A location–allocation model for service providers with application to not-for-profit health care organizations

Omega ◽  
2010 ◽  
Vol 38 (3-4) ◽  
pp. 157-166 ◽  
Author(s):  
Siddhartha S. Syam ◽  
Murray J. Côté
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Service Providers ◽  
Allocation Model ◽  
Location Allocation ◽  
For Profit ◽  
Not For Profit

scholarly journals A Primer on the Accounting and Reporting Requirements for Not-for-Profit Organizations

2016 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Cole J. Engel
Keyword(s):  
Health Care ◽  
Federal Government ◽  
Health Care Organizations ◽  
The United States ◽  
For Profit ◽  
Not For Profit ◽  
Reporting Requirements ◽  
Business Entities ◽  
Not For Profit Organizations ◽  
For Profit Organizations

<p>Over the past 20 years, not-for-profit organizations (NPOs) in the United States and across the globe have become increasingly entrenched in the market economy. NPOs conduct business, employ individuals, and compete in the global marketplace. The federal government, institutions of higher education, and health care organizations are three primary examples of NPOs. Each has much in common with business entities. However, the differences between them have profound implications for financial reporting. This is primarily because they are all required to follow complex accounting and reporting requirements that fall under the jurisdictions of various governing bodies. First, this article explores the establishment of an NPO, discusses the generally accepted accounting principles (GAAP) followed in preparing financial statements, and summarizes the differences between the not-for-profit and for-profit environments. Second, this article explores the accounting and reporting requirements of the federal government, colleges and universities, and health care organizations.</p>

scholarly journals The Implementation of the NDIS: Who Wins, Who Loses?

2014 ◽  
Vol 6 (2) ◽  
pp. 25-39 ◽  
Author(s):  
Jenny Green ◽  
Jane Mears
Keyword(s):  
Paradigm Shift ◽  
Service Providers ◽  
Disability Insurance ◽  
Government Funding ◽  
Disability Rights ◽  
Insurance Scheme ◽  
Major Step ◽  
For Profit ◽  
Not For Profit ◽  
People With Disability

The National Disability Insurance Scheme (NDIS) is a major paradigm shift in funding and support for people with disability in Australia. It is a person centered model that has at its core a change in government funding away from service providers direct to individuals with disability. In principle it is heralded as a major step forward in disability rights. Nonetheless, the implementation poses threats as well as benefits. This paper outlines potential threats or risks from the perspective of not-for-profit organisations, workers in the sector and most importantly people with disability.  It draws on a range of recent reports on the sector, person centered models of funding and care, the NDIS and past experience. Its purpose is to forewarn the major issues so that implementers can be forearmed. 

Implementation of Wireless “Intelligent” Pump IV Infusion Technology in a Not-for-Profit Academic Hospital Setting

2007 ◽  
Vol 42 (9) ◽  
pp. 832-840 ◽  
Author(s):  
Lor Siv-Lee ◽  
Linda Morgan
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Hospital Setting ◽  
The United States ◽  
Main Campus ◽  
For Profit ◽  
Not For Profit ◽  
Drug Concentrations ◽  
Wireless Infrastructure ◽  
Infusion System

Purpose This paper describes the implementation of wireless “intelligent” pump intravenous (IV) infusion technology in a not-for-profit academic, multicampus hospital system in the United States. Methods The process of implementing a novel infusion system in a multicampus health care institution (main campus plus three satellite campuses) is described. Details are provided regarding the timelines involved, the process for the development of the drug libraries, and the initial implementation within and across campuses. Results In early 2004, with the end of the device purchase contract period nearing, a multidisciplinary committee evaluated potential IV infusion pumps for hospital use. In April 2004, the committee selected the Plum A+ infusion system with Hospira MedNet software and wireless capabilities (Hospira Inc., Lake Forest, IL). Implementation of the single-channel IV infusion system took place July through October 2005 following installation of the wireless infrastructure throughout the multicampus facility. Implementation occurred in July, one campus at a time; the three smaller satellite campuses went “live” before the main campus. Implementation of the triple-channel IV infusion system took place in March 2006 when the wireless infrastructure was completed and fully functional throughout the campuses, software was upgraded, and drug library revisions were completed and uploaded. Conclusion “Intelligent” pump technology provided a framework to standardize drug concentrations used in the intensive care units. Implementation occurred transparently without any compromise of patient care. Many lessons were learned during implementation that explained the initial suboptimal compliance with safety software use. In response, the committee developed strategies to increase software utilization rates, which resulted in improved acceptance by nursing staff and steadily improving compliance rates. Wireless technology has supported remote device management, prospective monitoring, the avoidance of medication error, and the timely education of health care professionals regarding potential medication errors.

