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Article ; Online: Managing Surges in Demand: A Grounded Conceptual Framework of Surge Management Capability.

Larson, Jeffrey D / Lai, Alden Yuanhong / DePuccio, Matthew J / Hilligoss, Brian

2024 , Page(s) 10775587241226485

Abstract: Surge management is important to hospital operations, yet surge literature has mostly focused on the addition of resources (e.g., 25% more beds) during events like pandemics. Such views are limiting, as meeting surge demands requires hospitals to engage ... ...

Abstract	Surge management is important to hospital operations, yet surge literature has mostly focused on the addition of resources (e.g., 25% more beds) during events like pandemics. Such views are limiting, as meeting surge demands requires hospitals to engage in practices tailored to a surge's unique contingencies. We argue that a dynamic view of surge management should include surge management capability, which refers to how resources are deployed to respond to surge contingencies. To understand this capability, we qualitatively studied five hospital systems experiencing multiple surges due to COVID-19 between April 2020 and March 2022. We develop a framework showing that managing surges involves preserving capacity, expanding capacity, smoothing capacity demand, and enabling surge management. We contribute to surge literature by identifying practices hospitals can adopt to address surges and offering a better understanding of surge conditions (e.g., degree of novelty) that make some surge management practices more appropriate than others.
Language	English
Publishing date	2024-01-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	1232314-7
ISSN	1552-6801 ; 1077-5587
ISSN (online)	1552-6801
ISSN	1077-5587
DOI	10.1177/10775587241226485
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Article ; Online: Starting from scratch: New work design to enact entrance screening during the COVID-19 pandemic.

Lai, Alden Yuanhong / Larson, Jeffrey D / DePuccio, Matthew J / Hilligoss, Brian

Health care management review

2023 Volume 48, Issue 3, Page(s) 260–273

Abstract: Background: Health care organizations are constantly creating new work to achieve evolving goals such as digitalization, equity, value, or well-being. However, scholars have paid less attention to how such work becomes "work" in the first place, despite ...

Abstract	Background: Health care organizations are constantly creating new work to achieve evolving goals such as digitalization, equity, value, or well-being. However, scholars have paid less attention to how such work becomes "work" in the first place, despite implications for the design, quality, and experience of work and, consequently, employee and organizational outcomes. Purpose: The aim of this study was to investigate how new work becomes enacted in health care organizations. Methodology: A longitudinal, qualitative case study on the enactment of entrance screening-a new operation in response to COVID-19-in a multihospital academic medical center was performed. Results: Entrance screening comprised four tasks, whose design was initially influenced by institutional guidelines (e.g., Centers for Disease Control and Prevention recommendations) and clinical experts. Organizational-level influences (e.g., resource availability) then became more prominent, necessitating multiple feedback-response loops to calibrate the performance of entrance screening. Finally, entrance screening was integrated into existing operations of the organization to ensure operational sustainability. The treatment of entrance screening as an operation changed over time-initially seen as infection control work, it eventually bifurcated into patient care and clerical work. Conclusion: The enactment of new work is constrained by the fit between resources and its intended output. Furthermore, the schema of work influences how and when organizational actors calibrate this fit. Practice implications: Health care leaders and managers should continuously update their schemas of work so that they can develop more sufficient and accurate representations of the employee capabilities that are required for the performance of new work.
MeSH term(s)	Humans ; COVID-19 ; Pandemics ; Delivery of Health Care
Language	English
Publishing date	2023-05-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	430366-0
ISSN	1550-5030 ; 0361-6274
ISSN (online)	1550-5030
ISSN	0361-6274
DOI	10.1097/HMR.0000000000000373
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Provider-To-Provider Communication About Care Transitions: Considering Different Health Technology Tools.

Beal, Eliza W / Kurien, Natasha / DePuccio, Matthew J / Tsung, Allan / McAlearney, Ann Scheck

Journal for healthcare quality : official publication of the National Association for Healthcare Quality

2023 Volume 45, Issue 3, Page(s) 133–139

Abstract: Abstract: Transitions in patient care require exchanges of information between providers. This period of transition presents a range of challenges, and inadequate transitions can have serious consequences for patients. Our objective was to understand ... ...

