Healthcare logistics for service improvement and a new understanding of patient flow. Presented by Delia Dent, CSC, at HINZ 2014, 11 November 2014, 11.37am, Marlborough Room
In this, we will read about the Supply Chain Management in Healthcare
The following contents will be described briefly:-
1. What is a supply chain?
2. The process of Views of Supply Chain
3. Objectives of Supply Chain Management
4. Supply Chain Decisions
5. Benefits of Supply Chain
6. Integrated Health Supply Chains
7. New Trends In Healthcare Supply Chain
8. Potential Risks to an Organization and Supply Chain
9. Strategies to Improve Healthcare Supply Chain Management
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff.
Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.
In this, we will read about the Supply Chain Management in Healthcare
The following contents will be described briefly:-
1. What is a supply chain?
2. The process of Views of Supply Chain
3. Objectives of Supply Chain Management
4. Supply Chain Decisions
5. Benefits of Supply Chain
6. Integrated Health Supply Chains
7. New Trends In Healthcare Supply Chain
8. Potential Risks to an Organization and Supply Chain
9. Strategies to Improve Healthcare Supply Chain Management
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff.
Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.
Importance of manpower planning in Hospitals Leslie Richard
You will shock to know , Growth and Salary comes last if we talk about Causes of Employee Satisfaction . My slides will give you a brief idea . Focus more on Recognision , Staffs Praising and Empower them and trust me you will be successful .
A Hospital is a highly challenging work place. There are numerous bottlenecks that deteriorates the productivity & efficiency of the Healthcare services delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues raised without compensating the quality and patient satisfaction. Spontaneity to untangle any situation is possible only with a strong “Hospital Operations team”. Operations management team is responsible for managing all operational process of the Hospital which includes all clinical & non-clinical departments to have a smooth working environment.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
SIM Unit 4
Store management :
Materials handling,
Flow of goods/FIFO,
Computerization of inventory transactions
Security of stores,
Stocking and technical impacts-
shelf life,
wastage,
pilferage
Patient Record System (Electronic Medical Records).pptxmamtabisht10
Electronic Medical Records also known as Patient record system is the digital version of the clinical information regarding a patient.
It involves collecting, storing, manipulating and using the available clinical information in delivering care to the patient.
The Only Summit To Gather Key Stakeholders Across The Entire Healthcare Supply Chain. Developing a robust and strategic supply chain network. bringing together the region’s leading healthcare regulators, providers, operators, distributors and manufacturers to create a cohesive, strategic supply network.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
Importance of manpower planning in Hospitals Leslie Richard
You will shock to know , Growth and Salary comes last if we talk about Causes of Employee Satisfaction . My slides will give you a brief idea . Focus more on Recognision , Staffs Praising and Empower them and trust me you will be successful .
A Hospital is a highly challenging work place. There are numerous bottlenecks that deteriorates the productivity & efficiency of the Healthcare services delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues raised without compensating the quality and patient satisfaction. Spontaneity to untangle any situation is possible only with a strong “Hospital Operations team”. Operations management team is responsible for managing all operational process of the Hospital which includes all clinical & non-clinical departments to have a smooth working environment.
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
SIM Unit 4
Store management :
Materials handling,
Flow of goods/FIFO,
Computerization of inventory transactions
Security of stores,
Stocking and technical impacts-
shelf life,
wastage,
pilferage
Patient Record System (Electronic Medical Records).pptxmamtabisht10
Electronic Medical Records also known as Patient record system is the digital version of the clinical information regarding a patient.
It involves collecting, storing, manipulating and using the available clinical information in delivering care to the patient.
The Only Summit To Gather Key Stakeholders Across The Entire Healthcare Supply Chain. Developing a robust and strategic supply chain network. bringing together the region’s leading healthcare regulators, providers, operators, distributors and manufacturers to create a cohesive, strategic supply network.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
St. Olavs and Ahus Hospitals – Improved Patient Care and Hospital Logistics with Mobility. Roberg-Larsen J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Healthcare services ; pharmaceutical market of myanmarAccord Healthcare
This report consolidates the main developments of the pharmaceutical market in Myanmar over the last decade. Among the APAC Markets, Myanmar is catching the most attention after the Vietnam. The report provides in-depth information on the healthcare medical system & Pharmaceutical market of Myanmar.
Endüstri Mühendisliği - Yöneylem teknikleriyle Sağlık Tedarik Zinciri Modellemesidir. Maalesef dünya bu yöntemleri taşıyacak kadar deterministik değildir. Zaten sonraki aşamada fiili model denemesi planlanmış.
