Current Developments in Accreditation and Certification for Health Promotion and Health Education: A Perspective on Systems of Quality Assurance in asian countries.
Fear and Ego the Cancer of Modern Man by Mahboob Ali khan MHA, CPHQ Healthcare consultant
You created this false version of yourself (ego), so no one could harm your real nature. You were saying to the world, “It’s not the real me that you are scolding – it’s a false version of me … ha ha to you.” Not a bad trick, except most of us never drop the coat of armor; we live our lives from the ego – forever reacting to fear (be it fear of intimate relationships, fear of money, fear of adventure, blah, blah, blah).
JCI IPSG 6 says Reduce the risk of patient harm resulting from falls so it is our utmost responsibility to take of the elderly in the most vulnerable places of the house like bathroom. I lost my mother due to her bathroom fall followed by bed ridden complications like DVT, digestion problems and pneumonia .I dedicate this topic to my mother who dies on September 22 2015.
Falls are the top cause of accidents in people over the age of 65. Falls are also the main cause of serious injuries and accidental deaths in older people.
Even older people who appear to be strong and well can fall. Falling is a real threat to your ability to live on your own.
Reengineering and Continuous Improvement by Dr.Mahboob Khan Phd HarvardHealthcare consultant
The relationship between continuous process improvement and business process reengineering has been a heavily debated topic for some time. However, these two approaches are very similar because each aims for process improvement. They only differ in focus.
Processes and systems have parts that perform the work of the system, and relations among the parts that define how the work should be performed. For example, a business process has employees as its parts, and procedures and directives as its relations. Both parts and relations must be effective for the system to succeed in meeting its objectives. Based on systems theory, changes in a system's relations often represent the largest potential for improvement because the relations provide the structure in which the system functions.
If Indian Healthcare Insurance is covered to even half the population, India’...Healthcare consultant
Imagine India, If the Healthcare Insurance is covered to even half the population, India’s ranking in the World will increase!
Government Regulation to curb sky-rocketing expenses of Private Hospitals will be a Big Relief to the Rising Indian Middle Class!
India has double digit medical inflation. On the other hand, health cover is not adequate, and even employers’ health cover is insufficient in many cases, and individuals end up paying from their own pockets many a times. And, even though the premiums for health insurance have remained relatively stagnant, it has been mainly thanks to competition among the insurers. According to the report: Over the last four years, premiums of most insurers have increased only once – in 2014 – over the previous year, reflecting a CAGR of 2.79% (for sum insured of Rs 2,00,000 and Rs 3,00,000) and 3.29% (for sum insured Rs 5,00,000 and Rs 10,00,00).
95% of middle-class Indians do not have enough health insurance.
2015 10 GITEX Ignite FinTech DisruptorsAkshaya Gaur
FinTech is disrupting the banking industry through new technologies that provide financial services in innovative ways. Traditional banks must respond to FinTech startups that are developing disruptive "jugaads", or innovations, which could transform how banking services are delivered. Banks face the challenge of how to respond to the threat of disruption from FinTech companies and determine how to incorporate new technologies themselves.
High carbohydrate intake - this is probably the largest single cause of modern diseases such as hypertension, obesity, syndrome X, heart disease and cancer .
The document outlines the key components and structure that should be followed when writing a clinical audit report. It provides examples of templates that divide the report into sections including: introduction, methods, results, discussion, conclusions, recommendations, and quality improvement plan. The report aims to be clear, concise, and follow a logical progression by using plain English and structured formatting like IMRAD. Visual aids like tables and graphs should be used where possible to clearly present results.
The document discusses the purpose of interviews from both the interviewer and interviewee perspectives. It then provides tips for how to prepare for, conduct yourself during, and follow up after an interview. The key points are:
The interviewer wants to determine if the candidate can do the job, will fit in, and is the best candidate. The interviewee wants to determine if they want the job, can do it, and if it provides career opportunities.
Before an interview, one should research the job/company, practice interview skills, and prepare answers to common questions highlighting their skills and accomplishments. During an interview, one should relax, answer questions using examples, and ask the interviewer questions. After, one should
Fear and Ego the Cancer of Modern Man by Mahboob Ali khan MHA, CPHQ Healthcare consultant
You created this false version of yourself (ego), so no one could harm your real nature. You were saying to the world, “It’s not the real me that you are scolding – it’s a false version of me … ha ha to you.” Not a bad trick, except most of us never drop the coat of armor; we live our lives from the ego – forever reacting to fear (be it fear of intimate relationships, fear of money, fear of adventure, blah, blah, blah).
