Healthcare organizations are increasingly willing to develop more efficient and higher quality pr... more Healthcare organizations are increasingly willing to develop more efficient and higher quality processes to combat the competition and enhance financial viability by adopting contemporary solutions such as Health Information Technology (HIT). However, technological failures occur and represent a contemporary organizational development priority resulting from incongruent organization-technology interfaces. Technologically induced system failure has been defined as technological iatrogenesis. The chapter offers the Healthcare Iatrogenesis Model as an organizational development strategy to guide the responsible implementation of HIT projects. By recognizing the etiology of incongruent organizational interfaces and anticipating patient safety concerns, leaders can proactively respond to system limitations and identify hidden process instabilities prior to costly and consequential catastrophic events.
International Journal of Entrepreneurship and Small Business, 2017
Fostering immigrant entrepreneurship is a key factor to building a stronger business community, y... more Fostering immigrant entrepreneurship is a key factor to building a stronger business community, yet we know very little about the many factors that influence immigrants' decision to engage in entrepreneurial activities. By focusing on how cultural context influences opportunity recognition, this paper looks at how acculturation is negatively related to business ownership in recent Mexican immigrants in the USA. The results supported both the direct negative relationship between acculturation and entrepreneurship and the moderating relationship, which weakens the relationship when the immigrant has access to a greater variety of sources of information about job opportunities. These findings contribute to research in entrepreneurship which considers the influence of the context on individual's ability and willingness to engage in entrepreneurial activities.
The Journal of Applied Management and Entrepreneurship, 2017
Communities everywhere were developed by immigrants who decided to become entrepreneurs. Learning... more Communities everywhere were developed by immigrants who decided to become entrepreneurs. Learning what factors play a role in this decision is no small step in being able to encourage the growth of this practice. This paper looks at how forces inherent in the immigrant's life influence his or her decision to build an opportunity; specifically how a Mexican immigrant's planned length of stay, level of acculturation, and language variety correlates to his or her decision to become a business owner. The results supported the mediating relationship that was predicted between planned length of stay and acculturation in addition to the moderating mediating role that an immigrant's access to a variety of job information sources plays in predicting if an immigrant is a business owner. These findings contribute to research in entrepreneurship which considers the influence of the context on an individual's ability and willingness to engage in entrepreneurial activities.
Scholars and practitioners devoted considerable attention to hospital governance in the late 1990... more Scholars and practitioners devoted considerable attention to hospital governance in the late 1990s, but far more research is needed. We know little about how boards actually work and how their beha...
GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment abo... more GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment about the state of safety culture research in healthcare.
Job openings for nonscientific business-to-business sales professionals will increase over the ne... more Job openings for nonscientific business-to-business sales professionals will increase over the next 10 years. A small private university in the Midwest has developed an innovative sales course to help create professionals who are ready to fill this need. This article addresses the challenges of creating a meaningful, hands-on, experiential course for undergraduate students who are trained and developed in sales skills, practice with a live client, and receive a commission for a successful close. Writing skills, speaking skills, and critical thinking skills are honed in a supportive environment through a variety of hands-on, class activities in this teaching innovation.
... Palmieri, PA, & Peterson, LT (accepted). Technological iatrogenesis: An expansion of ... more ... Palmieri, PA, & Peterson, LT (accepted). Technological iatrogenesis: An expansion of the medical nemesis framework to improve modern healthcare organization performance. ... Palmieri, PA, Delucia, PR, Peterson, LT, Ott, TE, & Green, A. in press. ...
Page 1. Value, Efficiency and Technology in the Changing Healthcare Environment by Lori T. Peters... more Page 1. Value, Efficiency and Technology in the Changing Healthcare Environment by Lori T. Peterson, MBA A Dissertation In MANAGEMENT Submitted to the Graduate Faculty of Texas Tech University in Partial Fulfillment of the Requirements for the Degree of ...