There are many NGOs in India that are working with corporate and public enterprises to promote CSR in India. One such renowned organisation has undertaken several projects through CSR to facilitate urban renewal.
20131212 salford royal experience an epr 10 years on, implementing ep rs at...amirhannan
Madeleine Neve, IM & T lead at Salford Royal Hospital presents at Health 2.0 Manchester meeting. See http://www.htmc.co.uk/pages/pv.asp?p=htmc0519 to watch talk
Dr Rebecca Rosen, Senior Fellow at the Nuffield Trust and General Practitioner in South East London, sets the context around the levers for change in general practice and primary care. Dr Rosen presented at the Nuffield Trust’s ‘Levers for change in general practice and primary care’ event on the 6th November 2014.
Webinar: Transforming Operational Throughput – The Journey Toward Value-Based...Huron Consulting Group
At the 2014 Children’s Hospital Association Annual Leadership Conference, Huron Healthcare and Texas Children’s Hospital (TCH) presented an educational session on the journey toward value-based care.
In the presentation, Huron Healthcare managing director, Larry Burnett, TCH Senior Vice President, Tabitha Rice, and TCH Assistant Vice President of nursing, Jackie Ward, shared valuable insights from their work together at TCH. Focusing on insights and results from TCH’s engagement with Huron Healthcare, the presentation includes:
• Opportunities and results at TCH in areas including care management, care progression, patient placement, and care variation.
• Keys to driving results, successful change, and integrated care delivery
• Steps for a sustainable approach
Something In my head for a while, Its probably a little dramatic.
Probably ripe for implementation in India.
The reference by no means are complete, prepared the ppt over an extended period, lost track of references or was too lazy to search for them.
Will me more than glad to add them(references) if provided.
PowerPoint: Practical Approaches to Improving Patient Pre-Op PreparationEmCare
Michael Hicks, MD, MBA, FACHE, CEO of EmCare Anesthesia, and Lisa Kerich, PA-C, VP of Operations for EmCare Anesthesia, provide expert advice for improving the performance of your O.R. through an integrated, collaborative approach. Learn how Pre-Anesthesia Testing (PAT) clinics are being used successfully to improve patient readiness, surgeon satisfaction and financial performance.
Originally presented Sept. 17, 2015, as a webinar in partnership with Becker's Hospital Review.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
By Marc Newell, MD. A discussion about the rapidly evolving TeleHealth program at Minneapolis Heart Institute that promises to increase access to and timeliness of specialty care in communities across the region. “This is an innovative strategy that allows more patients to be seen closer to home, and have more access to subspecialty care. We need to transform how and where we deliver care so we can focus on prevention and chronic disease management.”
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Now - let’s talk about some of the problems poor logistics cause in healthcare.
Our solution to these problems uses a clinically driven appointment scheduling and resource management tool for system-wide improvement of patient flow.
The software, called UltraGenda, is a rules based solution developed specially for healthcare. And it has been implemented in more than 150 hospitals in 9 different countries.
Unlike many health information systems, UltraGenda directly benefits and engages stakeholders inside and outside of hospital walls.
I have two client case studies to share with you and then some patient flow insights.
One of the largest Trusts in in England, the Heart of England needed to streamline its outpatient appointment processes across several hospital sites.
Established in 1844, the Tan Tock Seng Hospital (TTSH) is the second largest acute care general hospital in Singapore. The hospital has 1,500 beds and operates the busiest emergency department in the country – 460 patients are seen daily. Specialists in TTSH’s clinics attend some 2,000 patients each day.
Taking a logistics approach to healthcare delivery opens new opportunities for improvement. For example you can tune operations to match NHS recommendations for avoiding delays:
Reduce unnecessary waits
In a patient journey waits are incremental
The NHS found that when a radiologist reviews her CT exam results at the time of the exam average waiting times for diagnostic assessment reduce to less than two and a half days from 1-9 days.
Ok, let’s come back to New Zealand.
If we can underpin the health pathway and shared care planning initiatives that are going on in NZ with logistics management tools – there is a real opportunity to integrate care across settings and most importantly, around the patient.
Recently, CSC and MedTech have been exploring how to blend logistics with primary care workflows to enable primary and secondary care integration.
We think it’s possible to move planning and decision making up earlier in the process – for integrated and proactive management of health services.
Thank you for your attention.
Any questions?