Abstract	Abstract: Transitions in patient care require exchanges of information between providers. This period of transition presents a range of challenges, and inadequate transitions can have serious consequences for patients. Our objective was to understand providers' perspectives about patient care transitions, especially around communication between providers and the role of health information technology in provider-to-provider communication. Semi-structured interviews were conducted. Deductive-dominant thematic analysis was used to allow categorization of data based on general themes derived from the interview guides, as well as identification of emergent themes. We characterized three main themes involving providers' perspectives about care transitions. Themes included communication challenges, communication preferences, and suggestions for improving the care transition processes. With respect to challenges around communication, providers highlighted four main concerns. These concerns included the existence of too many methods of communication, high volume of communication, challenges with involvement of multiple providers delivering longitudinal care, and difficulty communicating with providers outside the health system. Providers noted opportunities to improve transitions including improving standardization, enhancing the specialty to primary care transition process, and increasing communication back to the referring provider. Implementation and evaluation of these improvements could be considered by health systems to enhance care transitions.
MeSH term(s)	Humans ; Patient Transfer ; Communication ; Biomedical Technology ; Health Personnel
Language	English
Publishing date	2023-02-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	1472097-8
ISSN	1945-1474 ; 1062-2551
ISSN (online)	1945-1474
ISSN	1062-2551
DOI	10.1097/JHQ.0000000000000375
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Article ; Online: Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine.

DePuccio, Matthew J / Gaughan, Alice A / McAlearney, Ann Scheck

Telemedicine reports

2021 Volume 2, Issue 1, Page(s) 135–142

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2021-05-03
Publishing country	United States
Document type	Journal Article
ISSN	2692-4366
ISSN (online)	2692-4366
DOI	10.1089/tmr.2020.0038
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Silver Linings Around the Increased Use of Telehealth After the Emergence of COVID-19: Perspectives From Primary Care Physicians.

McAlearney, Ann Scheck / Gaughan, Alice A / Shiu-Yee, Karen / DePuccio, Matthew J

Journal of primary care & community health

2022 Volume 13, Page(s) 21501319221099485

Abstract: Introduction/objectives: With the emergence of COVID-19, the transition from in-person care to widespread use of telehealth raised many well-described challenges for primary care providers (PCP). The purpose of this study was to improve understanding of ...

Abstract	Introduction/objectives: With the emergence of COVID-19, the transition from in-person care to widespread use of telehealth raised many well-described challenges for primary care providers (PCP). The purpose of this study was to improve understanding of how this increased use of telehealth impacted PCPs in positive ways, and specifically focus on any "silver linings" of using telehealth. Methods: We interviewed PCPs working at a large Midwestern academic medical center between June and July 2020 and asked for perspectives about the use of telehealth during the pandemic. Verbatim transcripts were coded and analyzed using deductive dominant thematic analysis that allowed for categorization of data and identification of emergent themes. Results: PCPs noted 3 main benefits of using telehealth: (1) demonstrated remote care was feasible, (2) patients expressed gratitude; and (3) payers fully reimbursed for telehealth visits. PCPs also described "silver linings" they perceived for patients: (1) easier access to care, (2) more convenient follow-up care, and (3) ability to get quick specialty referrals. Conclusions: Study participants offered encouraging feedback regarding the potential for telehealth to offer a convenient and patient-centric alternative to in-person care. As a healthcare delivery mode, telehealth can remove personal and social barriers to care for many patients, but reimbursement parity and more evidence is needed to inform best practices for ongoing telehealth use in primary care. With the continuing use of telehealth, it will be important to monitor health outcomes as well as consider how these modalities may need to be adapted to mitigate potential care disparities.
MeSH term(s)	COVID-19 ; Female ; Humans ; Pandemics ; Physicians, Primary Care ; Pregnancy ; SARS-CoV-2 ; Telemedicine
Language	English
Publishing date	2022-05-19
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2550221-9
ISSN	2150-1327 ; 2150-1319
ISSN (online)	2150-1327
ISSN	2150-1319
DOI	10.1177/21501319221099485
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Doctoring from home: Physicians' perspectives on the advantages of remote care delivery during the COVID-19 pandemic.

DePuccio, Matthew J / Gaughan, Alice A / Shiu-Yee, Karen / McAlearney, Ann Scheck

PloS one

2022 Volume 17, Issue 6, Page(s) e0269264

Abstract: Background: During the COVID-19 pandemic, stay-at-home orders as well as shortages of personal protective equipment forced primary care physicians (PCPs) to transition rapidly from in-person visits to telehealth. While telehealth expanded extensively in ...

