This issue brief uses large employer experiences with pharmacy benefit managers (PBMs) to shed light on their potential as Medicare outpatient drug benefit administrators. PBM management techniques and typical employer approaches are discussed, as well as employer perspectives on PBM strengths and weaknesses and lessons learned. Considerations for Medicare policy are also examined. Information ...

THISARTICLE PROVIDES INFORMATION on organizational approaches to managing stress in the library workplace; defines stress as a person’s psychological and physiological response to the perception of a demand or challenge; develops the concepts of stressors and coping strategies; and emphasizes the importance of library personnel officers, administrators, and managers knowing the dynamics of stre...

Patient safety culture is critical to the achievement of patient safety. In 2014, a landmark national study was conducted to investigate patient safety culture in nephrology nurse practice settings. In this secondary analysis of data from that study, we report the status of patient safety culture by primary work unit (chronic hemodialysis unit, acute hemodialysis unit, peritoneal dialysis unit)...

BACKGROUND South Africa has large public and private sectors and there is a common perception that public sector hospitals are inefficient and ineffective while the privately owned and managed hospitals provide superior care and are more sustainable. The underlying assumption is that there is a potential gap in management capacity between the two sectors. This study aims to ascertain the skills...

BACKGROUND Middle manager resistance is often described as a major challenge for upper-level administrators seeking to implement complex innovations such as evidence-based protocols or new skills training. However, factors influencing middle manager support for innovation implementation are currently understudied in the U.S. health care literature. PURPOSE This article examined the factors th...

In 2008, Accreditation Canada adopted a new survey methodology, known as Qmentum, which assesses the degree to which its standards are embedded into daily practice. The Qmentum standards include Required Organizational Practices (ROPs), which are practices that must be in place to enhance patient safety and to minimize risk. Health authorities across Canada face significant challenges in assess...

This case study describes a collaborative project to reduce mercury in hospitals in Ecuador and Mexico and at the same time, to train environmental health and safety specialists and hospital staff on a process for reducing occupational and environmental hazards. The ultimate goal was to increase expertise in pollution prevention among hospital workers and enable hospitals to advance mercury red...