Whitney Blair Berta

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We aggregate long-term care (LTC) facility-level data collected by Statistics Canada to National and regional levels to make observations relating to environmental characteristics--including the age distribution by region, and market share by type of ownership--and organizational characteristics--including ownership, facility size, resident age(More)
We apply the theoretical frameworks of knowledge transfer and organizational learning, and findings from studies of clinical practice guideline (CPG) implementation in health care, to develop a contingency model of innovation adoption in long-term care (LTC) facilities. Our focus is on a particular type of innovation, CPGs designed to improve the quality of(More)
PURPOSE To examine the evolution of health care integration strategies and associated conceptualization and practice through a review and synthesis of over 25 years of international academic research and literature. METHODS A search of the health sciences literature was conducted using PubMed and EMBASE. A total of 114 articles were identified for(More)
In this multiple-case study, we engaged directors of care of Ontario long-term care (LTC) homes in semi-structured interviews designed to increase our understanding of the influence exerted by organizational and extra-organizational factors on two key aspects of organizational performance: operational efficiency and quality of care. We also examined the(More)
This paper studies acquisitions of nursing home facilities by chains. We first test alternative “cream-skimming” and “turn-around” arguments concerning nursing home acquisitions. We then consider post-acquisition changes in nursing home health performance, differentiating effects of the acquisition process from those of prior strategy and performance of the(More)
Despite the focus on patient safety and quality health care for the last two decades, there is still limited understanding of how interprofessional interactions at an organizational or work unit level influence how clinicians perceive and respond to safety events and errors. Within the rubric of safety events, there has been a growing interest in near(More)
In managing treatment for persons with mental illness, the primary care physician (PCP) needs to communicate with mental health (MH) professionals in various settings over time to provide appropriate management and continuity of care. However, effective communication between PCPs and MH specialists is often poor. The present study reviewed evidence on the(More)
BACKGROUND Long-term care facilities (nursing homes) in British Columbia consist of a mix of for-profit, not-for-profit non-government, and not-for-profit health-region-owned establishments. This study assesses the extent to which staffing levels have changed by facility ownership category. DATA AND METHODS With data from Statistics Canada's Residential(More)
Using a multiple case study design, this article explores the translation process that emerges within Ontario long-term care (LTC) homes with the adoption and implementation of evidence-based clinical practice guidelines (CPGs). Within-organization knowledge translation is referred to as knowledge application. We conducted 28 semi-structured interviews with(More)