A preliminary look at readmission and mortality among chronically critically ill and other medically complex Medicare patients

Chronically critically ill and other medically complex patients (CCI/MC-Ps) are those who are hospitalized with long-term intensive care needs and require extended periods of hospital-level care. CCI/MC-Ps may be at higher risk for readmission and mortality than other populations due to the severe nature their illnesses. This article examines factors that lead to increased probability of hospital readmission or mortality among CCI/MC Medicare patients. Logistic regression analyses are used to examine mortality and readmissions among the CCI/MC population. Numerous factors including length of stay in the acute hospital, age and gender affect whether a patient is readmitted to the acute care hospital within 90 days of discharge or dies within 60 days following a hospital stay.     

Putting Quality First in Ideation Research

Teams use ideation techniques such as brainstorming to generate alternatives in response to a crisis or opportunity with the goal of converging on a few high-quality ideas. Ideation research, however, tends to focus on developing techniques that generate a large quantity of ideas, sometimes giving little attention to the cognitive mechanisms that give rise to good-quality ideas, or to the validity of the metrics by which ideation quality is measured . This study examines a theoretical link between idea quality and quantity in the ideation literature using Bounded Ideation Theory (BIT). BIT proposes that the relationship between participant ability and ideation quality is moderated by cognitive factors such as scarcity of attention resources, mental and physical exhaustion, understanding of the problem, and goal congruence, as well as attributes of the problem being addressed. Ideation quality is measured in the literature using a number of approaches which diverge to differing research conclusions, even when applied to the same data set. We use a Monte Carlo simulation to demonstrate conditions under which some of these measures exhibit a bias. We present theoretical and methodological arguments to support our call for future ideation research to shift its focus from quantity to quality by focusing on the cognitive factors that influence ideation quality and using unbiased measures of ideation quality.     

A Tale of Two Cities: Case Studies of Group Support Systems Transition

Research shows that, under certain circumstances, people using GSS can be substantially more productive than people who do not. However GSS has been slow to transition into the workplace. This paper argues that the Technology Transition Model (TTM) may be a useful way to explain this seeming paradox. The paper presents a case study of GSS transition in two organizations – one where a self-sustaining and growing community of users emerged, and one where it did not. Following TTM, it explores the frequency with which users perceived cognitive, economic, affective, political, social, and physical value from using the system. Comparison of the cases reveals differences in perceptions of value along several of these dimensions that are consistent with TTM. The findings suggest the model may be a useful way to explain the transition of collaboration technology, but more research will be required to test the model more rigorously.     

Economic development,food demand and the consequences for agricultural resource requirements: an application to Indonesia

We analyse food demand patterns of Indonesian households from a resource intensity perspective and quantify the impact of changed demand patterns on the use of three major resource inputs: fossil fuel; land; and water in agricultural production. Using Indonesian Family Life Survey data, 13 major food items (which constitute 70 per cent of food expenditure) are categorised into low, moderate and high resource intensity, and income elasticity and Engel curves are estimated for the period from 1997 to 2007. Our results show that income growth in Indonesia is associated with demand patterns that are more resource intensive. By 2007, per capita requirements of fossil fuel, land and water increased by 42.7 per cent (3.13 MJ), 44.9 per cent (1.24 m²) and 50.4 per cent (2.1 kL), respectively, relative to 1997. The results imply that, at least for Indonesia, changed food demand patterns resulting from economic development will increase the demand for natural resources substantially.     

More is better: evidence that joint patenting leads to quality innovation

Joint ownership of a patent is most often viewed by firms as a second-best option compared to single, monopoly ownership. However, the results of this article suggest that there may be reason for businesses and policymakers to incentivize joint patenting behaviour. This is because, joint patent ownership is found to positively impact the quality of an innovation (as measured by forward patent citations). In addition, the degree of quality increases with the number of patent owners. Since past research confirms the important links between patent quality and ongoing innovation, and between innovation and growth, those factors that impact patent quality are deserving of attention. Economic research on joint patenting is currently limited, but we hope to shed light on the importance of expanding dialogue on this topic.