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  • Article

Health Equity, Schooling Hesitancy, and the Social Determinants of Learning

By: Meira Levinson, Alan C. Geller, Joseph G. Allen and John D. Macomber
At least 62 million K-12 students in North America—disproportionately low-income children of color— have been physically out of school for over a year due to the COVID-19 pandemic. These children are at risk of significant academic, social, mental, and physical harm... View Details
Keywords: COVID-19; Public Health; Air Quality; Social Determinants Of Health; Schooling Hesitancy; Vaccine Hesitancy; Racial Injustice; Inequity; Inequality; Health Pandemics; Education; Health Care and Treatment; Policy; Race; Equality and Inequality
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  • Article

Team Scaffolds: How Mesolevel Team Structures Enable Role-based Coordination in Temporary Groups

By: Melissa A. Valentine and Amy C. Edmondson
This paper shows how mesolevel structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details
Keywords: Groups and Teams; Health Care and Treatment; Cooperation; Health Industry
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  • Article

A Feasibility Study Using Time-driven Activity-based Costing as a Management Tool for Provider Cost Estimation: Lessons from the National TB Control Program in Zimbabwe in 2018

By: J. Chirenda, B. Nhlema Simwaka, C. Sandy, K. Bodnar, S. Corbin, P. Desai, T. Mapako, S. Shamu, C. Timire, E. Antonio, A. Makone, A. Birikorang, T. Mapuranga, M. Ngwenya, T. Masunda, M. Dube, E. Wandwalo, L. Morrison and R. S. Kaplan
Background: This study used process maps and time-driven activity-based costing to document TB service delivery processes. The analysis identified the resources required to sustain TB services in Zimbabwe, as well as several opportunities for more effective and... View Details
Keywords: Time-Driven Activity-Based Costing; Provider Cost; Health Care and Treatment; Cost Management; Activity Based Costing and Management; Zimbabwe
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  • 2016
  • Working Paper

Cohort Turnover and Operational Performance: The July Phenomenon in Teaching Hospitals

By: Hummy Song, Robert S. Huckman and Jason R. Barro
We consider the impact of cohort turnover—the planned simultaneous exit of a large number of experienced employees and a similarly sized entry of new workers—on operational performance in the context of teaching hospitals. Specifically, we examine the impact of the... View Details
Keywords: Health Care; Health Care Operations; Hospitals; Productivity; Empirical Operations; Service Delivery; Training; Performance Productivity; Health Care and Treatment; Health Industry; United States
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  • 14 Jun 2023
  • Research & Ideas

Four Steps to Building the Psychological Safety That High-Performing Teams Need

lockdown. When workers stayed silent due to feeling unsafe or undervalued, disaster struck: Consider the spectacular implosion of New York Governor Andrew Cuomo’s administration after it came to light that people were concealing the number of View Details
Keywords: by Kara Baskin
  • Summer 2014
  • Article

Designed for Workarounds: A Qualitative Study of the Causes of Operational Failures in Hospitals

By: Anita L. Tucker, W. Scott Heisler and Laura D. Janisse
Frontline care providers in hospitals spend at least 10% of their time working around operational failures, which are situations where information, supplies, or equipment needed for patient care are insufficient. However, little is known about underlying causes of... View Details
Keywords: Supply Chain; Health Care and Treatment; Failure; Business Processes; Health Industry
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  • Article

Spending Variation Among ACOs in the Medicare Shared Savings Program

By: Michael Anne Kyle, J. Michael McWilliams, Mary Beth Landrum, Bruce E. Landon, Paul Trompke, David J. Nyweide and Michael E. Chernew
OBJECTIVES: Understanding variation in spending across organizations, rather than across geographic areas, is important because care is delivered by organizations and interventions increasingly focus on organizations. Accountable care organizations (ACOs) are... View Details
Keywords: Medicare; Accountable Care Organizations; ACOs; Health Care and Treatment; Spending; Analysis
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  • 23 Jan 2024
  • Research & Ideas

How to Keep Employees Productive: Support Caregivers

proper return-on-investment analysis can it understand the extent of the caregiving challenges facing their workforce,” Fuller warns. How COVID-19 changed the caregiving landscape For years, caregiving wasn’t discussed on the job. Taking a child to the doctor or... View Details
Keywords: by Kara Baskin
  • Article

Team Scaffolds: How Mesolevel Structures Enable Role-based Coordination in Temporary Groups