JCI IPSG 6 says Reduce the risk of patient harm resulting from falls so it is our utmost responsibility to take of the elderly in the most vulnerable places of the house like bathroom. I lost my mother due to her bathroom fall followed by bed ridden complications like DVT, digestion problems and pneumonia .I dedicate this topic to my mother who dies on September 22 2015.
Falls are the top cause of accidents in people over the age of 65. Falls are also the main cause of serious injuries and accidental deaths in older people.
Even older people who appear to be strong and well can fall. Falling is a real threat to your ability to live on your own.
Reengineering and Continuous Improvement by Dr.Mahboob Khan Phd HarvardHealthcare consultant
The relationship between continuous process improvement and business process reengineering has been a heavily debated topic for some time. However, these two approaches are very similar because each aims for process improvement. They only differ in focus.
Processes and systems have parts that perform the work of the system, and relations among the parts that define how the work should be performed. For example, a business process has employees as its parts, and procedures and directives as its relations. Both parts and relations must be effective for the system to succeed in meeting its objectives. Based on systems theory, changes in a system's relations often represent the largest potential for improvement because the relations provide the structure in which the system functions.
If Indian Healthcare Insurance is covered to even half the population, India’...Healthcare consultant
Imagine India, If the Healthcare Insurance is covered to even half the population, India’s ranking in the World will increase!
Government Regulation to curb sky-rocketing expenses of Private Hospitals will be a Big Relief to the Rising Indian Middle Class!
India has double digit medical inflation. On the other hand, health cover is not adequate, and even employers’ health cover is insufficient in many cases, and individuals end up paying from their own pockets many a times. And, even though the premiums for health insurance have remained relatively stagnant, it has been mainly thanks to competition among the insurers. According to the report: Over the last four years, premiums of most insurers have increased only once – in 2014 – over the previous year, reflecting a CAGR of 2.79% (for sum insured of Rs 2,00,000 and Rs 3,00,000) and 3.29% (for sum insured Rs 5,00,000 and Rs 10,00,00).
95% of middle-class Indians do not have enough health insurance.
2015 10 GITEX Ignite FinTech DisruptorsAkshaya Gaur
FinTech is disrupting the banking industry through new technologies that provide financial services in innovative ways. Traditional banks must respond to FinTech startups that are developing disruptive "jugaads", or innovations, which could transform how banking services are delivered. Banks face the challenge of how to respond to the threat of disruption from FinTech companies and determine how to incorporate new technologies themselves.
High carbohydrate intake - this is probably the largest single cause of modern diseases such as hypertension, obesity, syndrome X, heart disease and cancer .
The document outlines the key components and structure that should be followed when writing a clinical audit report. It provides examples of templates that divide the report into sections including: introduction, methods, results, discussion, conclusions, recommendations, and quality improvement plan. The report aims to be clear, concise, and follow a logical progression by using plain English and structured formatting like IMRAD. Visual aids like tables and graphs should be used where possible to clearly present results.
The document discusses the purpose of interviews from both the interviewer and interviewee perspectives. It then provides tips for how to prepare for, conduct yourself during, and follow up after an interview. The key points are:
The interviewer wants to determine if the candidate can do the job, will fit in, and is the best candidate. The interviewee wants to determine if they want the job, can do it, and if it provides career opportunities.
Before an interview, one should research the job/company, practice interview skills, and prepare answers to common questions highlighting their skills and accomplishments. During an interview, one should relax, answer questions using examples, and ask the interviewer questions. After, one should
In India, Young Graduates Struggle by Dr. Mahboob Khan to Get Jobs.pdfHealthcare consultant
In the world’s most populous country, tens of thousands of graduates and postgraduates, many with professional degrees, such as engineering, spend years studying at the tutoring centers that have mushroomed in Indian cities, hoping to qualify for a highly sought-after government job. The chances are slim. Less than one-half of 1% of the more than 1 million who take the exam each year pass.
The middle class in India is growing unexpectedly, however they're still dealing with demanding situations in accessing excellent and low-priced healthcare. This is because of a number of of factors, such as inefficient healthcare gadget, high price of healthcare, and lack of know-how.
