2.50
Hdl Handle:
http://hdl.handle.net/10755/166111
Category:
Abstract
Type:
Presentation
Title:
Outcomes For Managed Care Providers
Author(s):
Scherubel, Janet
Author Details:
Janet Scherubel, PhD, University of Memphis Loewenberg School of Nursing, Memphis, Tennessee, USA, email: jscherub@memphis.edu
Abstract:
This study examined the effects of TennCare, Tennessee's managed health care program, on hospital organization, utilization, and nursing personnel since January, 1994. In the study, specific goals of TennCare (McWherter, 1993) were converted to hypotheses and tested. Hypotheses included: TennCare will result in (1) no change in hospital organization; (2) a in hospital admissions, patient days, length of stay, emergency department visits (ED); and (3) a decrease in hospital nursing personnel. Method: The sample for this study were data on seventeen Shelby County hospitals for three years prior to and three years following the start of TennCare (Joint Hospital Reports. Tennessee Department of Health, 1990 1995). Hospital reports were analyzed using descriptive, inferential, and time series statistics to measure the effect of TennCare (independent variable) on hospital organization, services, utilization and nursing personnel (dependent variables). Findings: The hospitals represented all types (state, county, military, VA, church, not for profit and for profit) with bed size ranging from 36toover 1900. Service types included general medical surgical (n=1 1), as well as specialty hospitals (pediatric, n=2, psychiatric, n=3, and rehabilitation, n=2). Non-panetric analyses demonstrated no significant changes in hospital organization or service type with the exception of an increased number of organizations offering HMO/PPOs (Cochran's Q 22.38, p .000). Using repeated measures analysis of variance, a significant' in licensed hospital beds (F 5.219, df 5,65, p.000) was noted, however there was no significant decrease in ED visits (F 1.81, df 5,30, p.l42). Analyses of nursing personnel revealed no significant decrease in RNs (F .275, df 5,50p .925), LPNs (F .927, df 5,70, p .469), or nursing assistants (F .788, df 5,70. p .562). Significance: As health care delivery systems move to a managed care philosophy, it is important to consider the outcomes of these programs on not only clients, but providers as well. This research provided a opportunity to systematically examine the effects of a statewide managed care program on hospital providers and nursing services in the county with the largest concentration of residents in the state. These analyses demonstrated that for the first two years of the program, several TennCare goals have not been met. These findings will be explored as well as the implications of these results for nurses, patients and formation of health policy.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleOutcomes For Managed Care Providersen_GB
dc.contributor.authorScherubel, Janeten_US
dc.author.detailsJanet Scherubel, PhD, University of Memphis Loewenberg School of Nursing, Memphis, Tennessee, USA, email: jscherub@memphis.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/166111-
dc.description.abstractThis study examined the effects of TennCare, Tennessee's managed health care program, on hospital organization, utilization, and nursing personnel since January, 1994. In the study, specific goals of TennCare (McWherter, 1993) were converted to hypotheses and tested. Hypotheses included: TennCare will result in (1) no change in hospital organization; (2) a in hospital admissions, patient days, length of stay, emergency department visits (ED); and (3) a decrease in hospital nursing personnel. Method: The sample for this study were data on seventeen Shelby County hospitals for three years prior to and three years following the start of TennCare (Joint Hospital Reports. Tennessee Department of Health, 1990 1995). Hospital reports were analyzed using descriptive, inferential, and time series statistics to measure the effect of TennCare (independent variable) on hospital organization, services, utilization and nursing personnel (dependent variables). Findings: The hospitals represented all types (state, county, military, VA, church, not for profit and for profit) with bed size ranging from 36toover 1900. Service types included general medical surgical (n=1 1), as well as specialty hospitals (pediatric, n=2, psychiatric, n=3, and rehabilitation, n=2). Non-panetric analyses demonstrated no significant changes in hospital organization or service type with the exception of an increased number of organizations offering HMO/PPOs (Cochran's Q 22.38, p .000). Using repeated measures analysis of variance, a significant' in licensed hospital beds (F 5.219, df 5,65, p.000) was noted, however there was no significant decrease in ED visits (F 1.81, df 5,30, p.l42). Analyses of nursing personnel revealed no significant decrease in RNs (F .275, df 5,50p .925), LPNs (F .927, df 5,70, p .469), or nursing assistants (F .788, df 5,70. p .562). Significance: As health care delivery systems move to a managed care philosophy, it is important to consider the outcomes of these programs on not only clients, but providers as well. This research provided a opportunity to systematically examine the effects of a statewide managed care program on hospital providers and nursing services in the county with the largest concentration of residents in the state. These analyses demonstrated that for the first two years of the program, several TennCare goals have not been met. These findings will be explored as well as the implications of these results for nurses, patients and formation of health policy.en_GB
dc.date.available2011-10-27T14:40:25Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:40:25Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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