Abstract	Background: During the COVID-19 pandemic, stay-at-home orders as well as shortages of personal protective equipment forced primary care physicians (PCPs) to transition rapidly from in-person visits to telehealth. While telehealth expanded extensively in a short period of time, research about the consequences of the shift to remote care is lacking. The objective of this qualitative study was to examine how telehealth benefited PCPs and their patients during the COVID-19 pandemic. Methods: From July to August 2020, semi-structured interviews were conducted with 20 PCPs associated with a single academic medical center to examine their perspectives about delivering care remotely during the COVID-19 pandemic. All interviews were recorded, transcribed verbatim, coded, and analyzed using deductive thematic analysis. Results: PCPs identified several benefits of remote care delivery for both physicians and patients. They indicated that (1) patients were reassured that they could receive safe and timely care, (2) remote visits were convenient for patients, (3) patients were comfortable receiving care at home, and (4) video visits enhanced patient- and family-centered care during the COVID-19 pandemic. Participants also noted that (1) telehealth accommodated working from home, (2) physicians were equitably reimbursed for telehealth visits, and that (3) telehealth promoted physician work-life balance. Conclusions: Our data provides preliminary evidence that PCPs and their patients had positive experiences with remote care during the early months of the COVID-19 pandemic. Physicians identified opportunities by which telehealth could enhance the delivery of patient-centered care by allowing them to see patients' home environments and to engage family members and caregivers during telehealth visits. More research is needed to understand how to sustain these benefits beyond the global COVID-19 pandemic and ensure patients' needs are met.
MeSH term(s)	COVID-19/epidemiology ; Delivery of Health Care ; Humans ; Pandemics ; Physicians ; Telemedicine
Language	English
Publishing date	2022-06-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0269264
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Managed care and organizational influences on hospitalist program adoption.

DePuccio, Matthew J

Hospital topics

2014 Volume 92, Issue 4, Page(s) 105–111

Abstract: Hospitalists help improve healthcare efficiency, but less is known about the factors that influence hospitals to utilize hospitalists. The purpose of this research was to investigate the influence of managed care and hospital case mix on hospitalist ... ...

Abstract	Hospitalists help improve healthcare efficiency, but less is known about the factors that influence hospitals to utilize hospitalists. The purpose of this research was to investigate the influence of managed care and hospital case mix on hospitalist program adoption in general hospitals. Maximum likelihood estimation was used to estimate a nonlinear binary response model to predict hospitalist program adoption. Hospital case mix was positively and significantly associated with the adoption of a hospitalist program while health maintenance organization market share was negatively related to hospitalist program adoption. Managers may want to consider these factors when planning to adopt a hospitalist program.
MeSH term(s)	Datasets as Topic ; Diagnosis-Related Groups ; Diffusion of Innovation ; Hospitalists ; Hospitals, General ; Likelihood Functions ; Managed Care Programs ; Models, Theoretical
Language	English
Publishing date	2014-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	604270-3
ISSN	0018-5868
ISSN	0018-5868
DOI	10.1080/00185868.2014.968495
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Article ; Online: Patient Portals: Useful for Whom and for What? A Cross-Sectional Analysis of National Survey Data.

Swoboda, Christine M / DePuccio, Matthew J / Fareed, Naleef / McAlearney, Ann Scheck / Walker, Daniel M

Applied clinical informatics

2021 Volume 12, Issue 3, Page(s) 573–581

Abstract: Background: Patients who use patient portals may be more engaged and empowered in their care; however, differences in who accesses patient portals remain. The characteristics of who uses patient portals more frequently and who perceives them as useful ... ...

