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Artikel ; Online: Commentary on "Integrating network theory into the study of integrated healthcare".

Kerrissey, Michaela

Social science & medicine (1982)

2022 Band 305, Seite(n) 115035

Abstract: As medicine continues to advance, fragmentation problems in care delivery - and the promise of care integration to solve them - will remain central. But focused research over the past thirty years has yet to uncover the key factors that enable integrated ...

Abstract	As medicine continues to advance, fragmentation problems in care delivery - and the promise of care integration to solve them - will remain central. But focused research over the past thirty years has yet to uncover the key factors that enable integrated care. In their paper, Burns and colleagues offer a path to new discovery in this well-trodden area: drawing on network theory to better understand the social processes through which integrated care is produced. Social processes are a vital and understudied aspect of integration, and applying network theory may help to refocus integration in a more comprehensive way. However, to transform our understanding of integrated care - and to enable impact in practice - will require expansion beyond the usual network approaches to also capture the communication and work processes that occur among entities. This is no small endeavor. It will take considerable humility, open-mindedness, and focus.
Mesh-Begriff(e)	Delivery of Health Care, Integrated ; Health Facilities ; Humans ; Palliative Care
Sprache	Englisch
Erscheinungsdatum	2022-05-26
Erscheinungsland	England
Dokumenttyp	Journal Article ; Comment
ZDB-ID	4766-1
ISSN	1873-5347 ; 0037-7856 ; 0277-9536
ISSN (online)	1873-5347
ISSN	0037-7856 ; 0277-9536
DOI	10.1016/j.socscimed.2022.115035
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Joint problem-solving orientation, mutual value recognition, and performance in fluid teamwork environments.

Kerrissey, Michaela / Novikov, Zhanna

Frontiers in psychology

2024 Band 15, Seite(n) 1288904

Abstract: Introduction: Joint problem-solving orientation (JPS) has been identified as a factor that promotes performance in fluid teamwork, but research on this factor remains nascent. This study pushes the frontier of understanding about JPS in fluid teamwork ... ...

Abstract	Introduction: Joint problem-solving orientation (JPS) has been identified as a factor that promotes performance in fluid teamwork, but research on this factor remains nascent. This study pushes the frontier of understanding about JPS in fluid teamwork environments by applying the concept to within-organization work and exploring its relationships with performance, mutual value recognition (MVR), and expertise variety (EV). Methods: This is a longitudinal, survey-based field study within a large United States healthcare organization Results: Our results affirm a moderated mediation model wherein JPS enhances performance, both directly and through MVR; EV serves as a moderator in the JPS-MVR relationship. JPS positively influences MVR, irrespective of whether EV is high or low. When JPS is lower, greater EV is associated with lower MVR, whereas amid high JPS, greater EV is associated with higher MVR, as compared to lower EV. Discussion: Our findings lend further evidence to the value of JPS in fluid teamwork environments for enabling performance, and we document for the first time its relevance for within-organization work. Our results suggest that one vital pathway for JPS to improve performance is through enhancing recognition of the value that others offer, especially in environments where expertise variety is high.
Sprache	Englisch
Erscheinungsdatum	2024-02-13
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article
ZDB-ID	2563826-9
ISSN	1664-1078
ISSN	1664-1078
DOI	10.3389/fpsyg.2024.1288904
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Factors affecting collaboration between clinical and community service organizations.

Kerrissey, Michaela J / Singer, Sara J

Health care management review

2023 Band 48, Heft 2, Seite(n) 130–139

Abstract: Background: Collaboration between clinical and community-based social service organizations is increasingly seen as vital for preventing and managing chronic diseases but has been challenging to establish and sustain.: Purpose: The aim of this study ... ...

