The document proposes transforming Indian healthcare through adopting Agile Scrum practices. It summarizes the current challenges faced by patients and doctors, which include a lack of trust and communication between the two groups. Doctors are influenced by corporate hospitals and pharmaceutical companies to prioritize profits over patient care. The document proposes a nonprofit "Hospital Trust Re-invented" model using Scrum to restore trust. Key Scrum elements like product backlogs, sprints and information radiators would be used. This is hoped to remove monetary influences and improve patient outcomes and satisfaction in Indian healthcare.
8 Ways to Market Your Concierge Medical Practice to MillennialsSpecialdocs
Experts recognize that Millennials are shaping the future of the healthcare industry. Specialdocs offers these 8 concierge medical practice marketing tips to reach this young generation.
A look at how WEA Trust's partnership with Amwell provides a convenient and cost-effective way to see a doctor from anywhere. 24 hours a day, 7 days a week.
An introduction to www.CostsOfCare.org, a 501c3 nonprofit venture dedicated to helping doctors understand how the decisions they make impact what patients pay for care.
This report collects data, surveys and commentary on U.S. physicians. It includes data on supply & demand, regulatory impacts, compensation & reimbursement, outlook & satisfaction, practice environment and employment.
8 Ways to Market Your Concierge Medical Practice to MillennialsSpecialdocs
Experts recognize that Millennials are shaping the future of the healthcare industry. Specialdocs offers these 8 concierge medical practice marketing tips to reach this young generation.
A look at how WEA Trust's partnership with Amwell provides a convenient and cost-effective way to see a doctor from anywhere. 24 hours a day, 7 days a week.
An introduction to www.CostsOfCare.org, a 501c3 nonprofit venture dedicated to helping doctors understand how the decisions they make impact what patients pay for care.
This report collects data, surveys and commentary on U.S. physicians. It includes data on supply & demand, regulatory impacts, compensation & reimbursement, outlook & satisfaction, practice environment and employment.
This 2015 Jackson Healthcare report shares the reasons driving physicians to sell their medical practices to hospitals, why hospitals are acquiring them and how physicians feel after leaving private practice.
Patient Resource: Medicare Observation Versus Admit DaysTerri Embry RN BS
This resource provides information a patient, their advocate or a health care professional can use to learn about this topic. Hyperlinks are embedded to allow for self guided research and is encouraged.
In less time than it takes to finish a cup of coffee, find out if health reimbursement accounts (HRAs) could work for your business. WEA Trust covers the definition, advantages, disadvantages and can't-miss facts about this popular health benefit option.
Quality reporting's toll on physician practices in time and money by Dr.Mahbo...Healthcare consultant
The failure in quality improvement is that health IT applications have not been designed to simplify the complexity of value-based contracts into automated and easy-to-use workflows for physicians and care managers. The administrative burden of quality improvement should never fall on physicians and other care providers.This exact problem is why I founded Able Health, which is focused on building software that simplifies quality reporting and improvement for all stakeholders. I have written about the need to meet the needs of clinical users in quality improvement through the use of 'design thinking' methods:
•What is Meds2Home….
•A program developed to be more proactive when it comes to Hospital and Skilled Nursing Facility Discharges.
•Designed to set each patient up for success by collaborating with each patients healthcare providers; Hospitals, Skilled Nursing, Home Health, and PCP.
•Meds2Home will make it easier and safer for each patient to make the transition back home, as well as lower the risk of readmission due to medication error
Workplace productivity is an estimate of how efficiently organizations utilize their resources to accomplish business objectives. Improving productivity is important because increasing it can increase revenue using the same or fewer resources.
The Role of Hospital Management in Renovating Healthcare By Dr.Mahboob ali kh...Healthcare consultant
In a time of rapid change in the healthcare system, it’s no surprise that hospitals across the country are examining new patient care delivery approaches. In many cases, business professionals with management experience are driving innovation. According to me healthcare managers are the “missing link” when it comes to the debate surrounding healthcare reform. The skills and ideas that healthcare managers bring to the table provide a fresh approach with significant patient benefits.
