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Holicky A, Anderson-Reeves T, Bennett AC, Lightner S, McRae KD, Handler A. Child Care as a Barrier to Perinatal Health Care in Illinois. Matern Child Health J 2024; 28:221-228. [PMID: 37831338 PMCID: PMC10922574 DOI: 10.1007/s10995-023-03784-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2023] [Indexed: 10/14/2023]
Abstract
PURPOSE Within a multi-state Collaborative Improvement and Innovation Network addressing the social determinants of health during 2017-2020, the Illinois Department of Public Health led an exploratory project to understand how the availability of child care affects maternal health care utilization. The project assessed whether lack of child care was a barrier to perinatal health care utilization and gathered information on health facility practices, resources, and policies related to child care DESCRIPTION: TWe surveyed (1) birthing hospitals (n = 98), (2) federally qualified health centers (FQHCs) (n = 40), and (3) a convenience sample of postpartum persons (n = 60). ASSESSMENT Each group reported that child care concerns negatively affect health care utilization (66% of birthing hospitals, 50% of FQHCs, and 32% of postpartum persons). Among postpartum persons, the most common reported reason for missing a visit due to child care issues was "not feeling comfortable leaving my child(ren) in the care of others" (22%). The most common child care resource reported by facilities was "staff watching children" (53% of birthing hospitals, 75% of FQHCs); however, most did not have formal child care policies or dedicated space for children. Fewer than half of FQHCs (43%) discussed child care at the first prenatal visit. CONCLUSION The project prompted the Illinois Title V program to add a child care-related strategy to their 2021-2025 Action Plan, providing opportunity for further examination of practices and policies that could be implemented to reduce child care barriers to perinatal care. Systematically addressing child care in health care settings may improve health care utilization among birthing/postpartum persons.
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Affiliation(s)
- Abigail Holicky
- Department of Medicine, Division of Academic Internal Medicine, Westside Research Office Building, University of Illinois at Chicago, 1747 W. Roosevelt Road, Room 274, Chicago, IL, 60612, USA.
- Illinois Department of Public Health (Formerly), Illinois, USA.
| | | | - Amanda C Bennett
- Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health, Field Support Branch, Maternal and Child Health Epidemiology Program, Atlanta, USA
- Illinois Department of Public Health, Office of Women's Health and Family Services, Title V Program, Illinois, USA
| | - Shannon Lightner
- Illinois Department of Public Health, Office of Women's Health and Family Services, Title V Program, Illinois, USA
| | - Kenya D McRae
- Illinois Department of Public Health (Formerly), Illinois, USA
| | - Arden Handler
- School of Public Health, University of Illinois at Chicago, Chicago, USA
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Goyal S, Gerardin J, Cobey S, Son C, McCarthy O, Dror A, Lightner S, Ezike NO, Duffus WA, Bennett AC. SARS-CoV-2 Infection Among Pregnant People at Labor and Delivery and Changes in Infection Rates in the General Population: Lessons Learned From Illinois. Public Health Rep 2022; 137:672-678. [PMID: 35510756 PMCID: PMC9257515 DOI: 10.1177/00333549221091826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Objectives: The Illinois Department of Public Health (IDPH) assessed whether increases in the SARS-CoV-2 test positivity rate among pregnant people at labor and delivery (L&D) could signal increases in SARS-CoV-2 prevalence in the general Illinois population earlier than current state metrics. Materials and Methods: Twenty-six birthing hospitals universally testing for SARS-CoV-2 at L&D voluntarily submitted data from June 21, 2020 through January 23, 2021, to IDPH. Hospitals reported the daily number of people who delivered, SARS-CoV-2 tests, and test results as well as symptom status. We compared the test positivity rate at L&D with the test positivity rate of the general population and the number of hospital admissions for COVID-19–like illness by quantifying correlations in trends and identifying a lead time. Results: Of 26 633 reported pregnant people who delivered, 96.8% (n = 25 772) were tested for SARS-CoV-2. The overall test positivity rate was 2.4% (n = 615); 77.7% (n = 478) were asymptomatic. In Chicago, the only region with a sufficient sample size for analysis, the test positivity rate at L&D (peak of 5% on December 7, 2020) was lower and more stable than the test positivity rate of the general population (peak of 14% on November 13, 2020) and lagged hospital admissions for COVID-19–like illness (peak of 118 on November 15, 2020) and the test positivity rate of the general population by about 10 days (Pearson correlation = 0.73 and 0.75, respectively). Practice Implications: Trends in the test positivity rate at L&D did not provide an earlier signal of increases in Illinois’s SARS-CoV-2 prevalence than current state metrics did. Nonetheless, the role of universal testing protocols in identifying asymptomatic infection is important for clinical decision making and patient education about infection prevention and control.
