Class of 2016 Abstract / Objectives: The objectives of this study were to (1) evaluate student perceptions of completing a Community Health Needs Assessment (CHNA) and (2) determine hospital administrators’ awareness of potential student roles and interest in future student involvement in completing their mandated CHNA. Methods: Rural Health Professions Program (RHPP) participants who completed the CHNA course were emailed a link to a survey addressing demographics and satisfaction with the CHNA experience. Rural, not-for profit hospitals who were members of the Arizona Hospital and Health Care Association were selected for inclusion. Representatives from eligible hospitals completed a telephonic interview regarding their CHNA process, results, and interest in collaborating with RHPP students. Results: Twenty-nine students completed the survey (60% participation). In thematic analysis addressing overall satisfaction with the process, the top response was that it was a good learning experience (9 responses). Participants strongly agreed that communities can benefit from student involvement (65%) and 83% believed their CHNA could benefit the community. Of 19 eligible hospitals, 12 completed phone interviews (63% participation). The most commonly reported obstacles to completing a CHNA were: lack of resources, time, and community participation. Pharmacy was involved in the process at five of the facilities (41%). After describing the RHPP, 10 respondents indicated interest in student involvement in their CHNA (83%). Conclusions: There is potential for a mutually beneficial student-community collaboration, providing hospitals with additional resources while enhancing student engagement and community impact. This partnership could also increase pharmacy representation in the CHNA process, as less than half of hospitals reported pharmacy involvement.

Hospital administrators are being held accountable by patients, insurers, and other stakeholders in evaluating their overall hospital performance to reduce costs and improve efficiency. With the move to alternative payment models and value-based purchasing, hospital administrators must understand the economic viability and value that their specialty services bring to their facility. The purpose of this study was to identify the determinants New England acute care hospital administrators’ utilize in making the choice of anesthesia practice model for their facility. A quantitative, exploratory study of factors hospital administrators use when choosing an anesthesia practice model utilizing a non-experimental, correlational research design was completed. The research was descriptive in nature to determine the factors that influenced a hospital administrator when making decisions about the type of anesthesia practice model that would be the best for their hospital. This research examined seventeen independent variables that were hypothesized to determine hospital administrators’ choice of anesthesia practice model. After the final logistic regression analysis, it was determined that the presence of a hospital being located in a medically underserved area (MUA) alone was a predictor of type of anesthesia practice model utilized. In light of the study limitations and prior literature on the CRNA-only model being present in almost 100% of rural facilities, more exploration is necessary to come to more robust conclusions on predictors of choice of anesthesia practice model determined by hospital administrators. This study showed that there are definitive areas that hospital administrators identify as high importance to the healthy functioning of their facility. By addressing these needs, an anesthesia department could contribute to the overall stability of the hospital, while at the same time, making themselves a more valuable asset overall. Value-driven services offered by anesthesia departments may be the determining factor in choice of anesthesia practice model. By measuring and analyzing anesthesia provider and hospital demographics and hospital administrators’ perceptions of anesthesia services, the objective data collected may assist in defining the most appropriate practice model for a hospital.

The importance of health care institutions’ management is accepted about 20 years ago. First in Lithuania the post of hospital administrator was established in Hospital of Kaunas University of Medicine in 1996. It is the first investigation of the expediency’s appreciation of hospital administrator’s post in Lithuania. Aim of the study: to evaluate the appreciation of the hospital administrator’s post. Objectives: 1) To analyse papers influencing on hospital administrator’s job. 2) To investigate and compare the opinion of hospital administrators and departments’ chiefs about the necessity of manager in hospital. Methods: The study consists of the responses of 34 chiefs and 54 administrators of departments of Kaunas Medical University Hospital. We asked questions of chiefs and administrators to determine the necessity of administrator’s role in health care organization, what functions hospital administrators should do. The administrators’ response rate was 65% (35 of 54), the chiefs’ rate was 79% (27 of 35). There were used T and Chi-square tests, hospital administrators were compare to chiefs of departments. In all instances statistical significance is set at 0.05 level. Results: There is done the analysis of health care institutions’ management and roles of hospital administrator. By investigation in Hospital of Kaunas University of Medicine all chiefs of departments (100%) and almost all hospital administrators (97%) predicate that the post of hospital administrator is... [to full text]