Abstract	Background: Collaboration between clinical and community-based social service organizations is increasingly seen as vital for preventing and managing chronic diseases but has been challenging to establish and sustain. Purpose: The aim of this study was to identify organizational barriers and facilitators for clinic-community collaboration. Methodology/approach: We employed multiple methods to study a national sample of nonprofit community-based organizations that each collaborated with local clinical organizations for diabetes prevention in the United States. We used qualitative data collected longitudinally through 65 semistructured interviews from 2016 to 2017 at seven of these organizations and their clinical collaborators to understand their relationships. We employed survey data ( N = 247 with 73% response rate) to measure and explore relationships among qualitatively identified themes and collaboration performance. Results: We documented three levels of organizational challenges to community-clinic collaboration. Interorganizational challenges pertain to facing only weakly aligned interests across organizations. Interpersonal challenges pertain to misperceptions and miscommunications that occur as frontline employees from differing organizations seek to work together. Task-related challenges pertain to the inadequacy of current processes to effectively link services across clinical and community settings. We found that bridging leadership , provisional teamwork, and learning processes helped to overcome these challenges by enabling iterative progress. Follow-up national survey results indicated that these facilitators were significantly associated with collaboration performance. Conclusions: Because community-clinic collaboration presents substantial interorganizational, interpersonal, and task-related challenges, financial incentives alone are likely insufficient for success. Practice implications: Resources that help develop capacity to work across community and clinical settings may be vital and warrant dedicated funding.
Mesh-Begriff(e)	Humans ; United States ; Social Welfare ; Organizations, Nonprofit ; Communication ; Leadership ; Learning
Sprache	Englisch
Erscheinungsdatum	2023-02-02
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	430366-0
ISSN	1550-5030 ; 0361-6274
ISSN (online)	1550-5030
ISSN	0361-6274
DOI	10.1097/HMR.0000000000000359
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Speaking Up and Taking Action: Psychological Safety and Joint Problem-Solving Orientation in Safety Improvement.

Bahadurzada, Hassina / Kerrissey, Michaela / Edmondson, Amy C

Healthcare (Basel, Switzerland)

2024 Band 12, Heft 8

Abstract: Healthcare organizations face stubborn challenges in ensuring patient safety and mitigating clinician turnover. This paper aims to advance theory and research on patient safety by elucidating how the role of psychological safety in patient safety can be ... ...

Abstract	Healthcare organizations face stubborn challenges in ensuring patient safety and mitigating clinician turnover. This paper aims to advance theory and research on patient safety by elucidating how the role of psychological safety in patient safety can be enhanced with joint problem-solving orientation (JPS). We hypothesized and tested for an interaction between JPS and psychological safety in relation to safety improvement, leveraging longitudinal survey data from a sample of 14,943 patient-facing healthcare workers. We found a moderation effect, in which psychological safety was positively associated with safety improvement, and the relationship was stronger in the presence of JPS. Psychological safety and JPS also interacted positively in predicting clinicians' intent to stay with the organization. For theory and research, our findings point to JPS as a measurable factor that may enhance the value of psychological safety for patient safety improvement-perhaps because voiced concerns about patient safety often require joint problem-solving to produce meaningful change. For practice, our conceptual framework, viewing psychological safety and JPS as complementary factors, can help organizations adopt a more granular approach towards assessing the interpersonal aspect of their safety climate. This will enable organizations to obtain a more nuanced understanding of their safety climate and identify areas for improvement accordingly.
Sprache	Englisch
Erscheinungsdatum	2024-04-10
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare12080812
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Overcoming walls and voids: Responsive practices that enable frontline workers to feel heard.

Kerrissey, Michaela / Satterstrom, Patricia / Pae, James / Albert, Nancy M

Health care management review

2024 Band 49, Heft 2, Seite(n) 116–126

Abstract: Background: There is increasing recognition that beyond frontline workers' ability to speak up, their feeling heard is also vital, both for improving work processes and reducing burnout. However, little is known about the conditions under which ... ...

Abstract	Background: There is increasing recognition that beyond frontline workers' ability to speak up, their feeling heard is also vital, both for improving work processes and reducing burnout. However, little is known about the conditions under which frontline workers feel heard. Purpose: This inductive qualitative study identifies barriers and facilitators to feeling heard among nurses in hospitals. Methodology: We conducted in-depth semistructured interviews with registered nurses, nurse managers, and nurse practitioners across four hospitals ( N = 24) in a U.S. health system between July 2021 and March 2022. We coded with the aim of developing new theory, generating initial codes by studying fragments of data (lines and segments), examining and refining codes across transcripts, and finally engaging in focused coding across all data collected. Findings: Frontline nurses who spoke up confronted two types of challenges that prevented feeling heard: (a) walls, which describe organizational barriers that lead ideas to be rejected outright (e.g., empty solicitation), and (b) voids, which describe organizational gaps that lead ideas to be lost in the system (e.g., structural mazes). We identified categories of responsive practices that promoted feeling heard over walls (boundary framing, unscripting, priority enhancing) and voids (procedural transparency, identifying a navigator). These practices appeared more effective when conducted collectively over time. Conclusion: Both walls and voids can prevent frontline workers from feeling heard, and these barriers may call for distinct managerial practices to address them. Future efforts to measure responsive practices and explore them in broader samples are needed. Practice implications: Encouraging responsive practices may help ensure that frontline health care workers feel heard.
Mesh-Begriff(e)	Humans ; Health Personnel ; Qualitative Research ; Attitude of Health Personnel
Sprache	Englisch
Erscheinungsdatum	2024-02-08
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	430366-0
ISSN	1550-5030 ; 0361-6274
ISSN (online)	1550-5030
ISSN	0361-6274
DOI	10.1097/HMR.0000000000000397
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Practice Site Heterogeneity within and between Medicaid Accountable Care Organizations.

