Health Administration
Section Newsletter
Spring 2004

Chair's Report, May 2004

Jon Thompson, HAS Chair 
May, 2004

Message from the Chair: The “public” in APHA

In the last newsletter, I addressed the issue of membership in HAS and what it means for all of us. I suggested each of us think about how membership can be strengthened in terms of three “Cs”: commitment, collaboration and collective wisdom.

When we think of our involvement in APHA, we should be reminded of the “public” in APHA. The dictionary defines public as “pertaining to or affecting a population or a community as a whole.” In the context of APHA, this term has dual meaning: serving the public in the best way we can and serving one another in the collective body known as HAS. Our day-to-day efforts associated with our professional employment are directed toward improving the public’s health, whether it is by identifying needs and planning programs, managing programs, developing new services, directing initiatives to educate individuals and promote health, or educating future health professionals. Our focus is on the external community. We are serving the community, however large or small we define it, and in whatever other ways we use to characterize it. In addition to serving the external community, our HAS section efforts serve our internal community—you who are members of our section who give of your time, energy and talents to make the section strong. You do this by sharing your experience, knowledge and skills by working with others to benefit HAS and make our internal community strong. The examples are many:


  • contributing to the development and implementation of the HAS program at APHA Annual meeting

  • identifying and honoring exemplary efforts with awards

  • preparing communication vehicles such as HAS newsletter and web site updates

  • reviewing policy matters and initiatives that impact the section

  • determining appropriate and needed linkages between our section and other sections

  • identifying ways to share our expertise, and be a resource to others

  • identifying ways to build membership and mentor others –including current members with new interests, new members and students



These activities serve our internal public and reflect those steps that build community within the section. All of your efforts in the above illustrations and others are to be applauded. I urge you to think of ways to continue to build the internal public within HAS.

For those of you members who are not involved, or if you are a new member, or if you are an APHA member who are is considering HAS, please consider how you can put the public into perspective through your involvement in HAS. Please let us know how you would like to get involved. This is your section—together let’s embrace ways to benefit both the internal and external public within APHA in the best ways that we can.

Minutes of the Health Administration Section Council Meeting, Telephone Conference Call, Thursday, April 1, 2004

Times: 1:00-2:30 pm Eastern; Noon-1:30 pm Central; 11:00 am-12:30 pm Mountain; 10:00-11:30 am Pacific

1. Roll Call and Welcome (Jon Thompson)
Members were welcomed and the meeting as called to order at 1:05 Eastern time by Jon Thompson. The following members were on the call: Diane Adams, Nelson Adekoya, Ellen Alkon, George Crosthwaite, Laurie Fitts, Vonna Henry, Ibrahim Ibrahim, Laura Larsson, Linda Moore, Bud Nicola, Giorgio Piccagli, Marcia Rosenstein, Audrey Smith, Michael Smylie, Jon Thompson, Polly Turner, and Jorg Westermann/

2. Update on Governing Council slot filled by Michael Smylie (Jon Thompson)
Michael Smylie has filled the vacant Governing Council slot due to David Buchanan’s resignation. Michael’s position on the Governing Council will remain effective through the 2004 Annual meeting. The council members on the call concurred with this decision and demonstrated their approval and support.

3. Update and Progress reports from Committees
a. Nominating (Joyce Gaufin) – Jon Thompson indicated that the ballot is finalized with excellent candidates for Chair-elect, Section Council and Governing Council. All members will be sent an email by APHA in the near future with voting directions. Giorgio Piccagli suggested that the future candidate statement requirement be modified to include an indication of their future vision for the section – a “forward looking” statement. It was noted that the lack of a vision statement by candidates was the result of a change by APHA a few years ago. Jon Thompson also noted that nominations for positions appointed by the APHA Board (including Action Board, Newsletter Advisory Board and Education Board) are due to Joyce Gaufin, Nominations Chair, by Monday, April 5, 2004).

b. Annual Meeting Program Planning (Diane Adams/Polly Turner)
-Number abstracts received/abstract reviews – Abstracts have been submitted and have been reviewed for inclusion in the meeting. The excellent summary report prepared by Diane Adams on the Annual meeting was acknowledged.
-Business meetings – Diane is working with Donna Wright of APHA regarding room assignments, business meetings, and strategic planning meeting locations.
-Invited sessions – Polly Turner suggested requesting Congresswoman Sheila Jackson Lee to speak for one of the invited sessions. Members suggested that since her main area of interest is HIV/AIDS we should coordinate with other sections. Also, we should look for high profile individuals with public health infrastructure expertise. It was suggested to expand the panel to include practitioners who demonstrate expertise with best practices. Members were asked to submit ideas and suggestions for invited sessions to Diane Adams and Polly Turner.

c. Continuing Education (Linda Landesman) – Linda was not on the call. No CEI sessions sponsored by HAS are lined up for 2004 Annual meeting. Discussion for session for the 2005 meeting needs to begin early. Laura Larsson noted that she is involved in a CEI at 2004 Annual meeting to be conducted by NLM. The possibility of collaboration between HAS and NLM for this session was raised, which will be considered.

d. Awards and Reception (Marcia Levy Rosenstein) – Marcia has proposed that the awards ceremony be changed from Tuesday night (the night of the APHA celebration) to Monday night at 7pm. This might generate greater participation. Diane Adams will find out if the room can be changed.

e. Newsletter (Laura Larsson) – Laura has newsletter content prepared for publishing, but APHA is moving slowly. As a work-a-around, she will contact APHA to see if they will send a broadcast that will direct members to her personal website until APHA’s process is streamlined.

f. Membership (Audrey Smith/Linda Moore) – Audrey and Linda reported they have begun an initiative to send new or renewing members welcome/welcome back emails when they join the section. APHA will send a quarterly list that has the emails of these individuals.