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Affiliation(s)
- Sonal Goyal
- Tribal, Local and Territorial Support Task Force, Centers for Disease Control and Prevention, Atlanta, GA, USA.,Illinois Department of Public Health, Chicago, IL, USA
| | - Jaline Gerardin
- Department of Preventive Medicine and Institute for Global Health, Northwestern University, Chicago, IL, USA
| | - Sarah Cobey
- Department of Ecology and Evolution, University of Chicago, Chicago, IL, USA
| | - Crystal Son
- Healthcare Analytics, Civis Analytics, Chicago, IL, USA
| | - Owen McCarthy
- Healthcare Analytics, Civis Analytics, Chicago, IL, USA
| | - Arielle Dror
- Healthcare Analytics, Civis Analytics, Chicago, IL, USA
| | - Shannon Lightner
- Office of Women's Health and Family Services, Illinois Department of Public Health, Chicago, IL, USA
| | - Ngozi O Ezike
- Illinois Department of Public Health, Chicago, IL, USA
| | - Wayne A Duffus
- Tribal, Local and Territorial Support Task Force, Centers for Disease Control and Prevention, Atlanta, GA, USA.,Illinois Department of Public Health, Chicago, IL, USA
| | - Amanda C Bennett
- Office of Women's Health and Family Services, Illinois Department of Public Health, Chicago, IL, USA.,Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Reising VA, Horne A, Bennett AC. The interaction of neonatal abstinence syndrome and opioid use disorder treatment availability for women insured by medicaid. Public Health Nurs 2020; 38:98-105. [PMID: 33025600 DOI: 10.1111/phn.12816] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 09/02/2020] [Accepted: 09/03/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This paper will discuss the process of mapping opioid use disorder (OUD) treatment resources for pregnant women and discuss the intersection between treatment resources and rates of neonatal abstinence syndrome (NAS). DESIGN A resource manual was developed through a systematic process with stakeholders across Illinois. Resources were mapped by county and overlaid with county rates of NAS, using hospital discharge data. RESULTS Across Illinois, 89 treatment resources were identified for pregnant women insured by Medicaid. Resources were concentrated in 36% of Illinois' counties. Counties with limited treatment resources generally had high rates of NAS. Sixty-six percent of NAS cases among rural Illinois residents had no OUD treatment resources in their county. Rural counties had less access to medication-assisted treatment (MAT), the standard of care for treatment of OUD, compared with other counties across the state. CONCLUSIONS Efforts to increase OUD treatment options for pregnant women insured by Medicaid should concentrate on geographic areas with limited access and high need.
