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THE REDUCTION OF HOSPITAL WAIT
TIMES AND AVOIDABLE
HOSPITALIZATION SIGNIFICANTLY
HELPS IN THE REDUCTION OF COSTS
IN SAUDI ARABIA, UAE AND UNITED
STATES OF AMERICA
Hussam Albugami, MD, MPH, PhD (c)
Advisor:
Dr. Donald Steinwachs
(Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
Summary
Issues faced within the healthcare professions:
 increased cost of services within the
healthcare setup.
 high chance that satisfaction among
customers
 Patients with the need for minor services have
been forced to wait for longer hours
Background
Conditions that lead individuals in different parts
of the world to seek medical attention:
 Osteoarthritis
(Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
Strategy Overview
 To identify the individuals who face a big risk
of long waits and unnecessary hospital
admissions.
The Utility Method
 This method raises a number of questions
since the rate of admission and the use of bed
have not declined for the high risks patients.
Alternative Technique
 An alternative technique based on the
threshold modeling uses of a questionnaire
General Objectives
 To examine the cause of long wait hours and
unnecessary hospitalizations in Saudi Arabia, UAE
and the United States.
 To find out the groups of people who are at risk of long
hospital waiting hours and avoidable hospitalization.
 To determine the costs obtained by both patients and
hospital administrations as a result of long waiting
hours and hospitalization.
 To evaluate the strategies that can be applied to
reduce the cost of the long wait hours and
hospitalizations.
 To discover the roles that both patients can play to
reduce the wait hours and unnecessary
hospitalizations.
Contributing factors
 Unnecessary admissions
More Ideal System
 categorizing the patients into clinically and
statistically homogeneous categories based on
the administrative and clinical data collection
Measures to be Implemented
 To cut down on waiting.
 The effort to revamp the scheduling process
that is done at the front line(Davis et al., 222).
Scheduling of patients
 Scheduling of patients for these procedures
should be done on those days when the
hospital tends to have a lower number of
patients following a busy evening at the
emergency departments (Siciliani & Martin
770).
(Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
Reducing Hospital Wait Times
 Policy implementation to address problems
leading to increased wait time.
(Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
Continuation……
 This can be attained through the incorporation
of the patient preferences.
Gaps within the Healthcare
Systems
 Many of these steps have already been taken
in most of the health facilities in the United
States.
(Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
Conclusion
 The triage system will be adapted to help in
the determination of strategies that reduce the
amount of waiting time and unnecessary
admissions.
 It must have objectives that are achievable in
hospitals in Saudi Arabia, UAE, and the United
States.
 It contains the most effective markers that
include the time used to see the physician and
the quality of the triage.
References
 Bottle, A., Aylin, P., &Majeed, A. ‘Identifying patients at high risk of emergency
hospital admissions: a logistic regression analysis’. Journal of the Royal Society of
Medicine. 2006, Vol 99 (8), pp 406–14.
 Corben, S., & Rosen, R. Self-Management for Long-Term Conditions: Patients’
perspectives on the way ahead. London: The King’s Fund. Web. 2005.
 Davis, Karen et al. Mirro, Mirror on the Wall: An update on the quality of American
Health Care through the patient’s lens. Commonwealth Fund. April 2006.
 Iversen, T. The effect of a private sector on the waiting time in a national
health12service, Journal of Health Economics. 1997, 16(4), 381ñ396.
 Siciliani, L. and Martin, S., 2007, An empirical analysis of the impact of choice on
waiting times, Health Economics, 16(8), 763-779.
 Olsson, M., Ojehagen, A., Bradvik, L., & Hakansson, A. (2015). Predictors of
Psychiatric Hospitalization in Ex-Prisoners With Substance Use Problems: A Data-
Linkage Study. Journal Of Drug Issues, 45(2), 202-213.
http://dx.doi.org/10.1177/0022042615575374
 Tappenden, P., Campbell, F., Rawdin, A., Wong, R. and Kalita, N. The Clinical
Effectiveness and Cost-Effectiveness of Home-Based, Nurse-Led Health Promotion
for Older People: A Systematic review. Health Technology Assessment (Winchester,
England),2012.16(20), 1–72.
THANK
YOU

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Final_Presentation_of_the_Project

  • 1. THE REDUCTION OF HOSPITAL WAIT TIMES AND AVOIDABLE HOSPITALIZATION SIGNIFICANTLY HELPS IN THE REDUCTION OF COSTS IN SAUDI ARABIA, UAE AND UNITED STATES OF AMERICA Hussam Albugami, MD, MPH, PhD (c) Advisor: Dr. Donald Steinwachs
  • 2. (Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
  • 3. Summary Issues faced within the healthcare professions:  increased cost of services within the healthcare setup.  high chance that satisfaction among customers  Patients with the need for minor services have been forced to wait for longer hours
  • 4.