g. Policy Development (Michael Smylie) – Mike thanked those members who are helping with policy review. The deadline for the reviews is April 14th. Mike also informed us that the HA section has volunteered to review existing policies for APHA that are part of an effort to review the relevance and wording of current APHA policies.

h. Strategic Planning Implementation (Tricia Todd) – Tricia was not on the call, but Jon Thompson referred us to the recently emailed Implementation Team Summary document which describes this section’s current activities in great detail. The Implementation Team serves as an oversight group in focusing the section’s action/work plan now that we have a revised mission, vision and operating principles. Linda and Audrey will strategize with LaTonia Peters on following student members to see how we can get more of them to join our section.

i. Linkages (Bud Nicola) – The Linkages Committee has been targeting and reaching out to a variety of organizations, including the American Management Association and Association of Teachers of Preventive Medicine, in order to collaborate and develop mutually beneficial relationships. Other organizations have been targeted as well.

j. Student Involvement (LaTonia Peters) – Not on call. No discussion.

k. IT/Web Committee (Jorg Westermann) – Jorg reported that more information is needed to populate the website, and seeks feedback on the web site. It was suggested that there is a need to explore a commercial company to provide web services, and that maintaining the web site is a large job. Section leaders were encouraged to submit information for web publishing so that web content can be expanded. This will provide greater opportunity for members who could help update and add content to static pages.

l. Minority Access (Andew James) – Not on call. No discussion.

m. HAS 100th Anniversary (Vonna Henry) – Vonna described a proposed work plan for the 2008 celebration. She will use three work groups to accomplish this goal: history committee, event planning committee, and fundraising committee. Vonna requested interested members to participate in planning and carrying out this event.

n. Other reports. Giorgio Piccagli mentioned his role as Chair-Elect of the Committee on Affiliates, and it was noted that Joyce Gaufin is Chair-Elect of the ISC.

4. Budget Update – We are currently operating on a 6 month budget; 12 month budget encompasses FY July 1, 2004 – June 30, 2005. The budget is based on $3 per member for the HA section. Jon Thompson will provide budget information to HAS Leadership.

5. Updates from Governing Council - No discussion.

6. Updates from ISC - No discussion.

7. Set date/time for next meeting. The next telephone conference call meeting will be held on Tuesday, June 1st, 2004. Times: 1:00-2:30 pm Eastern; Noon-1:30 pm Central; 11:00 am-12:30 pm Mountain; 10:00-11:30 am Pacific

8. Other business – No other business was discussed.

9. Adjourn – Jon Thompson adjourned the meeting at 2:30 pm EST

Respectfully submitted,

Section Business: Health Administration Program Committee Turns Up the Heat for the Fall Annual Meeting

The 2004 Health Administration Section's Program Planner Committee has been working diligently to bring you quality scientific sessions for presentation at the 132nd Annual Public Health National Convention and Exposition to be held on November 6-10, 2004 in Washington, D.C. We are delighted to be able to share with you some exceptional state-of-the-art oral sessions and some intriguing special invited sessions.

During this year's call for abstracts, a total of 219 abstracts were submitted, of which 207 were accepted for presentation, 11 were rejected, and one was incomplete. We are pleased to announce that out of 207 accepted, 170 will be presented as oral sessions, and 37 will be presented as poster sessions. We invite you to register and attend as many of the oral presentations as possible. The Poster Sessions will be held in the Exhibit Hall and we encourage you to view the posters on display and ask questions of the speakers.

The oral sessions will include some very dynamic and interesting topics. There will also be sessions on Obesity, Public Health Workforce, Quality, Managed Care, Planning, Leadership, Cultural Competence, Environment, Educational, Information Technology, Emergency Preparedness and much more. We are excited to inform you that the Health Administration Section is making history by offering six (6) Special Invited Sessions, more than we have every presented before! Speakers from this category are experts and/or very knowledgeable in their field.

The sessions are listed below:

3045.0 - SCI: Monday, November 8, 2004: 8:30 AM-10:00 AM
Health Disparities and Drug Abuse Research Within an Environmental Framework

3122.0 - RT-SCI: Monday, November 8, 2004: 10:30 AM-12:00 PM
Meet NIDA Research Scientist and Program Staff and Explore Opportunities for Conducting Drug Abuse Research

3266.0 - SCI: Monday, November 8, 2004: 2:30 PM-4:00 PM
What Can We Do About Health Care?
(Senator Hillary Rodham Clinton (NY), Congresswoman Sheila Jackson-Lee (TX), and Congressman Charles Rangel (NY) have all been invited to participate in this session.).

4042.0 - SCI: Tuesday, November 9, 2004: 8:30 AM-10:00 AM
Best Practices and Emerging Changes in Public Health

4141.0 - SCI: Tuesday, November 9, 2004: 12:30 PM-2:00 PM
Expanding the Linkages between Public Health and Information Technology

4207.0 - SCI: Tuesday, November 9, 2004: 2:30 PM-4:00 PM
Disabilities and The Environment: Overcoming Barriers

We also look forward to presence at the section's Business Meetings. A schedule is listed below for your convenience. Please plan to attend and invite new members:

200.0 - BM: Sunday, November 7, 2004: 7:00 AM-8:30 AM
Health Administration Business Meeting One
Presider: Jon M. Thompson, PhD

228.0 - BM: Sunday, November 7, 2004: 2:00 PM-3:00 PM
Health Administration Orientation Meeting for New Members
Presiders: Jorg Westermann, PhD, MA ; Linda E. Moore, MA, PhD,
RN,CNAA

249.1 - BM: Sunday, November 7, 2004: 3:30 PM-5:00 PM
Health Administration Strategic Planning Meeting
Presiders: Jorg Westermann, PhD, MA; Tricia Todd, MPH; Jon M. Thompson, Ph.D

315.0 - BM: Monday, November 8, 2004: 7:00 AM-8:00 AM
Health Administration Business Meeting Two
Presider: Jon M. Thompson, PhD

364.0 - BM: Monday, November 8, 2004: 7:30 PM-9:00 PM
Health Administration Awards Reception
Presiders: Jon M. Thompson, Ph.D, Marcia Levy Rosenstein, MPH, MPA

407.0 - BM: Tuesday, November 9, 2004: 7:00 AM-8:00 AM
Health Administration Business Meeting Three
Presider: Jon M. Thompson, PhD

505.0- BM: Wednesday, November 10, 2004: 7:00 AM-8:00 AM
Health Administration Business Meeting Four
Presider: Jorg Westermann, PhD, MA

Come to Washington, DC on November 6 -10 and join your colleagues in public health for this 132nd annual meeting and exposition.