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Affiliation(s)
| | - Ashley Horne
- Illinois Department of Public Health, Chicago, IL, USA.,University of Illinois at Chicago, Chicago, IL, USA
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Abstract
IMPORTANCE Reducing neonatal mortality is a national health care priority. Understanding the association between neonatal mortality and antenatal transfer of pregnant women to a level III perinatal hospital for delivery of infants who are very preterm (VPT) may help identify opportunities for improvement. OBJECTIVE To assess whether antenatal transfer to a level III hospital is associated with neonatal mortality in infants who are VPT. DESIGN, SETTING, AND PARTICIPANTS This population-based cross-sectional study included infants who were born VPT to Illinois residents in Illinois perinatal-network hospitals between January 1, 2015, and December 31, 2016, and followed up for 28 days after birth. Data analysis was conducted from June 2017 to September 2018. EXPOSURES Delivery of an infant who was VPT at a (1) level III hospital after maternal presentation at that hospital (reference group), (2) a level III hospital after antenatal (in utero) transfer from another hospital, or (3) a non-level III hospital. MAIN OUTCOMES AND MEASURES Neonatal mortality. RESULTS The study included 4817 infants who were VPT (gestational age, 22-31 completed weeks) and were born to Illinois residents in 2015 and 2016. Of those, 3302 infants (68.5%) were born at a level III hospital after maternal presentation at that hospital, 677 (14.1%) were born at a level III hospital after antenatal transfer, and 838 (17.4%) were born at a non-level III hospital. Neonatal mortality for all infants who were VPT included in this study was 573 of 4817 infants (11.9%). The neonatal mortality was 10.7% for the reference group (362 of 3302 infants), 9.8% for the antenatal transfer group (66 of 677 infants), and 17.3% for the non-level III birth group (145 of 838 infants). When adjusted for significant social and medical characteristics, infants born VPT at a level III hospital after antenatal transfer from another facility had a similar risk of neonatal mortality as infants born at a level III hospital (odds ratio, 0.79 [95% CI, 0.56-1.13]) after maternal presentation at the same hospital. Infants born at a non-level III hospital had an increased risk of neonatal mortality compared with infants born at a level III hospital after maternal presentation to the same hospital (odds ratio, 1.52 [95% CI, 1.14-2.02]). CONCLUSIONS AND RELEVANCE The risk of neonatal mortality was similar for infants who were VPT, whether women initially presented at a level III hospital or were transferred to a level III hospital before delivery. This suggests that the increased risk of mortality associated with delivery at a non-level III hospital may be mitigated by optimizing opportunities for early maternal transfer to a level III hospital.
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Affiliation(s)
- Kshama P. Shah
- Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Neonatology, Department of Pediatrics, Northwestern Medicine, Chicago, Illinois
| | - Raye-Ann O. deRegnier
- Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Neonatology, Department of Pediatrics, Northwestern Medicine, Chicago, Illinois
| | - William A. Grobman
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern Medicine, Chicago, Illinois
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Labgold K, Bennett AC, Wells KM. Cluster Analysis and Cluster Ranking for Asthma Inpatient Hospitalizations Among Children, Adolescents, and Adults Aged 0 to 19 Years in Cook County, Illinois, 2011-2014. Prev Chronic Dis 2020; 17:E05. [PMID: 31944933 PMCID: PMC6977776 DOI: 10.5888/pcd17.190265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Katie Labgold
- Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia.,Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.,Emory University, Department of Epidemiology, 1518 Clifton Rd NE, Atlanta, GA 30322.
| | - Amanda C Bennett
- Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.,Office of Women's Health and Family Services, Illinois Department of Public Health, Chicago, Illinois
| | - Kristen M Wells
- Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia
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Bennett AC, Gibson C, Rohan AM, Howland JF, Rankin KM. Mental Health and Substance Use-Related Hospitalizations Among Women of Reproductive Age in Illinois and Wisconsin. Public Health Rep 2018; 134:17-26. [PMID: 30508497 DOI: 10.1177/0033354918812807] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Mental health and substance use are growing public health concerns, but established surveillance methods do not measure the burden of these conditions among women of reproductive age. We developed a standardized indicator from administrative data to identify inpatient hospitalizations related to mental health or substance use (MHSU) among women of reproductive age, as well as co-occurrence of mental health and substance use conditions among those hospitalizations. MATERIALS AND METHODS We used inpatient hospital discharge data from 2012-2014 for women aged 15-44 residing in Illinois and Wisconsin. We identified MHSU-related hospitalizations through the principal International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis and first-listed ICD-9-CM external cause of injury code (E code). We classified hospitalizations as related to 1 of 3 mutually exclusive categories: a mental disorder, a substance use disorder, or an acute MHSU-related event. We defined co-occurrence as the presence of both mental health and substance use codes in any available diagnosis or E-code field. RESULTS Of 1 173 758 hospitalizations of women of reproductive age, 150 318 (12.8%) were related to a mental disorder, a substance use disorder, or an acute MHSU-related event, for a rate of 135.6 hospitalizations per 10 000 women. Of MHSU-related hospitalizations, 115 163 (76.6%) were for a principal mental disorder, 22 466 (14.9%) were for a principal substance use disorder, and 12 709 (8.5%) were for an acute MHSU-related event; 42.4% had co-occurring mental health codes and substance use codes on the discharge record. PRACTICE IMPLICATIONS MHSU-related disorders and events are common causes of hospitalization for women of reproductive age, and nearly half of these hospitalizations involved co-occurring mental health and substance use diagnoses or events. This new indicator may improve public health surveillance by establishing a systematic and comprehensive method to measure the burden of MHSU-related hospitalizations among women of reproductive age.