  • 5. Background Conditions that lead individuals in different parts of the world to seek medical attention:  Osteoarthritis
  • 6. (Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
  • 7. Strategy Overview  To identify the individuals who face a big risk of long waits and unnecessary hospital admissions.
  • 8. The Utility Method  This method raises a number of questions since the rate of admission and the use of bed have not declined for the high risks patients.
  • 9. Alternative Technique  An alternative technique based on the threshold modeling uses of a questionnaire
  • 10. General Objectives  To examine the cause of long wait hours and unnecessary hospitalizations in Saudi Arabia, UAE and the United States.  To find out the groups of people who are at risk of long hospital waiting hours and avoidable hospitalization.  To determine the costs obtained by both patients and hospital administrations as a result of long waiting hours and hospitalization.  To evaluate the strategies that can be applied to reduce the cost of the long wait hours and hospitalizations.  To discover the roles that both patients can play to reduce the wait hours and unnecessary hospitalizations.
  • 12.
  • 13. More Ideal System  categorizing the patients into clinically and statistically homogeneous categories based on the administrative and clinical data collection
  • 14. Measures to be Implemented  To cut down on waiting.  The effort to revamp the scheduling process that is done at the front line(Davis et al., 222).
  • 15. Scheduling of patients  Scheduling of patients for these procedures should be done on those days when the hospital tends to have a lower number of patients following a busy evening at the emergency departments (Siciliani & Martin 770).
  • 16. (Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
  • 17. Reducing Hospital Wait Times  Policy implementation to address problems leading to increased wait time.
  • 18. (Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
  • 19. Continuation……  This can be attained through the incorporation of the patient preferences.
  • 20. Gaps within the Healthcare Systems  Many of these steps have already been taken in most of the health facilities in the United States.
  • 21. (Olsson, Ojehagen, Bradvik, & Hakansson, 2015)
  • 22. Conclusion  The triage system will be adapted to help in the determination of strategies that reduce the amount of waiting time and unnecessary admissions.  It must have objectives that are achievable in hospitals in Saudi Arabia, UAE, and the United States.  It contains the most effective markers that include the time used to see the physician and the quality of the triage.
  • 23. References  Bottle, A., Aylin, P., &Majeed, A. ‘Identifying patients at high risk of emergency hospital admissions: a logistic regression analysis’. Journal of the Royal Society of Medicine. 2006, Vol 99 (8), pp 406–14.  Corben, S., & Rosen, R. Self-Management for Long-Term Conditions: Patients’ perspectives on the way ahead. London: The King’s Fund. Web. 2005.  Davis, Karen et al. Mirro, Mirror on the Wall: An update on the quality of American Health Care through the patient’s lens. Commonwealth Fund. April 2006.  Iversen, T. The effect of a private sector on the waiting time in a national health12service, Journal of Health Economics. 1997, 16(4), 381ñ396.  Siciliani, L. and Martin, S., 2007, An empirical analysis of the impact of choice on waiting times, Health Economics, 16(8), 763-779.  Olsson, M., Ojehagen, A., Bradvik, L., & Hakansson, A. (2015). Predictors of Psychiatric Hospitalization in Ex-Prisoners With Substance Use Problems: A Data- Linkage Study. Journal Of Drug Issues, 45(2), 202-213. http://dx.doi.org/10.1177/0022042615575374  Tappenden, P., Campbell, F., Rawdin, A., Wong, R. and Kalita, N. The Clinical Effectiveness and Cost-Effectiveness of Home-Based, Nurse-Led Health Promotion for Older People: A Systematic review. Health Technology Assessment (Winchester, England),2012.16(20), 1–72.

Editor's Notes

  1. With the need by most governments to provide quality services for the patients, it is essential that they ensure that the costs are kept as low as possible while the quality of services remains high.
  2. The medical plan to select to help patients reduce hospital wait times as well as avoidable hospitalization has been ascertained to vary, as illustrated in the chart above.
  3. Osteoarthritis is a usual cause of pain and disability in the musculoskeletal area. Nonetheless, there are varied experiences leading to long waiting times to receive varied services, especially elective surgery. This has been a source of concern in many countries that include the UAE as well as the United States (Iversen 60). For this reason, a number of studies have been conducted to analyze the effect that long waiting times have on the health outcomes. In addition, studies aim to measure the overall impact of these long waiting timeson the cost of services provided in the healthcare facilities. Researchers illustrate the notion that in some cases, patients are placed on waiting lists with no specified time limit.When limits on waiting time are not fixed in advance, patients are expected to follow the normal routine practice of the hospital.