Feel free to email us at dla8315@aol.com or pollyrx@aol.com if you have questions about the program, and thank you for allowing us to serve you!

Diane L. Adams, MD, MPH, Chair Program Planner
Polly S. Turner, DrPH, MPH, RPh, Co-Chair Program Planner
Eileen Parish, MD, Assistant Program Planner
Sandra A. Worrell, MA, Assistant Program Planner

APHA Annual Meeting: E-ssential Learning

 
APHA is expanding the educational experience of both presenters and attendees at the APHA Annual Meeting by investing in LCD projectors, computers and new web based technology for all scientific sessions. This new technology will enable voice and PowerPoint presentations to be recorded and uploaded to the APHA web-site following the meeting, thus extending the life of the meeting and providing access to hundreds of actual scientific session presentations that Annual Meeting registrants may have missed while attending other sessions.

Annual Meeting attendees can receive full access to these expanded sessions by registering for E-ssentialLearning on the Annual Meeting registration form. Special introductory discounted fees of $25 for Annual Meeting session presenters, $50 for APHA members (who are not session presenters), and $100 for non-members and are in effect for anyone registering for the full APHA Annual Meeting by the October 1st pre-registration deadline. These fees will increase substantially for anyone registering on-site at the Annual Meeting in Washington.

Log-in information and password access to these E-ssentialLearning sessions will be provided to registrants immediately following the Annual Meeting.

NEW! Presenters Able to Upload PowerPoint Presentations in Advance



LCD projectors and computers are now included as part of the standard audiovisual package in each session room. This new technology will enable presenters to upload their PowerPoint presentations in advance of the meeting and have them pre-loaded on the APHA session computers. Individual presentations then begin with a click of the mouse. The cost and inconvenience of bringing a computer to the annual meeting has been eliminated for presenters allowing them to take advantage of new technologies and be a part of the E-ssentialLearning experience.

News, Views and Web Sites

This section is intended to help you with news and Web sites that you can use in your work.

What's New(s) on...?


This section links you to Web sites that have information useful to those working in health administration. To visit the site, just click on the underlined link. Valuable resources all. These links will remain as part of the Newsletter. Keep in mind that some of the links might take a few seconds to load as they are doing searches of very large databases – and that takes time).

Reducing Racial & Ethnic Health Disparities


The National Business Group on Health, formerly the Washington Business Group on Health, has "developed an employer toolkit to provide companies with culturally competent resources, best management practices and assessment tools to reduce and eliminate health disparities."

The kit is divided into four sections full of information, pertinent findings and strategies that the Business Group will update and expand upon on an ongoing basis. The sections include the following: Overview; Key Facts and Information; Important Findings; and, Strategies and Solutions. The Overview section contains general information about the National Business Group on Health and the Business Group's Health Disparities Initiative, and the Initiative's Employer Council and Technical Advisory Board members. Two Issue Briefs and an analysis paper form the Key Facts section. The Findings and Strategies and Solutions section contain a variety of documents and surveys (and their results). Site URL: http://www.businessgrouphealth.org/prevention/employer_toolkit.cfm .


National Network of Public Health Institutes


Public Health Institutes are "nonprofit, multi-sector entities that rely upon partnerships and collaborations between federal, state, and local public health agencies, universities, foundations, and other health-related organizations to foster innovations that improve health." Get information about the NNPHI, a calendar of events, conferences and training, their monthly newsletter, reports, member list, partners, forums and a file library. Site URL: http://www.nnphi.org.


State Fact Sheets (ERS)


The ERS State Fact Sheets contain frequently requested data for each state and for the total United States. These include current data on population, per-capita income, earnings per job, poverty rates, employment, unemployment, farm and farm-related jobs, farm characteristics, farm financial characteristics, top agricultural commodities, top export commodities, and the top counties in agricultural sales.

The ERS State Fact Sheets have been updated with more recent data on Farm and Farm Related Employment. In addition, the Population, Income, and Employment data now reflect the June 2003 metro and nonmetro definitions.
Released Friday, April 2, 2004. Site URL: http://www.ers.usda.gov/StateFacts/ .

Source: USDA ERS Update Monday, March 29, 2004 to Friday, April 2, 2004

Personal Knowledge Management Column

This column is devoted to personal applications and information that you, as an individual knowledge worker, can use to improve your information productivity without necessarily relying on your IT staff. The short articles and hints contained in this section will follow a framework originally developed by Prof. Paul Dorsey at Millikin University (http://www.millikin.edu/) in Decatur, IL. Dorsey and his colleagues.

Dorsey’s framework consists of seven areas: 1. Accessing information and ideas; 2. Evaluating information and ideas; 3. Organizing information and ideas; 4. Analyzing information and ideas; 5. Conveying information and ideas; 6. Collaborating around information and ideas; and 7. Securing information and ideas, and is an attempt to combine computer literacy with information literacy. It’s an expansion of the: “find, organize, use and disseminate” school of thinking.

