Key factors outside of health-system pharmacy that will shape this sector of the profession in the coming years are (1) the national economy, (2) national politics, (3) the debt of the federal government, (4) global megatrends (including terrorism and economic globalization), (5) health care reform, and (6) trends in the development and use of medicines. These factors will translate into paymen...

BACKGROUND Well-being and various forms of agitation in people with dementia can be improved in a person-centered long-term care setting. Data obtained during the Person-Centered Dementia Care and Environment (PerCEN) randomized controlled trial shed light on the factors that influenced the adoption and outcomes of person-centered interventions in long-term care from the perspective of study pa...

Multidisciplinary team meetings (MDT's) form part of the daily work in most hospitals caring for cancer patients as a form of institutionalised communication. The degree of organisation and the type of communication in these MDTs has a direct impact on the quality of patient care provided. One resulting decision from a multidisciplinary discussion is more accurate and effective than the sum of ...

Leadership has mostly been considered as an unidirectional process centered on leaders influencing their followers. However, recent theoretical developments indicate that followers may also have impact formal leader. In this pre-registered study, we investigate the interplay between shared leadership and team (i.e., empowering leadership). We predict interpret team’s investment to reach for com...

To achieve sustainable change, quality improvement initiatives must become the new way of working rather than something added on to routine clinical care. However, most organizational change is not maintained. In this next article in this Moving Points in Nephrology feature on quality improvement, we provide health care professionals with strategies to sustain and support quality improvement. T...

In response to rapid change and fierce competition, creativity is an imperative factor to develop and implement innovation. Hence, most firms have pursued diverse strategies to promote individual and team creativity in the workplace. Shared leadership is a voluntarily, informally emergent structure beyond vertical leadership. A team is composed of individual members, and shared leadership and d...

Fourteen mental health teams covering community, inpatient, and primary care across different NHS regions in England completed the pilot stage of the evaluation of a seven-day focused local whole systems intervention for improved teamworking and leadership. Outcome at the end of the programme was evaluated using measures of teamwork, team effectiveness, staff burnout, job satisfaction and leade...

CONTEXT The Center for Medicare and Medicaid Innovation (CMMI) awarded Denver Health's (DH) integrated, safety net health care system $19.8 million to implement a "population health" approach into the delivery of primary care. This major practice transformation builds on the Patient Centered Medical Home (PCMH) and Wagner's Chronic Care Model (CCM) to achieve the "Triple Aim": improved health f...

Many organizations adopt work teams to increase performance or achieve specific organizational goals. However, there are still many unrevealed issues in teams’ operation although the researches of teams have been concerned by many studies. Previous researches indicated that team learning is an important strategy that organizations could obtain to gain the competition advantages. In addition, le...

Research on school leadership has shown that a principal's influence student achievement is indirect and significant. A sample of principals who earned the highest (distinguished) rating Vanderbilt Assessment Leadership in Education (VAL-ED) measure responded to open-ended questions during an in-person interview. Principals this study identified specific actions related VAL-ED-defined key proce...