This 2015 Jackson Healthcare report shares the reasons driving physicians to sell their medical practices to hospitals, why hospitals are acquiring them and how physicians feel after leaving private practice.
Patient Resource: Medicare Observation Versus Admit DaysTerri Embry RN BS
This resource provides information a patient, their advocate or a health care professional can use to learn about this topic. Hyperlinks are embedded to allow for self guided research and is encouraged.
In less time than it takes to finish a cup of coffee, find out if health reimbursement accounts (HRAs) could work for your business. WEA Trust covers the definition, advantages, disadvantages and can't-miss facts about this popular health benefit option.
Quality reporting's toll on physician practices in time and money by Dr.Mahbo...Healthcare consultant
The failure in quality improvement is that health IT applications have not been designed to simplify the complexity of value-based contracts into automated and easy-to-use workflows for physicians and care managers. The administrative burden of quality improvement should never fall on physicians and other care providers.This exact problem is why I founded Able Health, which is focused on building software that simplifies quality reporting and improvement for all stakeholders. I have written about the need to meet the needs of clinical users in quality improvement through the use of 'design thinking' methods:
•What is Meds2Home….
•A program developed to be more proactive when it comes to Hospital and Skilled Nursing Facility Discharges.
•Designed to set each patient up for success by collaborating with each patients healthcare providers; Hospitals, Skilled Nursing, Home Health, and PCP.
•Meds2Home will make it easier and safer for each patient to make the transition back home, as well as lower the risk of readmission due to medication error
Workplace productivity is an estimate of how efficiently organizations utilize their resources to accomplish business objectives. Improving productivity is important because increasing it can increase revenue using the same or fewer resources.
The Role of Hospital Management in Renovating Healthcare By Dr.Mahboob ali kh...Healthcare consultant
In a time of rapid change in the healthcare system, it’s no surprise that hospitals across the country are examining new patient care delivery approaches. In many cases, business professionals with management experience are driving innovation. According to me healthcare managers are the “missing link” when it comes to the debate surrounding healthcare reform. The skills and ideas that healthcare managers bring to the table provide a fresh approach with significant patient benefits.
Creative operations is the same as any other operationally-focused discipline. It looks at how things are today, how they can be managed and measured, and then it looks to improve the process.
From Patients to ePatients Driving a new paradigm for online clinical collabo...ddbennett
CareTech eHealth Innovation Series
From Patients to ePatients Driving a new paradigm for online clinical collaboration and health management
David Bennett, SVP, Interactive Solutions
StayWell Custom Communications
Anthony Chipelo, Director, Portal Strategies
CareTech Solutions
Disaster Contact a disaster preparedness person at either a loca.docxlynettearnold46882
Disaster
Contact a disaster preparedness person at either a local hospital, or local city or county emergency services agency. NORTHEAST OHIO
1. Blackout 2003
2. Chardon Highschool shooting 2012
3. Great blizzard 1978
Interview your contact, asking the following questions:
1) "What do you consider to be the top three disasters for which you prepare?"
2) "What would you say are your top three lessons learned about managing a disaster?"
What Would the Best Future for Health Care Look Like?
Introduction
The one thing the debate over reforming health care taught us all is that there are as many opinions as there are interested groups, and all of them differ in meaningful ways. To look at the views on improving the systems of care delivery, it is important to note where they have points of agreement and where they differ. They are all driven by the values and principles of the constituencies and what they hope to achieve from changes in the delivery system. This module will explore points of agreement and differences between important groups that will influence the direction health care will go in the next decade.
