Dennis J. Scotti

• Fairleigh Dickinson University

Research methodology The case is based on data collected from in-depth interviews, and from company, third-party and regulatory–agency documents. In addition to prior conversations over several years between the company founders and the lead case writer, there were several rounds of interviews in 2023 with the surviving founder and in-depth intervi...

Aim: This largest-of-its-kind study evaluated the clinical utility of CA125 and OVA1, commonly used as ovarian tumor markers for assessing the risk of malignancy. The research focused on the ability and utility of these tests to reliably predict patients at low risk for ovarian cancer. Clinical utility endpoints were 12- monthmaintenance of benign...

In this observational, retrospective study, we performed economic analyses between robotic arm-assisted total knee arthroplasty (RATKA) and manual total knee arthroplasty (MTKA). Specifically, we compared: (1) index costs including computed tomography (CT) scans; (2) 90-day postoperative health care utilization, (3) 90-day episode-of-care (EOC) cos...

Aim: To evaluate payer costs associated with treating psychiatric disorders utilizing a combinatorial pharmacogenomics test versus treatment-as-usual (TAU). Patients & methods: Administrative claims data were analyzed from health plan members whose treatment was guided by GeneSight® Psychotropic testing (CPGx® cohort) and those who received TAU...

A multi-theory framework is offered for guiding managerial decision making in complex professional human service organizations; a growing segment of the economy for which the ability to proactively and dynamically manage knowledge assets is naturally critical to performance. Following a call for greater theoretical integration, this framework synth...

Background The endoscopic radiofrequency procedure (Stretta) has been used for more than a decade to treat patients with gastroesophageal reflux disease (GERD). However, the efficacy of the procedure in improving objective and subjective clinical endpoints needs to be further established. AimTo determine the efficacy of the Stretta procedure in tre...

Background: Ovarian cancer is the eighth most common cancer among women, but ranks fifth in cancer-related causes of death, the majority of which are detected in late stages, after the cancer has metastasized. The CA125 test is the standard of care for assessing suspicious pelvic masses. However, the primary use of CA125 is to monitor treatment pr...

Purpose: A minimally invasive endoscopic treatment that utilizes radio-frequency energy (RFE) has received increased attention as an appropriate middle-ground approach in the treatment of refractory gastroesophageal reflux disease (GERD) and as an alternative to complicated and invasive surgical procedures. The objective of this study was to devel...

Previous researchers have concluded that the enclosure of a questionnaire in a second mailing has little impact on the overall response rate. However, previous studies have failed to include the timing of the second mailing as a moderating variable. The experiment reported here presents findings which show that the effectiveness of enclosing a ques...

Purpose: Reducing hospital readmissions for critically ill patients is of concern to payers and providers alike. Patients in cardiogenic shock are often treated with devices to help support the functions of the heart while the patient undergoes treatment. This study compares the readmission experience of Medicare beneficiaries treated for cardioge...

The delivery of high-quality service, rendered by health service professionals who interact with customers (patients), increases the likelihood that customers will form positive evaluations of the quality of their service encounters as well as high levels of customer satisfaction. Using linkage theory to develop our conceptual framework, we identif...

This article systematically appraises the findings and conclusions derived from six recent studies of the economic impact and relative value of using percutaneous ventricular assist devices to render short-term hemodynamic support to high-risk patients with particular attention to the settings of cardiogenic shock and percutaneous coronary interven...

Hemodynamic support using percutaneous left ventricular assist devices (pLVAD) during catheter mapping and ablation of unstable VT can provide effective end-organ perfusion. However, its impact on procedural and clinical outcomes remains unclear. We retrospectively evaluated the procedural and clinical outcomes following catheter ablation of unstab...

Impella 2.5 has been shown to reduce major adverse events for patients undergoing elective high-risk percutaneous coronary intervention. We performed a single-center retrospective study to compare the costs and resource use of Impella 2.5 and intra-aortic balloon pump (IABP) support. All high-risk patients who received Impella 2.5 (n = 35) and IABP...