Chat GPT for Doctors -Revolutionizing Healthcare Communication by Dr.Mahboob.pdfHealthcare consultant
Learn how Chat GPT for doctors can revolutionize healthcare communication by improving efficiency and accuracy of patient-provider interaction.
In recent years, there has been a growing interest in the potential of artificial intelligence (AI) to transform healthcare. One area that has received particular attention is communication between patients and healthcare providers. The emergence of chatbots powered by AI has provided a new tool for improving the efficiency and effectiveness of healthcare communication. One of the most promising applications of AI-powered chatbots is Chat GPT for doctors.
As an expert in hospital management and administration i have written this book -Hospital Management is a new theory in management faculty. Earlier a senior doctor used to perform the role of a hospital manager. However, nowadays everything demands a specialist. Almost all the things related to hospital have changed. Many categories concerning medical sciences and hospital have altered totally. There are various types of hospitals today, including ordinary hospitals, specialty hospitals and super specialty hospitals. The categories are regarding to the types of facilities they offer to the people.
Steve Jobs logged off too soon. He was a serial innovator whose illness cost the world a bright talent who was also a great company leader. I hope that the music from the hymns of praise sung to him in his waning days is playing on his iPod as he ascends into the firmament of the greatest American business leaders. If there were a Nobel prize for business, surely he would have won it. He did what he set out to do and more. He saw the potential for computing power for the masses, useful and accessible to everyone. In a phrase that drove the early Apple, he created bicycles for the mind.
The document discusses psychopathic traits in corporate CEOs. It notes that around 4-12% of CEOs exhibit psychopathic personality traits, much higher than the general population. Psychopaths can often disguise their lack of empathy and manipulate others with charm. They seek power and dominance. Stories from CFOs describe their experiences with CEOs exhibiting psychopathic behaviors like intimidation, lack of empathy, narcissism, and manipulation. While their behavior may not meet the clinical definition, it can still be damaging. There is no consensus on how to deal with psychopathic CEOs, but carefully documenting concerning behavior is advised.
Some of the lower vibrations, as you can see on the chart are anger, grief, shame, fear. Some of the higher vibrations are love, joy, appreciation and excitement.
Going to higher vibrations means more energy ,lower vibration is easily achieved and is default in everyone of us and is easily aggravated by gravity.
thats why anger, grief,shame and fear are more common than love ,joy appreciation and excitement.
Hospitals profitability can be increased by boosting patient satisfaction, reducing readmissions and understanding revenue cycle performance.
In this period of healthcare reform, numerous organizations continue to change their business practices so they can obtain more hospital profitability while also delivering quality care. Healthcare expenditures are expected to reach $4.4 trillion by 2022, and this high level of spending activity has hospitals currently under a lot of pressure to reduce costs.
Development of the digital economy started way before COVID-19. The exact date of the beginning may be defined in different ways, depending on different definitions of “digital economy.” The popularly understood “digital economy” phenomenon began when T-Mall was set up in 2003 and when Alipay came online in 2004. While the digital technology brings about the fourth industrial revolution, just like the steam engine, electrical machines, and computers, respectively.
Strategy is not complex. But it is hard. It’s hard because it forces people and organizations to make
specific choices about their future—something that doesn’t happen in most companies. Dr .Mahboob
Khan
Couch potatoes as they are called are the ones who stick on to their sofas just watching the idiot box that has caused many such unwarranted developments in health.
Probably a long vacation could be a precipitating factor for inactivity while the unexpected strife in the country’s developments has brought with it some unexpected holidays. This is the time when children tend to relax but when they cross the line the human body becomes mentally and physically inactive.
While Metaverse is evolving, it holds new potential in healthcare that combines the technologies like Artificial Intelligence, Virtual Reality, Augmented Reality, Internet of Medical Devices, Web 3.0, intelligent cloud, edge and quantum computing along with robotics to provide new directions to healthcare.
Robotic Process Automation in Healthcare-An Urgency! By.Dr.Mahboob KhanHealthcare consultant
Robotic process automation (RPA) can help the healthcare industry address current challenges by automating repetitive manual tasks. This allows staff to focus on higher value work while improving efficiency. RPA has the potential to save $350-410 billion annually in the healthcare sector by 2025 by streamlining processes like patient scheduling, claims management, and treatment workflows. As healthcare workers are overburdened during the pandemic, RPA can reduce their workload and risk of exposure by handling administrative tasks digitally. Widespread adoption of RPA in the Indian healthcare system is urgently needed to address staffing shortages and enhance response efforts amid the ongoing crisis.