Patients
It is an interesting point that all constituencies, in their public statements, emphasize that a strong health care system should focus on getting the best outcomes for patients. What would that be, from the perspective of patients? Typically, patients relate that they want top quality in their care and the latest technology, along with immediate and unrestricted access to care, at the lowest possible cost. This triad has become the stumbling block of change initiatives, since to date, no one has figured out how to deliver all three. However, when patients' views are explored and probed, some interesting facts emerge. When patients say they want top quality care, in general, they tend to define that as achieving a cure or return to health. They certainly do not want to leave the system feeling worse than when they came in. Patients have been heavily lobbied in the media by pharmaceutical and medical technology companies to convince them that the latest (and most expensive) technology will deliver the desired outcomes. However, very little real research on the true effectiveness of treatments and technology makes its way to most patients, and patients in general do not shop for their medical care as carefully as they would if they were purchasing new cars, for example. The language of research and medicine is difficult for patients to understand and is frequently not well-explained by providers.
So, the nuances of top quality care in terms of being able to deliver a cure or return to health are not well understood by the constituency with the most at risk. What patients do understand is whether they feel better or see improvement in their health and whether care was rendered without errors and in a compassionate way. The best health care system, from a patient's point of view, is one that can consistently deliver the good.
The Future of Healthcare in Consumerism WorldCitiusTech
The main aim of this document is to provide an overview of healthcare consumerism, its growth drivers and challenges / barriers providers and payers face while adopting it. The document provides insights on how providers and payers can tackle the rising wave of consumerism in healthcare industry. The document also provides some real-life examples on market trends which emphasize the need to brace consumerism in healthcare
Accountable Care Organizations and Physician Joint Ventures .docxAMMY30
Accountable Care Organizations and Physician Joint Ventures
Jeffrey P. Harrison
Chapter 9
“I will continue with diligence to keep abreast of advances in medicine. I will treat without exception all who seek my ministrations, so long as the treatment of others is not compromised thereby, and I will seek the counsel of particularly skilled physicians where indicated for the benefit of my patient.”
—from The Hippocratic Oath (modern version)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
1
Learning Objectives
Demonstrate an understanding of the interparty relationships associated with healthcare joint ventures and accountable care organizations.
Understand some of the dynamics and controversies surrounding the concept of accountable care organizations as an alternative approach to the current marketplace.
Demonstrate a basic understanding of the patient-centered medical home with attention to how it supports network-based delivery systems.
Master the concept of physician–hospital alignment and health system integration including consumer, provider, and regulatory developments.
Assess the emerging role of medical groups and hospital-owned group practices across the continuum of healthcare services.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
2
Key Terms and Concepts
Accountable care organization (ACO)
Clinical integration
Equity-based joint venture
Hospitalist model
Integrated physician model
Medical foundation
Patient-centered medical home (PCMH)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
3
Introduction
A positive relationship between hospitals and physicians is important to the success of the US healthcare system, because hospitals and physicians can be both collaborators and competitors.
Many hospitals and healthcare systems have moved to various models of physician integration through which hospitals hope to capture market share and physicians seek financial security.
After the Affordable Care Act (ACA) was passed in 2010, physician–hospital alignment became driven by another factor: cost control and quality outcomes in the accountable care era (Reiboldt 2013).
Physicians work in a wide range of settings and serve in leadership positions that have significant responsibility for quality of care.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
4
Clinical Integration
What Is It?
Coordination of patient care between hospitals and physicians across the healthcare continuum— e.g., an accountable care organization (ACO).
Provides an opportunity to coordinate services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs.
Clinical integration is necessary to delivering high-quality, affordable care in the current environment (Jacquin 2014).
Clinical.
The State of Consumer Healthcare: A Study of Patient ExperienceProphet
There is a vital change happening in healthcare: People are demanding to be treated as savvy consumers, who deserve choices, convenience and fair prices. The same revolution of consumerism that’s shaking up the way the world buys financial services, airline tickets and groceries is finally underway in healthcare. And as healthcare options multiply, this trend will only accelerate. Providers who are ready to respond by creating a strong patient experience are going to win, and those who aren’t will be left behind.
This presentation explains findings from the patient experience study which was conducted to understand the consumer healthcare experience by assessing the gap between patient and providers’ expectations and perceptions, and arm institutions with the ability to assess their own organization, define a successful strategy, and deliver on it.
