Background Trauma-related hospitalizations drive a high percentage of health care expenditure and inpatient resource consumption, which is directly related to length of stay (LOS). Robust and reliable interactions among health care employees can reduce LOS. However, there is little known about whether certain patterns of interactions exist and how they relate to LOS and its variability. The obj...

After a period of relatively low health care inflation during the 1990s, health care costs increased sharply in 1999 and 2000, and similarly high increases are estimated for 2001. The news for employers providing health insurance and their employees is worse: data indicate that increases in insurance premiums exceed the increases in the cost of care. Finally, whereas employers might have absorb...

When Robert Laskowski, MD, president and CEO of Christiana Care Health System, Wilmington, Del., and an ACHE Member, speaks to new employees as part of their orientation, he talks about the organization’s mission, commonly referred to as the Christiana Care Way. It is a framework, a compass if you will, that gets employees and the institution on the right path—the way—and keeps them there: “We ...

INTRODUCTION Presence of committed personnel in each organization not only reduces their absenteeism, delays, and displacements but also leads to a dramatic increase in performance and efficiency of an organization, mental freshness of employees, better manifestation of noble objectives, and organizational mission as well as fulfillment of personal goals. Therefore, the purpose of this study wa...

With US health expenditure rising past 16% of the country's total economic output—a level almost 50% higher than in any other country—politicians and business executives are scrambling to avoid the bills for America's ragged patchwork of public and private health systems. Opinion polls indicate that health-care bills are now of greater concern to the US public than terrorism, illegal immigratio...

1. The Kaiser Family Foundation and Health Research & Educational Trust. 2013 Employer health benefits survey. August 20, 2013 (http://kff.org/private-insurance/report/2013 -employer-health-benefits/). 2. Swartz K. Cost-sharing: effects on spending and outcomes. Research synthesis report no. 20. The Synthesis Project. December 2010 (http://www.rwjf.org/content/dam/ farm/reports/issue_briefs/201...

a ttitude among urmia medical university health workers about patient safety     khalilzadeh h [1] , hemmati maslakpak m [2] *, mohaddesi h [3] , zare fazlollahi z [4]     received: 17 jun , 2013 accepted: 14 aug , 2013     abstract   background & aims : today, patient safety is a critical factor in the quality of health care. the main problem of health care providers in improving their quality...

results the findings of this study showed that in most selected countries, primary care services were provided by the private sector and the public sector has been mostly functioning as a supervisor in this area, but in iran, primary care services were provided by the government. the findings of this study also showed that hospital services in iran and selected countries (second and third level...

PURPOSE To identify how organizations prepare clinicians to work together to integrate behavioral health and primary care. METHODS Observational cross-case comparison study of 19 U.S. practices, 11 participating in Advancing Care Together, and 8 from the Integration Workforce Study. Practices varied in size, ownership, geographic location, and experience delivering integrated care. Multidisci...

OBJECTIVE Supervisor-level policies and the presence of a manager engaged in an employee's need to achieve work-family balance, or "supervisory support," may benefit employee health, including self-reported pain. METHODS We conducted a census of employees at four selected extended care facilities in the Boston metropolitan region (n = 368). Supervisory support was assessed through interviews ...