This document outlines topics related to performance indicators in health services, including:
1. Performance management, data sources, and league tables are increasingly important management tools, but can have risks if not implemented properly.
2. High-quality data is needed to design valid performance indicators, but data collection and coding can impact the usefulness and accuracy of the resulting indicators.
3. Properly designing performance management systems and indicators requires technical expertise to define measures that accurately capture what is intended and allow for valid comparisons between organizations.
This document discusses quality and risk management in a diagnostic imaging department. It provides details on the department's quality and risk management program, including key aspects like quality assessment and improvement committees. It also describes the quality management system implemented, focusing on continual quality improvement. Finally, it discusses some common quality management tools used, like check sheets, control charts, and Pareto charts.
Individual physician performance has a direct impact on a health system’s financial, patient safety, and care quality initiatives. It is also a key performance indicator, integral to helping hospitals deliver better care at lower costs. As the healthcare industry implements ICD-10 and continues the shift towards reimbursement tied to value, efficiency, and clinical quality of care, the need to enlist physicians to help drive clinical practice changes and improve documentation is urgent. Forward-thinking hospitals are looking for strategies and tools to help manage the change and to align physicians with organizational goals; they are finding that implementing a physician scorecard is a must.
This document provides information about quality health management tools and strategies. It discusses six common quality management tools - check sheets, control charts, Pareto charts, scatter plots, Ishikawa diagrams, and histograms. For each tool, it provides a brief definition and explanation of how it is used to assess and improve quality management. It also provides additional resources on quality management certification programs and roles.
Understanding & Managing Variation: Use of Computer SimulationSIMUL8 Corporation
SIMUL8's Brittany Hagedorn joins Mike Stoecklein of the ThedaCare Center for Healthcare Value to discuss the importance of managing variability and how computer simulation can contribute to the ongoing efforts of many healthcare systems to embrace Lean.
This document introduces decision-analytic modeling techniques for clinical and economic projections. It discusses why modeling is useful, provides a taxonomy of modeling techniques including Markov models, and showcases examples of models that project clinical and economic outcomes. It concludes by guiding interested audience members to further information on modeling tools, societies, journals, and educational institutions.
Colin Lewry and Fiona Lord - ECO 18: How digital innovation can support workf...Innovation Agency
Presentation by Colin Lewry, WRaPT Director and Fiona Lord, WRaPT Manager, Lancashire Care NHS Foundation Trust at ECO 18: How digital innovation can support workforce strategies on Wednesday 27 March at Haydock Park Racecourse.
Introduction and definition of healthcare
Concepts and values in healthcare
Efficiency-driven approaches
Problems and proposed solutions
Healthcare and population health
Investing in Health
Equity-driven approaches
Primary health care
Conclusion
Project Designing a Database using MS AccessDescription Work.docxwoodruffeloisa
Project: Designing a Database using MS Access
Description: Working in a team of two members, you have to design a Database for an organization.
The project will be completed and submitted incrementally. You will have to submit the project in three phases. Every increment submission will be accompanied by a presentation of completed work.
In the first phase you need to work on the following: (30 points)
1. Determine the purpose of your database
2. Design the DFD (Data Flow Diagram) for your system. Recommended tool to design DFD is MS Visio or Visual Paradigm but it is not required.
3. Design the ERD (Entity Relationship Diagram)
In the second phase you need to work on the following: (40 points)
1. Find and organize the information required
2. Divide your information items into major entities or subjects, such as Products or Orders. Each subject then becomes a table.
3. Decide what information you want to store in each table. Each item becomes a field, and is displayed as a column in the table. For example, an Employees table might include fields such as Last Name and Hire Date.
4. Choose each table’s primary key. The primary key is a column that is used to uniquely identify each row. An example might be Product ID or Order ID.
In the third & final phase you need to the following: (30 points)
1. Apply the data normalization rules to see if your tables are structured correctly. Make adjustments to the tables, as needed.
2. Write SQL (Structured Query language) to retrieve the data
Briefly described your healthcare organization, including its culture and readiness for change.
SLIDE 3
Described the current problem or opportunity for change. The circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general was described.
Proposed an evidence-based idea for a change in practice using an evidence-based practice approach to decision making.
SLIDE 5
• Described your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
SLIDE 6
Described the measurable outcomes.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
student’s name
instructor
course
date
Organizational Culture And Readiness For Change
The first assessment will help to determine the ability of the current organization to accept change to the nursing practice
Prior assessment of the organization’s challenges to change embracement is key to provide solutions to health care problems in the society
According to the Organization Culture Assessment Instrument (OCAI), the staff responses indicate the willingness of the organization to change
Current Problem Or Opportunity For Change
The need for change is to reduce falls
The main barrier to this facility is lack of sufficient knowledge about evidence-based practice implementation
Patients with falls require a long duration of hospital stay ...
This document discusses quality and risk management in a diagnostic imaging department. It provides details on the department's quality and risk management program, including key aspects like quality assessment and improvement committees. It also describes the quality management system implemented, focusing on continual quality improvement. Finally, it discusses some common quality management tools used, like check sheets, control charts, and Pareto charts.
Individual physician performance has a direct impact on a health system’s financial, patient safety, and care quality initiatives. It is also a key performance indicator, integral to helping hospitals deliver better care at lower costs. As the healthcare industry implements ICD-10 and continues the shift towards reimbursement tied to value, efficiency, and clinical quality of care, the need to enlist physicians to help drive clinical practice changes and improve documentation is urgent. Forward-thinking hospitals are looking for strategies and tools to help manage the change and to align physicians with organizational goals; they are finding that implementing a physician scorecard is a must.
This document provides information about quality health management tools and strategies. It discusses six common quality management tools - check sheets, control charts, Pareto charts, scatter plots, Ishikawa diagrams, and histograms. For each tool, it provides a brief definition and explanation of how it is used to assess and improve quality management. It also provides additional resources on quality management certification programs and roles.
Understanding & Managing Variation: Use of Computer SimulationSIMUL8 Corporation
SIMUL8's Brittany Hagedorn joins Mike Stoecklein of the ThedaCare Center for Healthcare Value to discuss the importance of managing variability and how computer simulation can contribute to the ongoing efforts of many healthcare systems to embrace Lean.