Dyer, Zachary / Alcusky, Matthew / Himmelstein, Jay / Ash, Arlene / Kerrissey, Michaela

Healthcare (Basel, Switzerland)

2024 Band 12, Heft 2

Abstract: The existing literature has considered accountable care organizations (ACOs) as whole entities, neglecting potentially important variations in the characteristics and experiences of the individual practice sites that comprise them. In this observational ... ...

Abstract	The existing literature has considered accountable care organizations (ACOs) as whole entities, neglecting potentially important variations in the characteristics and experiences of the individual practice sites that comprise them. In this observational cross-sectional study, our aim is to characterize the experience, capacity, and process heterogeneity at the practice site level within and between Medicaid ACOs, drawing on the Massachusetts Medicaid and Children's Health Insurance Program (MassHealth), which launched an ACO reform effort in 2018. We used a 2019 survey of a representative sample of administrators from practice sites participating in Medicaid ACOs in Massachusetts (
Sprache	Englisch
Erscheinungsdatum	2024-01-20
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare12020266
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Trade-offs in locational choices for care coordination resources in accountable care organizations.

Tsuei, Sian Hsiang-Te / Alcusky, Matthew / Florio, Collen / Kerrissey, Michaela June

Health care management review

2023 Band 48, Heft 4, Seite(n) 301–310

Abstract: Background: Care coordination is central to accountable care organizations (ACOs), especially in Medicaid where many patients have complex medical and social needs. Little is known about how to best organize care coordination resources in this context, ... ...

Abstract	Background: Care coordination is central to accountable care organizations (ACOs), especially in Medicaid where many patients have complex medical and social needs. Little is known about how to best organize care coordination resources in this context, particularly whether to centralize them. We examined how care coordinators' location, management, and colocation of both (within ACO headquarters, practice sites, or other organizations) relate to care quality and coordination. Methods: We conducted a cross-sectional analysis of surveys administered to a sample of practice sites covering all 17 Medicaid ACOs in Massachusetts ( n = 225, response rate = 64%). We applied controlled, cluster-robust regressions, adjusting the significance threshold for the number of ACO clusters, to assess how clinical information sharing across settings, care quality improvement, knowledge of social service referral, and cross-resource coordination (i.e., the ability of multiple resources to work well together) relate to where care coordinators were physically located and/or managed. Results: Centralizing care coordinators at ACO headquarters was associated with greater information sharing. Embedding care coordinators in practices was associated with greater care quality improvement. Embedding coordinators at other organizations was associated with less information sharing and care quality improvement. Managing coordinators at practice sites and other organizations were associated with better care quality improvement and cross-resource coordination, respectively. Colocating the two functions showed no significant differences. Practice implications: Choosing care coordinators' locations may present trade-offs. ACOs may strategically choose embedding care coordinators at practice sites for enhanced care quality versus centralizing them at the ACO to facilitate information sharing.
Mesh-Begriff(e)	United States ; Humans ; Accountable Care Organizations ; Cross-Sectional Studies ; Medicaid ; Quality Improvement ; Quality of Health Care
Sprache	Englisch
Erscheinungsdatum	2023-07-26
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	430366-0
ISSN	1550-5030 ; 0361-6274
ISSN (online)	1550-5030
ISSN	0361-6274
DOI	10.1097/HMR.0000000000000378
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Integration on the Frontlines of Medicaid Accountable Care Organizations and Associations With Perceived Care Quality, Health Equity, and Satisfaction.

Kerrissey, Michaela / Jamakandi, Shriya / Alcusky, Matthew / Himmelstein, Jay / Rosenthal, Meredith

Medical care research and review : MCRR

2023 Band 80, Heft 5, Seite(n) 519–529

Abstract: Amid enthusiasm about accountable care organizations (ACOs) in Medicaid, little is known about the primary care practices engaging in them. We leverage a survey of administrators within a random sample (stratified by ACO) of 225 practices joining ... ...