High and Low Tech Tools for Recording Ideas: Some Suggestions

A company's future, is determined by creativity and innovation, and harnessing the resourcefulness of people
to create new knowledge. -- Denham Gray


Introduction



Luigi Pirandello is often quoted as having said, "The history of mankind is the history of ideas." Buckminster Fuller said that everyone has great ideas, but few people capture them, and even fewer act on them. He also said, "Man knows so much and does so little." Are you one of those people who have good ideas but never write them down or act on them? Do you know a lot but do little?

Thomas Davenport, well-known expert in the area of knowledge management, asked some critical questions surrounding big business ideas in his book mentioned below. He asked, "Where do ideas come from? More...

Leadership Articles

This section will concentrate on articles that are intended to help you think about your role as leaders in health administration and in public health and to offer practical tips for doing so. Wherever possible we will include articles on best practices. This month we feature an article by Carol Woltring, Executive Director, Center for Health Leadership and Practice (CA), a case study by Ibrahim Awad Ibrahim on Patient Falls at a nursing home, and several articles on topics related to health care management and leadership.

An Introduction to Mentoring

Much of this article is excepted from Guides for Mentors and Proteges developed by the Center for Health Leadership and Practice, Public Health Institute


What is Mentoring?



In The Odyssey (written by Homer, a Greek poet), Odysseus (known as Ulysses in the Latin translation) was preparing to fight the Trojan War when he realized he would be leaving behind his only son and heir, Telemachus. Since the child was young and wars typically dragged on for years (the Trojan War lasted 10 years), Ulysses entrusted Telemachus’ care and education to Mentor, his wise, trusted friend.

Today, mentoring is a process in which an experienced individual helps another person develop his or her goals and skills through a series of time-limited, confidential, one-on-one conversations and other learning activities. Mentors also draw benefits from the mentoring relationship. As a mentor, you will have the opportunity to share your wisdom and experiences, evolve your own thinking, develop a new relationship, and deepen your skills as a mentor.

How Do I Become a Skilled Mentor?



There are many kinds of mentoring relationships, ranging from informal to formal. An informal mentoring relationship usually occurs in a spontaneous format. (Think of times you have been helped by someone more experienced than you without explicitly asking to be mentored.) Informal mentoring may also occur within the context of other relationships such as a supervisory relationship or even peer relationships. A formal mentoring relationship is characterized by its intentionality – the partners in the relationship ask for or offer the mentoring, establish goals for the relationship and make agreements about its nature. There are also mentoring programs that facilitate formal mentoring relationships. A “facilitated” mentoring relationship has been defined as “…a structure and series of processes designed to create effective mentoring relationships; guide the desired behavior change for those involved; and evaluate the results for the protégés, the mentors and the organization.” These mentoring relationships occur within a structured and defined framework and involve a third party. Often these programs have a specific goal such as helping participants develop their careers.

Mentoring relationships can occur at all professional levels. The key feature of a mentoring relationship is that a more experienced individual helps another achieve his or her goals and develop as a person. The mentor may help the protégé (the person being mentored) develop specific job skills or leadership capacities. The mentor may work in the same organization, have experience in the protégé’s organizational context, or have experience in the same field.

If you have been approached to be a mentor, or would like to offer to be someone’s mentor, reflect on these questions prior to committing to the relationship:


  • What experiences and learning can I bring to the mentoring relationship?


  • What are my own expectations for the relationship?


  • Are there any obstacles that could impede the relationship’s development?



The mentoring literature shows that mentors and protégés tend to employ certain mentoring skills. Research also indicates that these skills can be developed, and that particular skills or competencies seem to result in the most successful mentoring relationships. Linda Phillips-Jones, Ph.D., mentoring expert and author of The New Mentors & Protégés: How to Succeed with the New Mentoring Partnerships, and numerous guides and tools for mentors and protégés studied hundreds of mentor-protégé relationships and developed a set of critical mentoring skills and competencies. The key mentoring skills presented here are adapted from her work.

KEY MENTORING SKILLS


  • Listening Actively


  • Building Trust


  • Determining Goals and Building Capacity


  • Encouraging & Inspiring



You will likely recognize these skills and may have experience employing them successfully in other relationships. As you progress through the mentoring relationship, employ these skills whenever possible.

Mentoring Best Practices




  • Think of yourself as a “learning facilitator” rather than the person with all the answers. Help your protégé find people and other resources that go beyond your experience and wisdom on a topic.


  • Emphasize questions over advice giving. Use probes that help your protégé think more broadly and deeply. If he or she talks only about facts, ask about feelings. If he or she focuses on feelings, ask him or her to review the facts. If he or she seems stuck in an immediate crisis, help him or her see the big picture.


  • When requested, share your own experiences, lessons learned, and advice. Emphasize how your experiences could be different from his or her experiences and are merely examples. Limit your urge to solve the problem for him or her.


  • Resist the temptation to control the relationship and steer its outcomes; your protégé is responsible for his or her own growth.


  • Help your protégé see alternative interpretations and approaches.


  • Build your protégé’s confidence through supportive feedback.


  • Encourage, inspire, and challenge your protégé to achieve his or her goals.


  • Help your protégé reflect on successful strategies he or she has used in the past that could apply to new challenges.


  • Be spontaneous now and then. Beyond your planned conversations, call or e-mail “out of the blue” just to leave an encouraging word or piece of new information.


  • Reflect on your mentoring practice. Request feedback.


  • Enjoy the privilege of mentoring. Know that your efforts will likely have a significant impact on your protégé’s development as well as your own.



There is so much to learn about mentoring. At the beginning you need clear goals and agreements about the desired impact of the relationship and the frequency and ways in which both parties would like to communicate. Confidentiality is an important issue to discuss up front. Relationships have stages and there are many suggestions in the guides below for operating with skill in each of them.

Establishing a formal mentoring program is a entire subject of its own. Deciding what the overarching goals are of a program up front is critical. There are many practical suggestions that can be found in the readings below.

