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The article reports on a study that describes the association between nighttime awakenings and workplace functioning, performance, and productivity in the U.S. Employees at four U.S. companies who described their sleep patterns have been the subject of the study. Findings of the study revealed that workers who experienced greater than, or equal to three nighttime awakenings manifest poorer work productivity and performance compared to workers who experience fewer awakenings.

The article presents a study that shows how routinely collected data can be used to inform strategies intended to incorporate a growing orientation in clinical training and practice in interventions related to health and productivity loss in workplace settings in the U.S. It uses data provided by a health risk appraisal's (HSA) developer. Results of the study indicates that the effectiveness of such interventions will be increased if they resolve health in the broader context of work, mental well-being and the demands of family and work life.

The article focuses on the adoption of the policy governance model for effective regional health administration in the U.S. The research describes the policy governance model as an effective alternative in evaluating the functional performance of medical boards and personnel in providing healthcare services or customer service. The implementation of the policy governance model in large academic medical center help enhance not only the knowledge of the healthcare administrator and personnel but also improve the services of the business. The study proves that policy governance is one of the most effective model for the administration of Regional Hospital.

The article reflects on issues concerning the pay-for-performance payment scheme utilized by healthcare world in the United States. The author has noted the results on the findings of survey conducted by the Agency for Healthcare Research & Quality. The author questions on the role of the pay-for-performance system utilized by the healthcare world, whether the purpose is served or not. Patients were found to be unsatisfied with the service that the pay-for-performance has offered.

Examines how Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon, New Hampshire and Saratoga Hospital in Saratoga Springs, New York had achieved the Magnet accreditation which recognizes achievements of nurses. Quality of the academic medical center of DHMC; Activities of DHMC which promote community involvement; Quality of leadership at Saratoga Hospital.

Answers several questions involving the use of the continuous periodic performance review process in assessing job performance of nurses in the U.S. Difference of the 2005 version of the Periodic Performance Tool released by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) from the previous years; Reason JCAHO decided to change the process; Availability and access of healthcare organizations to the tool.

Defines the competence and competency processes used in management to gauge the job performance of hospital employees in the United States. Domains of learning affecting various instructional methods to achieve competence; Distinction between competence assessment and competency assessment; Cost of competency in patient care.