The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organiz... more The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost-effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational-technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern. Recognizing the technology-organizational misalignments that result from HIT adoption is important for leaders seeking to eliminate sources of system instability. The Health Information Technology Iatrogenesis Model (HITIM) provides leaders with a conceptual framework from which to consider HIT as an instrument for organizational development. Complexity and Diffusion of Innovation theories support the framework that suggests each HIT adoption functions as a technological change agent. As such, leaders need to provide operational oversight to managers undertaking system change via HIT implementation. Traditional risk management tools, such as Failure Mode Effect Analysis and Root Cause Analysis, provide proactive pre- and post-implementation appraisals to verify system stability and to enhance system reliability. Reconsidering the use of these tools within the context of a new framework offers leaders guidance when adopting HIT to achieve performance improvement and better outcomes.
Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that h... more Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established through modification in employee safety perspective and work behavior, human resource (HR) professionals need to contribute to this developing
The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organiz... more The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost-effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational-technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern.
Handbook of research on patient safety and quality care through health informatics, 2014
ABSTRACT Healthcare organizations are increasingly willing to develop more efficient and higher q... more ABSTRACT Healthcare organizations are increasingly willing to develop more efficient and higher quality processes to combat the competition and enhance financial viability by adopting contemporary solutions such as Health Information Technology (HIT). However, technological failures occur and represent a contemporary organizational development priority resulting from incongruent organization-technology interfaces. Technologically induced system failure has been defined as technological iatrogenesis. The chapter offers the Healthcare Iatrogenesis Model as an organizational development strategy to guide the responsible implementation of HIT projects. By recognizing the etiology of incongruent organizational interfaces and anticipating patient safety concerns, leaders can proactively respond to system limitations and identify hidden process instabilities prior to costly and consequential catastrophic events.
Purposes: To assess the relationship between hospitals' X-inefficiency levels and overall care qu... more Purposes: To assess the relationship between hospitals' X-inefficiency levels and overall care quality based on the National Quality Forum's 30 safe practices score and to improve the analytic strategy for assessing X-inefficiency. Methodology: The 2005 versions of the American Hospital Association and Leapfrog Group's annual surveys were the basis of the study. Additional case mix indices and market variables were drawn from the Centers for Medicare and Medicaid Services data sources and the Area Resource File. Data envelopment analysis was used to determine hospitals' X-inefficiency scores relative to their market-level competitors. Regression was used to assess the relationship between X-inefficiency and quality, controlling for organizational and market characteristics. Expenses (total and labor expenditures), case-mix-adjusted admissions, length of stay, and licensed beds defined the X-inefficiency function. The overall National Quality Forum's safe practice score, health maintenance organization penetration, market share, and teaching status served as independent control variables in the regression. Findings: The National Quality Forum's safe practice scores are significantly and positively correlated to hospital X-inefficiency levels (" = .105, p _ < .05). The analysis of the value proposition had very good explanatory power (adjusted R 2 = .414; p _ < .001; df = 7, 265). Contrary to earlier findings, health maintenance organization penetration and being a teaching hospital were positively related to X-inefficiency. Similar with others' findings, greater market share and for-profit ownership were negatively associated with X-inefficiency. Practice Implications: Measurement of overall hospital quality is improving but can still be made better. Nevertheless, the National Quality Forum's measure is significantly related to efficiency and could be used to create differential pay-for-performance programs. A market-segmented analytic strategy for studying hospitals' efficiency yields results with a high degree of explanatory power.
... Palmieri, PA, &amp; Peterson, LT (accepted). Technological iatrogenesis: An expansion of ... more ... Palmieri, PA, &amp; Peterson, LT (accepted). Technological iatrogenesis: An expansion of the medical nemesis framework to improve modern healthcare organization performance. ... Palmieri, PA, Delucia, PR, Peterson, LT, Ott, TE, &amp; Green, A. in press. ...
