This project was done as a pilot project of the Illahee Institute. There were four of us in our Participatory Design class who decided to take it on. We started by doing secondary research to become more familiar with the health care system, followed by primary research interviews with various stakeholders in the system. We went through a lot of work to decide at what level of detail we wanted to define our stakeholders, and then just started in trying to understand the relationships between them. Our final iterations are based on the maps that we made with participants in our workshop. Afterwards, we had the opportunity to share our maps with Wendell Potter and a group of key individuals in the health care system. We were given a positive response and gathered some ideas as to how we could take this project further in the future.
Supporting Terminology Standards and Interoperability in Nursing PracticeErin D. Foster
Poster presentation at the Medical Library Association annual conference in May 2016.
Link to webpage: https://www.nlm.nih.gov/research/umls/Snomed/nursing_terminology_resources.html
This project was done as a pilot project of the Illahee Institute. There were four of us in our Participatory Design class who decided to take it on. We started by doing secondary research to become more familiar with the health care system, followed by primary research interviews with various stakeholders in the system. We went through a lot of work to decide at what level of detail we wanted to define our stakeholders, and then just started in trying to understand the relationships between them. Our final iterations are based on the maps that we made with participants in our workshop. Afterwards, we had the opportunity to share our maps with Wendell Potter and a group of key individuals in the health care system. We were given a positive response and gathered some ideas as to how we could take this project further in the future.
Supporting Terminology Standards and Interoperability in Nursing PracticeErin D. Foster
Poster presentation at the Medical Library Association annual conference in May 2016.
Link to webpage: https://www.nlm.nih.gov/research/umls/Snomed/nursing_terminology_resources.html
Medical Events - 36th annual uc davis health system eye center ophthalmology ...mdconference
Medical Conference : 36th Annual UC Davis Health
System Eye Center Ophthalmology Symposium 2013:
Are you on the top of your game?
(May 17 - 19, 2013) Napa,California, US
Presentation delivered by Doug Patten, MD, FACS, Campus Associate Dean, Southwest Campus, Medical College of Georgia at Augusta University and Former Chief Medical Officer, Georgia Hospital Association at the marcus evans National Healthcare CXO Summit Spring 2017 held in Pasadena CA
ReSoLogix: Mobile Workflow Prioritization for Care ManagementMischa Dick
Prioritize workflow across limited resources with mobile technology that supports superior coordination between clinical, social, administrative and financial resources for successful care management.
Improving Global Health Through Online CommunityJon Michaeli
Sermo working closely with medical heroes from Floating Doctors, a non-profit relief organization, brings some of the best medical expertise in the U.S. straight to patients in developing countries.
The New War on Bugs: Crafting an Effective Antibiotic Stewardship Program
More than half of all hospital patients are treated with antibiotics and prescribing practices vary widely, even within hospitals. Efforts to rationalize antibiotic use have been stymied by delays in obtaining specific diagnoses, by the volume of prescriptions written each day and by the difficulty of extracting meaningful data from scattered clinical, laboratory and pharmacy records. But the push is on – from the White House, the CDC, infectious disease specialists, the industry – for more judicious use of antibiotics through antibiotic stewardship programs.
Hear how leading health care institutions have moved from education to active surveillance to intervention, reducing infections and lowering costs.
The 10th Annual Utah Health Services Research Conference: Recommendations for Transparent Reporting of Data Quality Assessment Results for Observational Healthcare Data By: Lucy A Savitz, Ph.D., MBA
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
Medical Events - 36th annual uc davis health system eye center ophthalmology ...mdconference
Medical Conference : 36th Annual UC Davis Health
System Eye Center Ophthalmology Symposium 2013:
Are you on the top of your game?
(May 17 - 19, 2013) Napa,California, US
Presentation delivered by Doug Patten, MD, FACS, Campus Associate Dean, Southwest Campus, Medical College of Georgia at Augusta University and Former Chief Medical Officer, Georgia Hospital Association at the marcus evans National Healthcare CXO Summit Spring 2017 held in Pasadena CA
ReSoLogix: Mobile Workflow Prioritization for Care ManagementMischa Dick
Prioritize workflow across limited resources with mobile technology that supports superior coordination between clinical, social, administrative and financial resources for successful care management.
Improving Global Health Through Online CommunityJon Michaeli
Sermo working closely with medical heroes from Floating Doctors, a non-profit relief organization, brings some of the best medical expertise in the U.S. straight to patients in developing countries.