Apply This to Your Life
We know this is boring, but you know you need to do it!
Clear an hour in your schedule somewhere in the next week, and set your filing system up!
Many inventions originated in wealthy countries and these were responsible to produce global public goods and medical goods.In which everyone got benefitted even developing and poor countries too.This transfer of knowledge is now compromised by the extension of intellectual property rights and held by high-income countries.
New standards of care have emerged in response to the COVID-19 pandemic. Healthcare facilities and professionals have had to rapidly adopt new protocols for treating COVID patients, including guidelines for management, vaccines, telemedicine, and increased use of personal protective equipment. Some key new standards include wearing face masks, social distancing, treatment guidelines, mobile health apps, limiting gatherings and travel, and increasing sanitization and hygiene practices. As the pandemic evolves, precision medicine approaches may drive new standards, with a focus on using the right tests and treatments tailored for individual patients.
Ways That Quantum Technology Could transform Health Care. By.Dr.Mahboob KhanHealthcare consultant
You probably don’t grasp the finer points of how quantum mechanics works, but scientists are using its tricky rules to make medicine faster, less painful, and more personalized.
How is COVID-19 Reshaping the role of Institutional strategy? By.Dr.Mahboob KhanHealthcare consultant
While workers around the globe are keeping essential services running, it is imperative for business leaders, particularly senior strategy executives, to reflect on the lasting implications of COVID-19 and what they can do to best position their people, their businesses, and society to recover and thrive in the long term. Five key shifts can help chief strategy officers (CSOs) successfully guide their organizations through the pandemic.
Retaining Healthcare Quality During COVID-19 and Future of Care Delivery. By....Healthcare consultant
With the onset of COVID-19, healthcare delivery organizations around the world were collectively faced with one primary challenge: How to effectively deliver quality healthcare to all patients, regardless of the entry point into the system, while protecting the well-being of non-COVID-19 patients and the healthcare workforce.
In India, Young Graduates Struggle by Dr. Mahboob Khan to Get Jobs.pdfHealthcare consultant
In the world’s most populous country, tens of thousands of graduates and postgraduates, many with professional degrees, such as engineering, spend years studying at the tutoring centers that have mushroomed in Indian cities, hoping to qualify for a highly sought-after government job. The chances are slim. Less than one-half of 1% of the more than 1 million who take the exam each year pass.
The middle class in India is growing unexpectedly, however they're still dealing with demanding situations in accessing excellent and low-priced healthcare. This is because of a number of of factors, such as inefficient healthcare gadget, high price of healthcare, and lack of know-how.
Chat GPT for Doctors -Revolutionizing Healthcare Communication by Dr.Mahboob.pdfHealthcare consultant
Learn how Chat GPT for doctors can revolutionize healthcare communication by improving efficiency and accuracy of patient-provider interaction.
In recent years, there has been a growing interest in the potential of artificial intelligence (AI) to transform healthcare. One area that has received particular attention is communication between patients and healthcare providers. The emergence of chatbots powered by AI has provided a new tool for improving the efficiency and effectiveness of healthcare communication. One of the most promising applications of AI-powered chatbots is Chat GPT for doctors.
As an expert in hospital management and administration i have written this book -Hospital Management is a new theory in management faculty. Earlier a senior doctor used to perform the role of a hospital manager. However, nowadays everything demands a specialist. Almost all the things related to hospital have changed. Many categories concerning medical sciences and hospital have altered totally. There are various types of hospitals today, including ordinary hospitals, specialty hospitals and super specialty hospitals. The categories are regarding to the types of facilities they offer to the people.
Steve Jobs logged off too soon. He was a serial innovator whose illness cost the world a bright talent who was also a great company leader. I hope that the music from the hymns of praise sung to him in his waning days is playing on his iPod as he ascends into the firmament of the greatest American business leaders. If there were a Nobel prize for business, surely he would have won it. He did what he set out to do and more. He saw the potential for computing power for the masses, useful and accessible to everyone. In a phrase that drove the early Apple, he created bicycles for the mind.
