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1.
Qual Manag Health Care ; 6(2): 21-30, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10178156

RESUMO

Seventy-seven medical, physician assistant, nurse practitioner, and health services management students were provided training in quality improvement, community-oriented primary care, and teamwork. These students were then formed into 13 interdisciplinary teams to apply their knowledge in underserved areas ("service learning") under a community and faculty preceptor.


Assuntos
Educação de Graduação em Medicina , Modelos Educacionais , Profissionais de Enfermagem/educação , Equipe de Assistência ao Paciente , Assistentes Médicos/educação , Gestão da Qualidade Total , Estágio Clínico , Centros Comunitários de Saúde , Relações Comunidade-Instituição , Educação Baseada em Competências , District of Columbia , Administração Hospitalar/educação , Área Carente de Assistência Médica , Unidades Móveis de Saúde , Atenção Primária à Saúde
2.
J Healthc Manag ; 43(6): 527-40, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10338930

RESUMO

This case describes the experience of the Detroit Medical Center (DMC) in restructuring its governance and management. It provides a background on the DMC, examines the driving forces that led to modification of its structure, identifies key principles in guiding the change, and describes the strategies and specific steps taken in managing structural change. Finally, the critical lessons learned about leadership style, communication, agenda development, and relations with the board, medical staff, and management are discussed. This case study will help reduce the learning curve for any large, complex organization undertaking board and management restructuring to better meet its mission. At the time of DMC's restructuring there were no models to guide the effort. This case study attempts to reduce the gap in research on the management of structural change.


Assuntos
Conselho Diretor/organização & administração , Reestruturação Hospitalar/organização & administração , Hospitais Urbanos/organização & administração , Comportamento do Consumidor , Redução de Custos , Competição Econômica , Eficiência Organizacional , Acessibilidade aos Serviços de Saúde , Hospitais Urbanos/economia , Programas de Assistência Gerenciada/organização & administração , Michigan , Estudos de Casos Organizacionais , Cultura Organizacional , Inovação Organizacional , Objetivos Organizacionais , Avaliação de Processos e Resultados em Cuidados de Saúde , Planejamento de Assistência ao Paciente , Reorganização de Recursos Humanos
3.
Mil Med ; 157(7): 342-5, 1992 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1528467

RESUMO

This paper describes how the King Fahad National Guard Hospital in Riyadh, The Kingdom of Saudi Arabia, integrated United States Army (USA) medical units and prepared the hospital to receive war casualties during Operation Desert Storm. In particular, preparation of the hospital, the staff, and military systems are reviewed. The report will also discuss operations at the hospital during Operation Desert Storm and the major lessons learned. Comment is provided by the host nation hospital regarding the impact of the experience with the USA medical units and their personnel.


Assuntos
Hospitais Militares , Militares , Guerra , Humanos , Arábia Saudita , Estados Unidos
4.
Mil Med ; 157(11): 598-601, 1992 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1470355

RESUMO

Rapid development of land-based units in Operation Desert Shield/Storm presented critical needs for medical support. Integration of small Navy mobile medical teams in Bahrain and a larger United States Army Hospital unit in Riyadh, Saudi Arabia, at host nation hospitals presented an innovative method of providing this support. The success of these ventures in convenience and quality of care establishes the host nation interaction with military medical professionals as a workable, satisfying, and important adjunct to standard military medical care.


Assuntos
Medicina Militar , Guerra , Barein , Arábia Saudita , Fatores de Tempo , Estados Unidos
6.
Top Health Inf Manage ; 21(3): 8-17, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11234733

RESUMO

Ten human factors affect the implementation of knowledge management initiatives, including fear, cultural change, capturing of tacit knowledge, ease of use, stakeholder involvement, and benefits realization. To deal with these factors, a phased change management approach is offered, consisting of an assessment, strategic planning, organization development, systems design, orientation and training, team building, and continuous evaluation and improvement.


Assuntos
Atenção à Saúde/organização & administração , Gestão da Informação/organização & administração , Conhecimento , Cultura Organizacional , Inovação Organizacional , Atitude do Pessoal de Saúde , Sistemas de Apoio a Decisões Administrativas , Humanos , Capacitação em Serviço , Equipes de Administração Institucional , Liderança , Estados Unidos
7.
Health Care Manage Rev ; 16(2): 65-71, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-2055757

RESUMO

The article describes a case in which dysfunctional teamwork was threatening patient care on medical units. Various team-building techniques were used by trained facilitators. Survey results showed that the interventions resulted in improved communication, morale, and working relationships.


Assuntos
Unidades Hospitalares , Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração , Identificação Social , Pessoal Administrativo/psicologia , Atitude do Pessoal de Saúde , Processos Grupais , Humanos , Corpo Clínico Hospitalar/psicologia , Moral , Recursos Humanos de Enfermagem Hospitalar/psicologia , Supervisão de Enfermagem/organização & administração , Inovação Organizacional , Recursos Humanos
8.
Jt Comm J Qual Improv ; 22(3): 188-97, 1996 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8664951

RESUMO

Our educational efforts produced several intersecting interdisciplinary groups: faculty, students, faculty/students and our community sites, with faculty, clinical staff, and students. As we worked through the issues, these interdisciplinary teams found that commitment to change, caring for patients, and open, honest communication were essential to keeping the project teams on track. We have increased our understanding of both the complexity and value of interdisciplinary collaborative education. The LIT faculty provided the initial guidance and support, the students energized the process, and our community sites made our learning and our contributions readily available to our patient populations. It is not easy to learn and teach the language and tools of continuous improvement, but doing so infinitely improves the educational process and the clinical outcome. We must learn to carefully listen to each other so that our patients can fully reap the benefits of our interdisciplinary team efforts. As a result of what we learned, the members of the George Team have expanded our motto to "Blessed Are the Flexible--and the Perseverant!"


Assuntos
Ocupações em Saúde/educação , Modelos Educacionais , Equipe de Assistência ao Paciente/normas , Gestão da Qualidade Total , Serviços de Saúde Comunitária , District of Columbia , Docentes , Humanos , Avaliação de Programas e Projetos de Saúde , Estudantes de Ciências da Saúde , Virginia
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