This document introduces decision-analytic modeling techniques for clinical and economic projections. It discusses why modeling is useful, provides a taxonomy of modeling techniques including Markov models, and showcases examples of models that project clinical and economic outcomes. It concludes by guiding interested audience members to further information on modeling tools, societies, journals, and educational institutions.
Colin Lewry and Fiona Lord - ECO 18: How digital innovation can support workf...Innovation Agency
Presentation by Colin Lewry, WRaPT Director and Fiona Lord, WRaPT Manager, Lancashire Care NHS Foundation Trust at ECO 18: How digital innovation can support workforce strategies on Wednesday 27 March at Haydock Park Racecourse.
Introduction and definition of healthcare
Concepts and values in healthcare
Efficiency-driven approaches
Problems and proposed solutions
Healthcare and population health
Investing in Health
Equity-driven approaches
Primary health care
Conclusion
Project Designing a Database using MS AccessDescription Work.docxwoodruffeloisa
Project: Designing a Database using MS Access
Description: Working in a team of two members, you have to design a Database for an organization.
The project will be completed and submitted incrementally. You will have to submit the project in three phases. Every increment submission will be accompanied by a presentation of completed work.
In the first phase you need to work on the following: (30 points)
1. Determine the purpose of your database
2. Design the DFD (Data Flow Diagram) for your system. Recommended tool to design DFD is MS Visio or Visual Paradigm but it is not required.
3. Design the ERD (Entity Relationship Diagram)
In the second phase you need to work on the following: (40 points)
1. Find and organize the information required
2. Divide your information items into major entities or subjects, such as Products or Orders. Each subject then becomes a table.
3. Decide what information you want to store in each table. Each item becomes a field, and is displayed as a column in the table. For example, an Employees table might include fields such as Last Name and Hire Date.
4. Choose each table’s primary key. The primary key is a column that is used to uniquely identify each row. An example might be Product ID or Order ID.
In the third & final phase you need to the following: (30 points)
1. Apply the data normalization rules to see if your tables are structured correctly. Make adjustments to the tables, as needed.
2. Write SQL (Structured Query language) to retrieve the data
Briefly described your healthcare organization, including its culture and readiness for change.
SLIDE 3
Described the current problem or opportunity for change. The circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general was described.
Proposed an evidence-based idea for a change in practice using an evidence-based practice approach to decision making.
SLIDE 5
• Described your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
SLIDE 6
Described the measurable outcomes.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
student’s name
instructor
course
date
Organizational Culture And Readiness For Change
The first assessment will help to determine the ability of the current organization to accept change to the nursing practice
Prior assessment of the organization’s challenges to change embracement is key to provide solutions to health care problems in the society
According to the Organization Culture Assessment Instrument (OCAI), the staff responses indicate the willingness of the organization to change
Current Problem Or Opportunity For Change
The need for change is to reduce falls
The main barrier to this facility is lack of sufficient knowledge about evidence-based practice implementation
Patients with falls require a long duration of hospital stay ...
M Heenan_PhD Dissertation Lecture_eHealth Lecture_Engaging Leaders in KPI Sel...Mike Heenan
Presentation of the proliferation of measurement in health care and how organizations should redesign indicator selection processes to engage and motivate managers to improve performance. Presentation to eHealth students based on 2023 PhD dissertation.
CompetencyApply data analytic methodologies to diverse popul.docxardhowp
Competency
Apply data analytic methodologies to diverse populations to address population health needs.
Scenario
You have assessed your local population health needs and identified data sources and data sets that are needed to help providers make immediate gains in patient outcomes. Your health systems Board of Directors is requesting that you develop a high-level population health management program dashboard.
For this assessment, you need to assess local population health needs and identify data sources and data sets that are needed to help providers make immediate gains in patient outcomes. It is a major undertaking to plan, design, and implement a robust PHM. Therefore, your health systems Board of Directors is requesting that you develop 1-2 page high-level population health management program dashboard. In this dashboard, list the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Instructions
Using the information from the modules 01, 02, and 03 summative assessments, construct a dashboard that lists the health needs based on the community needs assessment that was performed and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Resources
Below is a list of resources that you can review to learn more about how to construct an executive dashboard.
Byrnes, J. (2012).
Driving value: solving the issue of data overload with an executive dashboard
. Healthcare Financial Management: Journal Of The Healthcare Financial Management Association, 66(10), 116.
Ballou, B., Heitger, D. L., & Donnell, L. (2010).
Creating effective dashboards
. Strategic Finance, 91(9), 27-32
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).
Development of performance dashboards in
healthcare
sector: Key practical issues
. Acta Informatica Medica, 23(5), 317-321.
Rosow, E., Adam, J., Coulombe, K., Race, K., & Anderson, R. (2003).
Virtual instrumentation and real-time executive dashboards.
Solution
s for
health care
systems
. Nursing Administration Quarterly, 27(1), 58-76.
Healthcare Dashboards: 3 Keys for Creating Effective and Insightful Executive Dashboards
Executive Dashboards: What They Are And Why Every Business Needs One
6 examples of executive dashboards that wow the “C” suite
RUBRICS:
1.
Executive dashboard lists the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program with minimal errors or information missing.
2. All required graphs are present and are an accurate depiction of the data.
3. Executive dashboard is professional in appearance with accurate graphs, figures, charts, and/or images to further explain the data.
.
Key characteristics of the Chief Information Officer.docx4934bk
The Chief Information Officer (CIO) and Chief Technology Officer (CTO) in healthcare organizations have key responsibilities:
1) Oversee the strategic use of information technology to improve processes, lower costs, and increase quality of care.
2) Ensure security of health information systems and protect patient privacy through methods such as access controls and data encryption.
3) Train healthcare providers on technology to facilitate its effective use in care delivery.
An overview of clinical healthcare data analytics from the perspective of an interventional cardiology registry. This was initially presented as part of a workshop at the University of Illinois College of Computer Science on April 20, 2017.
Measurement Systems and Methods The process of constructin.docxhoundsomeminda
Measurement Systems and Methods
The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?
To prepare:
Consider the various uses of scorecards and dashboards presented in this week’s Learning Resources and media presentation.
Reflect on how these measurement systems and measurement methods impact organizational goal setting in the areas of overall performance and financial stability.
Explore the key indicators involved with scorecards and dashboards as well as the external quality standards to which they are compared.