The document discusses psychopathic traits in corporate CEOs. It notes that around 4-12% of CEOs exhibit psychopathic personality traits, much higher than the general population. Psychopaths can often disguise their lack of empathy and manipulate others with charm. They seek power and dominance. Stories from CFOs describe their experiences with CEOs exhibiting psychopathic behaviors like intimidation, lack of empathy, narcissism, and manipulation. While their behavior may not meet the clinical definition, it can still be damaging. There is no consensus on how to deal with psychopathic CEOs, but carefully documenting concerning behavior is advised.
Some of the lower vibrations, as you can see on the chart are anger, grief, shame, fear. Some of the higher vibrations are love, joy, appreciation and excitement.
Going to higher vibrations means more energy ,lower vibration is easily achieved and is default in everyone of us and is easily aggravated by gravity.
thats why anger, grief,shame and fear are more common than love ,joy appreciation and excitement.
Hospitals profitability can be increased by boosting patient satisfaction, reducing readmissions and understanding revenue cycle performance.
In this period of healthcare reform, numerous organizations continue to change their business practices so they can obtain more hospital profitability while also delivering quality care. Healthcare expenditures are expected to reach $4.4 trillion by 2022, and this high level of spending activity has hospitals currently under a lot of pressure to reduce costs.
Development of the digital economy started way before COVID-19. The exact date of the beginning may be defined in different ways, depending on different definitions of “digital economy.” The popularly understood “digital economy” phenomenon began when T-Mall was set up in 2003 and when Alipay came online in 2004. While the digital technology brings about the fourth industrial revolution, just like the steam engine, electrical machines, and computers, respectively.
Strategy is not complex. But it is hard. It’s hard because it forces people and organizations to make
specific choices about their future—something that doesn’t happen in most companies. Dr .Mahboob
Khan
Couch potatoes as they are called are the ones who stick on to their sofas just watching the idiot box that has caused many such unwarranted developments in health.
Probably a long vacation could be a precipitating factor for inactivity while the unexpected strife in the country’s developments has brought with it some unexpected holidays. This is the time when children tend to relax but when they cross the line the human body becomes mentally and physically inactive.
While Metaverse is evolving, it holds new potential in healthcare that combines the technologies like Artificial Intelligence, Virtual Reality, Augmented Reality, Internet of Medical Devices, Web 3.0, intelligent cloud, edge and quantum computing along with robotics to provide new directions to healthcare.
Robotic Process Automation in Healthcare-An Urgency! By.Dr.Mahboob KhanHealthcare consultant
Robotic process automation (RPA) can help the healthcare industry address current challenges by automating repetitive manual tasks. This allows staff to focus on higher value work while improving efficiency. RPA has the potential to save $350-410 billion annually in the healthcare sector by 2025 by streamlining processes like patient scheduling, claims management, and treatment workflows. As healthcare workers are overburdened during the pandemic, RPA can reduce their workload and risk of exposure by handling administrative tasks digitally. Widespread adoption of RPA in the Indian healthcare system is urgently needed to address staffing shortages and enhance response efforts amid the ongoing crisis.
Apply This to Your Life
We know this is boring, but you know you need to do it!
Clear an hour in your schedule somewhere in the next week, and set your filing system up!
Many inventions originated in wealthy countries and these were responsible to produce global public goods and medical goods.In which everyone got benefitted even developing and poor countries too.This transfer of knowledge is now compromised by the extension of intellectual property rights and held by high-income countries.
New standards of care have emerged in response to the COVID-19 pandemic. Healthcare facilities and professionals have had to rapidly adopt new protocols for treating COVID patients, including guidelines for management, vaccines, telemedicine, and increased use of personal protective equipment. Some key new standards include wearing face masks, social distancing, treatment guidelines, mobile health apps, limiting gatherings and travel, and increasing sanitization and hygiene practices. As the pandemic evolves, precision medicine approaches may drive new standards, with a focus on using the right tests and treatments tailored for individual patients.
Ways That Quantum Technology Could transform Health Care. By.Dr.Mahboob KhanHealthcare consultant
You probably don’t grasp the finer points of how quantum mechanics works, but scientists are using its tricky rules to make medicine faster, less painful, and more personalized.
How is COVID-19 Reshaping the role of Institutional strategy? By.Dr.Mahboob KhanHealthcare consultant
While workers around the globe are keeping essential services running, it is imperative for business leaders, particularly senior strategy executives, to reflect on the lasting implications of COVID-19 and what they can do to best position their people, their businesses, and society to recover and thrive in the long term. Five key shifts can help chief strategy officers (CSOs) successfully guide their organizations through the pandemic.
