Online Program
Session Type: Paper Session
Program Session: 2110 | Submission: 20749 | Sponsor(s): (HCM)
Scheduled: Tuesday, Aug 13 2019 3:00PM - 4:30PM at Sheraton Boston Hotel in Beacon F
 
Integrating New Technologies in Health Care
New Technologies
Research

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Chair: Geoffrey Silvera, Auburn U.
Discussant: Michael Lin, HealthStream
HCM: Improving Acceptance of Inpatient Portals: Patients' and Care Team Members' Perspectives
Author: Ann Scheck McAlearney, Ohio State U.
Author: Alice Gaughan, Ohio State U.
Author: Sarah MacEwan, Ohio State U.
Author: Naleef Fareed, Ohio State U.
Author: Timothy Huerta, Ohio State U.
Inpatient portals are gaining interest as a means to increase patient engagement during hospitalization. Due to the collaborative aspects of inpatient portal functions, use of this technology is contingent on adoption by both patients and care team members, while acceptance relies on perceptions of both its usefulness and ease of use. We interviewed patients and care team members about their experiences using an inpatient portal that had been implemented across a large, academic medical center. Patients and care team members reported that the inpatient portal was a useful tool to engage patients in their care by providing access to information, enhancing communication, facilitating education, and promoting patients’ sense of control. Most interviewees also found the technology easy to use. However, there were concerns that the portal was not easy to use for those less experienced with technology. Interviewees identified the need to emphasize the value of the technology to both patients and care team members and the need to provide additional training to support portal use as ways to promote acceptance of the tool. Results of this study can inform future efforts to implement and promote the acceptance of inpatient portals.
Paper is No Longer Available Online: Please contact the author(s).
HCM: Care Team Experience with Inpatient Portal Use During Patients' Hospitalization
Author: Ann Scheck McAlearney, Ohio State U.
Author: Jennifer Hefner, Ohio State U.
Author: Tory H. Hogan, Ohio State U.
Author: Daniel M. Walker, Ohio State U.
Author: Sarah MacEwan, Ohio State U.
Author: Alice Gaughan, Ohio State U.
Author: Naleef Fareed, Ohio State U.
Author: Cynthia Sieck, Ohio State U.
Current research surrounding inpatient portals has focused on patients’ perspectives, yet it remains critical for successful portal implementation to consider care team members’ perspectives about patients’ use of an inpatient portal and the impact of implementation on the care team’s workflow. In-person interviews were held with 331 care team members between Fall 2016 and Spring 2018, after the implementation of an inpatient portal across an academic medical center. Analysis focused on care team members’ perceptions about the inpatient portal. Care team members reported perceived benefits of inpatient portal use including enhancing patients’ engagement in their care and improving patient experience during hospitalization. Concerns were also identified, especially about the use of the secure messaging feature and the appropriateness of the tool for older patients. Some care team members identified ways in which the portal saved them time with their patient care duties, while others identified ways in which the portal contributed extra work to their already busy workflow. Care team members’ perspectives suggest inpatient portals have the opportunity to improve patient care but also indicate room for improvement in implementation. Increasing understanding of the care team member perspective can identify implementation best practices to best benefit patients and providers.
Paper is No Longer Available Online: Please contact the author(s).
HCM: Hospital Technology and Expenses: Do Different Measures of High-Tech Services Matter?
Author: Ferhat Zengul, U. of Alabama, Birmingham
Author: Bunyamin Ozaydin, U. of Alabama, Birmingham
Author: Zo Ramamonjiarivelo, Texas State U.
Author: Josué Patien Epané, U. of Nevada, Las Vegas
Author: Luceta McRoy, Southern Adventist U.
This study aims to: 1) examine the relationship between the level of hospital high-technology (high-tech) services and total expenses; and 2) explore whether this relationship varies depending on the measure of high-tech services. The study population consisted of medical/surgical hospitals operating in the US between 1997 and 2014 for a total of 57,116 hospital-year observations. The dependent variable, total expenses per inpatient day, along with predictor variables of four measures of high-tech services and control variables were analyzed in facility & year fixed effects regression. Spearman correlation results indicated high level of correlation among high technology indices ranging from 0.72 to 0.99. The regression results indicated that for every unit increase in high-tech services, there are a 30% (Saidin Index and Count Index), and 180% (Limited Count Index) increase in total expenses per inpatient day for all high-tech indices (p<0.001) except the high-tech-health referral region (HRR) index, which exhibited a 10% decrease (p<0.001). Based on three different measures of high-tech services, our findings suggest that an increase in high-tech services leads to higher total expenses. However, taking into account the rareness of high-tech services within the HRR shows that high-tech services result in lower total expenses.
Paper is No Longer Available Online: Please contact the author(s).
HCM: Interorganizational Relationships and Hospital Adoption of Surgical Robots
Author: Stephen Cullen, U. of Alabama, Birmingham
Author: S Robert Hernandez, U. of Alabama, Birmingham
Author: Amy Yarbrough Landry, U. of Alabama, Birmingham
Author: William Opoku-Agyeman, U. of Alabama, Birmingham
The study investigates the relationship between interorganizational relationships (IORs) and hospital adoption of robotic surgery in the United States over a ten-year period. As a competitive strategy for hospitals, IORs should matter in a hospital’s decision to adopt a surgical robot given associated costs and risks. While literature exists on IORs and technical innovation, there is a gap in the literature on IORs and hospital adoption of surgical robots. This study explores four types of IOR (i.e., networks, systems, contract management, and joint ventures), hospitals with more than one IOR, and hospitals with surgical robots. To evaluate the effect of IORs on hospital adoption of surgical robots over a ten-year period, the study employs generalized estimating equations to allow for analysis of repeated measurements of categorical response data. Data for this study was drawn from the American Hospital Association (AHA) Annual Survey of Hospitals, starting with the 2005 survey when AHA started collecting data on surgical robots. Over 27,625 observations from acute care hospitals are used in the study. Findings revealed hospitals engaged in certain types of IOR or in more than one IOR are more likely to adopt a surgical robot than hospitals not in such an arrangement. The findings will be of value to hospitals considering strategies to adopt surgical robots. They also afford opportunities to explore further IORs and hospitals having or adopting technology innovations.
Paper is No Longer Available Online: Please contact the author(s).
  
KEY TO SYMBOLS Teaching-oriented Teaching-oriented   Practice-oriented Practice-oriented   International-oriented International-oriented   Theme-oriented Theme-oriented   Research-oriented Research-oriented   Teaching-oriented Diversity-oriented
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