Objectives: This study evaluates the cost-effectiveness of percutaneous cardiac assist device (pVAD) therapy in the emergent setting compared with traditional surgical hemodynamic support alternatives. Background: Previous research has demonstrated the cost-effectiveness of pVAD hemodynamic support for patients undergoing high-risk percutaneous cor...

Background: The economic burden of heart disease is heavy and growing. As advanced technologies for treating heart disease become available, decision makers need to be able to assess the relative value of such options against existing standards of care. Objectives: To compare the clinical and economic benefits of a percutaneous ventricular assis...

Treatment of heart disease is a major driver of health care spending in the United States. Temporary and timely use of hemodynamic support devices can be particularly beneficial to two high-risk patient populations: cardiogenic shock patients and those requiring hemodynamic support as an adjunct to high-risk coronary revascularization. The rate of...

This study assesses the importance of customer-contact intensity at the service encounter level as a determinant of service quality assessments. Using data from the U.S. Department of Veterans Affairs, it shows that performance-driven human resources practices play an important role as determinants of employee customer orientation and service capab...

The need for healthcare executives to better understand the relationship between patient satisfaction and admission volume takes on greater importance in this age of rising patient expectations and declining reimbursement. Management of patient satisfaction has become a critical element in the day-to-day operations of healthcare organizations pursu...

Healthcare managers must deliver high-quality patient services that generate highly satisfied and loyal customers. In this article, we examine how a high-involvement approach to the work environment of healthcare employees may lead to exceptional service quality, satisfied patients, and ultimately to loyal customers. Specifically, we investigate th...

Research on patient satisfaction has focused predominantly on the mainstream adult population (ages 18-64). Satisfaction in older patients has not been adequately studied. Moreover, a systematic review of the research literature that does exist on this topic has not yet been conducted. The literature search yielded only 17 studies that met the sele...

Two strong imperatives for healthcare managers are reducing costs of service and attracting and retaining highly dedicated and competent patient care and support employees. Is there a trade-off or are there organizational practices that can further both objectives at the same time? High-involvement work systems (HIWS) represent a holistic work desi...

Based on employee surveys and financial data from 146 facilities of the Veterans' Healthcare Administration, this study found that high-involvement work practices (HIWP) result in increased employee satisfaction and decreased patient service costs. Overall costs per patient are reduced despite the initial investment required by HIWP.

Limiting inpatient claims denials requires a combination of data, processes, and people, including: Systems that support collecting correct payer data; Creative processes to prevent denials in high-denial areas; Compliance with payer protocols; Enhanced front-end staffing.

Given the burgeoning growth of the elderly population, ensuring the satisfaction of senior consumers of health services is worthy of heightened attention by healthcare administrators both on economic and social grounds. By examining inpatient satisfaction among the elderly, we have focused our attention on an important and understudied segment of h...

Given the myriad revenue and cost pressures faced by today's organizational providers, it behooves healthcare financial managers to identify opportunities to improve the terms of their managed care agreements when renewal time is near. Selection of a contract renegotiation strategy should be preceded by a focused analysis of situational variables a...

The authors investigate the influence of various psychographic characteristics in distinguishing between those elderly patients who complain about dissatisfying experiences with health care providers and those who do not. Discriminant analysis results suggest that patients who are low in trust in their physicians and who are younger in terms of cog...

Argues that a cognitive bias is found in the language used to describe services, since services are defined in relation to manufacturing. Proposes that services should be accurately described as they are very different from manufactured goods. Considers service from an alternative viewpoint, highlighting this perspective's implications for marketin...

Understanding the evaluative criteria used to select a health plan is central to effective marketing of an HMO. The determinant criteria that guide the reenrollment decision are shown to differ from those that drive initial enrollment. The authors' findings suggest several operational and strategic policy implications for HMO management.

It is generally assumed that conventional strategic planning techniques can be applied to all complex organizations. However, the approach used to organize for the strategic planning function may vary to accommodate institutional differences. While health administration literature addresses the issue of strategic planning, there is little research...