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Affiliation(s)
- Amanda C Bennett
- 1 Field Support Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.,2 Office of Women's Health and Family Services, Illinois Department of Public Health, Chicago, IL, USA
| | - Crystal Gibson
- 3 Division of Public Health, Wisconsin Department of Health Services, Madison, WI, USA
| | - Angela M Rohan
- 1 Field Support Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.,3 Division of Public Health, Wisconsin Department of Health Services, Madison, WI, USA
| | - Julia F Howland
- 4 Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
| | - Kristin M Rankin
- 4 Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
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Tong DC, Winter TJ, Jin J, Bennett AC, Waddell JN. Quantification of subconcussive impact forces to the head using a forensic model. J Clin Neurosci 2015; 22:747-51. [PMID: 25744077 DOI: 10.1016/j.jocn.2014.11.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 11/04/2014] [Indexed: 11/15/2022]
Abstract
Concussive and subconcussive head injury is a global phenomenon that affects millions of people each year. Concussive injury has been extensively studied in sport, which has led to a greater understanding of the biomechanical forces involved and guidelines aimed at preventing athletes from playing while concussed. Subconcussive forces by definition do not meet the threshold for concussion but nonetheless may have significant long term consequences due to the repetitive pattern of injury to the head. Quantifying these impact forces using a forensic head model provides the groundwork for future studies by establishing a range or threshold of subconcussive impact forces that could be correlated with clinical assessments. The use of a forensic head model has distinct advantages in terms of ethics and safety.
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Affiliation(s)
- D C Tong
- Sir John Walsh Research Institute, University of Otago, 310 Great King Street, Dunedin 9010, New Zealand.
| | - T J Winter
- Sir John Walsh Research Institute, University of Otago, 310 Great King Street, Dunedin 9010, New Zealand
| | - J Jin
- Sir John Walsh Research Institute, University of Otago, 310 Great King Street, Dunedin 9010, New Zealand
| | - A C Bennett
- Division of International Affairs, Kansai University, Suita-shi, Osaka, Japan
| | - J N Waddell
- Sir John Walsh Research Institute, University of Otago, 310 Great King Street, Dunedin 9010, New Zealand
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Deal SB, Bennett AC, Rankin KM, Collins JW. The relation of age to low birth weight rates among foreign-born black mothers: a population-based exploratory study. Ethn Dis 2014; 24:413-417. [PMID: 25417422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Abstract
BACKGROUND In stark contrast to the J or U- shaped relationship between age and low birth weight rates (< 2500g) seen among non-Latino White and Mexican American mothers, low birth weight rates among US-born Blacks are lowest in their teens and rise with increasing age (ie, weathering). The age-related pattern of low birth weight rates among foreign-born Black mothers is unknown. OBJECTIVE To determine the relationship between age and low birth weight rates among foreign-born Black mothers. DESIGN Stratified analyses were performed on the 2003-2004 National Center for Health Statistics vital record datasets of foreign-born Black mothers. Maternal age was categorized into six subgroups. Potential confounding variables examined included marital status, parity, and prenatal care usage. RESULTS Foreign-born Black mothers (N = 143,235) demonstrated a J/U-shaped age-related pattern of low birth weight rates with the lowest rates observed among those in their twenties and early thirties. The subgroups of 15-19 and 35-39 year old mothers had low birth weight rates of 12.0% and 11.4% compared to 9.1% for 25-29 year old mothers; RR = 1.31 (1.22-1.42) and 1.25 (1.20-1.31), respectively. The J/U-shaped age-related pattern persisted independent of marital status, parity and prenatal care usage. CONCLUSIONS Foreign-born black mothers do not exhibit a weathering pattern of rising low birth weight rates with advancing age regardless of traditional individual-level risk factors. Further research into the age-related pattern of birth outcome among impoverished foreign-born Black mothers is warranted.