For more information about mentoring, coaching, succession planning, and developing formal mentoring initiatives please contact Carol Woltring at cwoltring@cfhl.org (email) or by phone: 510 285-5586.

Suggested Readings and Guides



Center for Health Leadership & Practice (2002) Mentoring Guides: A Guide for Protégés A Guide for Mentors. Oakland, CA: Center for Health Leadership & Practice, Public Health Institute. These guides can be ordered at www.cfhl.org.

Phillips-Jones, L. (2000) The Mentor's Guide. Grass Valley, CA: Coalition of Counseling Centers (CCC)/The Mentoring Group. Practical workbook for mentors. Includes Mentor's View of Mentoring Process, Frequently Asked Questions, Critical Mentoring Skills, Mentoring Etiquette, detailed Mentor's Checklist of Tasks, Sample Activities, blank and sample Mentor Plans, etc. Appropriate for new and experienced mentors.

Murray, M. (2001) Beyond the Myths and Magic of Mentoring: How to Facilitate an Effective Mentoring Process. San Francisco: Jossey-Bass. Provides models and guidelines for designing, implementing and evaluating a facilitated mentoring process within organizations. Includes useful tools and case examples.

[Chair's Request: If you are interested in being mentored or in mentoring an up-and-coming HAS member, we will be requesting your name and contact information so that we can bring people together. We will also be asking you to share your experience, expertise and knowledge with us so that we can pair you up with a mentoree. Please look for that request.]

Who Mentored You?



In keeping with the mentoring article above, you might find it interesting to visit this linked site. http://www.hsph.harvard.edu/chc/wmy2004/ . The site provides interviews with celebrities on the topic of people who affected their early lives and encouraged them to become who they are today. Interviewees include James Earl Jones, Ray Charles, Cal Ripkin, Jr. Gwen Ifill, Oprah Winfrey, Larry King, John McCain, Walter Cronkite, Gloria Estefan, Quincy Jones, Martin Sheen, Colin Powell, Tom Brokaw, and others. It also features details about National Mentoring Month and Thank Your Mentor Day (January). Includes audio and video clips.

The Harvard Mentoring Project uses "mass communication strategies to recruit mentors for at-risk adolescents. The Center's latest initiative, National Mentoring Month, was launched in January 2002. This annual month-long campaign includes a combination of national media, local media, and extensive community outreach." From the Harvard School of Public Health, Center for Health Communication.

Case Study: Patient Falls at the “Young at Heart Nursing Homes"

Case Study Context



The top administration at the Young at Heart Nursing Homes (YHNH), a large nursing home chain wants to develop report cards for the chain and compare facilities on a standardized basis. You are contracted to help develop standard indices of quality care at the YHNH affiliated nursing homes and validate those indices. Part of the process you use was to use incident reports on falls, medication errors, etc. to compare institutions but one of your concerns is the consistency of data collection across institutions and.

Case facts



At one of YHNH affiliate nursing homes, the facility managers were asked to start developing continuous quality improvement (CQI) projects, focusing on patient falls and related injuries. Using Donabedian’s paradigm of structure, process, and outcome, you use this model starting from the outcome end and work your way backward to identify structural and process factors that affect patient falls. You review the process of patient transfer to identify the parts of this process that are more likely to result in patient injury as your first priority. Related structural factors also need to be examined. The rates need to be adjusted to account for differences in severity, age, etc. across facilities.

As consultants you are expected to help managers identify structural and process factors that might contribute to falls/injuries during transfer. New protocols are designed and structural features redesigned in one facility or unit on an experimental basis. The nursing staff is trained on new process and structural features.

At the end of the study period, you conduct an evaluative study on training effectiveness.

Evaluation study questions




  • Are the nurses following the new process correctly?


  • Are they using the new or revised equipment correctly?


  • If so, is there a significant difference between fall/injury rates in the unit/facility employing the new approach compared with those who are not?



The answer to these questions will determine if all facilities in the system are to be redesigned and staff retrained, with related expenses weighed against improvements in outcome. Other factors, such as cost savings from reduced falls/injuries are incorporated in the decision making. Another issue is whether facilities with low fall/injury rates have a system that is as effective for their staff/facility as the new protocol.

Case study teaching process




  • This case study usually takes two consecutive classes of 3 hours each working in small groups.


  • Students are given the opportunity to identify the different factors that relate to falls in the structure and process of care that could lead to patient falls and use them to reverse the outcome to “prevent falls”.


  • Students are also expected to design incident report sheet to formulate the data collection component for this CQI project.


  • At the end of the this case study, students are given a data set that resulted from a similar project to analyze and are asked to try to answer the evaluation questions.


  • Statistical comparisons use odds ratio, relative risk, and partial attributable risk. Post implementation statistics are compared to the baseline/benchmark figures.

Today's focus: Qualities of a good teleworker

Teleworking is increasing in the Workplace. Here are a few tips from an author who has some ideas about what makes a good remote employees. This article is used with permission of the author.

Last week remote management expert Merrily Orsini said that when it comes to successful remote employees everything boils down to results. If you're clear about what you expect and when you expect it from your teleworking staff, you're likely to have smooth, clear management relationship with the employee.

However, many of us are stuck in determining who would make a good remote employee. Skills that benefit a person in an office setting may not translate to a home office and vice versa.

Orsini says good candidates for telecommuting need to understand their capabilities and should have the following:

  • The ability to work alone.


  • Responsiveness and good communication skills.


  • The ability to adhere to timelines.


  • The ability to take constructive criticism and not get defensive.



"You really have to start with the right person first," she says. "Make certain they're responsive, and you're clear about the time in which they respond. If they don't adhere to the timelines, if they have excuses about why they didn't do things, they're not going to be able to work alone or remote."

As she stated last week, a lot of the groundwork for a good telework relationship is advance planning and trials. Define a set of agreed-upon results and deadlines with the prospective remote employee. Also establish a trial period for the remote work, evaluate the trial, then repeat the trial again.

