Thomas Vaughn
Biographic Data
| ID | 706430 |
|---|---|
| NAME | Thomas Vaughn |
| GIVEN NAMES | Thomas |
| FAMILY NAME | Vaughn |
| SIGNATURE | VAUGHN T |
| AFFILIATIONS | University of Iowa |
| ORCID | 0000-0003-1747-2293 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 30 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1983 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Factors Influencing Rural Hospitals to Participate and Remain in Accountable Care Organizations
PURPOSE: Little is known about factors driving rural providers-who face unique challenges-to participate and remain in accountable care organization models. The purpose of this study was to investigate the specific factors that rural hospitals evaluate when weighing both initial and continued participation in Medicare as well as commercial ACO models. Furthermore, we explored policy implications to improve ACO models' capacity to attract, retain,…
Waiting
Theories of waiting have created interest and discussion among migration scholars and especially in studies of asylum seekers, where imposed waiting is a key part of the experiences studied. 'Skilled labour migrants' such as nurses are privileged in many ways, and their migration-induced waiting, although significant, may be less evident to others. This paper uses waiting as a lens to help understand the experiences of nurses coming to Norway for…
Challenges in access to health care among involuntary migrants in Germany. A case study of migrants' experiences in Oldenburg, Lower Saxony
From Health Care Volume to Health Care Value—Success Strategies for Rural Health Care Providers
Nurse Staffing Effects on Patient Outcomes
BACKGROUND: Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units. OBJECTIVE: To determine the relationship between nurse staffing in general and intensive care units and patient outcomes and determine whether safety net status affects this relationship. RESEARCH DESIGN: A cross-sectional de…
Patient Safety Outcomes in Small Urban and Small Rural Hospitals
PURPOSE: To assess patient safety outcomes in small urban and small rural hospitals and to examine the relationship of hospital and patient factors to patient safety outcomes. METHODS: The Nationwide Inpatient Sample and American Hospital Association annual survey data were used for analyses. To increase comparability, the study sample was restricted to hospitals with fewer than 100 beds. Out of 292 hospitals in the sample, 185 were rural hospita…
Iowa Case Management for Rural Drug Abuse
OBJECTIVE: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. METHOD: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 1…
Do Postoperative Complications Vary by Hospital Teaching Status
OBJECTIVE: The purpose of this paper is to assess postoperative patient safety outcomes across teaching and nonteaching hospitals and to examine the relation of hospital and patient factors to patient safety outcomes. RESEARCH DESIGN AND METHODS: The Nationwide Inpatient Sample and American Hospital Association annual survey data were used for analyses. Patient safety indicators (PSIs) developed by the Agency for Healthcare Research and Quality (…
Development and Validation of Measures to Assess Prevention and Control of AMR in Hospitals
BACKGROUND: The rapid spread of antimicrobial resistance (AMR) in the US hospitals poses serious quality and safety problems. Expert panels, identifying strategies for optimizing antibiotic use and preventing AMR spread, have recommended hospitals undertake efforts to implement specific evidence-based practices. OBJECTIVE: To develop and validate a measurement scale for assessing hospitals' efforts to implement recommended AMR prevention and cont…
Facility-Level Factors Influencing Chronic Heart Failure Care Process Performance in a National Integrated Health Delivery System
BACKGROUND: Gaps between evidence and practice in the care of patients with chronic heart failure (CHF) in the United States suggest major opportunities for improvement. However, the organizational factors and implementation approaches that influence adherence to national guidelines are poorly understood. OBJECTIVES: The objectives of this study were to explore the degree to which providers in the Veterans Health Administration system adhere to C…
The Limited Effect of Screening for Depressive Symptoms With the PHQ-9 in Rural Family Practices
CONTEXT: Previous studies have found that routine screening for depression does not improve patient outcome unless it is combined with case management. However, these studies were conducted before the widespread use of SSRIs or in settings other than traditional primary care. PURPOSE: This study investigated whether screening for depressive symptoms improves outcomes for depressed patients seen in rural fee-for-service primary care offices. METHO…
Cost-Effectiveness of Case Management in Substance Abuse Treatment