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Bennett AC, Rankin KM, Rosenberg D. Does a Medical Home Mediate Racial Disparities in Unmet Healthcare Needs Among Children with Special Healthcare Needs? Matern Child Health J 2012; 16 Suppl 2:330-8. [DOI: 10.1007/s10995-012-1131-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
A large number of passerine birds, mainly greenfinches, were found dead or dying in a hedgerow close to a field of onions recently sprayed with sodium monochloroacetate (SMCA). An analytical method is described for isolating monochloroacetic acid from bird tissues, as its potassium salt, by ion exchange chromatography. The ion exchange eluate is evaporated to dryness, acidified, extracted with ether and the ethereal extract methylated with diazomethane. The concentration of the methyl ester of monochloroacetic acid is determined using the Mass Selective Detector in the selected ion mode. Chemical analysis confirmed the exposure of the birds to SMCA. It is calculated that 50 microliter of spray contained the lethal dose of SMCA for a greenfinch.
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Affiliation(s)
- M P Quick
- Biochemistry Department, Central Veterinary Laboratory, Surrey, UK
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Bennett AC. Work smarter, not harder. Health Care Superv 1988; 6:1-13. [PMID: 10286366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. The imperative of assessment. Health Care Superv 1987; 5:1-10. [PMID: 10279655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. The innovative supervisor. Health Care Superv 1986; 4:1-2. [PMID: 10274983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Bennett AC. Productivity enhancement begins with management, not employees. Hosp Manager 1985; 15:4-5. [PMID: 10270239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Quality of care: bridging the gap between promise and performance. Trustee 1984; 37:29-32. [PMID: 10268848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
A well-organized quality assurance program is the primary mechanism by which hospitals maintain the quality of patient care. However, there are other elements of quality improvement that can be achieved only through the leadership of the board and administration. The author outlines some actions that hospital leadership needs to take to ensure continuing improvement in patient care.
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Bennett AC. Too many boards neglect the import of labor on the hospital's success. Trustee 1983; 36:12, 14. [PMID: 10261987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Although human capital is decisive in the success of the hospital, the absence of an agenda item dealing with human capital characterizes too many board meetings. The author suggests several possible actions, including the development of board policies on human capital, a broadening of perspectives to embrace "an arithmetic of quality," and visibility for key staff members at board meetings.
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Bennett AC. Invent the future with insight from past. Mod Healthc 1982; 12:130. [PMID: 10255706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Bennett AC. Think big! But don't belittle 'small'. Mod Healthc 1982; 12:124. [PMID: 10254916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Changing values, aggressiveness, bureaucracy lead to R.N. discontent. Mod Healthc 1981; 11:94, 96. [PMID: 10253552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Administrators must share power with frustrated middle managers. Mod Healthc 1981; 11:126, 128. [PMID: 10252861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. It's no joke--health care exec needs sense of humor to be good manager. Mod Healthc 1981; 11:146, 150. [PMID: 10252046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Expand personnel unit's jurisdiction to address workers' changing values. Mod Healthc 1981; 11:132. [PMID: 10251564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Integration and systematism are key to effective cost containment. Mod Healthc 1981; 11:118, 122. [PMID: 10250774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. 'Retention,' 'recruitment' buzzwords trap hospitals into narrow thinking. Mod Healthc 1981; 11:114, 120. [PMID: 10250299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Manager education hard to grade. Mod Healthc 1980; 10:90. [PMID: 10249167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Management: make room for aggression, conflict. Mod Healthc 1980; 10:108. [PMID: 10248721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Do administrative residencies fit the needs of the 'me' generation? Mod Healthc 1980; 10:94-6. [PMID: 10247709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Management must meet nurses' changing needs. Mod Healthc 1980; 10:90, 94. [PMID: 10247387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Administrator must share authority. Mod Healthc 1980; 10:90-1. [PMID: 10245564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Managers apply 'artistic' attributes to reach beyond job fundamentals. Mod Healthc 1979; 9:72, 74. [PMID: 503032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Bennett AC. Hospitals require human retreading. Mod Healthc 1979; 9:86. [PMID: 481413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Bennett AC. Executive's work hard to evaluate. Mod Healthc 1979; 9:53-4. [PMID: 440286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Bennett AC. Problem-solving strategies for management. Crossref Hum Resour Manage 1979; 9:6-8. [PMID: 10242523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
This article is an excerpt from chapter 11 of Mr. Bennett's book, entitled Improving Management Performance in Health Care Institutions: A Total Systems Approach (Chicago: American Hospital Association, 1978). Both group and individual strategies that not only assist in solving problems but also provide opportunities for upgrading organizational and managerial performance are discussed.