The New War on Bugs: Crafting an Effective Antibiotic Stewardship Program
More than half of all hospital patients are treated with antibiotics and prescribing practices vary widely, even within hospitals. Efforts to rationalize antibiotic use have been stymied by delays in obtaining specific diagnoses, by the volume of prescriptions written each day and by the difficulty of extracting meaningful data from scattered clinical, laboratory and pharmacy records. But the push is on – from the White House, the CDC, infectious disease specialists, the industry – for more judicious use of antibiotics through antibiotic stewardship programs.
Hear how leading health care institutions have moved from education to active surveillance to intervention, reducing infections and lowering costs.
The 10th Annual Utah Health Services Research Conference: Recommendations for Transparent Reporting of Data Quality Assessment Results for Observational Healthcare Data By: Lucy A Savitz, Ph.D., MBA
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
Digital signage is any electronic display that shows anything from advertising restaurant menus to interactive maps in the lobby of a hotel. Because digital signage can be so quickly and easily updated, and can include such features as gesture recognition and touch screens, the possibilities are immense compared with traditional passive signage.
"Dans le cadre de la supervision bancaire, la BCE a adressé [le 29 janvier] une recommandation aux banques concernant leurs politiques de distribution de dividendes pour l'exercice 2014 [...]
> Il convient que les banques adoptent une politique de prudence en matière de distribution de dividendes, tenant compte des conditions économiques et financières actuelles difficiles.
> Les banques ayant toujours un déficit de fonds propres au terme de l'évaluation complète menée en 2014 ne devraient pas distribuer de dividendes.
> Les banques doivent continuer de consolider leur assise en fonds propres afin de satisfaire aux exigences définies pour 2019. [...]
La BCE a, par ailleurs, dans une communication distincte, informé les banques qu'elle allait procéder à un examen approfondi de leurs politiques de rémunération variable."
Northern Europe has a unique place in the history of milling. Fortunately there are sufficient remnants of the distant past to stimulate interest. Although much is now consigned to museums and archives such as the Mills Archive (www.millsarchive.org), many European countries feature active groups of professionals and amateurs keeping traditional skills and techniques alive!
Whitepaper: Hospital Operations Management reduces wait states and replaces d...GE Software
No Wait States … in pursuit of the frictionless patient experience. Electronic health records have fallen short. Patients continue to wait. Costs remain high. Why focusing on operational management can help hospitals make things right … starting now.
While the cost of living in an assisted living community is often a shock to perspective residents, it is important to understand the value proposition of any facility you are considering to fully appreciate what your money is paying for. At United Methodist Communities, our non-profit, faith based mission insures that the costs of your care, pay for your care, and not corporate profits. Visit https://umcommunities.org/
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
What are the existing challenges in the medical data collection processes - ...Pubrica
• The collection of medical data determines the patient's life quality improvement if the medical professionals, pharma, and the payers collaborate closely.
• Medical sectors must understand the collaborations between the patient, doctor, payer and prescription. The reliable data is now at the heart of any hospital decision.
Continue Reading: https://bit.ly/3mu7evh
Reference: https://pubrica.com/services/medical-data-collection/
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Showcases digital health implementation in Ontario
hospitals.
Each story is focused around a key challenge,
an explanation of the process taken to address it, and
a reflection on the impact
Learn how a shift in processes, leadership and culture to an integrated solution can put your hospital on track to achieve improved clinical outcomes, metrics and patient experiences, each of which can have a potentially dramatic financial impact.
Did you know that among high-developed countries,
the U.S. ranks last in health system performance while spending the most per capita on healthcare?! Here are some key metrics and analysis that were made to reveal the reasons why patients are unhappy with the provided service!