By: M. Valentine and A. C. Edmondson
This paper shows how meso-level structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details
Keywords: Fluid Personnel; Team Scaffolds; Team Effectiveness; Role-based Coordination; Multi-method; Service Delivery; Organizational Structure; Groups and Teams; Performance Efficiency
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  • 2014
  • Working Paper

Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups

By: Melissa A. Valentine and Amy C. Edmondson
This paper shows how meso-level structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details
Keywords: Fluid Personnel; Team Scaffolds; Team Effectiveness; Role-based Coordination; Multi-method; Health Care and Treatment; Analytics and Data Science; Knowledge Use and Leverage; Organizational Structure; Outcome or Result; Performance Effectiveness; Groups and Teams; Networks; Behavior; Balance and Stability; Health Industry
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  • 09 Apr 2024
  • Book

Why Work Rituals Bring Teams Together and Create More Meaning

focus—and in fact, he felt he couldn’t perform without it. “His charmed crustacean was as important as his finely tuned piano,” Norton writes. Similarly, Norton recounts in the book the example of an emergency room nurse who, during the... View Details
Keywords: by Michael Blanding
  • September 2016
  • Article

Value Based Care and Bundled Payments: Anesthesia Care Costs for Outpatient Oncology Surgery Using Time-driven Activity-based Costing

By: Katy E. French, Alexis B. Guzman, Augustin C. Rubio, John C. Frenzel and Thomas Feeley
Background: With the movement towards bundled payments, stakeholders should know the true cost of the care they deliver. Time-driven activity-based costing (TDABC) can be used to estimate costs for each episode of care. In this analysis, TDABC is used to both... View Details
Keywords: Cost; Insurance; Health Care and Treatment; Insurance Industry; Health Industry
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  • 01 Mar 2013
  • Working Paper Summaries

Hurry Up and Wait: Differential Impacts of Congestion, Bottleneck Pressure, and Predictability on Patient Length of Stay

Keywords: by Jaeker Berry Jillian & Anita L. Tucker; Health
  • 14 Sep 2023
  • Research & Ideas

Working Moms Are Mostly Thriving Again. Can We Finally Achieve Gender Parity?

surveyed are leaving traditionally gendered jobs such as teaching and nursing for higher-paying fields with better hours. “In our data, we are not seeing women take on lower-paying jobs. But we are seeing women take different kinds of... View Details
Keywords: by Kara Baskin
  • 01 Oct 2013
  • Working Paper Summaries

Organizational Factors that Contribute to Operational Failures in Hospitals

Keywords: by Anita L. Tucker, W. Scott Heisler & Laura D. Janisse; Health
  • 20 Jun 2005
  • Research & Ideas

Creating a Positive Professional Image

consulting firm. Similarly, female medical students and residents are often mistaken for nurses or orderlies and challenged by patients who do not believe they are legitimate physicians. Q: What is impression management and what are its... View Details
Keywords: by Mallory Stark
  • 02 Mar 2007
  • What Do You Think?

What Is the Government’s Role in US Health Care?

medications?" In citing the need for more doctors and nurses, David Stahl comments that "it could be a way to help open immigration in this country." Michael Robbins adds, "Healthcare has been a closed guild." David Othmer cited "the maze of regulations that keep, for... View Details
Keywords: by Jim Heskett; Health
  • 30 May 2024
  • Research & Ideas

Racial Bias Might Be Infecting Patient Portals. Can AI Help?

impact response rates. The researchers acknowledge that some messages may have a more business-like tone and more sophisticated terminology, while others come across as informal, perhaps due to typos. These differences in syntax could lead triage View Details
Keywords: by Ben Rand; Health
  • 21 Aug 2000
  • Research & Ideas

Inside the OR: Disrupted Routines and New Technologies

coordination; and engagement in process innovation. Teams that prepare by setting aside time to gather together and preview all aspects of a disruptive procedure, for example, are more likely to successfully implement the technology. At one of the successful hospitals,... View Details
Keywords: by Hilah Geer
  • 22 Mar 2021
  • Research & Ideas

How to Learn from the Big Mistake You Almost Make

accountable to each other and comfortable speaking up, but there was significant variance depending on position, with higher-ranked employees, like physicians, generally feeling safer to speak their minds compared to lower-ranked employees, like View Details
Keywords: by Kristen Senz; Health

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