Thomas E Vaughn
Biographic Data
| ID | 4229278 |
|---|---|
| NAME | Thomas E Vaughn |
| GIVEN NAMES | Thomas E |
| FAMILY NAME | Vaughn |
| SIGNATURE | VAUGHN T E |
| AFFILIATIONS | Department of Health Management and Policy University of Iowa College of Public Health Iowa City Iowa USA |
| VERIFIED | No |
| TOTAL WORKS | 8 |
| TOTAL CITATIONS | 14 |
| AUTHOR COUNT | 8 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
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,…
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…
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 (…
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…
Physician Process and Patient Outcome Measures for Diabetes Care: Relationships to Organizational Characteristics
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: Comparison of Methods
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 …
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…
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…
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…
Benchmarking Veterans Affairs Medical Centers in the Delivery of Preventive Health Services: Comparison of Methods
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: Relationships to Organizational Characteristics
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…
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 (…
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…
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,…
Health care (7 works) · Medicine (7 works) · Family medicine (5 works) · Internal Medicine (5 works) · Internal Medicine (5 works) · Business (3 works) · Diabetes Management and Education (3 works) · Health Policy Implementation Science (3 works) · Population (3 works) · Environmental health (2 works)