DQ1Sierra CossanoMy change proposal is being implemented in thDustiBuckner14
DQ1
Sierra Cossano
My change proposal is being implemented in the ICU. The intervention is implementing communication tools and processes that are evidence based to improve nursing sensitive indicators in the ICU. The internal stakeholders are the ICU staff and the hospital. The external stakeholders are the community that is served by the hospital. Our hospital works off of a relationship-based care (RBC) model. RBC is a culture transformation model and an operational framework that improves safety, quality, patient satisfaction, and staff satisfaction by improving every relationship within an organization (Gallison & Kester, 2018). The core of workforce engagement is the reignighting of joy and meaning for nurses. The joy and satisfaction in having a sense of accomplishment and significance in the work through processes leading to successful outcomes. RBC speaks to how we treat patients, family, and each other. Internal stakeholders all work off this model in this organization. However, covid greatly challenged relationship based care principles by limiting how we interact with each other and our patient families. That in person piece is missing for many patients still. In this organizational transition back to pre-covid practices, meetings, and policies staff are looking for guidance to unify and strengthen the workforce. It is a good segway into external stakeholders. Our nurses and other staff are also members of the community served by the hospital. Therefore, the internal stakeholders all face the real fact that they too receive their care here and have an interest in the quality of care provided. This community funded hospital has been influenced by local donors, architects and artists. Donors play a large role in celebrating the staff and creating this sense of meaning and significance for hospital staff. In a relationship based care model, these gestures serve a huge purpose and allow the hospital to recognize staff in unique ways. The positive factor here is that the nurses have come out of this powerless feeling covid left them with. Small gestures that build trust between nursing and management create a more productive work environment. This is done through clear concise communication, open discussion, and acting on feedback from staff.
Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship-based Care: A Community Hospital’s Journey. Nurse Leader, 16(3), 181–185. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2018.03.007
DQ1
Virginia Gallardo
Stakeholder involvement is crucial for the successful implementation of the change proposal project. Stakeholders are those who are interested in the change proposal project, such as nurses, patients, and suppliers. They can affect or be affected by the organization's actions, objectives, and policies (Lubbeke et al., 2019). We must assess our work environment to identify all relevant stakeholders. Failure to do so can negatively affect the project ...
Reply week 7 DB4 research1-alberto alfonso Whether you are.docxchris293
Reply week 7 DB4 research
1-alberto alfonso
Whether you are talking about intrapersonal problems or patient care problems, no matter the setting, there will always be something that can be improved. In my facility, I am determined to address the problem that is heavily influencing hospitals: hospital-acquired diseases. This is a serious issue, since a large percentage of patients (over 3%) acquire a hospital-acquired disease at some point during their stay at a given healthcare facility. This can be caused by a variety of reasons, but the most common of which is the absence of proper sterility. By having tools, supplies, and healthcare providers with little or incorrect sterilization techniques, then there is an indeterminate amount of diseases that a patient with a likely already compromised immune system. Furthermore, these hospital-acquired diseases can also affect the healthcare professionals transmitting them, since the providers themselves are the vector for the disease. The project would then consist of a new set of policies that would require more intense analysis of sterilization techniques, including actions before sterilization, during sterilization, and after sterilization (transportation, use, etc.).
By localizing the area, or areas, in which sterilization protocol fails, we will be able to successfully reduce the amount of hospital-acquired diseases an individual patient will experience. Maximum minimization of these diseases is essential to provide a healthcare environment where patient care flourishes, but is also efficient in its usage of funds and time spent by professionals. For example, if a patient receives strep from a medical professional, that patient will require further care; also, the provider will possibly also suffer from the transmitted disease, meaning that person may not be able to practice and therefore put a dent in the hospital’s means. In order to prevent this, implementation of the aforementioned guidelines must take place, since these will allow for a much more strict view of the sterilization techniques. However, a complete rehaul of the methods of sterilization will require time, funds, and strong interprofessional communication to make sure there are no lapses at any point the renewed process. Departmental and funding approving is required, but I believe that this problem is essential enough to solve that it will result in quick approval.
2-sandra jaime
In hospital settings, there exists a plethora of different healthcare that can stem from a large pool of possibilities; for example, anything from hospital-acquired diseases to simple patient comfort are clinical problems that can be addressed either through peer-to-peer collaboration or through patient contact and fulfilling the mastery-prepared nurse responsibility of being the patient’s primary care advocate. Many of the problems in the healthcare field, however, stem from a primary source: a lack of communication. This is the prim.
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
Please follow instructions carefully. Thank you so kindly.
Assignment 1 “Changes in Human Resource Management (HRM) and Employment Law" Please respond to the following: 1 and ½ half pages with references
· Based on the assigned chapters this week, identify three (3) key changes that have advanced HR and provide a justification to support your selection.
· From this week’s assigned reading, choose one (1) historical government HR regulation enacted and elaborate on how this new mandate affected all stakeholders involved. Recall stakeholders in any industry, and cover those directly involved and their communities.
Assignment 2 "Human Resources Activities and Relationships" Please respond to the following:
1 and ½ half pages with references
· Considering the services provided by a hospital HR department, how do most HR specialists deal with employee scarcity like nursing shortages when trying to hire the best professionals?
· What leadership and management skill sets are useful for retaining good employees and deferring employee turnover?