Ask yourself: What do the metrics used in the balanced scorecard and dashboard mean to my organization and nursing practice? Has my organization established goals for these metrics and are they currently being met?
By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below:
post
a cohesive scholarly response that addresses the following:
1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals.
2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met.
3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable).
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014).
The Healthcare Quality Book, 3rd ed.
Chicago, IL: Health Administration Press.
Chapter 9: “Measuring and Improving Patient Experiences of Care”
Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard.
Journal of Nursing Administration, 40
(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45
This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.
Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs.
American Journal of Health Promotion, 24
(3), TAHP 1–9.
In this article, the authors discuss how to measure success when analyzing worksite health p ...
LSS focuses on creating a collaborative culture of continuous improvement through objective decision making and consistent problem solving. It provides both Lean concepts to maximize value and minimize waste, and Six Sigma processes to minimize variation. The LSS methodology uses DMAIC (Define, Measure, Analyze, Improve, Control) to systematically solve problems. LSS strives for incremental fast improvement over "big fixes" through adaptive efficiency gains.
User Group Kickoff and New Product Roadmap - HAS Session 12Health Catalyst
This session will be highly interactive, targeted primarily at existing Health Catalyst clients. First, our “three amigos” will introduce the concept of three user groups focused around analytics, deployment, and clinical knowledge assets, and solicit your feedback and input on the best way to collaborate and share best practices. Then we will introduce our new product category offerings, and solicit your interactive input and priorities as a guide to our future product roadmap.
• Performance management overview and relevance to public health
• Turning Point Performance Management System Framework overview
• Turning Point Performance Management System Framework 2012 refresh
• Tools to help your organization assess performance management capacity
• Performance management resources
RUBRICProductivity Recommendations Last week, you fami.docxSUBHI7
RUBRIC
Productivity Recommendations
Last week, you familiarized yourself with the Physician Care Services, Inc. case and
selected metrics that would help you to evaluate the organization’s productivity, with an
eye to determining whether they could be successful in the current environment of
health care reform. Based on your conclusions, you will have at least identified one or
two areas of need which could benefit from change.
To prepare for this Assignment:
Review Case 3: Physician Care Services, Inc. from Week 5, and the Assignment you
submitted at the end of that week.
Now, you will develop recommendations to improve productivity and patient satisfaction.
Consider what you know of Lean Management and Six Sigma principles and practices.
Based on this understanding, ask yourself: What would the president and medical
director want to know before making any financial and organizational decisions?
The Assignment:
1. Based on the metrics you selected in Week 5, analyze opportunities for
improvement using Lean Management and Six Sigma principles (2 pages).
2. Develop five measurable stretch goals (2 pages).
3. Create a presentation with speaker notes, 5–7 slides in length (200–400 words per
slide), that defines a culture of accountability and quality excellence and
recommends how to foster this in the emergency department.
RUBRIC
CATEGORY EXCELLENT – above expectations
GOOD – met
expectations
FAIR – below
expectations
POOR –
significantly below
expectations or
missing
SCO
RE
Improvement
Using Lean
Management
and Six Sigma
Principles and
Stretch Goals
(30 points
possible)
The paper shows
depth, breadth,
triangulation, and
clarity in critical
thinking when
addressing the
opportunities for
improvement and
stretch goals.
(27–30 points)
The paper fully
addresses the
opportunities for
improvement and
stretch goals.
Triangulation was
attempted but not
shown.
(24–26 points)
The paper lacks
depth, breadth,
triangulation, and
clarity in critical
thinking when
addressing the
opportunities for
improvement and
stretch goals.
(21–23 points )
The paper does not
address (zero points)
or poorly addresses
the opportunities for
improvement and
stretch goals.
(0–20 points)
Slide
Presentation
(30 points
possible)
The slide
presentation shows
depth, breadth,
triangulation and
clarity in critical
thinking when
addressing the
culture of
accountability and
quality excellence.
(27–30 points)
The slide
presentation fully
addresses the culture
of accountability and
quality excellence.
Triangulation was
attempted but not
shown.
(24–26 points)
The slide
presentation lacks
depth, breadth,
triangulation, or
clarity in critical
thinking when
addressing the
culture of
accountability and
quality excellence.
(21–23 points )
The slide
presentation does not
address (zero points)
or poorly addresses
the culture of
accountability and
qualit ...
Middleville Regional Health Care is one (1) of three (3) hospitaEvonCanales257
Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the
AHA Guide
, are shown below in Table 1. All three organizations are
not-for-profit
.
Table 1: Middleville, Brierfield, and Greystone Health Care Systems
Name
Beds
Admissions
Census
OP Visits
Births
Expenses (000)
Personnel
Middleville
575
13,000
350
221,000
2,300
$125,000
2,000
Brierfield
380
17,000
260
175,000
1,200
$130,000
1,875
Greystone
350
10,000
180
40,000
900
$80,000
1,200
The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.
You are working for the consultant
. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of
correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.
Write a
six to eight (6-8) page paper
in which you:
Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.
Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the
costs and benefits
associated with implementing ...
The document discusses key performance indicator (KPI) dashboards and benchmarking for higher education institutions. It outlines the case for good communication of financial and operational data through dashboards to highlight potential problems. It describes effective dashboard principles like understanding context, perceiving and presenting data accurately and linking data to mission and strategy. Benchmarking is presented as a way to maintain viability by comparing performance to peers. Examples of common higher education KPIs and benchmarking groups are provided.
This lecture defines key terms related to workflow analysis and process redesign. It describes the role of a healthcare workflow specialist and their skills in process analysis and redesign. It reviews the importance of workflow improvement and health IT adoption for patient safety and quality of care. The lecture also describes the Centers for Medicare and Medicaid Services' meaningful use program and incentives for adopting certified electronic health record technology.
The document discusses the importance of data extraction in systematic reviews and provides guidance on developing effective data extraction forms and processes. Specifically, it outlines that data extraction 1) involves accurately summarizing studies in a common format to facilitate analysis and presentation, 2) identifies numerical data for meta-analyses, and 3) obtains information to assess risk of bias and applicability; and recommends 4) developing structured yet adaptable forms, 5) providing clear instructions, and 6) considering single versus double extraction.