Objective: The purpose of this study, which is part of a larger clinical trial, was to examine the cost-effectiveness of case management for individuals treated for substance abuse in a residential setting. Method: Clients who agreed to participate were randomly assigned to one of four study groups. Two groups received face-to-face case management and one telecommunication case management, and the fourth was the control group. Results: Using a ra…
Physician Process and Patient Outcome Measures for Diabetes Care
BACKGROUND: Optimal diabetes management relies on providers adhering to evidence-based practice guidelines in the processes of care delivery and patients adhering to self-management recommendations to maximize patient outcomes. PURPOSE: To explore: (1) the degree to which providers adhere to the guidelines; (2) the extent of glycemic, lipid, and blood pressure control in patients with diabetes; and (3) the roles of organizational and patient popu…
Benchmarking Veterans Affairs Medical Centers in the Delivery of Preventive Health Services
OBJECTIVE: To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expected. METHODS: The 1998 Veterans Health Survey assessed the self-reported delivery of evidence-based clinical preventive services…
Organizational Predictors of Adherence to Ambulatory Care Screening Guidelines
OBJECTIVE: The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented throughout the Veterans Health Administration (VHA). MATERIALS AND METHODS: The study included 114 acute care facilities. Three …
Rural Hospitals and the Adoption of Managed Care Strategies
This research examined the performance of rural hospitals engaged in different levels of managed care activities and identified factors related to performance and competition that affected rural hospitals' likelihood of pursuing managed care as a strategy. The sample studied consisted of 139 rural hospitals in Iowa and Nebraska. Results showed that a relatively high percentage of hospitals were engaged in managed care activities, mainly through c…
An Institutional Analysis of HIV Prevention Efforts by the Nation's Outpatient Drug Abuse Treatment Units
Drawing from an institutional-theory perspective on innovations in organizations, this paper examines the use of human immunodeficiency virus (HIV) prevention practices by the nation's outpatient substance abuse treatment units during a critical period from 1988 to 1995. An institutional perspective argues that organizations adopt new practices not only for technical reasons, but also because external actors actively promote or model the use of p…
Physician Visits in a Farming‐dependent County
Physician visits in a farming‐dependent county in the upper‐Midwest were studied using a mail questionnaire. A 16 percent random sample of households yielded 426 surveys (60 percent response rate). The dependent variable was the natural log (plus one) of the number of times the respondent had seen a physician in the prior 12 months. Predisposing, enabling, and medical need variables were tested as potential predictors of medical care usage. Self‐…
Voices of sexual distortion
The immensely popular science fiction series sometimes referred to as the Alien Trilogy is analyzed for its mythopoetic critique of gender identity. The basis for this critique resides in the movies’ embodiment of the literalized myths of gender and family and its subsequent deconstruction of this framework through meta‐phoric ambiguity. By destabilizing the conventional frame through which the rhetorical subject is constructed, the movies questi…
Journal of a Voyage with Bering, 1741-1742
Journal Article Journal of a Voyage with Bering, 1741–1742 and Russian Penetration of the North Pacific Ocean, 1700–1797. Volume 2 of To Siberia and Russian America: Three Centuries of Russian Eastward Expansion, A Documentary Record Get access Journal of a Voyage with Bering, 1741–1742. By Steller Georg Wilhelm. Edited by Frost O. W.. Translated by Margritt A. Engel and O. W. Frost. (Stanford: Stanford University Press, 1988. viii + 252 pp. Illu…
Looking Backwards
Soft Gold
An Institutional Analysis of HIV Prevention Efforts by the Nation's Outpatient Drug Abuse Treatment Units
Drawing from an institutional-theory perspective on innovations in organizations, this paper examines the use of human immunodeficiency virus (HIV) prevention practices by the nation's outpatient substance abuse treatment units during a critical period from 1988 to 1995. An institutional perspective argues that organizations adopt new practices not only for technical reasons, but also because external actors actively promote or model the use of p…
Waiting
Theories of waiting have created interest and discussion among migration scholars and especially in studies of asylum seekers, where imposed waiting is a key part of the experiences studied. 'Skilled labour migrants' such as nurses are privileged in many ways, and their migration-induced waiting, although significant, may be less evident to others. This paper uses waiting as a lens to help understand the experiences of nurses coming to Norway for…