Retaining Healthcare Quality During COVID-19 and Future of Care Delivery. By....Healthcare consultant
With the onset of COVID-19, healthcare delivery organizations around the world were collectively faced with one primary challenge: How to effectively deliver quality healthcare to all patients, regardless of the entry point into the system, while protecting the well-being of non-COVID-19 patients and the healthcare workforce.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
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The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Accreditations Reshaping Asian Healthcare by Mahboob ali khan
1. 1
Accreditations - Reshaping Asian healthcare
By Mahboob ali khan MHA ,CPHQ
Medical tourism has played a catalytic role in making the Asian hospital strive for world-class
quality standards.
The fact that medical tourism in Asia is happening, is no longer news. But prediction of its huge
growth potential certainly is. Abacus International, a UK-based healthcare consultancy believes
that the lure of low-cost, high quality healthcare in Asia will attract more than 1.3 million tourists
a year to the key locations – Thailand, Singapore, India, South Korea and Malaysia. The medical
tourism market is expected to be worth US$ 4 billion by 2012.
Rising healthcare costs in the US have forced the un-insured and under-insured patients to look
at cheaper healthcare alternatives outside the US. But while high costs have been an important
driver, the factor that has actually pushed the patients to undertake the long journey is that the
hospitals in Asia have made an effort to match the quality standards that exist in the US and
other western countries. They did so by striving to achieve the global accreditations like Joint
Commission International (JCI). “An accreditation is a way to distinguish a hospital,” I believe.
However, the importance of international accreditations to Asian hospitals goes far beyond just
attracting foreign tourists. Better quality of healthcare and higher standards of patient safety help
the hospitals to give the best treatment to a patient – irrespective of nationality - in the least
possible time and with minimal wastage and lesser medical errors. While for the patients this
means better treatment, for hospitals it is reduced wastage and lower costs in the long run. With
accreditations, quality no longer remains the job of a few but it gets woven into the fabric of
function involving all processes and people to pursue the same goal.
Accreditations - Reshaping Asian healthcare
Healthcare in Asia has emerged as a major focus area, with many nations recovering from the
Asian Crisis as also the increasing prosperity China and India have begun to experience as a
result of their policy reforms. There is a greater need to revamp the healthcare systems for better
quality of healthcare. Attempts are on to benchmark with the best globally. India established the
National Association Board for Hospitals and Health Service Providers (NABH) for
accreditation of hospitals in the country recently. Absence of such standards always put the
patients at risk. A survey by the World Health Organization (WHO) found the incidence of
hospital- acquired infections to be highest in the Southeast Asian region at 10%, only marginally
behind the Eastern Mediterranean region at 11.8%, which topped the list.
2. 2
But there has been a gradual increase in the awareness regarding the importance of quality,
thanks mainly to the increasing role of private players in the sector, especially in countries like
India and China, where private sector hospitals have aggressively pursued accreditation. Medical
tourism has played a catalytic role in making the Asian hospitals strive for world-class quality
standards. Despite accreditations being a voluntary process, the competition to attract foreign
tourists has been driving hospitals towards them. This of course is good news for domestic
patients as well since they will be able to access the best healthcare without having to travel a lot.
Among the various international accreditations available, the one awarded by JCI, the
international arm of the US-based accreditation body Joint Commission on Accreditation for
Healthcare Organisations (JCAHO), has become very popular. High standards, wide scope and
rigorous process of evaluation have made JCI accreditation a ‘gold standard’ in hospital
accreditation. Already, as many as 30 Asian hospitals have got themselves accredited. And this
number is only going up. While Singapore leads the Asian pack with 11 accredited hospitals,
India, so far has 5 accredited hospitals with a few others preparing for it.
The other option that could soon be available for hospitals is the NIAHO- ISO certification
developed by the TUVHS America. This program combines two independent sets of standards
— ISO 9001 Quality Management standards and Hospital Conditions and Participation standards
set by the Medicare program in the US. This new system has a wider scope than ISO 9001:2000
certification, which focuses largely on the administrative processes. However, it is yet to receive
the final approval from the Centers for Medicare and Medicaid Services (CMS) of the US. Only
then it will be able to accredit hospitals internationally.
