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Biomedical subjects

T P McGuire

Publications and source records attributed to T P McGuire.

9 recordsLinked to original sources
PubMed1993

Evaluating your mission: a practical approach to developing and assessing a facility's organizational culture.

Health care organizations must define and establish a core set of expectations about behaviors and values, which could give health care providers and administrators the guidance needed for the successful implementation of continuous quality improvement principles. This article describes how the Division of Mission Effectiveness continually assesses and takes actions to improve mission effectiveness within Alexian Brothers Health Systems. Mission effectiveness or an organization's "mission health," as operationalized in terms of values and behaviors, is assessed by an annual employee "opinionnaire." Once results are in, an "operational mission plan" is developed with objectives on how to improve mission effectiveness for the following year.

Catholicism↗
PubMed1993

The orthopaedic workforce in Queensland now and into the twenty-first century.

The objectives of this study were to determine the number and distribution of orthopaedic surgeons in Queensland at present and to assess the adequacy of trainee intake for the future. Characteristics of the orthopaedic workforce in Queensland in 1990 were analysed with regard to the total number of orthopaedic surgeons, their regional distribution, their ratio to the population and their age distribution. Similar statistics were derived for the years 1981 and 1986 and trends were examined. By projecting these trends, the number of surgeons likely to be practising in 2001 was estimated. Using projected population figures, the number of orthopaedic surgeons required in 2001 was calculated, assuming an optimum ratio of surgeons to population of one per 25,000. It was found that in 1990 sufficient orthopaedic surgeons were practising in Queensland but that there was some maldistribution. With the increased intake of five new training registrars per year, the number of orthopaedic surgeons in Queensland in 2001 should be appropriate, as long as current trends continue.

Forecasting↗
PubMed1993

Excluded facility financial status and options for payment system modification.

Psychiatric, rehabilitation, long-term care, and children's facilities have remained under the reimbursement system established under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248). The number of TEFRA facilities and discharges has been increasing while their average profit rates have been steadily declining. Modifying TEFRA would require either rebasing the target amount or adjusting cost sharing for facilities exceeding their cost target. Based on our simulations of alternative payment systems, we recommend rebasing facilities' target amounts using a 50/50 blend of own costs and national average costs. Cost sharing above the target amount could be increased to include more government sharing of losses.

Cost Sharing↗
PubMed1991

Increasing Medicaid clients' access to care. Church, state, and private providers collaborate.

Medicaid clients often have difficulty obtaining a physician referral and thus seek treatment for nonemergent conditions in hospital emergency rooms. A committee with representatives from Alexian Brothers Health System, Inc., Elk Grove Village, IL, and Catholic Charities of the Archdiocese of Chicago, Rolling Meadows, IL, has collaborated with six other organizations to put an end to this misuse of the healthcare system in Chicago's northwest suburbs. Catholic Charities Physician Referral Service came about as the result of research conducted by the committee which indicated that persons on public aid have limited resources available to secure primary healthcare. The committee also reviewed a United Way needs assessment and a survey of healthcare professionals and community leaders which substantiated that the community needed a referral service. In the past, Medicaid clients often had to make numerous futile telephone calls to locate physicians who would accept them. Through this service, however, Medicaid clients simply call Catholic Charities Physician Referral Service (which has information on participating physicians' specialty, location, and hospital affiliations) and then call the physician to whom they are referred. When physicians join the referral service, they specify the number of Medicaid patients they are willing to treat during the year. Catholic Charities will help the participating physicians secure payment from the Illinois Department of Public Aid for the health services they have provided.

Catholicism↗
PubMed1987

Coping with change: a challenge for sponsors.

In the past 25 years a trend away from lifetime commitment in religious institutes, a rising number of retired religious,, and the Second Vatican Council's call for greater lay involvement in all aspects of ministry have led to many changes in Catholic-sponsored health care facilities. The development process of religious institutes parallels that of individuals as they mature from infancy to late adulthood. After Vatican II, religious institutes underwent an "intimacy versus isolation" stage similar to that experienced by people in their twenties, in which interpersonal relationships became more important. Now institutes are in a stage of "ego integrity versus despair," where they must consider changes--closing facilities, mergers, affiliations,, or divestiture of sponsorship--and how they can keep their mission alive afterward. Religious leaders must be energetic in creating programs that allow laypersons who share the institute's mission, charism, and philosophy to carry out its ministry. But in the midst of these changes, religious members also will experience grief at the loss of their sponsorship or control over their facility. They pass through the same stages people experience after the death of a loved one: denial, anger, bargaining, depression, and acceptance. Only by confronting and accepting their grief can institute members go on to either new ministries or reaffirmed commitment to their current work.

Catholicism↗
PubMed1984

Mission effectiveness study identifies, reinforces values.

When the Congregation of Alexian Brothers recommended that its sponsored institutions evaluate their mission effectiveness, the Alexian Brothers Medical Center, Elk Grove Village, IL, developed a study of patient and constituent perceptions. The purpose was to assess the degree to which the Alexian mission guided the institution's performance. Survey instruments included a survey of patient care perceptions and a questionnaire administered to Alexians, Alexian comembers, professional and support staffs, volunteers, governing board members, and administrators. Selected constituents also participated in interviews and in a survey that identified various groups' capacity to influence the medical center's mission. Administrators found that patients and constituents perceive that the congregation's ideals exist in the medical center and that constituents view those ideals as important. They concluded that institutions benefit from establishing administrative responsibility for mission effectiveness and that the study process itself can reinforce mission values.

Catholicism↗
PubMedDate not supplied

Integrating cultures: a tool for mission leaders and others in collaborating organizations.

This resource, Integrating Cultures, is a direct response to numerous requests received last fall from mission leaders in CHA-member organizations struggling with the cultural realities of strategic alliances. This tool presents the learnings of five authors who shared their significant experience of collaborative activities in ministry organizations, ranging from joint operating agreements to full mergers of assets and expenses. This resource specifically addresses the challenges facing organizations in the first 18 to 24 months follow the finalization of a collaboration. Strategies are presented here for bringing together previously distinct communities of people into positive, healthy new cultures that reflect the visions and purposes of the collaborative activities. Future articles will recommend culture integration strategies appropriate at other points along the collaboration timeline: the period of initial investigation, the stage of due diligence, and the ongoing life of collaborating entities two years and more after signing the final papers. Integrating Cultures and a resource from CHA collaboration with other-than-Catholic organizations (set for publication later this spring) were developed in response to members' requests for the accurate information they need as they proceed with integration strategies in today's healthcare environment. These resources are examples of the powerful knowledge e transfer and wisdom sharing that is possible when ministry leaders work with and for one another to make Christ's healing presence more evident in our world.

Catholicism↗