Cost-Effectiveness of Case Management in Substance Abuse Treatment
Objective: The purpose of this study, which is part of a larger clinical trial, was to examine the cost-effectiveness of case management for individuals treated for substance abuse in a residential setting. Method: Clients who agreed to participate were randomly assigned to one of four study groups. Two groups received face-to-face case management and one telecommunication case management, and the fourth was the control group. Results: Using a ra…
Iowa Case Management for Rural Drug Abuse
OBJECTIVE: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. METHOD: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 1…
Soft Gold
Challenges in access to health care among involuntary migrants in Germany. A case study of migrants' experiences in Oldenburg, Lower Saxony
Soft Gold
Looking Backwards
Journal of a Voyage with Bering, 1741-1742
Journal Article Journal of a Voyage with Bering, 1741–1742 and Russian Penetration of the North Pacific Ocean, 1700–1797. Volume 2 of To Siberia and Russian America: Three Centuries of Russian Eastward Expansion, A Documentary Record Get access Journal of a Voyage with Bering, 1741–1742. By Steller Georg Wilhelm. Edited by Frost O. W.. Translated by Margritt A. Engel and O. W. Frost. (Stanford: Stanford University Press, 1988. viii + 252 pp. Illu…
Voices of sexual distortion
The immensely popular science fiction series sometimes referred to as the Alien Trilogy is analyzed for its mythopoetic critique of gender identity. The basis for this critique resides in the movies’ embodiment of the literalized myths of gender and family and its subsequent deconstruction of this framework through meta‐phoric ambiguity. By destabilizing the conventional frame through which the rhetorical subject is constructed, the movies questi…
Physician Visits in a Farming‐dependent County
Physician visits in a farming‐dependent county in the upper‐Midwest were studied using a mail questionnaire. A 16 percent random sample of households yielded 426 surveys (60 percent response rate). The dependent variable was the natural log (plus one) of the number of times the respondent had seen a physician in the prior 12 months. Predisposing, enabling, and medical need variables were tested as potential predictors of medical care usage. Self‐…
An Institutional Analysis of HIV Prevention Efforts by the Nation's Outpatient Drug Abuse Treatment Units
Drawing from an institutional-theory perspective on innovations in organizations, this paper examines the use of human immunodeficiency virus (HIV) prevention practices by the nation's outpatient substance abuse treatment units during a critical period from 1988 to 1995. An institutional perspective argues that organizations adopt new practices not only for technical reasons, but also because external actors actively promote or model the use of p…
Rural Hospitals and the Adoption of Managed Care Strategies
This research examined the performance of rural hospitals engaged in different levels of managed care activities and identified factors related to performance and competition that affected rural hospitals' likelihood of pursuing managed care as a strategy. The sample studied consisted of 139 rural hospitals in Iowa and Nebraska. Results showed that a relatively high percentage of hospitals were engaged in managed care activities, mainly through c…
Benchmarking Veterans Affairs Medical Centers in the Delivery of Preventive Health Services
OBJECTIVE: To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expected. METHODS: The 1998 Veterans Health Survey assessed the self-reported delivery of evidence-based clinical preventive services…
Organizational Predictors of Adherence to Ambulatory Care Screening Guidelines
OBJECTIVE: The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented throughout the Veterans Health Administration (VHA). MATERIALS AND METHODS: The study included 114 acute care facilities. Three …
Physician Process and Patient Outcome Measures for Diabetes Care
BACKGROUND: Optimal diabetes management relies on providers adhering to evidence-based practice guidelines in the processes of care delivery and patients adhering to self-management recommendations to maximize patient outcomes. PURPOSE: To explore: (1) the degree to which providers adhere to the guidelines; (2) the extent of glycemic, lipid, and blood pressure control in patients with diabetes; and (3) the roles of organizational and patient popu…
The Limited Effect of Screening for Depressive Symptoms With the PHQ-9 in Rural Family Practices