View the webinar here: http://bit.ly/1RLgTFX
United Healthcare's business model is deepening and widening. Originally a managed care plan, it encompasses a PBM, medical group practices, a data analytics unit, a national ACO and more to come...
The healthcare market is evolving throughout the United States as well as globally. UHC is competing against Aetna, Cigna, Humana, Kaiser as well as Blue Cross Blue Shield plans and other healthcare plans ---and now healthcare provider organizations as well!
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
The trend in software development has been changed a lot nowadays. People are expecting predictable features from some unpredictable data. We can now develop software products from raw data, refine raw data to produce business insights and analytic. We are using visualizations, statistics, and machine learning to develop and plan the needful. This is termed as Data Science. Data modelling is the first part of any software product development. So, “Waterfall” is the approach.
During this period, “Agile” approaches has been emerged. Software Development projects are now getting delivered on a stipulated period and budget. Data science is still trapped on waterfall method.
Problem area lies here. Galore of opportunities arrives at the juncture of these two trends of
development. Agile big data is a development methodology which can be utilized to address the same. Session will be focused to explore new approaches and team structures to follow this methodology.
Traditionally, businesses like banking and telecom focused high on standardization and national regulation. The development lead times were long. Consequently, the solution providers developed capabilities to influence standards, develop products and interact with the end-service providers. The changing business landscape challenges providers to keep pace. In the slow-moving market, providers honed the ability to run major multi—year projects. Solution Providers became predictable development machinery with extensive mechanisms to enable predictability and control at the expense of flexibility and customer closeness. This led to organizational setups focusing on the alignment with the project structures and deepening the competencies in narrow areas both in the product and in the functional dimensions. The result? Organizational silos with multiple related hand-over challenges.
My talk will cover solutions to these challenges when multiple teams come together to deliver a solution.
Session will have different aspects of the Agile Portfolio Management.
Session is for Lean Agile Leaders which will help them manage portfolio Agile way. Lean Agile principles when applied to portfolio management, will help you keep pace with fast changing business by giving you a disciplined approach to implementing you strategic vision as realistic work plan.
Keeping up with the new pace of change requires light weight processes and an adaptive mindset. It will cover the following main pillars of Agile Portfolio Management:
Work Management
Capacity Management
Financial Management
Value Management
Continuous planning
Continuous Visibility
APM session will help you look at the portfolio in different way; and help you outpace changing business.
Change is hard and it’s an art to conceptualize a change in any organization. This session about Evolutionary approach for change would guide audience to think about the pros and cons of evolutionary approach over other generic approach.
In my proposed model of Evolutionary Approach, Change starts from Sensing the situation at real time rather proposing a ‘boxed’ solution. Every enterprise is different and to an extent with-in enterprise each organization (or projects) is different. Thus requires deeper Analysis and identification of a fit-for-purpose solution ideas followed by Implementation of solution ideas followed by Measure of the results. Measuring result guides improvement to move in right direction in-place of being biased about the ideas and assuming they would always work. Measure adds value
to manage change effectively and delivers a happier, innovative and better enterprise.
Evolutionary Change Approach’s focus is to deliver measurable business gains by implementing improvements at enterprise.
Software-driven business models are shaping the business landscape in a big way. Unprecedented growth in technology has helped to create new generation ‘born-in-the-cloud’ business models. These business models have helped newly formed organizations to catch-up with, and often catapulted past, brick & mortar organizations in less than a decade.
‘Born-in-cloud’ business models are built on NextGen systems. NextGen systems are mass personalized, massively distributed, always on and self-adapting system of systems and have broken the boundary between physical and cyber world.
Software 4.0 is a framework for creating NextGen system. It enables mind-set change, develop people competencies, establishes right methodologies for innovation & speed.