This paper describes a study of the adoption of Picture Archiving and Communication Systems(PACS). The objective of this study is threefold. First, the adoption rate of PACS by European hospitals is described in relation to the use of other medical information systems. From this, a Medical Information Systems Maturity Scale (MISIS) for hospitals is statistically constructed. The second objective is to identify the key determinants of a hospitals’ score on MISIS, i.e. analyzing the situationality of the scale. The final objective of the paper is to explain and the variation in Medical Information System Maturity among hospitals in Europe. Using the results of this empirical analysis we set out general guidelines for the evolution of PACS maturity [1] within hospitals, based on principals of strategic alignment and situational growth.
CompetencyApply data analytic methodologies to diverse popul.docxpickersgillkayne
Competency
Apply data analytic methodologies to diverse populations to address population health needs.
Scenario
You have assessed your local population health needs and identified data sources and data sets that are needed to help providers make immediate gains in patient outcomes. Your health systems Board of Directors is requesting that you develop a high-level population health management program dashboard.For this assessment, you need to assess local population health needs and identify data sources and data sets that are needed to help providers make immediate gains in patient outcomes. It is a major undertaking to plan, design, and implement a robust PHM. Therefore, your health systems Board of Directors is requesting that you develop 1-2 page high-level population health management program dashboard. In this dashboard, list the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Instructions
Using the information from the modules 01, 02, and 03 summative assessments, construct a dashboard that lists the health needs based on the community needs assessment that was performed and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Resources
Below is a list of resources that you can review to learn more about how to construct an executive dashboard.Byrnes, J. (2012).
Driving value: solving the issue of data overload with an executive dashboard
. Healthcare Financial Management: Journal Of The Healthcare Financial Management Association, 66(10), 116.Ballou, B., Heitger, D. L., & Donnell, L. (2010).
Creating effective dashboards
. Strategic Finance, 91(9), 27-32Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).
Development of performance dashboards in
healthcare
sector: Key practical issues
. Acta Informatica Medica, 23(5), 317-321.Rosow, E., Adam, J., Coulombe, K., Race, K., & Anderson, R. (2003).
Virtual instrumentation and real-time executive dashboards.
Solution
s for
health care
systems
. Nursing Administration Quarterly, 27(1), 58-76.
.
Chapter 12 IT Alignment and Strategic Planning Learning ObjectivesEstelaJeffery653
The document discusses software architectural design and detailed design. It covers architectural styles like pipes and filters, event-driven, client-server, model-view-controller, layered, database-centric, and three-tier. It also discusses architectural tactics, reference architectures, functional decomposition, relational database design, object-oriented design, user interface design, and other topics like the model-view-controller pattern. The goal is to understand different approaches to structuring software solutions at both the architectural and detailed levels of design.
NR 328 EBP Improving Diagnostic Safety Project.pdfbkbk37
1. The document outlines guidelines for an assignment on improving diagnostic safety through an evidence-based project. It includes sections on defining a clinical question, completing an evidence matrix table summarizing multiple research articles, describing the findings, and concluding.
2. It also discusses the Joint Commission's National Patient Safety Goal around timely reporting of critical test results to improve patient safety and prevent harm from treatment delays. The goal requires hospitals to define critical results and protocols for reporting them to clinicians within an agreed upon timeframe.
3. One study cited used focus groups to examine how education impacts dietary modifications in diabetes patients, finding that education improved compliance with dietary changes.
This document analyzes Canada's lagging adoption of electronic medical records (EMRs) compared to other countries. It finds that Canadian EMR policies have not created an enabling environment, economic drivers do not favor physicians implementing EMRs, and EMR programs in Canada have not incorporated global best practices for implementation factors. The document concludes that Canada needs to update its EMR policies and focus on strengthening the frameworks for policy, economics, and implementation in order to successfully increase EMR uptake.
TR Healthcare And IT Healthcare News July 2008 Attendeesqinshi
The document discusses the use of dashboards and physician profiles at Moses Cone Health System to monitor performance and drive process improvement. It provides an overview of:
- The types of dashboards currently used, including quality, physician profile, and continuous process improvement dashboards.
- The history of developing physician profiles using data from Thomson Reuters products and distributing them quarterly to provide comparative metrics to physicians.
- Challenges faced and lessons learned from rolling out the physician profiles over time.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
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Presentation of the proliferation of measurement in health care and how organizations should redesign indicator selection processes to engage and motivate managers to improve performance. Presentation to eHealth students based on 2023 PhD dissertation.
CompetencyApply data analytic methodologies to diverse popul.docxardhowp
Competency
Apply data analytic methodologies to diverse populations to address population health needs.
Scenario
You have assessed your local population health needs and identified data sources and data sets that are needed to help providers make immediate gains in patient outcomes. Your health systems Board of Directors is requesting that you develop a high-level population health management program dashboard.
For this assessment, you need to assess local population health needs and identify data sources and data sets that are needed to help providers make immediate gains in patient outcomes. It is a major undertaking to plan, design, and implement a robust PHM. Therefore, your health systems Board of Directors is requesting that you develop 1-2 page high-level population health management program dashboard. In this dashboard, list the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Instructions
Using the information from the modules 01, 02, and 03 summative assessments, construct a dashboard that lists the health needs based on the community needs assessment that was performed and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Resources
Below is a list of resources that you can review to learn more about how to construct an executive dashboard.
Byrnes, J. (2012).
Driving value: solving the issue of data overload with an executive dashboard
. Healthcare Financial Management: Journal Of The Healthcare Financial Management Association, 66(10), 116.
Ballou, B., Heitger, D. L., & Donnell, L. (2010).
Creating effective dashboards
. Strategic Finance, 91(9), 27-32
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).
Development of performance dashboards in
healthcare
sector: Key practical issues
. Acta Informatica Medica, 23(5), 317-321.
Rosow, E., Adam, J., Coulombe, K., Race, K., & Anderson, R. (2003).
Virtual instrumentation and real-time executive dashboards.
Solution
s for
health care
systems
. Nursing Administration Quarterly, 27(1), 58-76.
Healthcare Dashboards: 3 Keys for Creating Effective and Insightful Executive Dashboards
Executive Dashboards: What They Are And Why Every Business Needs One
6 examples of executive dashboards that wow the “C” suite
RUBRICS:
1.
Executive dashboard lists the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program with minimal errors or information missing.
2. All required graphs are present and are an accurate depiction of the data.
3. Executive dashboard is professional in appearance with accurate graphs, figures, charts, and/or images to further explain the data.