Abstract	Amid enthusiasm about accountable care organizations (ACOs) in Medicaid, little is known about the primary care practices engaging in them. We leverage a survey of administrators within a random sample (stratified by ACO) of 225 practices joining Massachusetts Medicaid ACOs (64% response rate; 225 responses). We measure the integration of processes with distinct entities: consulting clinicians, eye specialists for diabetes care, mental/behavioral care providers, and long-term and social services agencies. Using multivariable regression, we examine organizational correlates of integration and assess integration's relationships with care quality improvement, health equity, and satisfaction with the ACO. Integration varied across practices. Clinical integration was positively associated with perceived care quality improvement; social service integration was positively associated with addressing equity; and mental/behavioral and long-term service integration were positively associated with ACO satisfaction (all
Mesh-Begriff(e)	United States ; Humans ; Medicaid ; Accountable Care Organizations ; Health Equity ; Quality of Health Care ; Personal Satisfaction
Sprache	Englisch
Erscheinungsdatum	2023-05-26
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	1232314-7
ISSN	1552-6801 ; 1077-5587
ISSN (online)	1552-6801
ISSN	1077-5587
DOI	10.1177/10775587231173474
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Voice is not enough: A multilevel model of how frontline voice can reach implementation.

Satterstrom, Patricia / Vogus, Timothy J / Jung, Olivia S / Kerrissey, Michaela

Health care management review

2023 Band 49, Heft 1, Seite(n) 35–45

Abstract: Issue: When frontline employees' voice is not heard and their ideas are not implemented, patient care is negatively impacted, and frontline employees are more likely to experience burnout and less likely to engage in subsequent change efforts.: ... ...

Abstract	Issue: When frontline employees' voice is not heard and their ideas are not implemented, patient care is negatively impacted, and frontline employees are more likely to experience burnout and less likely to engage in subsequent change efforts. Critical theoretical analysis: Theory about what happens to voiced ideas during the critical stage after employees voice and before performance outcomes are measured is nascent. We draw on research from organizational behavior, human resource management, and health care management to develop a multilevel model encompassing practices and processes at the individual, team, managerial, and organizational levels that, together, provide a nuanced picture of how voiced ideas reach implementation. Insight/advance: We offer a multilevel understanding of the practices and processes through which voice leads to implementation; illuminate the importance of thinking temporally about voice to better understand the complex dynamics required for voiced ideas to reach implementation; and highlight factors that help ideas reach implementation, including voicers' personal and interpersonal tactics with colleagues and managers, as well as senior leaders modeling and explaining norms and making voice-related processes and practices transparent. Practice implications: Our model provides evidence-based strategies for bolstering rejected or ignored ideas, including how voicers (re)articulate ideas, whom they enlist to advance ideas, how they engage peers and managers to improve conditions for intentional experimentation, and how they take advantage of listening structures and other formal mechanisms for voice. Our model also highlights how senior leaders can make change processes and priorities explicit and transparent.
Mesh-Begriff(e)	Humans ; Empirical Research ; Workforce
Sprache	Englisch
Erscheinungsdatum	2023-11-19
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	430366-0
ISSN	1550-5030 ; 0361-6274
ISSN (online)	1550-5030
ISSN	0361-6274
DOI	10.1097/HMR.0000000000000389
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Value-Based Purchasing Design And Effect: A Systematic Review And Analysis.

Pandey, Abhinav / Eastman, Diana / Hsu, Heather / Kerrissey, Michaela J / Rosenthal, Meredith B / Chien, Alyna T

Health affairs (Project Hope)

2023 Band 42, Heft 6, Seite(n) 813–821

Abstract: During the past two decades in the United States, all major payer types-commercial, Medicare, Medicaid, and multipayer coalitions-have introduced value-based purchasing (VBP) contracts to reward providers for improving health care quality while reducing ... ...

Abstract	During the past two decades in the United States, all major payer types-commercial, Medicare, Medicaid, and multipayer coalitions-have introduced value-based purchasing (VBP) contracts to reward providers for improving health care quality while reducing spending. This systematic review qualitatively characterized the financial and nonfinancial features of VBP programs and examined how such features combine to create a level of program intensity that relates to desired quality and spending outcomes. Higher-intensity VBP programs are more frequently associated with desired quality processes, utilization measures, and spending reductions than lower-intensity programs. Thus, although there may be reasons for payers and providers to opt for lower-intensity programs (for example, to increase voluntary participation), these choices apparently have consequences for spending and quality outcomes.
Mesh-Begriff(e)	Aged ; Humans ; United States ; Medicare ; Value-Based Purchasing ; Medicaid ; Quality of Health Care
Sprache	Englisch
Erscheinungsdatum	2023-01-09
Erscheinungsland	United States
Dokumenttyp	Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632712-6
ISSN	1544-5208 ; 0278-2715
ISSN (online)	1544-5208
ISSN	0278-2715
DOI	10.1377/hlthaff.2022.01455
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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