Software 4.0 framework leverages nexus of following methodologies / initiatives –
Business Model Canvas for value promise
Design thinking
Hackathon
Modular Architecture
Agile-at-scale
CLM platform & Continuous Engineering
Machine Learning
Software 4.0 ensures NextGen systems are built in iterative, incremental, self-learning and cost-effective manner with superior quality.
The Digital Technology is making the enterprises to redefine their strategies and reinvent business models. The customer and market expectations are changing dynamically forcing the organizations to adopt “Agile” processes and systems to these changing business needs. “Developing Agile Digital Architecture’” is an important element for the organizations to succeed. The speaker will address the way the digital technologies are driving the businesses to change their services and operations, and how the organizations should develop the agile digital architectures. The session also covers building business, data, and application and technology architectures in an agile way and thereby meeting the changing business requirements and eventually delivering the business goals.
Agile transformation has to be accompanied by suitable governance mechanisms such that the metrics and measures conform to newer ways of working. In waterfall methodology it is straightforward – there is a project and a plan, the metrics verify compliance with the plan on triple constraints. Change was not something seen as desirable.
How does this change for agile teams? Do we still continue with “projects”? Do we track utilization or outcomes? Last
Overall this session will delve on the lightweight governance based on #no projects theme and outcome based metrics on business value, throughput, team engagement and system capability.
Mainframe often termed old world juggernaut of software industry, but still holds large trillions of data in Banking, Insurance, Travel, Hospitality industry, has an impeccable track record of robust processing and security. But often the fast changing Digital world and Mobile eco system, manifests a challenge to Mainframe systems, in terms seamless compatibility. So that organizations can leverage competitive edge to have mobile eco system as part of their IT solution to gain the dynamic edge yet leverage Mainframe as their system of records to leverage stability.
In this talk will share a generic case study of major bank how they leveraged in making their Mainframe eco system nimble and compatible with Mobile eco system using Agile, Devops and Micro services in tandem to leverage competitive advantage and cost savings.
With the increase in population that separates ‘work’ from ‘life’, as if work is absence of life, it becomes increasingly important to study about what happiness means to people at work, so that they can be made to feel alive in their offices too. This session is aimed at introducing two interesting research studies that aimed to do just that. Also, this session helps people understand if business agility keeps us happy in the true sense.
The two studies that this session will discuss about are as follows:
Richard M. Ryan et al’s Self Determination Theory – led to a book Drive by Dan Pink
Mihaly’s Measurement of Flow in Everyday’s life – led to book Flow by Mihaly himself
This session does not just explain these two research works but also will find the commonalities between these and will engage the audience with discussions using leading questions, thereby bringing out personal examples that they can relate to.
We introduce Wave 2 of Agile as a way to understand the high-performance results that come from Being Agile. We know many in our industry have fallen into the trap or “Doing Agile” – where people lose sight of the objectives and lasting results.
Wave 2 is about Living Agile. It is in how we show up. It is in how we work with people and organizations to shape the culture. It is living Mahatma Gandhi's truth:
“Be the change that you want to see in the world”.
When we focus on our own behaviour, we model Being Agile. This is the only way to invite the Agile Mindset. This is Wave 2 Agile. We stop creating conflict and resistance. We become the effective leaders and influencers of lasting change in our organizations.
“To be or not to be? That is the question.”
In October 2009, I presented a well-received session entitled An Agile Engineering Environment (in 59 Minutes or Less) at an Agile conference in Chengdu, China. From 2009 – 2015 the environment presented in that session remained fundamentally unchanged as our primary internal development environment. By 2015, however, we began seeing the emergence of new tools which build upon the basic premises of that environment, but enable an even more robust environment to be established even more quickly and independently than the 59-minute environment realized in the 2009 session.
In this session, we will briefly introduce the original configuration and see how modern tooling and techniques enable the improved environment to be established in a fraction of the time, enabling even greater agility in our engineering environment.