Assignment 3
Job Descriptions and Employee Training and Development" Please respond to the following:
2 pages with references
· Go to the Joint Commission’s Website located at http://www.jointcommission.org/standards_information/jcfaq.aspx. At “Standards FAQs,” select a field-related manual category from the drop-down list, type in “human resources” in the “Optional Keyword” box, and then click the “Go” button. Next, provide an example of how the Joint Commission has influenced a specific function of HR in a healthcare organization.
· Recommend a specific employee training method that you think would be most effective for a healthcare organization, and determine one advantage and one disadvantage of your chosen training method. Provide support for your rationale.
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality.
Patient relationship management on the cloudComidor
Healthcare organizations have realized that having long-term relationships with their customers can help improve their satisfaction and general health. As a result they want to build strong relationships with their patients.The best way to achieve that is the use of Patient Relationship Management (PRM).
The Good Apples Group EHRS ProjectSummaryYou are an employee.docxoreo10
The Good Apples Group EHRS Project
Summary
You are an employee of the Good Apples Group, a healthcare organization which runs MacIntosh Manor Hospital. The CEO of the hospital has made a priority for the hospital to enter the 21st century by converting its operations to an Electronic Health Records System. You have been assigned the role of project manager for this effort, and are therefore responsibility for ensuring that the needs of the hospital have been carefully assessed and that the planning process for bringing an EHRS online is effective.
The Organization
At first glance, MacIntosh Manor Hospital looks like any small town hospital, where the quality of care is certainly modern but the staff and patients still come to know each other and expect a down-to-earth pace. The Good Apples Group, a parent corporation maintaining several local clinics in addition to MacIntosh Manor, has worked hard over the years to maintain that balance of customer service and cutting edge patient care.
MacIntosh Manor Hospital is a 500-bed, critical access hospital in Shiminy, Pennsylvania. It is the largest hospital within 100 miles, and schedules between 22,000 to 26,000 visits a year. MMH provides surgical, medical and acute care, 24-hour emergency room services, outpatient services, health education, behavioral services, and home and hospice care to a primarily suburban region of about 124,000 residents. It employs 2200 people, including 275 physicians, and as a hospital is managed by its own CEO.
MMH’s mission is to provide for the residents of Shiminy high quality services that enhance the quality of life and promote healthy lifestyles for patients, clients, employees, organization and communities. In its community MMH seeks to lead by example through compassionate, caring and comprehensive health care services.
The direction of MacIntosh Manor’s strategic vision change greatly in 2010 when Dr. Phillip Kapp was named CEO of the Good Apples Group and made it clear that his own successes with implementing EHRS and related technologies in healthcare facilities in the Philadelphia area would be the kind of challenge he wished to take on again with MacIntosh Manor Hospital. Kapp formed a strategic planning committee to assess the use of technology and what MMH should implement, and to determine and monitor a migration path.
Around the same time that Dr. Kapp took charge of the Good Apples Group, a federal mandate was issued that hospitals nationwide need to be using electronic medical records by 2015, giving Kapp and the strategic planning committee even more incentive to act quickly. The committee recommended beginning the transition to EHRS immediately and implementing both financial and clinical solutions.
“Creating a ubiquitous and common platform for timely access to clinical information is crucial for patient care and patient safety. By giving physicians and nursing staff access to the information they need at the point ...
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
2. Errors outside of the hospital
AHRQ Patient Safety Net accessed
November 13, 2012
Absolutely. Many of those errors result from the lack of strong care coordination and
communication between different parts of our health care system. As we look to reduce
unnecessary readmissions to hospital, there has been an increased focus on Care
transitions: structures to be sure patients and their families have the information and
support they need to manage their health post hospitalization.
(Notable work on care transitions includes Dr Eric Coleman, www.caretransitions.org/
and Dr Mary Naylor, http://www.innovativecaremodels.com/care_models/ and the CMS
program, Community based care transitions,
http://innovations.cms.gov/initiatives/Partnership-for-Patients/CCTP )
A way to address one piece of this –create a greater connection and understanding
between inpatient teams and care in the community ( doctor’s office, clinic, nursing home,
etc). Hospitalists and residents focused on inpatient work have little exposure to what it will
be like for patients when they leave the hospital – providing these physicians with time in
the outpatient setting, in essence, seeing the flip side of their discharge process, as well
as feeding data back to these providers, can begin to change the culture and focus of the
care team involved in discharging the patient, and communicating with community
providers.