The accreditation process
The accreditation process For any hospital, the accreditation process represents bringing about a
significant change in the way it functions. A comprehensive accreditation, such as that of JCI,
needs to be implemented organization-wide, with the involvement of all the employees who take
part in the patient’s journey from admission to discharge. In JCI, there are 565 standards divided
into 197 core standards that must be met to achieve accreditation and 368 other standards that
lead organisations to best practice levels. These standards are further divided into 1033
measurable parameters, which focus on aspects such as patient safety, patient rights, facilities,
and physicians’ credentials besides policies and procedures of the organisation. To get accredited
a hospital will have to fully meet most of these parameters and the remaining ones at least
partially. Singapore’s National Health Centre (NHC), which got accredited in November 2005,
met 1013 of the 1033 parameters successfully. The JCI accreditation is valid for 3 years and has
to be renewed on a regular basis.
3. 3
The accreditation process typically lasts for about 2 years and involves two surveys by a team of
consultants from JCI who also educate the hospital staff about various standards and their
implementation. Here, the role of the top management becomes very crucial since it is their commitment
that in turn influences the commitment of the whole organization. “It takes strong commitment from the
top management” says Rooney and adds that the point-of-care staff, nursing staff, physicians and other
employees of the hospitals too play a crucial role, as they have to adapt to a whole new way of
functioning.
The benefits are multi-fold. Both the healthcare provider and customer stand to gain if an organization
complies with the standards. The benefits that ensue accreditations include better care for the patients, a
customer-centric approach, improved branding as a result of increased confidence within the community,
high employee morale and continuous monitoring of standards. Over a period of time the hospital would
experience cost reductions as efficiency go up and more is achieved through less effort. Medical errors
that cost hospitals thousands of dollars every year could be reduced as well. The final beneficiaries would
be the patients since the new processes would be designed to meet their requirements and they have
access to the best treatment. Says Rooney, “It’s interesting to note that some organizations have reduced
medication errors by almost 75% to 80%. That obviously translates into a better patient experience.”
Further, as processes get streamlined and designed around the patient needs, there is also a better chance
for the hospital to provide evidence-based medicine to their patients.
Implementing the exacting standards of accreditation is usually a tough task to begin with. With so many
standards to deal with, there is a need for meticulous planning and thorough implementation, which
involves active participation of all the employees. As the process aims to influence the functioning of the
organisation itself, change management – the process of generating a buyin by all, attains utmost
importance prior to implementation. “Organizations that do this well really get to see a huge difference in
the way they manage their hospitals”, claims Rooney.
Affordability
While the benefits of international accreditation are quite attractive, the fact is that accreditations
such as JCI’s could be very expensive for a majority of medium-to-smaller hospitals in the
region. A JCI accreditation would cost a hospital approximately US$ 100,000 and this does not
include the expenses incurred for upgrading its facilities. The Apollo Indraprastha Hospital in
New Delhi, India – first hospital in India to get the JCI accreditation – spent close to Rs. 30 crore
(US$ 600,000 approximately) to upgrade its facilities. Medium-sized hospitals may not have
such financial muscle!
While this being the limitation, accreditations also give rise to another possibility – national level
accreditations with standards designed on the lines of international accreditations and customized
to the needs of the local hospitals. In this scenario, the cost tends to come down significantly.
The NABH could perform this very function helping smaller hospitals improve quality of
healthcare and patient safety without having to spend huge amounts of money. While this may or
may not result in them being able to attract international patients, it would certainly help in
improving the quality of care in the hospitals.
4. 4
The future
With an opportunity worth US$ 4 billion around, competition for medical tourists is bound to
heat up and more hospitals are likely to queue up for international accreditations.
Accreditation organisations would have to work closely with the governments of various Asian
countries to make this happen lest the world-class healthcare facilities would be confined only to
a small portion of the population. As more hospitals start acquiring accreditations, domestic
patients too would prefer to opt the accredited hospitals for treatment. This scenario will
eventually push a general move towards improvement in quality of care. The peerpressure is
two-fold – those who can afford accreditations start drawing blueprint for the same whereas
those who cannot start learning about how to improve the status quo. This sort of a trend is
already evident. “A recently held five-day practicum at Singapore was fully booked about six
weeks in advance! This shows that there is a very strong interest in education about quality
standards in Asia,” points Rooney.
To be successful, the hospitals that are gearing up to acquire accreditations, would do well to
remember what Phillip Crosby, initiator of the Zero Defect concept said, “It (quality) has to be
the fabric of the organisation, not part of the fabric.”
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