There’s a lot left unsaid about achieving and maintaining “enterprise” agility for large MNCs. For geo-distributed teams that are in the “Forming”, and even, “Norming” stages, there is perceived chaos while envisioning and building v1 products. Unlike teams that are already “norming” or “performing”, and have then adopted Agile, these “v1 teams” have a steeper trek to agility. Often, Agile process gives way to tactical execution. This session deals talks about dealing with this situation and maintaining business agility.
An Agile mindset believes that diverse teams with complementary skills are best equipped to thrive in today’s business environments.
Many organizations, working with Agile methodologies, talk about changing mindsets. I know from extensive experience that Agile principles and practices by themselves will not lead to this kind of transformation. A real Agile transformation is about not just doing Agile, but being Agile.
‘Follow Agile’ mindset will only help us get into the water but ‘Being Agile’ mindset will help us swim in the current. Most Agile implementations fail and their practitioners cannot tell why. Managers jump onto the Agile bandwagon, and quickly discover that the change runs much deeper and wider than they’d been told. Worse yet, people decide for or against Agile without understanding it properly. It does not have to be this way. This will be an interactive workshop leading toward the Agility.
In October 2009, I presented a well-received session entitled An Agile Engineering Environment (in 59 Minutes or Less) at an Agile conference in Chengdu, China. From 2009 – 2015 the environment presented in that session remained fundamentally unchanged as our primary internal development environment. By 2015, however, we began seeing the emergence of new tools which build upon the basic premises of that environment, but enable an even more robust environment to be established even more quickly and independently than the 59-minute environment realized in the 2009 session.
In this session, we will briefly introduce the original configuration and see how modern tooling and techniques enable the improved environment to be established in a fraction of the time, enabling even greater agility in our engineering environment.
We introduce Wave 2 of Agile as a way to understand the high-performance results that come from Being Agile. We know many in our industry have fallen into the trap or “Doing Agile” – where people lose sight of the objectives and lasting results.
Wave 2 is about Living Agile. It is in how we show up. It is in how we work with people and organizations to shape the culture. It is living Mahatma Gandhi's truth:
“Be the change that you want to see in the world”.
When we focus on our own behaviour, we model Being Agile. This is the only way to invite the Agile Mindset. This is Wave 2 Agile. We stop creating conflict and resistance. We become the effective leaders and influencers of lasting change in our organizations.
“To be or not to be? That is the question.”
The world of work is transforming at an unrelenting pace – product development is increasingly complex and uncertain, the speed of decisions and delivery are escalating at an exponential pace, customers are demanding more attention and responsiveness, and the workforce is entering with new expectations of engagement. Through all of this, 80% of managers continue to believe they are operating effectively with their employees, yet only 25% of employees agree. Something is wrong! Most leaders are unaware of how their own thoughts and actions are working against their leadership objectives. Ineffective leadership fuels the top impediments limiting organizational agility and growth – the fear of losing control, the resistance to change and contrasting values.
Pete illustrates how leadership agility improves self-awareness, amplifies decision-making, improves outcomes and grows organizational resilience and capacity in highly complex and fast-paced environments. Through the art of story telling from his two decades of personal experience, as well as the experiences of other senior leaders with whom he has coached, Pete spotlights six critical mistakes you may be unaware of in your own leadership practice, how they may be working against your intent, and how to reorient your focus to improve your leadership outcomes.
Projects are initiated to improve the Business process and optimize the utilization of the Organization resources. Project Managers or Scrum Masters or Product Owners have challenge in getting the right type of resources (man power, machines & material) who are key in making the Projects success. This session helps in understanding where is the real POWER, how to empower the POWER & get the needed resources.
Topics covered in the session are 1) Organization types (Projectized/Matrix/Functional) 2) Stake holder Analysis (Power/Interest) or (Power /Involvement matrix etc) 3) Project Manager/Product Owner/Scrum Master setting the expectations by drawing (RACI Matrix for getting POWER involvement) 4) Project Manager/Product Owner/Scrum Master Selling his Release Plan to POWER & get the Resources allocated 5) Project Manager/Product Owner/Scrum Master Selling empower the POWER and turn Forbidden POWER in various Scrum Ceremonies.