Orsini also suggests managers compare and track the person's progress so you know exactly how they are- or aren't- meeting the points of the deal. While it's tempting to let the paperwork/tracking angle slide, it's critical you continue in case a problem crops up and the employee is deemed no longer suitable for telework.

Orsini says many people thrive in the telework setting, finding the absence of office distractions allows them a greater focus. She cites one AT&T study that says some employees are 30% moreproductive when they work remote than in an office.

However, if the person is not getting the job done, that's moot.

"It all boils down to results," she says. "You will know if someone paid attention to whatever they were supposed to pay attention to. Someone who has a poor work ethic in a traditional sense will not have a good work ethic if they work at home. But people with good work ethics will be able to go home and work remotely, and do it well."

Source: NETWORK WORLD NEWSLETTER: MELISSA SHAW ON MANAGEMENT STRATEGIES
07/01/03. To subscribe or unsubscribe to any Network World e-mail newsletters, go to:
http://www.nwwsubscribe.com/news/scripts/notprinteditnews.asp

Getting Things Done: Time Management Tips

These tips were taken from several issues of Taylor's Time Tips, an electronic newsletter and used with permission of the author. Harold L. Taylor is the author of 'Making Time Work for You.' Subscribe to Taylor's Time Tips at this address: http://www.TaylorOnTime.com .

Organized Chaos. Clearing away the clutter will not get you organized. You must have a system established that will keep the clutter from accumulating again. Organization is a process, not an event.

Don't be a Perfectionist. Jeff Olsen in the book, The Agile Manager's Guide To Getting Organized, claims it often takes 50% or more of the total effort to squeeze out the last 10% or so of quality or whatever it is that perfectionists want out of a situation.

Procrastination Breeds Urgency. Urgent tasks are usually the non-urgent tasks that were not started soon enough.

Follow Through on Goals. Larry Bossidy & Ram Charan, in their book Execution (Crown Business, 2002) said that the failure to follow through on goals is a major cause of poor execution. If nobody is accountable for results, it doesn't get done.

Time Spent on Email. Christina Cavanagh, in her book Managing Your E-Mail, calculates that if you multiply 1.23 hours (the extra time spent daily on e-mail) by 5 days for 52 weeks, the average person is spending 320 hours per year of extra time handling e-mail. (Editor: Is this time taken out of your work day or is it taken from your personal time? Either takes a toll on your productivity).

Trading Efficiency for Effectiveness. Extreme busyness is injurious to the real work of the organization according to Tom DeMarco in his book Slack ( Broadway Books, 2002.) He suggests we sacrifice a little efficiency by freeing up people to think, innovate and respond to opportunities.

Meeting Etiquette. The Memory Jogger by Michael Bressard & Diane Ritter suggests that we listen without bias, respect other opinions, make our point calmly and avoid personal agendas.

Management Humor

This following article might brighten your day with a little laughter.

Writing An Annual Report For Government (Humor)



by Robert Bacal

One thing they never teach you in school is how to write an annual report if you work in government. It is, indeed, a magical art. For those of you who are expected to participate in the annual report endeavor, we have pulled together a number of tips, based on real government annual reports we have examined.

1. Forget All You Ever Learned About Writing Clearly

Hardly anyone reads these things...and the few that do are probably NOT reading it to determine how many extra thousands of dollars you will receive at bonus time. If you write too clearly, people will think that you are hiding something or you are illiterate. So, write so you don't say anything, or if you do, write it so nobody can understand it.
More...

Quotes To Think About

Don't be a time manager, be a priority manager. Cut your major goals into bite-sized pieces. Each small priority or requirement on the way to ultimate goal becomes a mini goal in itself. (Denis Waitley)

Workers today must be equipped not simply with technical know-how but also with the ability to create, analyze, and transform information and to interact effectively with others. (Alan Greenspan, Chairman, Federal Reserve Board)

Management is doing things right; leadership is doing the right things. (Peter Drucker)

Interesting Management Articles on the Web

Leave It At the Stream, by Marshall Goldsmith. FastCompany, Issue 82 | May 2004, Page 103. http://www.fastcompany.com/magazine/82/mgoldsmith.html

The author helps you avoid rehashing the past and suggests how to focus on the future. Goldsmith describes what he calls "feedforward," a method of asking for suggestions for the future. Feedback is often negative and can ruin good working relationships; practice feedforwarding.

Try Feedforward Instead of Feedback, by Marshall Goldsmith. Adapted from Leader to Leader, Summer, 2002. http://www.marshallgoldsmith.com/html/articles/feedforward.html .

The author describes how he asks participants in his classes to pick one behavior that they would like to change and has them both provide feedforward and accept the feedforward suggestions. He offers ten reasons to try feedforward:

  • We can change the future. We can’t change the past.


  • It can be more productive to help people be "right," than prove they were "wrong."


  • Feedforward is especially suited to successful people.


  • Feedforward can come from anyone who knows about the task.


  • People do not take feedforward as personally as feedback.


  • Feedback can reinforce personal stereotyping and negative self-fulfilling prophecies.


  • Face it! Most of us hate getting negative feedback, and we don?t like to give it.


  • Feedforward can cover almost all of the same "material" as feedback.


  • Feedforward tends to be much faster and more efficient than feedback.


  • Feedforward can be a useful tool to apply with managers, peers and team members.



So, have you tried feedforward today?

Leadership Books to Buy or Borrow: Innovation

Leadership books abound. All you have to do is to search on Amazon.com to find more than you can possibly read. In this section we will provide you with some interesting and recommended books on leadership and management. These books can often be borrowed through your academic or public library. If they are not available at your library, ask for InterLibrary Loan and get them that way. Your leadership book recommendations may be sent to Laura Larsson, larsson@u.washington.edu .

