system change occurs as interaction of politics and policies is played out pushed forward by individuals organizations taking action in their local communities markets. This article provides context descriptive information about a model care reform that being tested twenty-five around nation. We introduce value-based community-responsive change, Community Care Network (CCN) Vision. briefly describe national demonstration program testing this between January 1996...

OBJECTIVE The aim of this study was to examine C-suite executives' perspectives on empowerment early in shared governance implementation. BACKGROUND Leadership influences a workplace culture for empowerment. However, the literature lacks clarity regarding specific roles executives fostering METHODS A system's top 47 were invited participate Delphi study. Two rounds identified leadership philosophies, plus techniques ( ) understanding staff needs, b embedding empowerment, and c ensuing...

There has been significant discussion about the quality of burnout research, especially with regard to abbreviated measurements and/or well-being. The purpose this study was compare a single-item, investigator-developed question measuring perceived well-being validated multi-item measures and well-being.Between 2016 2017, healthcare professionals medical students at large academic hospital system were sent an online survey risk (Maslach Burnout Inventory), (Physician or Nurse Well-Being...

We examined C-suite executives' strategies to empower the nursing workforce and ensure their own accountability for empowerment.Leadership affects empowerment. The literature provides little formal guidance on optimal executives can adopt improving nurse empowerment or ensuring leadership empowering workforce.A system's top 47 were invited be panelists in a Delphi study. Two rounds revealed embedding assessing performance empowerment.C-suite rated specific higher holding themselves...