.
Key characteristics of the Chief Information Officer.docx4934bk
The Chief Information Officer (CIO) and Chief Technology Officer (CTO) in healthcare organizations have key responsibilities:
1) Oversee the strategic use of information technology to improve processes, lower costs, and increase quality of care.
2) Ensure security of health information systems and protect patient privacy through methods such as access controls and data encryption.
3) Train healthcare providers on technology to facilitate its effective use in care delivery.
An overview of clinical healthcare data analytics from the perspective of an interventional cardiology registry. This was initially presented as part of a workshop at the University of Illinois College of Computer Science on April 20, 2017.
Measurement Systems and Methods The process of constructin.docxhoundsomeminda
Measurement Systems and Methods
The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?
To prepare:
Consider the various uses of scorecards and dashboards presented in this week’s Learning Resources and media presentation.
Reflect on how these measurement systems and measurement methods impact organizational goal setting in the areas of overall performance and financial stability.
Explore the key indicators involved with scorecards and dashboards as well as the external quality standards to which they are compared.
Ask yourself: What do the metrics used in the balanced scorecard and dashboard mean to my organization and nursing practice? Has my organization established goals for these metrics and are they currently being met?
By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below:
post
a cohesive scholarly response that addresses the following:
1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals.
2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met.
3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable).
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014).
The Healthcare Quality Book, 3rd ed.
Chicago, IL: Health Administration Press.
Chapter 9: “Measuring and Improving Patient Experiences of Care”
Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard.
Journal of Nursing Administration, 40
(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45
This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.
Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs.
American Journal of Health Promotion, 24
(3), TAHP 1–9.
In this article, the authors discuss how to measure success when analyzing worksite health p ...
LSS focuses on creating a collaborative culture of continuous improvement through objective decision making and consistent problem solving. It provides both Lean concepts to maximize value and minimize waste, and Six Sigma processes to minimize variation. The LSS methodology uses DMAIC (Define, Measure, Analyze, Improve, Control) to systematically solve problems. LSS strives for incremental fast improvement over "big fixes" through adaptive efficiency gains.
User Group Kickoff and New Product Roadmap - HAS Session 12Health Catalyst
This session will be highly interactive, targeted primarily at existing Health Catalyst clients. First, our “three amigos” will introduce the concept of three user groups focused around analytics, deployment, and clinical knowledge assets, and solicit your feedback and input on the best way to collaborate and share best practices. Then we will introduce our new product category offerings, and solicit your interactive input and priorities as a guide to our future product roadmap.
• Performance management overview and relevance to public health
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• Turning Point Performance Management System Framework 2012 refresh
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• Performance management resources
RUBRICProductivity Recommendations Last week, you fami.docxSUBHI7
RUBRIC
Productivity Recommendations
Last week, you familiarized yourself with the Physician Care Services, Inc. case and
selected metrics that would help you to evaluate the organization’s productivity, with an
eye to determining whether they could be successful in the current environment of
health care reform. Based on your conclusions, you will have at least identified one or
two areas of need which could benefit from change.
To prepare for this Assignment:
Review Case 3: Physician Care Services, Inc. from Week 5, and the Assignment you
submitted at the end of that week.
Now, you will develop recommendations to improve productivity and patient satisfaction.
Consider what you know of Lean Management and Six Sigma principles and practices.
Based on this understanding, ask yourself: What would the president and medical
director want to know before making any financial and organizational decisions?
The Assignment:
1. Based on the metrics you selected in Week 5, analyze opportunities for
improvement using Lean Management and Six Sigma principles (2 pages).
2. Develop five measurable stretch goals (2 pages).
3. Create a presentation with speaker notes, 5–7 slides in length (200–400 words per
slide), that defines a culture of accountability and quality excellence and
recommends how to foster this in the emergency department.
RUBRIC
CATEGORY EXCELLENT – above expectations
GOOD – met
expectations
FAIR – below
expectations
POOR –
significantly below
expectations or
missing
SCO
RE
Improvement
Using Lean
Management
and Six Sigma
Principles and
Stretch Goals
(30 points
possible)
The paper shows
depth, breadth,
triangulation, and
clarity in critical
thinking when
addressing the
opportunities for
improvement and
stretch goals.
(27–30 points)
The paper fully
addresses the
opportunities for
improvement and
stretch goals.
Triangulation was
attempted but not
shown.
(24–26 points)
The paper lacks
depth, breadth,
triangulation, and
clarity in critical
thinking when
addressing the
opportunities for
improvement and
stretch goals.
(21–23 points )
The paper does not
address (zero points)
or poorly addresses
the opportunities for
improvement and
stretch goals.
(0–20 points)
Slide
Presentation
(30 points
possible)
The slide
presentation shows
depth, breadth,
triangulation and
clarity in critical
thinking when
addressing the
culture of
accountability and
quality excellence.
(27–30 points)
The slide
presentation fully
addresses the culture
of accountability and
quality excellence.
Triangulation was
attempted but not
shown.
(24–26 points)
The slide
presentation lacks
depth, breadth,
triangulation, or
clarity in critical
thinking when
addressing the
culture of
accountability and
quality excellence.
(21–23 points )
The slide
presentation does not
address (zero points)
or poorly addresses
the culture of
accountability and
qualit ...
Middleville Regional Health Care is one (1) of three (3) hospitaEvonCanales257
Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the
AHA Guide
, are shown below in Table 1. All three organizations are
not-for-profit
.
Table 1: Middleville, Brierfield, and Greystone Health Care Systems
Name
Beds
Admissions
Census
OP Visits
Births
Expenses (000)
Personnel
Middleville
575
13,000
350
221,000
2,300
$125,000
2,000
Brierfield
380
17,000
260
175,000
1,200
$130,000
1,875
Greystone
350
10,000
180
40,000
900
$80,000
1,200
The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.
You are working for the consultant
. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of
correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.
Write a
six to eight (6-8) page paper
in which you:
Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.
Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the
costs and benefits
associated with implementing ...
The document discusses key performance indicator (KPI) dashboards and benchmarking for higher education institutions. It outlines the case for good communication of financial and operational data through dashboards to highlight potential problems. It describes effective dashboard principles like understanding context, perceiving and presenting data accurately and linking data to mission and strategy. Benchmarking is presented as a way to maintain viability by comparing performance to peers. Examples of common higher education KPIs and benchmarking groups are provided.