This particular month we look at innovation. Peter Denning was recently interviewed in Ubiquity, an online publication of Association for Computing Machinery. In part two of the interview Peter Denning draws the following distinction between innovation and invention: "An innovation is a transformation of practice in a community. It is not the same as the invention of a new idea or object. The real work of innovation is in the transformation of practice. In this definition, community can be
small, as in a workgroup, or large as in the whole world. A transformation of practice in the community won't happen unless the new practice generates more value to the members than the old. Value may not be economic; it may be pride, reputation, health, safety, freedom. Many innovations were preceded or enabled by inventions; but many innovations occurred without a significant invention." (Ubiquity, Volume 5, Issue 8, April 21 - 27, 2004,)
http://www.acm.org/ubiquity/interviews/v5i8_denning.html

Here is the list of the top 10 books on innovation, as ranked by Amazon.com. Use this list to find out what your peers are reading!

1. Good to Great: Why Some Companies Make the Leap... and Others Don't, by Jim Collins (http://www.amazon.com/exec/obidos/ASIN/0066620996/innovationtoo-20)

2. The Art of Innovation: Lessons in Creativity from Ideo, America's Leading Design Firm, by Tom Kelley. (http://www.amazon.com/exec/obidos/ASIN/0385499841/innovationtoo-20)

3. Inevitable Surprises: Thinking Ahead in a Time of Turbulence, by Peter Schwartz. (http://www.amazon.com/exec/obidos/ASIN/1592400272/innovationtoo-20)

4. Open Innovation: The New Imperative for Creating and Profiting from Technology, by Henry William Chesbrough. (http://www.amazon.com/exec/obidos/ASIN/1578518377/innovationtoo-20)

5. How Breakthroughs Happen: The Surprising Truth About How Companies Innovate, by Andrew Hargadon (http://www.amazon.com/exec/obidos/ASIN/1578519047/innovationtoo-20)

6. Harvard Business Review on Innovation, by Clayton Christensen (http://www.amazon.com/exec/obidos/ASIN/1578516145/innovationtoo-20)

7. The Map of Innovation: Creating Something Out of Nothing, by Kevin O'Connor and Paul B. Brown. (http://www.amazon.com/exec/obidos/ASIN/1400048311/innovationtoo-20)

8. The Slow Pace of Fast Change: Bringing Innovations to Market in a Connected World, by Bhaskar Chakravort. (http://www.amazon.com/exec/obidos/ASIN/157851780X/innovationtoo-20)

9. The Seeds of Innovation: Cultivating the Synergy That Fosters New Ideas, by Elaine Dundon. (http://www.amazon.com/exec/obidos/ASIN/0814471463/innovationtoo-20)

10. Experimentation Matters: Unlocking the Potential of New Technologies for Innovation, by Stefan H. Thomke. (http://www.amazon.com/exec/obidos/ASIN/1578517508/innovationtoo-20)

Source: http://www.innovationtools.com/ (sidebar)

General Articles

APHA 2004: Some Relevant Environmental Health Quotes



In keeping with the environmental health theme of this year's APHA Annual Conference, here are several quotes for you to consider:

The most important thing about Spaceship Earth - an instruction book didn't come with it. ( R. Buckminster Fuller)

Those who play with the devil's toys will be brought by degrees to wield his sword. (R. Buckminster Fuller)

We are called to be architects of the future, not its victims. (R. Buckminster Fuller)

Travelling Aids

Even though travel has been cut back substantially in many local health jurisdictions, the following sites should be of interest to you when you can travel.

Airlines



American Airlines (http://www.aa.com/) - make your reservations here and check departure & arrival times, an important consideration given how often flights are delayed or cancelled. Do your travel planning and find out what your current mileage is.
British Airways (http://www.british-airways.com/) - international and domestic scheduled and charter air services, reservations. Plan, book and manage your flights. Online check in.
Continental Airlines (http://www.flycontinental.com/) - reservations; in-flight tips for passengers
Delta Airlines (http://www.delta-air.com/) - reservations
WebFlyer (http://www.webflyer.com/) - check on frequent flyer points, awards. Find deals.
- healthcare conferences, 1997 calendar
Expedia (http://www.expedia.com/daily/home/default.asp) - use to check airfares and get deals on flights, hotel stays and car rentals
Northwest Airlines\ (http://www.nwa.com/) - jump right in and search for flights and fares, check in for your flight or log into WorldPerks
Southwest Airlines (http://www.southwest.com/) - get "Click-'n-Save Internet Specials, view featured destinations, schedules and make reservations
United (http://www.united.com/)
US Airways (http://www.usair.com/) - US Airways reservations site
Virgin Atlantic (http://www.virginatlantic.com) - flying club and schedule information. Reservations, too
Yahoo! Directory of Airlines (http://dir.yahoo.com/Business_and_Economy/Shopping_and_Services/Travel_and_Transportation/Airlines/) - alphabetical list of all airlines and most popular airlines

Airport Shuttles



Look for airport shuttles on the Web by typing in the city and the term shuttle or "airport shuttle" or look for transportation and airport.

SuperShuttle (http://www.supershuttle.com/) - door to door service on demand
Washington (DC) Flyer Coach Service (http://www.washfly.com) - ground transportation service from Dulles to downtown

ATMs



If you do some heavy duty shopping you might need additional cash. Knowing where ATMs are located in relation to your hotel or convention center is always helpful.

American Express ATM Finder (http://maps.americanexpress.com/expresscash/PrxInput.aspx) - Give the site your location and get locations for cash.
Discover ATM (http://www.discovercard.com/) - sorry, could not find the ATM machine location page on the Discover site
Mastercard ATM Locator (http://www.mastercard.com/atmlocator/index.jsp) - enter as much information as you know about your desired location and this site will find the ATMs that best fit your search criteria (with the understanding that not all ATMs are listed).
Visa ATM Locator (http://www.visa.com/cgi-bin/vee/pd/atm/main.html?2+0) - run short of cash? Locate cash machines wherever you are - worldwide.