Education brings in awareness which is an important surge for any growing economy and for India to be as Developed Nation. The education system needs primary focus in Rural India. How do we empower rural schools with quality education? What forces can help bring the light in every home and touch every life? What should be the agility of the approach, architecture, design and developing strategies for Digital India?
Modern Database Management 12th Global Edition by Hoffer solution manual.docxssuserf63bd7
https://qidiantiku.com/solution-manual-for-modern-database-management-12th-global-edition-by-hoffer.shtml
name:Solution manual for Modern Database Management 12th Global Edition by Hoffer
Edition:12th Global Edition
author:by Hoffer
ISBN:ISBN 10: 0133544613 / ISBN 13: 9780133544619
type:solution manual
format:word/zip
All chapter include
Focusing on what leading database practitioners say are the most important aspects to database development, Modern Database Management presents sound pedagogy, and topics that are critical for the practical success of database professionals. The 12th Edition further facilitates learning with illustrations that clarify important concepts and new media resources that make some of the more challenging material more engaging. Also included are general updates and expanded material in the areas undergoing rapid change due to improved managerial practices, database design tools and methodologies, and database technology.
Artificial intelligence (AI) offers new opportunities to radically reinvent the way we do business. This study explores how CEOs and top decision makers around the world are responding to the transformative potential of AI.
The Team Member and Guest Experience - Lead and Take Care of your restaurant team. They are the people closest to and delivering Hospitality to your paying Guests!
Make the call, and we can assist you.
408-784-7371
Foodservice Consulting + Design
Oprah Winfrey: A Leader in Media, Philanthropy, and Empowerment | CIO Women M...CIOWomenMagazine
This person is none other than Oprah Winfrey, a highly influential figure whose impact extends beyond television. This article will delve into the remarkable life and lasting legacy of Oprah. Her story serves as a reminder of the importance of perseverance, compassion, and firm determination.
9. Patients' Challenges
Doctors try their best to convert short term treatments into Long Term treatment
scenarios
Doctors do not disclose the disease details in their exact form and shape
Doctors are not approachable
Doctors do not provide sufficient time to counsel patients
High Cost Factor – Sometimes Hospitals create scenarios to charge more
9
10. Patients' Challenges continued…
For the patients with insurance coverage, hospitals try to squeeze entire insured high
slab rate amount for the prescribed disease that patient is covered with
Doctors prescribe wide list of medicines. They are ignorant of the side-affects
Paying money does not guarantee good healthcare. The private healthcare system
largely treats patients as revenue generators, without rationality or medical logic
10
11. Doctor’s Challenges
Patient does not trust Doctor prescription and does not show up on the
prescribed follow up dates
Pharma companies are giving foreign tours and junkets to doctors. It happens
under the pretext of medical study. Unfortunately, some doctors eagerly wait for
the pharma company invitation for foreign tours
Corporate hospitals only want doctors who can help them earn more money
Frequent irrational procedures and surgeries, the distorting influence of corporate
and multi-speciality hospitals on ethics of the medical profession, and the growing
grip of pharmaceutical companies on private medical practice.
11
12. Doctor’s Challenges Continued…
Lack of adequate regulations on Fee and quality of medical service in
private sector
Wealthy patients are admitted directly into intensive care and several
thousand rupees are pocketed by the doctors
Corruption, kickbacks and the nexus between Hospitals and
pharmaceutical firms
High work load avoid doctors to counsel patients to the best of their ability
Half Knowledge Patients - With advent of Internet, patients browse the
internet and comes to doctors to test their skill and ability
Complete lack of regulation of the private medical sector
Usage of unsafe injections and medicines
12
13. Indian Health Care Sector- Current State of Affairs
Voices of Conscience from the Medical
Profession: Revealing testimonies by rational
doctors about the reality of private medical
practice in India http://www.sathicehat.org/
Published by SATHI (Support for Advocacy and
Training to Health Initiatives).