Hospital Religious Affiliation and Outcomes for High-Risk Infants

2011 ◽  
Vol 69 (3) ◽  
pp. 316-338 ◽  
Author(s):  
Melissa M. Garrido ◽  
Kirk C. Allison ◽  
Mark J. Bergeron ◽  
Bryan Dowd
Keyword(s):  
Health Care ◽  
Religious Affiliation ◽  
Perinatal Outcomes ◽  
Extremely Low Birth Weight ◽  
American Hospital ◽  
American Hospital Association ◽  
For Profit ◽  
Annual Survey ◽  
Not For Profit ◽  
Organizational Affiliation

The effect of hospital organizational affiliation on perinatal outcomes is unknown. Using the 2004 American Hospital Association Annual Survey and Healthcare Cost and Utilization Project State Inpatient Databases, the authors examined relationships among organizational affiliation, equipment and service availability and provision, and in-hospital mortality for 5,133 infants across five states born with very low and extremely low birth weight and congenital anomalies. In adjusted bivariate probit selection models, the authors found that government hospitals had significantly higher mortality rates than not-for-profit nonreligious hospitals. Mortality differences among other types of affiliation (Catholic, not-for-profit religious, not-for-profit nonreligious, and for-profit) were not statistically significant. This is encouraging as health care reform efforts call for providers at facilities with different institutional values to coordinate care across facilities. Although there are anecdotes of facility religious affiliation being related to health care decisions, the authors did not find evidence of these relationships in their data.

scholarly journals Integration of mental health care in private not-for-profit health centres in Guinea, West Africa: a systemic entry point towards the delivery of more patient-centred care?

2019 ◽  
Author(s):  
Abdoulaye Sow ◽  
Jeroen De Man ◽  
Myriam De Spiegelaere ◽  
Veerle Vanlerberghe ◽  
Bart Criel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Participation ◽  
Care Providers ◽  
Patient Centred Care ◽  
For Profit ◽  
Not For Profit ◽  
Health Centres ◽  
Care Package

Abstract Abstract Background Patient-centred care is an essential component of quality of health care. We hypothesize that integration of a mental health care package into versatile first-line health care services can strengthen patient participation, an important dimension of patient-centred care. The objective of this study is to analyse whether consultations conducted by providers in facilities that integrated mental health care score higher in terms of patient participation. Methods This study was conducted in Guinea in 12 not-for-profit health centres, 4 of which had integrated a mental health care package (MH+) and 8 had not (MH-). The study involved 450 general curative consultations (175 in MH+ and 275 in MH- centres), conducted by 18 care providers (7 in MH+ and 11 in MH- centres). Patients were interviewed after the consultation on how they perceived their involvement in the consultation, using the Patient Participation Scale (PPS). The providers completed a self-administered questionnaire on their perception of patient’s involvement in the consultation. We compared scores of the PPS between MH+ and MH- facilities and between patients and providers. Results The mean PPS score was 24.21 and 22.54 in MH+ and MH- health centres, respectively. Participation scores depended on both care providers and the health centres they work in and ranged from 19.12 to 26.96 (p <0.001) for providers and from 20.49 to 26.96 (p <0.001) for the health centres. When adjusting for health providers and the duration of consultation, the patients consulting an MH+ centre were scoring higher on patient participation score than the ones of an MH- centre (adjusted odds ratio of 4.06 with a 95% CI of 1.17-14.10, p = 0.03). All care providers agreed they understood the patients' concerns, and patients shared this view. All patients agreed they wanted to be involved in the decision-making concerning their treatment; providers, however, were reluctant to do so. Conclusion Integrating a mental health care package into versatile first-line health services can promote more positive attitudes of care provider-patient interactions, even though this process by its own is not sufficient.