Healthcare organizations are increasingly willing to develop more efficient and higher quality pr... more Healthcare organizations are increasingly willing to develop more efficient and higher quality processes to combat the competition and enhance financial viability by adopting contemporary solutions such as Health Information Technology (HIT). However, technological failures occur and represent a contemporary organizational development priority resulting from incongruent organization-technology interfaces. Technologically induced system failure has been defined as technological iatrogenesis. The chapter offers the Healthcare Iatrogenesis Model as an organizational development strategy to guide the responsible implementation of HIT projects. By recognizing the etiology of incongruent organizational interfaces and anticipating patient safety concerns, leaders can proactively respond to system limitations and identify hidden process instabilities prior to costly and consequential catastrophic events.
International Journal of Entrepreneurship and Small Business, 2017
Fostering immigrant entrepreneurship is a key factor to building a stronger business community, y... more Fostering immigrant entrepreneurship is a key factor to building a stronger business community, yet we know very little about the many factors that influence immigrants' decision to engage in entrepreneurial activities. By focusing on how cultural context influences opportunity recognition, this paper looks at how acculturation is negatively related to business ownership in recent Mexican immigrants in the USA. The results supported both the direct negative relationship between acculturation and entrepreneurship and the moderating relationship, which weakens the relationship when the immigrant has access to a greater variety of sources of information about job opportunities. These findings contribute to research in entrepreneurship which considers the influence of the context on individual's ability and willingness to engage in entrepreneurial activities.
The Journal of Applied Management and Entrepreneurship, 2017
Communities everywhere were developed by immigrants who decided to become entrepreneurs. Learning... more Communities everywhere were developed by immigrants who decided to become entrepreneurs. Learning what factors play a role in this decision is no small step in being able to encourage the growth of this practice. This paper looks at how forces inherent in the immigrant's life influence his or her decision to build an opportunity; specifically how a Mexican immigrant's planned length of stay, level of acculturation, and language variety correlates to his or her decision to become a business owner. The results supported the mediating relationship that was predicted between planned length of stay and acculturation in addition to the moderating mediating role that an immigrant's access to a variety of job information sources plays in predicting if an immigrant is a business owner. These findings contribute to research in entrepreneurship which considers the influence of the context on an individual's ability and willingness to engage in entrepreneurial activities.
Scholars and practitioners devoted considerable attention to hospital governance in the late 1990... more Scholars and practitioners devoted considerable attention to hospital governance in the late 1990s, but far more research is needed. We know little about how boards actually work and how their beha...
GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment abo... more GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment about the state of safety culture research in healthcare.
Job openings for nonscientific business-to-business sales professionals will increase over the ne... more Job openings for nonscientific business-to-business sales professionals will increase over the next 10 years. A small private university in the Midwest has developed an innovative sales course to help create professionals who are ready to fill this need. This article addresses the challenges of creating a meaningful, hands-on, experiential course for undergraduate students who are trained and developed in sales skills, practice with a live client, and receive a commission for a successful close. Writing skills, speaking skills, and critical thinking skills are honed in a supportive environment through a variety of hands-on, class activities in this teaching innovation.
... Palmieri, PA, &amp; Peterson, LT (accepted). Technological iatrogenesis: An expansion of ... more ... Palmieri, PA, &amp; Peterson, LT (accepted). Technological iatrogenesis: An expansion of the medical nemesis framework to improve modern healthcare organization performance. ... Palmieri, PA, Delucia, PR, Peterson, LT, Ott, TE, &amp; Green, A. in press. ...
Page 1. Value, Efficiency and Technology in the Changing Healthcare Environment by Lori T. Peters... more Page 1. Value, Efficiency and Technology in the Changing Healthcare Environment by Lori T. Peterson, MBA A Dissertation In MANAGEMENT Submitted to the Graduate Faculty of Texas Tech University in Partial Fulfillment of the Requirements for the Degree of ...