The sensitive “Trust Layer” between Doctor and
“Patient” communities has been consistently
tested in the past 15 years on the negative side.
13
15. Root Causes For This Disconnect…
The distorting influence of corporate and multi-specialty hospitals on “ethics”
of the medical profession
The growing grip of pharmaceutical companies on private medical practice
Government’s Successive health policies and resource allocation exercise has
allowed degeneration of public health infrastructure and actively
encouraging private sector
Frequent irrational procedures and unnecessary surgeries
More focus is given on “Following the set plan” over “responding to change”
More focus is given on “Fixed and non-cooperative attitude” over “Flexible,
accommodating and stakeholder collaboration”
More Focus is given to compliance with documentary admitting procedures
over talking to patients and counselling them
Success is measured on motivated Documented facts over healthy patient
15
19. Proposed model hospital “Trust Re-invented”
a non profit Hospital where “care”, “counselling” and “value” are our motto.
Service Mindset – Management
Rational and Ethical doctor community
Care Value Counseling
Government Policies
Regulated pharmaceutical Companies
Distorting influence of corporate and
multi-specialty hospitals
Growing grip of pharmaceutical companies
Monitory Aspects
19
20. Hospital “Trust Re-invented” Addresses Cost Factor through
Money Pooled up from Volunteers /Charitable volunteers/sources
Fee charges as per regulatory norms
Transparency on the balance sheet every quarter.
Pass on the profit gained (after keeping minimum reserve for future sustenance)
to the patients through decreasing fee rates for major diseases
Fall back support from government in-case of no/less reserve funds
21. Hospital “Trust Re-invented” – 5 Scrum teams
Development Team - Each team consists of 6 Doctors.
Scrum Master - “Hospital Customer Service Contact”
Area Product Owner –Senior Doctor who can mentor / help prioritize
Chief Product Owner – Resolve dependencies among Area Product Owners.
21
25. Scrum Implementation – Key Insights
Value Driven Planning using techniques
Value Stream Mapping
Patient Value Prioritization
Inspect & Adapt after every iteration
Information Radiators
Patient Recovery Burn Down
Value Points / Patient Satisfaction Index Delivered
25
26. Proposed Benefits
A thrust for India’s much needed national movement begins for “building
more number of rational and ethical doctors” for better health care
Restore the trust, communication between Doctor and Patient Community
Monitory factor removed from Patient and Doctor communities
Influence of corporate and multi-specialty hospitals nullified
Influence of Pharmaceutical companies nullified
India starts experiencing the art of pure “health care”
26
https://www.youtube.com/watch?v=Ez_xGaHdmYc
“Vaidyo Narayano Hari (Doctor is equivalent to God)” was the faith rested on Doctors by my elder generations when we had limited facilities and knowledge in olden days. I still enshrine my childhood memories where our villagers used to treat our village Doctor, Dr Sharma, with loads of respect and revere. Perhaps he was a living example for me where we all made to understand the meaning of “service to mankind was service to God”. To us, he was one of our elderly family members to the extent that his soothing words itself used to cure our diseases. He used to spend enough time with us (later I realized this as “absolute care”) with simple motto to serve us to the best of his ability. Money was never a factor between patients and Dr. Sarma. I saw this as common pattern with almost all our villages 30 years back.
https://www.youtube.com/watch?v=Ez_xGaHdmYc
“Vaidyo Narayano Hari (Doctor is equivalent to God)” was the faith rested on Doctors by my elder generations when we had limited facilities and knowledge in olden days. I still enshrine my childhood memories where our villagers used to treat our village Doctor, Dr Sharma, with loads of respect and revere. Perhaps he was a living example for me where we all made to understand the meaning of “service to mankind was service to God”. To us, he was one of our elderly family members to the extent that his soothing words itself used to cure our diseases. He used to spend enough time with us (later I realized this as “absolute care”) with simple motto to serve us to the best of his ability. Money was never a factor between patients and Dr. Sarma. I saw this as common pattern with almost all our villages 30 years back.