Abstract	Background: Patients who use patient portals may be more engaged and empowered in their care; however, differences in who accesses patient portals remain. The characteristics of who uses patient portals more frequently and who perceives them as useful may also differ, as well as which functions people use. Objective: We assessed the characteristics of patient portal users to examine who uses them more frequently and who perceives them as useful. In addition, we wanted to see if those who use them more frequently or perceive them to be more useful use different functions or more functions of patient portals. Methods: Pooled cross-sectional data from 2017 to 2018 Health Information National Trends Survey (HINTS) were used. Ordinal regression models were developed to assess frequency of use and perceived usefulness by demographics, and multivariable logistic regression models were used to examine the association between the use of 10 patient portal functions and frequency of use and perceived usefulness of patient portals. Results: The odds of using patient portals more frequently were higher among those with Bachelor's degrees, incomes between $35,000 and $75,000, and those with two or more chronic conditions. Respondents with three or more chronic conditions had higher odds of rating patient portals as useful. Those who used their patient portal 10 or more times in the past year had higher odds of using all functions except for viewing test results compared with those who used their patient portal one to two times per year. Those who rated patient portals as "very useful" had higher odds of using seven of the functions compared with those who rated them "not very"/"not at all useful." Conclusion: It is important to continue to assess usefulness, frequency of use, and overall patient portal function use to identify opportunities to increase patient engagement with patient portals.
MeSH term(s)	Chronic Disease ; Cross-Sectional Studies ; Humans ; Patient Participation ; Patient Portals ; Surveys and Questionnaires
Language	English
Publishing date	2021-07-07
Publishing country	Germany
Document type	Journal Article
ISSN	1869-0327
ISSN (online)	1869-0327
DOI	10.1055/s-0041-1731339
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Community Coalitions' Perspectives on Engaging with Hospitals in Ohio to Address the Opioid Crisis.

Walker, Daniel M / Shiu-Yee, Karen / Chen, Sadie / DePuccio, Matthew J / Jackson, Rebecca D / McAlearney, Ann Scheck

Population health management

2022 Volume 25, Issue 6, Page(s) 729–737

Abstract: Community coalitions have been leading the multisector response to the opioid epidemic in the Unites States. However, with the medicalization of opioid use disorder and changing health care policies, hospitals have moved to the forefront, becoming more ... ...

Abstract	Community coalitions have been leading the multisector response to the opioid epidemic in the Unites States. However, with the medicalization of opioid use disorder and changing health care policies, hospitals have moved to the forefront, becoming more active in collaborating with community coalitions. Little is currently known about how community coalitions view and approach collaborating with hospitals despite its importance for understanding and advancing interorganizational approaches to combating the opioid epidemic. Using data from semistructured interviews (
MeSH term(s)	Humans ; Health Policy ; Hospitals ; Ohio/epidemiology ; Opioid Epidemic ; Clinical Trials as Topic
Language	English
Publishing date	2022-10-28
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2454546-6
ISSN	1942-7905 ; 1942-7891
ISSN (online)	1942-7905
ISSN	1942-7891
DOI	10.1089/pop.2022.0174
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Article ; Online: Silver Linings Around the Increased Use of Telehealth After the Emergence of COVID-19

Ann Scheck McAlearney / Alice A. Gaughan / Karen Shiu-Yee / Matthew J. DePuccio

Journal of Primary Care & Community Health, Vol

Perspectives From Primary Care Physicians

2022 Volume 13

Abstract: Introduction/Objectives: With the emergence of COVID-19, the transition from in-person care to widespread use of telehealth raised many well-described challenges for primary care providers (PCP). The purpose of this study was to improve understanding of ... ...

Abstract	Introduction/Objectives: With the emergence of COVID-19, the transition from in-person care to widespread use of telehealth raised many well-described challenges for primary care providers (PCP). The purpose of this study was to improve understanding of how this increased use of telehealth impacted PCPs in positive ways, and specifically focus on any “silver linings” of using telehealth. Methods: We interviewed PCPs working at a large Midwestern academic medical center between June and July 2020 and asked for perspectives about the use of telehealth during the pandemic. Verbatim transcripts were coded and analyzed using deductive dominant thematic analysis that allowed for categorization of data and identification of emergent themes. Results: PCPs noted 3 main benefits of using telehealth: (1) demonstrated remote care was feasible, (2) patients expressed gratitude; and (3) payers fully reimbursed for telehealth visits. PCPs also described “silver linings” they perceived for patients: (1) easier access to care, (2) more convenient follow-up care, and (3) ability to get quick specialty referrals. Conclusions: Study participants offered encouraging feedback regarding the potential for telehealth to offer a convenient and patient-centric alternative to in-person care. As a healthcare delivery mode, telehealth can remove personal and social barriers to care for many patients, but reimbursement parity and more evidence is needed to inform best practices for ongoing telehealth use in primary care. With the continuing use of telehealth, it will be important to monitor health outcomes as well as consider how these modalities may need to be adapted to mitigate potential care disparities.
Keywords	Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2022-05-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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