This topic is part of Three-Lecture Series presented by Victor Chibueze Ijeoma on the general theme: Total Project Management of Healthcare Projects/Organisations organized by Supreme Management Training & Consultancy Services Ltd for Medical Directors of General Hospitals and Directors in the Nassarawa State Hospitals Management Board; between 30th Oct. to 3rd Nov; 2017, at Kini Hotels.
Patient safety is the cornerstone of high-quality healthcare services. In the presentation, A summary of the frameworks & practical approaches to improve safety of patient care.
Patient safety is the cornerstone of high-quality healthcare services. In the presentation, A summary of the frameworks & practical approaches to improve safety of patient care.
Recorded webinar: http://slidesha.re/1dBzYpO
Subscribe: http://www.ksmartin.com/subscribe
Karen’s Books: http://ksmartin.com/books
This webinar was held with guest presenter, Mark Graban of http://www.leanblog.org/
Suggestion box programs, while well intended, usually fail to engage employees in any improvement, yet alone continuous improvement. As one healthcare professional said, referring to their old suggestion box, “That’s where good ideas go to die!”
In comparison, the "kaizen" model for improvement, from Lean and Toyota Production System, however, is alive and thriving in many organizations. This webinar will focus on key differences between suggestion box programs and the kaizen model, giving specific tips and ideas that your organization can adopt to make continuous improvement a daily reality.
Guest Mark Graban shared practical methods and strategies from his new book, co-authored with Joe Swartz, Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements, that will help you engage employees in meaningful, lasting improvement.
An Orientation to quality and patient safety for new hire in health care faci...kiran
An introduction to quality and patient safety for new employees in health care with basic concepts on quality and patient safety that every new hire must know.
Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
Nursing administration is very complex and requires many problems to be faced and managed in the current day practice. An overview of the challenges in nursing administration are presented in the slides
Recorded webinar: http://slidesha.re/1dBzYpO
Subscribe: http://www.ksmartin.com/subscribe
Karen’s Books: http://ksmartin.com/books
This webinar was held with guest presenter, Mark Graban of http://www.leanblog.org/
Suggestion box programs, while well intended, usually fail to engage employees in any improvement, yet alone continuous improvement. As one healthcare professional said, referring to their old suggestion box, “That’s where good ideas go to die!”
In comparison, the "kaizen" model for improvement, from Lean and Toyota Production System, however, is alive and thriving in many organizations. This webinar will focus on key differences between suggestion box programs and the kaizen model, giving specific tips and ideas that your organization can adopt to make continuous improvement a daily reality.
Guest Mark Graban shared practical methods and strategies from his new book, co-authored with Joe Swartz, Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements, that will help you engage employees in meaningful, lasting improvement.
An Orientation to quality and patient safety for new hire in health care faci...kiran
An introduction to quality and patient safety for new employees in health care with basic concepts on quality and patient safety that every new hire must know.
Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
Nursing administration is very complex and requires many problems to be faced and managed in the current day practice. An overview of the challenges in nursing administration are presented in the slides
This Chapter includes information on Management and the decision-making process. there is information on what bases the organization takes a decision and how an effective decision is being taken. it also includes types of decision, Decision-making process, and charactristic of effective information.
Management and Decision making and Types of DecisionsRashed Barakzai
Level of Management Decision making.
Type of Decision ( Level of Management) .
Very well explain the seven stages of Effective Decision Making and Characteristic of Effective Information.
These slides accompany Chapter 7 from Leadership for Pharmacists. It lays out different types of problems faced by pharmacists and issues to consider. It identifies some cognitive biases and bad decision-making processes that can prevent good solutions. A systems approach using a step-by-step process for making good decisions is presented.
Principles of Surgical Audit presented by Meeran Earfan, Kurdistan Board Trainee/General Surgery in Sulaimaniyah Teaching Hospital, As Sulaimaniyah, Iraq
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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Data based problem solving & decision making in hospital mgt
1. Victor Chibueze Ijeoma, rhim.
chibuezeijeoma@gmail.com
Health Data Analyst,
FCT Hospitals Management Board,
Abuja, Nigeria.
DATA-BASED PROBLEM
SOLVING & DECISION-MAKING
IN HOSPITAL MANAGEMENT.
2. Learning Objectives
By the end of this session, participants should be able to:
1. Identify and Apply the Tools of Healthcare Problem Solving
2. Appreciate the Value of Data in Hospital Management’s Decision-Making
Process.
3. Generate, Analyze, Document and Present Hospital Data for Use in
Problem Solving and Decision-Making.
4. Suggest ways of Improving Data Collection, Analysis and Reporting at
the facility levels.
3. 1. What Do We Mean By “Problem Solving”?
2. What About “Decision-Making”?
3. So, What Then Is “Data-Based Decision-Making”?
4. What Are Some of the Important Hospital Data We Need For
Decision-Making?
5. Group Work: Generation & Analysis of Data and Decision-Making
Based on Results.
6. How Do We Improve Data Collection and Analysis at our Hospitals?
13. A problem is a “gap” -
between:
Current condition –what is
actually happening and
Target or ideal condition –what
should be happening, what is
needed.
Lori Pelletier, MBA PhD
16. “Problem Solving”! What Do We Mean?
The process of working through details of an unwanted or
harmful situation to arrive at a solution.
The process of finding solutions to difficult or complex issues.
Problem solving involves goal-directed thinking and action in
situations for which no routine solutions exist. The problem
solver has a more or less well defined goal, but it is not
immediately obvious how to reach it. The incongruence of goals
and admissible operators constitutes a problem. The
understanding of the problem situation and its step-by-step
transformation, based on planning and reasoning, constitute the
process of problem solving.