This lecture defines key terms related to workflow analysis and process redesign. It describes the role of a healthcare workflow specialist and their skills in process analysis and redesign. It reviews the importance of workflow improvement and health IT adoption for patient safety and quality of care. The lecture also describes the Centers for Medicare and Medicaid Services' meaningful use program and incentives for adopting certified electronic health record technology.
The document discusses the importance of data extraction in systematic reviews and provides guidance on developing effective data extraction forms and processes. Specifically, it outlines that data extraction 1) involves accurately summarizing studies in a common format to facilitate analysis and presentation, 2) identifies numerical data for meta-analyses, and 3) obtains information to assess risk of bias and applicability; and recommends 4) developing structured yet adaptable forms, 5) providing clear instructions, and 6) considering single versus double extraction.
This paper describes a study of the adoption of Picture Archiving and Communication Systems(PACS). The objective of this study is threefold. First, the adoption rate of PACS by European hospitals is described in relation to the use of other medical information systems. From this, a Medical Information Systems Maturity Scale (MISIS) for hospitals is statistically constructed. The second objective is to identify the key determinants of a hospitals’ score on MISIS, i.e. analyzing the situationality of the scale. The final objective of the paper is to explain and the variation in Medical Information System Maturity among hospitals in Europe. Using the results of this empirical analysis we set out general guidelines for the evolution of PACS maturity [1] within hospitals, based on principals of strategic alignment and situational growth.
CompetencyApply data analytic methodologies to diverse popul.docxpickersgillkayne
Competency
Apply data analytic methodologies to diverse populations to address population health needs.
Scenario
You have assessed your local population health needs and identified data sources and data sets that are needed to help providers make immediate gains in patient outcomes. Your health systems Board of Directors is requesting that you develop a high-level population health management program dashboard.For this assessment, you need to assess local population health needs and identify data sources and data sets that are needed to help providers make immediate gains in patient outcomes. It is a major undertaking to plan, design, and implement a robust PHM. Therefore, your health systems Board of Directors is requesting that you develop 1-2 page high-level population health management program dashboard. In this dashboard, list the health needs based on the community needs assessment and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Instructions
Using the information from the modules 01, 02, and 03 summative assessments, construct a dashboard that lists the health needs based on the community needs assessment that was performed and the critical data sources and data sets needed for the population health management program your health system is planning to launch.
Resources
Below is a list of resources that you can review to learn more about how to construct an executive dashboard.Byrnes, J. (2012).
Driving value: solving the issue of data overload with an executive dashboard
. Healthcare Financial Management: Journal Of The Healthcare Financial Management Association, 66(10), 116.Ballou, B., Heitger, D. L., & Donnell, L. (2010).
Creating effective dashboards
. Strategic Finance, 91(9), 27-32Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).
Development of performance dashboards in
healthcare
sector: Key practical issues
. Acta Informatica Medica, 23(5), 317-321.Rosow, E., Adam, J., Coulombe, K., Race, K., & Anderson, R. (2003).
Virtual instrumentation and real-time executive dashboards.
Solution
s for
health care
systems
. Nursing Administration Quarterly, 27(1), 58-76.
.
Chapter 12 IT Alignment and Strategic Planning Learning ObjectivesEstelaJeffery653
The document discusses software architectural design and detailed design. It covers architectural styles like pipes and filters, event-driven, client-server, model-view-controller, layered, database-centric, and three-tier. It also discusses architectural tactics, reference architectures, functional decomposition, relational database design, object-oriented design, user interface design, and other topics like the model-view-controller pattern. The goal is to understand different approaches to structuring software solutions at both the architectural and detailed levels of design.
NR 328 EBP Improving Diagnostic Safety Project.pdfbkbk37
1. The document outlines guidelines for an assignment on improving diagnostic safety through an evidence-based project. It includes sections on defining a clinical question, completing an evidence matrix table summarizing multiple research articles, describing the findings, and concluding.
2. It also discusses the Joint Commission's National Patient Safety Goal around timely reporting of critical test results to improve patient safety and prevent harm from treatment delays. The goal requires hospitals to define critical results and protocols for reporting them to clinicians within an agreed upon timeframe.
3. One study cited used focus groups to examine how education impacts dietary modifications in diabetes patients, finding that education improved compliance with dietary changes.
This document analyzes Canada's lagging adoption of electronic medical records (EMRs) compared to other countries. It finds that Canadian EMR policies have not created an enabling environment, economic drivers do not favor physicians implementing EMRs, and EMR programs in Canada have not incorporated global best practices for implementation factors. The document concludes that Canada needs to update its EMR policies and focus on strengthening the frameworks for policy, economics, and implementation in order to successfully increase EMR uptake.
TR Healthcare And IT Healthcare News July 2008 Attendeesqinshi
The document discusses the use of dashboards and physician profiles at Moses Cone Health System to monitor performance and drive process improvement. It provides an overview of:
- The types of dashboards currently used, including quality, physician profile, and continuous process improvement dashboards.
- The history of developing physician profiles using data from Thomson Reuters products and distributing them quarterly to provide comparative metrics to physicians.
- Challenges faced and lessons learned from rolling out the physician profiles over time.
Similar to Performance Indicators in the Health Service (20)
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
A Visual Guide to 1 Samuel | A Tale of Two HeartsSteve Thomason
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
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In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
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LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
Performance Indicators in the Health Service
1. Outline Introduction Performance Management Data League Tables Issues
Performance Indicators in the Health Service
Paul Hewson1
11th April
1
University of Plymouth, email paul.hewson@plymouth.ac.uk
2. Outline Introduction Performance Management Data League Tables Issues
1 Introduction
2 Performance Management
3 Data
4 League Tables
Assessing uncertainty
Case Mix
Making allowance for the size of an organisation
Funnel Plots
Monitoring changes over time
Methods from Industrial Quality Control
5 Issues
3. Outline Introduction Performance Management Data League Tables Issues
Aims of Management SSUs
To assess the student’s ability to:
Define a health service management problem.
Demonstrate an understanding of the historical and
contemporary background of the problem. How did things
evolve this way? What are the current issues that need
addressing and are driving change?
Define a strategy and research possible solutions.
Propose and justify a particular solution.