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Bennett AC. Hospital financial managers are central to management team. Hospitals 1979; 53:73-5. [PMID: 759346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The hospital financial manager must play an increasingly larger role in the development of overall hospital policy. Human resources, as well as physical assets and capital must be considered, and the financial manager needs to establish programs that not only create a sound economic base, but that also show management's commitment to people.
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Bennett AC. Systems approach is needed for data processing function. Hospitals 1979; 53:48-51. [PMID: 759306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Computers have the capability of providing a picture of the whole organization if used properly and with creativity. To ensure that the flow of information within the hospital is optimal, administration should provide leadership and involve the entire management team.
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Bennett AC. Creative management engineers foster communication, change. Hospitals 1979; 53:101-3. [PMID: 758275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Today's hospitals need creative management engineers to bring about innovative change, to foster a participative climate, and to strengthen training systems. However, management engineers need to work with hospital administrators who understand the field and who can expand their expectations beyond the traditional areas normally thought of as being within the purview of management engineering.
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Bennett AC. Education and training need to be brought up-to-date. Hospitals 1978; 52:75-6, 84. [PMID: 711193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Training of hospital employees consumes a large segment of total hospital dollars, so it is important to document clear proof of value. If training programs are to be successful, they must be relevant to the measured needs of the institution. In addition to this essential characteristic of the training process, the author discusses six others that affect the outcome of such programs.
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Bennett AC. Humanity in hospitals starts at the top. Health Care Week 1978; 2:12. [PMID: 10239262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bennett AC. Results must be evaluated in measurement of success. Hospitals 1977; 51:109-10, 112. [PMID: 844822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Bennett AC. Management should be instrument of change. Hospitals 1976; 50:99-101. [PMID: 976966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Crowder DM, Bennett AC. Total commitment to goals is secret of hospital's success. Hospitals 1976; 50:104, 106, 108-9. [PMID: 1278884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Bennett AC. Effective manager must have both vision and purpose. Hospitals 1976; 50:67-8, 70. [PMID: 939509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Bennett AC. New thinking required for development of management effectiveness. Hospitals 1976; 50:67-70. [PMID: 1248812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Bennett AC. Let's get started on improvement. Health Serv Manager 1976; 9:1-3. [PMID: 1028680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Bennett AC. How do you, as an effective manager, view systems? Hosp Top 1975; 53:5, 8. [PMID: 1183988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Bennett AC. Focus on management methods. Hosp Top 1975; 53:18-20. [PMID: 1193592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Bennett AC. Focus on management methods. Cost reduction: how to get employee participation. Hosp Top 1975; 53:3, 11, 7, passim. [PMID: 1126729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Bennett AC. Systems approach to 'people management'. Indian J Physiol Pharmacol 1972; 46:38-41. [PMID: 5009359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Bennett AC. Systems approach to 'people management'. Hospitals 1972; 46:38-41. [PMID: 4669041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Bennett AC. Systems approach to improvement. Hosp Top 1970; 48:48 passim. [PMID: 5428862 DOI: 10.1080/00185868.1970.9954619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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