18. Stages of Problem Solving
Problem Identification:
detecting and recognizing that there is a problem; identifying the
nature of the problem; defining the problem.
Problem Structuring:
a period of observation, careful inspection, fact-finding and
developing a clear picture of the problem.
Seeking Possible Solutions:
generate a range of possible courses of action, but with little attempt
to evaluate them at this stage.
Choosing the Best Possible Solution:
involves careful analysis of the different possible courses of action
and then selecting the best solution for implementation.
19. Stages of Problem Solving, Cont’d
Solution Implementation:
Implementation means acting on the chosen solution. During
implementation more problems may arise especially if
identification or structuring of the original problem was not
carried out fully and effectively.
Monitoring &Seeking Feedback:
The last stage involves reviewing the outcomes of problem
solving over a period of time and seeking feedback as to the
success of the outcomes of the chosen solution.
21. Other Problems/Challenges include:
How to:
1. Improve Care and Outcomes
2. Reduce Medical Errors & Maintain Patient Safety
3. Reduce Patient Waiting Time
4. Improve Patient Satisfaction
5. Introduce New Medical Specialties
6. Recruit, Train & Retain Human Resources for Health
7. Meet Governments’ Regulations/Accreditation Standards.
8. Minimise Cost of Care Delivery, Cut Down Wastages and
Improve Hospital Revenue.
9. Acquire/Upgrade tools/devices/materials
10. Acquire/Switch to New Technologies, etc, etc.
22. Tools of Problem Solving In Healthcare
Tables and tally sheets
Flowcharts
Bar charts,
Pareto diagram,
Fishbone or cause and
effect diagram.
25. Decision-Making
In general, the decision making process helps hospital managers and
administrators solve hospital’s problems/challenges by examining
alternative choices and deciding on the best route of action to
take.
Using a step-by-step approach is an efficient way to make
thoughtful, informed decisions that will have a positive impact on
the hospital’s short- and long-term goals.
27. Decision making is part of
problem solving, and decision
making occurs at every step of
the problem-solving process.
28. Decision-Making Roles at the Hospital.
Can You Identify Your Role?
Adapted From: Critical decision making roles as identified in "Who has the D?" by Rogers, Paul, and
Marcia Blenko and modified by the Author.
Role Description
Recommend
(Proposer).
Examples…..
People in this role are responsible for making a proposal, gathering input,
and providing the right data and analysis to make a sensible decision in
timely fashion.
Agree
(Approver)
Examples…..
Individuals in this role have veto power – yes or no – over the
recommendation.
Input
Examples…..
These people are consulted on the decision. Because the people who
provide input are typically involved in implementation, recommenders
have a strong interest in taking their advice seriously.
29. Roles Cont’d
Role Description
Decide
(Ultimate Decision
Maker) .
Examples…..
The person is the formal decision maker. He or she is ultimately
accountable for the decision, for better or worse, and has the
authority to resolve any impasse in the decision-making process
and to commit the organization to action.
(Perform)
Executor .
Examples…..
Once a decision is made, a person or group of people will be
responsible for executing it. In some instances, the people
responsible for implementing a decision are the same people
who recommended it.
30. So, Where Do You Belong
To?
What Are Your Roles in the
Decision-Making Process of
Your Hospitals?
31. Categories of Decision-Making…
1. Clinical Decision-Making
2. Non-Clinical Decision-Making
Note: Emphasis of our discussions is mainly on
Non-Clinical Decisions.
33. Data-Based Decision-Making…
Data-Based Decision Making (DBDM) is a
mechanism for making choices at each step of
problem-solving process based on verifiable
facts and figures (Data). The success of the
data-based approach is reliant upon the quality
of the data gathered and the effectiveness of its
analysis and interpretation.
34. For Data to properly support Decision-
Making, it has to be qualitative.
5 Important Elements of Data Quality
include:
1. Accuracy
2. Completeness
3. Consistency
4. Uniqueness (Relevance), and
5. Timeliness.
35. Issues to consider…..
It has been estimated that up to 5% of data found
in (Hospitals) are of poor quality (Redman, 2001)
The average perceived cost of poor data quality is
as high as 10% of an Hospital’s revenues
(Malcom, 1998).
Yet, Hospitals can not do without Data since
Planning and delivery of services rely heavily on
data from clinical, administrative and
management sources.
36. Total Available Bed
Average Daily Census (Daily Ward
Statement)
Total Available Bed Days
Total Patient Days
Average Length of Stay
Percentage of Bed Occupancy
Turnover Interval
Throughput
37. Demonstration: Case Study
University Teaching Hospital is 450-bedded government-
owned tertiary health institution whose Annual Budget
for the last two(2) years are yet to be approved.
Figures below represent some key information
concerning its October, 2017 activities:
Total Inpatient Days = 9780ptdys
Discharges = 6086pts
Deaths = 5pts
Average Patient Waiting Time = 60mins
Total Length of Stay = 40654dys
38. 1. Average Length of Stay for the month.
2. Percentage of Bed Occupancy
3. Turnover
4. Turnover Interval
What Are the Implications of these Results?
What Areas Can You Make Recommendations to the
Hospital Management?
What Are Your Recommendations?
39. How Do We Improve Data
Collection and Analysis at our
Hospitals?
Editor's Notes
This topic is part of Three-Lecture Series presented by Victor Chibueze Ijeoma on the general theme: Total Project Management of Healthcare Projects/Organisations organized by Supreme Management Training & Consultancy Services Ltd for Medical Directors of General Hospitals and Directors in the Nassarawa State Hospitals Management Board; between 30th Oct. to 3rd Nov; 2017, at Kini Hotels.