Present the problem, possible solutions, and proposed solution
verbally, including answering questions,
Use appropriate visual aids to support the verbal presentation,
4. Outline Introduction Performance Management Data League Tables Issues
Aims of Unit
Appreciation of methods used in the clinical design of
Performance Indicators;
How to interpret performance indicators in the context of
random fluctuation;
How to make allowance for different case mix;
AND thinking about this in a real-world context.
5. Outline Introduction Performance Management Data League Tables Issues
In particular:
Performance Indicators are an increasingly important
management tool in the health service, consider the very well
publicised Healthcare Commission Indicators, QoF indicators
in primary care, as well as recent publication of surgeon
specific mortality rates.
No longer tools imposed from without, in many cases
scientific evidence and practitioner input has been used to
design a suitable set of measures.
6. Outline Introduction Performance Management Data League Tables Issues
So we are interested in:
Best practice in performance indicator design;
How routine clinical information is coded into databases that
ultimately becomes a performance indicator;
how we assess uncertainty;
how we make valid comparison on units (surgeons, hospitals,
areas) which may differ due to context or patient case mix;
How to satisfy the people paying our wages (or their
representatives) that we are delivering continuous
improvement in patient care.
7. Outline Introduction Performance Management Data League Tables Issues
Aims of today
To plan the rest of the unit, contact, logistics, assessment
To consider an overview of the role and practice of
performance management
To present some information on exciting(?) technical aspects
Financial aspects will be considered later. We might also want
to consider data coding in more detail later.
To discuss topics that may be suitable for assessment
8. Outline Introduction Performance Management Data League Tables Issues
Assessment
Assessment will consist of:
A presentation made to a small audience,
Audience may include fellow students,
Presentation will be in a semi-formal environment.
Any volunteers for video-recording?
9. Outline Introduction Performance Management Data League Tables Issues
Assessment
A 20-minute slot should be allowed for each student,
approximately:
(Up to) 15 minutes for the presentation and to answer
questions;
5 minutes for feedback from the audience
In addition:
5 minutes should also be allowed in the programme for set up
of each presentation.
The assessor will need 10 minutes to complete the assessment
form including written feedback.
colorredElectronic presentations will not necessarily score more
than non-electronic ones (OHPs).
10. Outline Introduction Performance Management Data League Tables Issues
Performance Management: One style among many
For the foreseeable future, performance management is here to
stay. But two papers (there are plenty more) remind us that there
are other management styles:
Adab, P., A.M. Rouse, M.A. Mohammed and T. Marhsall
(2002) “Performance league tables: the NHS deserves better”
Brit.Med.J. 324:95-98
Davies, H. and J. Lampel (1998) “Trust in Performance
Indicators” Quality in Health Care 7:159-162
11. Outline Introduction Performance Management Data League Tables Issues
Known Risks with Performance Management
Tunnel vision (ignoring non-measured aspects of a service);
Sub-optimisation (setting modest improvement goals);
Convergence (aiming to match the average);
Gaming (dealing with easiest clients / problems first);
Ossification (avoiding innovation);
Misrepresentation (see National Audit Office (2001)
Inappropriate adjustments to NHS Waiting Lists London:
National Audit Office).
12. Outline Introduction Performance Management Data League Tables Issues
Data Sources
“Public agencies are very keen on amassing statistics -
they collect them, add them, raise them to the nth power,
take the cube root and prepare wonderful diagrams. But
what you must never forget is that every one of those
figures comes in the first instance from the village
watchman, who just puts down what he damn pleases”
Sir Josiah Stamp 1880-1941 (Governor of the Bank of England)
13. Outline Introduction Performance Management Data League Tables Issues
Data Quality
You can find plenty of other examples. For today, consider the
paper by Speigelhalter et al. (2002)2 . Consider in particular:
The number of different sources of data recording the same
events;
The reason for collecting these different data sets;
How useful the data were from any of them.
2
Spiegelhalter, D.J., P.Aylin, N.G.Best, S.J.W. Evans and G.D.Murray
(2002) ‘ Commissioned analysis of surgical performance using routine data:
lessons from the Bristol Enquiry” J.R.Statis.Soc.A 165:191-231
14. Outline Introduction Performance Management Data League Tables Issues
Data Validity: are you measuring what you want to
measure
“Not everything that counts is counted, and not
everything that can be counted counts” Albert Einstein
(approximate quote).
A couple of hospital based clinical examples where this has been
considered includes:
McGlynn, E. and S. Asch (1998) “Developing a clinical
performance measure” American Journal of Preventative
Medicine 14:14-21
Dorsch M., R. Lawrence, R. Sapsford, J. Oldham, D.
Greenwood, B. Jackson, C. Morrell, S. Ball, M. Robinson and
A. Hall (2001) “A simple benchmark for evaluating quality of
care of patients following acute myocardial infarction” Heart
86:150-154
15. Outline Introduction Performance Management Data League Tables Issues
Designing PM systems: technical aspects
A semi-technical discussion has been prepared by a Royal
Statistical Society working party
http://www.rss.org.uk/main.asp?page=1222.
One example considered are simple pass-fail indicators. Where are
these used?
16. Outline Introduction Performance Management Data League Tables Issues
Data Validity
∴ a large part of performance indicators surrounds defining them
sensibly in the first place. Options for developing an indicator
include borrowing a definition from somewhere else:
Miles, H., E.Litton, A. Curran, L.Goldsworthy, P.Sharples and
A. Henderson (2002) “The PATRIARCH study: Using
outcome measures for league tables: Can a North American
prediction of admission score be used in a United Kingdom
children’s emergency department?” Emerg.Med.J. 19:536-538
as well as quite elaborate procedures for developing a clinical
consensus as to what should be measured:
Normand, S-L.T., B. McNeil, L. Peterson and R. Palmer
(1998) “Methodology matters - VIII. Eliciting expert opinion
using the Delphi technique: identifying performance indicators
for cardiovasular disease” International Journal for Quality in
Health Care 10:247-260
17. Outline Introduction Performance Management Data League Tables Issues
Several Famous Problems with league tables
Small changes in performance can lead to very large changes
in rank;
Small organisations more affected than large ones
(randomness);
There is no allowance for “case” mix or the context in which
the organisation operates.
One study will be quoted (there are many which report similar
results) suggesting that between 1.6% and 2.3% of variation in
mortality rate was due to institutional effects: see Merlo, J., P.-O.
