Achieving the Potential of Health Care Performance Measures: Timely Analysis of Immediate Health Policy issues

The United States is on the cusp of a new era, with greater demand for performance information, greater data availability, and a greater willingness to integrate performance information into public policy. This era has immense promise to deliver a learning health care system that encourages collaborative improvements in systems-based care, improves accountability, helps consumers make important choices, and improves quality at an acceptable cost. However, to curtail the possibility of unintended adverse consequences, it is important that we invest in developing sound measures, understand quality measures' strengths and limitations, study the science of quality measurement, and reduce inaccurate inferences about provider performance

An Empirical Examination of Factors Influencing the Intention to Use Physician Rating Websites

Physician rating websites (PRWs) are social media platforms that enable patients to submit ratings and reviews of physicians. While numerous PRWs are available on the Internet and millions of physician reviews are posted on those websites, many people still do not use them when making clinical decisions. This study seeks to understand what factors impact intention to use PRWs. A sample of 109 students was employed. Each subject was randomly assigned to either RateMDs, Vitals, or Brigham and Women’s Hospital’s website. The subjects were asked to choose a primary care doctor based on the reviews posted on the assigned website and complete a survey accordingly. The regression analysis revealed that perceived credibility of reviewers and general use of online reviews influenced intention to use PRWs, whereas perceived integrity of website providers only moderated the relation between perceived credibility of reviewers and intention to use PRWs

A novel way to increase the likelihood of hiring high quality medical educators

BACKGROUND: In recent years, medical and physician assistant (PA) education has moved towards a competency based model. This model encourages teaching students to “know how” to use what they learn in practice rather than simply gain a large knowledge base. This allows students to garner a deeper understanding of the material. Active learning strategies such as flipped classroom and interactive learning, have gained great support in recent years. These models have helped further the ability of universities to move towards these competency based education models. At the core of these newer teaching and learning modalities are the instructors themselves. They play a vital role in not only what a student learns, but how well they learn it. LITERATURE REVIEW: A literature review highlights both the importance of hiring quality instructors as well as the importance of their ability to fulfill these new teaching models. There have been numerous studies on how effective teaching influences a student’s performance in the classroom. To date, there has not been any research on how to increase the probability of hiring an effective instructor from day one. PROPOSED PROJECT: The objective of this study is to develop a tool that would help employers screen for potentially less qualified candidates. The proposed tool is a questionnaire that would be filled out by potential employees and would raise a red flag if a potentially concerning answer choice was selected. The validity of this questionnaire will be tested by comparing current physician assistant didactic and clinical instructors’ scores on the questionnaire, to their respective student evaluations. CONCLUSION: It is predicted that a “red flag” score on/this questionnaire will correlate with poor instructor scores on student evaluations. Successful validation and deployment of this tool would allow students to be instructed by the best possible instructors, bettering their education

Committed to Safety: Ten Case Studies on Reducing Harm to Patients

Presents case studies of healthcare organizations, clinical teams, and learning collaborations to illustrate successful innovations for improving patient safety nationwide. Includes actions taken, results achieved, lessons learned, and recommendations

Health Professions Education Day 2020

This deposit contains posters/abstracts submitted and accepted for presentation for Health Professions Education Day 2020.University of Michigan Department of Learning Health Sciences, Medical School; Michigan Center for Interprofessional Education; Center for Research on Learning and Teaching; and the Center for Academic Innovationhttps://deepblue.lib.umich.edu/bitstream/2027.42/155875/1/2020 HPE Abstracts (dj).pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155875/4/2020 HPE Abstracts (dj).pdfDescription of 2020 HPE Abstracts (dj).pdf : PDF file of posters with their abstracts, HPE Day 2020Description of 2020 HPE Abstracts (dj).pdf : HPE Day 2020 Posters & Abstracts (updated 7/17/20

THE INFLUENCE OF EMOTIONAL INTELLIGENCE AND PERSONALITY TRAITS ON EFFECTIVE LEADERSHIP

Ineffective leadership contributes to the majority of organizational problems and business failures. The negative effects of poor leadership in the health services arena is a prominent issue in today’s health services workforce, and is exacerbated by the challenges posed by the Affordable Healthcare Act of 2012. This study investigates the effects of emotional intelligence (EI) and personality traits (the Big Five), two variables commonly linked to effective leadership, within the context of healthcare. This study examined the influence of EI and the Big Five personality traits on leadership effectiveness within a healthcare institution. The study assumed EI and the Big Five personality traits (conscientiousness, agreeableness, openness, and extraversion) would positively link to each other as well as leadership effectiveness, and predicted a negative relationship between neuroticism and leadership effectiveness. This study addressed the need for empirical studies that considered the impact of EI and personality on leadership performance and effectiveness (Farnia & Nafukho, 2016). Primary and secondary data was collected from 54 healthcare leaders. Results suggest that EI is statistically and significantly related to leadership effectiveness. Conscientiousness was also found to significantly predict a healthcare leader’s effectiveness. Healthcare organizations interested in improving leadership effectiveness realize the importance of EI and personality on organizational outcomes. Implications for practice, HRD, leadership, and healthcare are discussed, as are future recommendations for research

Resident and Facility Factors Associated with Rehospitalization from Skilled Nursing Facilities

ABSTRACT Older adults often require short-term nursing home care after an acute hospital stay to receive skilled nursing or rehabilitation services. Rehospitalization after a skilled nursing facility (SNF) admission is a potential indicator of poor nursing home quality that is associated with substantial risks of complications and increased costs of care. This study examined resident and facility factors associated with 30-day rehospitalizations during a one-year study period from SNFs in New Mexico. The Minimum Data Set 3.0 was used to explore resident factors and Nursing Home Compare data was used for facility factors. Among residents admitted to the SNF from an acute care hospital for 30-days or fewer (n = 2,370), 317 (13.4%) were rehospitalized. In bivariate analyses, several resident characteristics during their SNF stay were associated with significantly increased probability of rehospitalization, including an unhealed pressure ulcer, delirium, shortness of breath, and oxygen use. In multivariable models, the relative odds of rehospitalization were increased in those who identified as American Indian or Alaska Native, residents who rejected care, those with symptoms of delirium, and those who required greater mobility assistance with activities of daily living. The relative odds of rehospitalization were decreased in women and in residents with dementia. However, overall, none of the models improved prediction of rehospitalization. The Nursing Home Compare 5-star rating showed a decline in nurse staff ratings from 2015 to 2016. Policy implications include value-based penalties linked to high SNF rehospitalization rates and policies focused on reducing Medicare costs, while improving nursing home quality

(Re)Introducing communication competence to the health professions

Despite the central role that communication skills play in contemporary accounts of effective health care delivery in general, and the communication of medical error specifically, there is no common or consensual core in the health professions regarding the nature of such skills. This lack of consensus reflects, in part, the tendency for disciplines to reinvent concepts and measures without first situating such development in disciplines with more cognate specialization in such concepts. In this essay, an integrative model of communication competence is introduced, along with its theoretical background and rationale. Communication competence is defined as an impression of appropriateness and effectiveness, which is functionally related to individual motivation, knowledge, skills, and contextual facilitators and constraints. Within this conceptualization, error disclosure contexts are utilized to illustrate the heuristic value of the theory, and implications for assessment are suggested