CONTEXT: Previous studies have found that routine screening for depression does not improve patient outcome unless it is combined with case management. However, these studies were conducted before the widespread use of SSRIs or in settings other than traditional primary care. PURPOSE: This study investigated whether screening for depressive symptoms improves outcomes for depressed patients seen in rural fee-for-service primary care offices. METHO…
Cost-Effectiveness of Case Management in Substance Abuse Treatment
Objective: The purpose of this study, which is part of a larger clinical trial, was to examine the cost-effectiveness of case management for individuals treated for substance abuse in a residential setting. Method: Clients who agreed to participate were randomly assigned to one of four study groups. Two groups received face-to-face case management and one telecommunication case management, and the fourth was the control group. Results: Using a ra…
Development and Validation of Measures to Assess Prevention and Control of AMR in Hospitals
BACKGROUND: The rapid spread of antimicrobial resistance (AMR) in the US hospitals poses serious quality and safety problems. Expert panels, identifying strategies for optimizing antibiotic use and preventing AMR spread, have recommended hospitals undertake efforts to implement specific evidence-based practices. OBJECTIVE: To develop and validate a measurement scale for assessing hospitals' efforts to implement recommended AMR prevention and cont…
Facility-Level Factors Influencing Chronic Heart Failure Care Process Performance in a National Integrated Health Delivery System
BACKGROUND: Gaps between evidence and practice in the care of patients with chronic heart failure (CHF) in the United States suggest major opportunities for improvement. However, the organizational factors and implementation approaches that influence adherence to national guidelines are poorly understood. OBJECTIVES: The objectives of this study were to explore the degree to which providers in the Veterans Health Administration system adhere to C…
Do Postoperative Complications Vary by Hospital Teaching Status
OBJECTIVE: The purpose of this paper is to assess postoperative patient safety outcomes across teaching and nonteaching hospitals and to examine the relation of hospital and patient factors to patient safety outcomes. RESEARCH DESIGN AND METHODS: The Nationwide Inpatient Sample and American Hospital Association annual survey data were used for analyses. Patient safety indicators (PSIs) developed by the Agency for Healthcare Research and Quality (…
Iowa Case Management for Rural Drug Abuse
OBJECTIVE: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. METHOD: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 1…
Patient Safety Outcomes in Small Urban and Small Rural Hospitals
PURPOSE: To assess patient safety outcomes in small urban and small rural hospitals and to examine the relationship of hospital and patient factors to patient safety outcomes. METHODS: The Nationwide Inpatient Sample and American Hospital Association annual survey data were used for analyses. To increase comparability, the study sample was restricted to hospitals with fewer than 100 beds. Out of 292 hospitals in the sample, 185 were rural hospita…
Nurse Staffing Effects on Patient Outcomes
BACKGROUND: Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units. OBJECTIVE: To determine the relationship between nurse staffing in general and intensive care units and patient outcomes and determine whether safety net status affects this relationship. RESEARCH DESIGN: A cross-sectional de…
From Health Care Volume to Health Care Value—Success Strategies for Rural Health Care Providers
Challenges in access to health care among involuntary migrants in Germany. A case study of migrants' experiences in Oldenburg, Lower Saxony
Waiting
Theories of waiting have created interest and discussion among migration scholars and especially in studies of asylum seekers, where imposed waiting is a key part of the experiences studied. 'Skilled labour migrants' such as nurses are privileged in many ways, and their migration-induced waiting, although significant, may be less evident to others. This paper uses waiting as a lens to help understand the experiences of nurses coming to Norway for…
Factors Influencing Rural Hospitals to Participate and Remain in Accountable Care Organizations
PURPOSE: Little is known about factors driving rural providers-who face unique challenges-to participate and remain in accountable care organization models. The purpose of this study was to investigate the specific factors that rural hospitals evaluate when weighing both initial and continued participation in Medicare as well as commercial ACO models. Furthermore, we explored policy implications to improve ACO models' capacity to attract, retain,…
Medicine (15 works) · Health care (11 works) · Family medicine (8 works) · Internal Medicine (8 works) · Internal Medicine (5 works) · Nursing (5 works) · Political science (5 works) · Primary Care and Health Outcomes (5 works) · Business (4 works) · Diabetes Management and Education (4 works)