  4. High risk includes persons who are above 65 years of age and have at least two admissions in a year that are urgent. The trend is for older people to represent 38 percent of all the admissions within the index year, declining in the following year to 10 percent and at five years to represent 3 percent It is in this way care management can work towards reducing treatment delays, provide effective treatment and minimize the need for hospital admissions. Nonetheless, clinicians are in a position to identify those groups who are experiencing long waiting times and potentially unnecessary hospitalizations. Learning from these patients and their experiences may assist in identifying future other patients who are at risk in the future (Corben and Rosen 9). Some of the ways through which such groups can be identified include the use of clinical knowledge. This is the default aim of the UAE National Health System. However, little research has been done in this area.
  5. This is administered by the general practitioner to identify the patients who are at high risk. It has been tried over time and proven to be successful. In essence, it is made up of a questionnaire with six items that are used in the identification of patients who are above 75 years and at risk of avoidable admission. The tool has been able to identify 50 percent or more of patients who were high risk or extremely high risks of emergency admissions. In addition, there are also the 79 percent who were not found to be at risk. The limitation with this method is that it does not consider the regular changes to the health status.
  6. These numerous factors that contribute to longer wait times in hospitals and avoidable hospitalizations, also contribute to hospital readmissions and have been identified to be a strain on hospital resources. Unnecessary admissions are an indication of a great decline in the health status of the patients. Although some of these incidences are notpreventable, the current healthcare structure in Saudi Arabia and the UAE is fragmented and gives room to the patients to make a wide range of decisions following their admissions to hospitals as well as after their discharge. Tappenden, Campbell, Rawdin, Wong, and Kalita indicate that to address this problem that has persisted for a long time, a concepts such as the development of a virtual ward have been implemented. A virtual ward is “ designed to support patients who are at high risk of readmission to hospital and their family doctors for a few weeks after hospital discharge” (Tappenden et al 12). Virtual ward helps in addressing the fragmentation problem by providing disease management for high-risk, chronically ill patients.This is in addition to the development of key strategies that are integrated in the community setting to represent hospital care. There are steps being taken to bridge the gaps in patient care in order to provide the right kind of support to patients who have been found to be at risk of long waits and unnecessary admissions.
  7. There is a necessity to develop a more ideal system through which the severity of conditions can be established. This can help in the determination of patient care. As such, this care should be given within a particular time frame. This can be well documented and authenticated for use in both Saudi Arabia and UAE (Bottle et al., 135-41). In this way, the patients are precisely defined into acuity levels that assist the staff members in the ED in triage of patients into treatment. Additionally, it helps in the determination of the resources needed within the department. Since it is used in other countries, it can also be applied in the two states of the Gulf area where a lot of cost is being incurred as a result of long waiting hours and unnecessary admissions.
  8. This should be a primary goal that the hospital executives should attempt. In essence, there are strategies that can be applied as they make an effort to improve the patient wait times. One of these includes the scheduling of surgeries among other conditions that pose great risks to life. This can be achieved by ensuring that the aspects of supply and demand are considered.
  9. In addition the reduction of hospital wait times should be included in the culture of the hospital. It is vital for the executives in the healthcare area to make the hospital wait times a priority in the healthcare facilities. This means that they should have policies implemented in a manner that they can be designed to address most of the problems that lead to the increased wait times. They should include the policies that are related to staffing. Moreover, a commitment is required for the regular evaluation of the workflow at the hospitals. In essence, they should be willing to make an investment towards the different solutions that aid in the speeding up of the delivery care that include the automated systems, which are designed to act as scheduling stream lines
  10. This means that schedules should be made with the patient and not the provider in mind. Therefore, it is vital that the hospitals identify the kinds of changes that suit the needs of the patients’ best.For instance, some of the hospitals have offered an accessible system for the patients to make their own appointments for the issues that are less critical. Alternatively, they give the patients a wait time that is estimated over the phone and make prior arrangements if necessary.
  11. When compared to the healthcare system in the United States, that in Saudi Arabia and UAE are still struggling. In relation to the reduction of waiting times, a number of policies should be put in place to match staffing with demand and to provide patients with options for scheduling and treatment modalities. However, a major concern persists in the lack of ability in Saudi Arabia, the UAE and the U.S.to provide equal services to all the patients. Improved methods for distinguishing the very serious from patients with minor conditions are still a major issue.
  12. In this way, the application of these indicators helps to improve the flow of patients through collaborative efforts. However, a major concern persists in the lack of ability in Saudi Arabia, the UAE and the U.S.to provide equal services to all the patients. Improved methods for distinguishing the very serious from patients with minor conditions are still a major issue.
  13. However, a major concern persists in the lack of ability in Saudi Arabia, the UAE and the U.S.to provide equal services to all the patients. Improved methods for distinguishing the very serious from patients with minor conditions are still a major issue.