The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organiz... more The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost-effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational-technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern. Recognizing the technology-organizational misalignments that result from HIT adoption is important for leaders seeking to eliminate sources of system instability. The Health Information Technology Iatrogenesis Model (HITIM) provides leaders with a conceptual framework from which to consider HIT as an instrument for organizational development. Complexity and Diffusion of Innovation theories support the framework that suggests each HIT adoption functions as a technological change agent. As such, leaders need to provide operational oversight to managers undertaking system change via HIT implementation. Traditional risk management tools, such as Failure Mode Effect Analysis and Root Cause Analysis, provide proactive pre- and post-implementation appraisals to verify system stability and to enhance system reliability. Reconsidering the use of these tools within the context of a new framework offers leaders guidance when adopting HIT to achieve performance improvement and better outcomes.
Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that h... more Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established through modification in employee safety perspective and work behavior, human resource (HR) professionals need to contribute to this developing
The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organiz... more The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost-effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational-technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern.
Handbook of research on patient safety and quality care through health informatics, 2014
ABSTRACT Healthcare organizations are increasingly willing to develop more efficient and higher q... more ABSTRACT Healthcare organizations are increasingly willing to develop more efficient and higher quality processes to combat the competition and enhance financial viability by adopting contemporary solutions such as Health Information Technology (HIT). However, technological failures occur and represent a contemporary organizational development priority resulting from incongruent organization-technology interfaces. Technologically induced system failure has been defined as technological iatrogenesis. The chapter offers the Healthcare Iatrogenesis Model as an organizational development strategy to guide the responsible implementation of HIT projects. By recognizing the etiology of incongruent organizational interfaces and anticipating patient safety concerns, leaders can proactively respond to system limitations and identify hidden process instabilities prior to costly and consequential catastrophic events.
Purposes: To assess the relationship between hospitals' X-inefficiency levels and overall care qu... more Purposes: To assess the relationship between hospitals' X-inefficiency levels and overall care quality based on the National Quality Forum's 30 safe practices score and to improve the analytic strategy for assessing X-inefficiency. Methodology: The 2005 versions of the American Hospital Association and Leapfrog Group's annual surveys were the basis of the study. Additional case mix indices and market variables were drawn from the Centers for Medicare and Medicaid Services data sources and the Area Resource File. Data envelopment analysis was used to determine hospitals' X-inefficiency scores relative to their market-level competitors. Regression was used to assess the relationship between X-inefficiency and quality, controlling for organizational and market characteristics. Expenses (total and labor expenditures), case-mix-adjusted admissions, length of stay, and licensed beds defined the X-inefficiency function. The overall National Quality Forum's safe practice score, health maintenance organization penetration, market share, and teaching status served as independent control variables in the regression. Findings: The National Quality Forum's safe practice scores are significantly and positively correlated to hospital X-inefficiency levels (" = .105, p _ < .05). The analysis of the value proposition had very good explanatory power (adjusted R 2 = .414; p _ < .001; df = 7, 265). Contrary to earlier findings, health maintenance organization penetration and being a teaching hospital were positively related to X-inefficiency. Similar with others' findings, greater market share and for-profit ownership were negatively associated with X-inefficiency. Practice Implications: Measurement of overall hospital quality is improving but can still be made better. Nevertheless, the National Quality Forum's measure is significantly related to efficiency and could be used to create differential pay-for-performance programs. A market-segmented analytic strategy for studying hospitals' efficiency yields results with a high degree of explanatory power.
... Palmieri, PA, &amp; Peterson, LT (accepted). Technological iatrogenesis: An expansion of ... more ... Palmieri, PA, &amp; Peterson, LT (accepted). Technological iatrogenesis: An expansion of the medical nemesis framework to improve modern healthcare organization performance. ... Palmieri, PA, Delucia, PR, Peterson, LT, Ott, TE, &amp; Green, A. in press. ...
Uploads
Papers by Lori Peterson