Car Rentals



Getting from A to B is a lot easier now that you can reserve a car before you leave home.

Alamo Rent A Car (http://www.alamo.com/) - reserve and pick up your car online
Hertz Rent A Car (http://www.hertz.com/) - all locations for locating a Hertz rental car - worldwide

City Guides and Maps (including Restaurants)



It's always nice to learn something about the city you'll be visiting. While friends who live in a city might have the details, they might not have the time to tell you about the sights, events, museums, and favorite restaurants.

City Search (http://www.citysearch.com/) - details about daily life in dozens of cities: reviews of food, things to do and entertainment
Fodor's Guide (http://www.fodors.com/) - travel and baggage tips, restaurant and hotel recommendations, city information
Map Quest (http://www.mapquest.com/) - prepare individualized maps for appointments and business trips
Map Blast (http://www.mapblast.com/) - maps, driving directions and help to get you there (whereever there is)
Subway Navigator (http://www.subwaynavigator.com/) - subway guides and route finders for more than 50 international cities, 10 US cities, including DC
Street Maps (http://www.bigbook.com/) - from Big Book

Computers (equipment and broken)



Nothing worse than getting to a place and discovering you've forgotten a cable or broken a critical piece of computer gear.

iGo (http://www.igo.com/) - batteries and accessories for your cell phone, notebook and handheld devices
MobilePlanet (http://www.mobileplanet.com/shopanywhere/) - especially strong on equipment for handhelds and Tablet PCs. If the site looks a little strange it's because it's set up for viewing on handhelds with their small screens.
PC Mall (http://www.pcmall.com/) - order computer equip, will be delivered by 10:30 AM next morning
Radio Shack (http://www.radioshack.com/) - good source for computer equipment and peripherals. Shops are pretty ubiquitous.

Credit Cards (new, stolen, lost)

If you lose or have your credit cards stolen, we all know we should call our credit card company as soon as we can. Know your card's account number. The FTC recommends that you follow your phone call with a letter to the company. Here are phone numbers for the four most common credit card companies.

American Express - 1-800-554-AMEX
Discover - 1-800-DISCOVER (347-2683)
Mastercard - 1-800-307-7309
VISA - 1-800-847-2911

Photocopies and Posters



Visit business centers which are often located in hotels and convention centers as well as Kinkos and other copy shops for copies. In a pinch grocery stores and libraries have copy machines.

FedEx Kinkos (http://www.kinkos.com/) - Kinkos will make copies of your handouts if you don't want to carry them with you. Similarly they will make your poster for you. Also a good place to read email. Most stores are set up with wireless (T-Mobile). Look in the right-hand navigation bar for the "Find a Kinkos" box. Input the Zip/postal code.

Entertainment



Ticketmaster (http://www.ticketmaster.com/) - get tickets for Concerts, Sports, Arts, Theater, Family, Events, more.

Hotels/Lodgings



All Hotels (http://www.all-hotels.com/usa/) - find hotels on the Web by state
Hotel Choice (http://www.hotelchoice.com/) - reservations for Clarion, Comfort Inn, Quality Inn, Econolodge, Friendship
Marriott (http://www.marriott.com/) - hotels in Washington
Residence Inns (Also Marriott) (http://www.midatlanticmarriott.com/destinations/city.cfm?cityID=23) - locations, prices, guest information

Health Information for Travelers



CDC Travelers Info (http://www.cdc.gov/travel/index.htm) - find warnings, immunization information for travelers
U.S. Dept. of State (http://travel.state.gov/) - world-wide travel warnings and advisories. Look for the country you plan to visit

News and Weather



If you don't have time to watch the weather news, log onto the Weather Channel and get information fast.

Weather Channel (http://www.weather.com/twc/homepage.twc) - in addition to the weather, find weather related flight delays, local pollen forecasts and related information.

Office Supply



Run out of supplies? Check in the vendor's area for pens, pads of paper and other office-type give-aways.

Office Depot (http://www.officedepot.com/) - paper and other supplies to keep you writing.
Reliable Office Supply (http://www.reliable.com/) - order & ships office supplies the same day.

Passports



Passport Applications (http://travel.state.gov/download_applications.html) - these can be printed directly from the Web site

Phone Directories



When looking for a female friend, try both the full first name and initials if you do not find the person you are looking for.

Big Yellow (http://www.bigyellow.com/) - Verizon super pages
Switchboard (http://www.switchboard.com/) - find a business or a person
Lycos WhoWhere (http://www.whowhere.com/) - white pages

Shipping



Use Fedex or UPS to ship home your plunder, er, goodies, from the APHA vendors. Be sure to get yourself an account with both of the big shippers.

Fedex (http://www.fedex.com/) - track Federal Express packages, schedule pickups & deliveries
United Parcel Service (http://www.ups.com/) - track UPS packages; order deliveries and pickups

Travel, general



American Automobile Association (http://www.aaa.com/) - best place for state and county maps if you are traveling by car. Reservations, fuel cost calculator, and tour books.
QuickAID (http://www.quickaid.com/) - toll-free numbers for airlines & hotels; plus 29 airport directories, plus airport codes
Rubicon Digital Passport (http://www.rubicon.com/passport.html) - international travel and deliveries; currency exchange rates, embassies, airport guides, time zones
Traveler's Aid International (http://www.travelersaid.org/) - aid and contacts for US and foreign cities. Use when you run into problems travelling abroad. Travel tips.
Travelocity (http://www.travelocity.com/) - comprehensive travel planning site
TravelWeb (http://www.travelweb.com/) - outstanding site for hotel reservations; umbrella site for major hotel chains

Enjoy your trip to Washington, DC.