A Perspective on the Corporate Transformation of Health Care

1995 ◽  
Vol 25 (1) ◽  
pp. 11-42 ◽  
Author(s):  
J. Warren Salmon
Keyword(s):  
Health Care ◽  
Service Providers ◽  
Care Delivery ◽  
Mode Of Delivery ◽  
Health Sector ◽  
The United States ◽  
Dominant Mode ◽  
For Profit ◽  
Health Service Providers ◽  
History Of

The ever-increasing ownership of health service providers, suppliers, and insurers by investor-owned enterprises presents an unforeseen complexity and diversity to health care delivery. This article reviews the history of the for-profit invasion of the health sector, linking corporate purchaser directions to the now dominant mode of delivery in managed care. These dynamics require unceasing reassessment while the United States embarks upon implementation of national health care reform.

scholarly journals Ownership and Exit Behavior: Evidence from the Home Health Care Market

2016 ◽  
Vol 16 (1) ◽  
pp. 289-320 ◽  
Author(s):  
Chiara Orsini
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Capital Investment ◽  
Home Health ◽  
Health Care Market ◽  
For Profit ◽  
Not For Profit ◽  
Quasi Experimental ◽  
The Law ◽  
Exit Behavior

Abstract In the US health care system a high fraction of suppliers are not-for-profit companies. Some argue that non-profits are “for-profits in disguise” and I test this proposition in a quasi-experimental way by examining the exit behavior of home health care firms after a legislative change considerably reduced reimbursed visits per patient. The change allows me to construct a cross provider measure of restriction in reimbursement and to use this measure and time-series variation due to the passage of the law in my estimates. I find that exits among for-profit firms are higher than those of not-for-profit firms, rejecting the null that these sectors responded to the legislation in similar ways. In addition, my results expand the view that “not-for-profit” firms are a form of “trapped capital.” There is little capital investment in the home health care market, so the higher exit rates of for-profit firms after the law change indicate the possible role of labor inputs in generating differences in exit behavior across sectors.

Healthcare branding: developing emotionally based consumer brand relationships

2014 ◽  
Vol 28 (2) ◽  
pp. 126-137 ◽  
Author(s):  
Elyria Kemp ◽  
Ravi Jillapalli ◽  
Enrique Becerra
Keyword(s):  
Health Care ◽  
Affective Commitment ◽  
Health Care Organizations ◽  
Service Providers ◽  
Equation Modeling ◽  
Brand Relationships ◽  
Service Experience ◽  
Content Type ◽  
Health Care Context ◽  
Branding Strategies

Purpose – Brands can imbue unique meaning to consumers, and such meaning and personal experience with a brand can create an emotional connection and relationship between the consumer and the brand. Just as many service providers have adopted branding strategies, marketers are branding the health care service experience. Health care is an intimate service experience and emotions play an integral role in health care decision making. The purpose of this paper is to examine how emotional or affect-based consumer brand relationships are developed for health care organizations. Design/methodology/approach – Empirical evidence from both depth interviews and data garnered from 322 surveys were integrated into a conceptual model. The model was tested using structural equation modeling. Findings – Results indicate that trust, referent influence and corporate social responsibility are key variables in establishing affective commitment in consumer brand relationships in a health care context. Once affective commitment is achieved, consumers may come to identify with the health care provider's brand and a self-brand connection is formed. When such a phenomenon takes place, consumers can serve as advocates for the brand by actively promoting it via word-of-mouth. Practical implications – The findings provide insight for marketing managers in developing successful branding strategies for health care organizations. Originality/value – This research examines the advantages of cultivating meaningful brand connections and relationships with consumers in a health care context.

Contribution of knowing in practice to dynamic capabilities

2019 ◽  
Vol 26 (1) ◽  
pp. 60-77 ◽  
Author(s):  
Ane Isabel Linden ◽  
Claudia Bitencourt ◽  
Hugo Fridolino Muller Neto
Keyword(s):  
Health Care ◽  
Dynamic Capabilities ◽  
Health Care Organizations ◽  
Service Providers ◽  
Project Managers ◽  
Organizational Level ◽  
Strategic Decisions ◽  
Content Type ◽  
Theoretical Approaches ◽  
The Board Of Directors

Purpose This paper aims to discuss the contribution of knowing in practice (KP) to the development of dynamic capabilities (DC) in the context of health-care organizations. Design/methodology/approach The authors develop a case study in a Brazilian hospital in three stages using the data collection techniques of interviews, focus groups, shadowing and conjoint analysis. The participants were health-care employees, supervisors, project managers and members of the board of directors. Findings This paper identifies the contribution of KP to develop DC based on strategic practices and their respective microprocesses as key elements to DC microfoundations. In the end, the paper points out a mutual contribution between the theoretical approaches. Research limitations/implications This proposal makes sense in organizations where the practices have a strategic nature, such as hospitals and service providers. Practical implications This study suggests an alignment between strategic and operational views, stimulating learning across organizational levels. Originality/value KP helps to give DC a tangible form by including a human dimension into microfoundations, giving voice to practitioners in the strategic decisions. The integration of KP and DC approaches allows organizations to perceive DC in daily practices making DC present in every organizational level, stimulating a continuous organizational learning process.

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