Ostegren, K. Broms, A. Bjork-Linne, and H. Liedholm (2001)
“Survival after initial hospitalisation for heart failure: a multilevel
analysis of patients in Swedish acute care hospitals” J. Epidemiol.
Community Health 55:323-329.
18. Outline Introduction Performance Management Data League Tables Issues
Assessing uncertainty
Uncertainty in League Tables
The following slide has been extracted from Marshall and
Spiegelhalter (1998)3 , a paper approaching citation classic
status in the BMJ.
This first chart shows confidence intervals around the raw live
birth rate.
There are arguments that all Performance Indicators should
come with some assessment of the possible uncertainty. What
happens with Healthcare Commission Indicators?
3
Marshall, E. C. and D. J. Spiegelhalter (1998) “Reliability of league tables
of in vitro fertilisation clinics; retrospective analysis of live birth rates.” Br.
Med. J.316:1701-1705
19. Outline Introduction Performance Management Data League Tables Issues
Assessing uncertainty
Uncertainty in League Tables
20. Outline Introduction Performance Management Data League Tables Issues
Case Mix
Case Mix
The following slide has also been extracted from Marshall and
Spiegelhalter (1998).
They have now applied a statistical model which makes some
adjustment for case mix.
Vertical lines indicate median, top quartile and lower quartile
rankings. How many clinics are clearly very ”good” or very
“bad”
Could this be used with individual surgeon indicators?
21. Outline Introduction Performance Management Data League Tables Issues
Case Mix
Allowing for case mix
22. Outline Introduction Performance Management Data League Tables Issues
Funnel Plots
Funnel Plots
Funnel plots are common in meta-analysis.
The following slide has been extracted from Spiegelhalter
(2002) 4 .
Two hospitals appear to have an unusually high readmission
rate following treatment for a stroke
What adjustment has been made for case mix?
4
Spiegelhalter, D. J. (2002) “Funnel plots for institutional comparison
(letters to the editor)” Qual.Saf. Health Care11:390-391
23. Outline Introduction Performance Management Data League Tables Issues
Funnel Plots
Funnel Plots
24. Outline Introduction Performance Management Data League Tables Issues
Monitoring changes over time
Monitoring changes over time
We return to Marshall and Spiegelhalter (1998)
Having adjusted for case mix, we also try to estimate what
changes have happened over time, along with an associated
uncertainty measure
What are the implications for press-releases heralding a 2.1% drop
in crime, 0.3% drop in road accidents . . . (insert clinical example of
your choosing)?
25. Outline Introduction Performance Management Data League Tables Issues
Monitoring changes over time
Changes over time
26. Outline Introduction Performance Management Data League Tables Issues
Methods from Industrial Quality Control
Quality Control Charts
Rather more has been done looking at longer runs of data
An overview of such charts in healthcare is given by Woodall,
20065 .
The basic idea is stop pompous statisticians taking your data
away and creating over elaborate models which nobody else
understands
The hope is that when such charts are designed carefully,
YOU assess whether anything funny is going on.
5
Woodall, W.H., “The Use of Control Charts in Health-Care and
Public-Health Surveillance” Journal of Quality Technology 38:89-104
27. Outline Introduction Performance Management Data League Tables Issues
Methods from Industrial Quality Control
Cusum Charts
28. Outline Introduction Performance Management Data League Tables Issues
Methods from Industrial Quality Control
Cusum Charts
(well, I had to put at least one piece of maths in somewhere)
T
CUSUM = xt − x0
t=1
The aim of the CUSUM chart is to monitor performance
relative to a target x0 .
Level lines are good, downward slopes are bad, crossing the
V-mask is very bad, especially if you had plenty of warning
that this was going to happen.
Consider the following cusum plot from Chang and McLean
(2006)6 for joint replacement wound blisters.
6
Chang, W.R. and I.P McLean ”CUSUM: A tool for early feedback about
performance?” BMC Medical Research Methodology 6:8
29. Outline Introduction Performance Management Data League Tables Issues
Methods from Industrial Quality Control
Cusum Charts
30. Outline Introduction Performance Management Data League Tables Issues
Outstanding Issues
From HM Treasury7 :
“Performance information is a cornerstone of our
commitment to modernise government. It provides some
of the tools needed to bolster improvements in public
sector performance . . . . . . Good quality information also
enables people to participate in government and exert
pressure for continuous improvement. In addition to
empowering citizens, this information equips managers
and staff within the public service to drive improvement.
Performance information is thus a catalyst for innovation,
enterprise and adaptation.”
7
H.M. Treasury (2001) Choosing the right fabric: A framework for
Performance Information London: HM Treasury
31. Outline Introduction Performance Management Data League Tables Issues
Outstanding issues
So the Treasury believe in:
Driving continuous improvement; a management and a
practitioner tool;
Empowering Citizens
But note:
The Treasury do a lot of driving by controlling finance!
32. Outline Introduction Performance Management Data League Tables Issues
Issues to consider
What do Performance indicators do for patient care?
What do Performance indicators do for clinical practice?
What is our public (Patients / Potential Patients / Local
residents) and how are they served by Performance
Information
Financing the NHS
33. Outline Introduction Performance Management Data League Tables Issues
Provider Help with Preparing SSU Assessments
1) I must not read, mark or correct any piece of SSU written
work (or draft) unless it is sent to me by the SSU
administration team for marking.
2) I must not listen to a verbal presentation in advance or correct
slides prior to an assessed presentation.
3) I may answer any specific question posed to me (by students)
regarding SSU assessment preparation.
4) I am encouraged to give general advice and guidance on how
to write a good written assessment or how to deliver a good
presentation (as appropriate) throughout your SSU provision.
5) Following the marking of the assessment I am free to discuss
with the students any aspect of their assessment that I wish
to.
34. Outline Introduction Performance Management Data League Tables Issues
Recap on assessment
The following aspects of your presentation will be explicitly
considered:
1) Knowledge & understanding of the management problem
2) Research of possible solutions
3) Justification of proposed action
4) Use of appropriate visual aids
5) Quality of report
35. Outline Introduction Performance Management Data League Tables Issues
Your task
Find an area of healthcare subject that is or could be
performance managed
Determine how to gather evidence on the clinical and
“statistical” suitability of different ways of managing
performance