International Journal of Healthcare Delivery Reform Initiatives最新文献

{"title":"A Promising Health Care Reform in Greece: The Emphasis is on Hospitals","authors":"Zoe Boutsioli","doi":"10.4018/JHDRI.2011040102","DOIUrl":"https://doi.org/10.4018/JHDRI.2011040102","url":null,"abstract":"The Greek Ministry of Health has decided to reform hospital services, due to high cost and low services offered and a part of health care expenditures is wasted. The Minister of Health, Mr. Andreas Loverdos has enacted a law for the Greek health care system which include 3 major health reforms: the co-management of hospital units, taking either the type of ‘shared Manager’ or ‘shared Board of Directors,’ the transformation of some general hospitals/health centers or specialized hospitals that present low effective/efficiency rates into either primary health care units or day clinics for specific health care problems, and the merging of similar departments/clinics and/or laboratories either in a hospital or among two or more hospitals that are in the neighborhood. From these reforms, it is estimated that more than 150 million Euro will be saved from these reforms during the 4-year period 2012-2015. DOI: 10.4018/jhdri.2011040102 24 International Journal of Healthcare Delivery Reform Initiatives, 3(2), 23-27, April-June 2011 Copyright © 2011, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. This paper presents the major health care reforms, emphasizing on hospital sector. The context of the law was based on scientific proposals of Professor of Health Economics at the University of Athens, Dr. Lykourgos Liaropoulos. The assessment of hospital units was based on different data sources, such as data collected from the MoH (2010), National Statistics Service (last years), ESY.net (2011), YPEs, Universities etc. The present study has 4 sections, including this introduction. Section 2 provides the existing situation in terms of hospitals units. Section 3 describes in details the main changes for hospital services. Section 4 concludes this paper. 2. THE EXISTING SITUATION Nowadays, the Greek National Health System (NHS) has 131 hospitals which all are Legal Entities of Public Law (NPDD). Additionally, it includes 2 hospitals that operate as Legal Entities of Private Law (NPID). Up until recently, the 5 hospitals of IKA (Health Insurance Fund of Private Employees) were added in the Greek NHS. They are all superintended by the 7 Health Administrative Bodies (YPEs). Based on hospitals’ Organizations, the total number of hospital beds amounts to 46,000 beds, from which about 35,000 are developed. In 2010, the occupancy rate is approximately estimated to 70% and the average length of stay (ALOS) is almost 4 days. In 131 public hospitals there are about 2,000 medical departments and units. On average, each department/unit has 17-18 beds, which is significantly lower than the projected number of 25 beds per department/unit. However, there are noticed important differences among YPEs. For example, in 1st YPE, including the city of Athens and in 4th YPE, including the city of Thessaloniki the average number of beds per department/unit is more than 20 beds, while in the rest YPEs the same number","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121635057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Risk-Based Classification of Mobile Applications in Healthcare","authors":"Joshua Feiser, V. Raghavan, Teuta Cata","doi":"10.4018/JHDRI.2011040103","DOIUrl":"https://doi.org/10.4018/JHDRI.2011040103","url":null,"abstract":"Mobile devices and applications are becoming popular in today’s society. The number of applications available to both the patient and the healthcare provider is changing the way healthcare is being delivered and consumed. The integration of mobile devices into every-day lives is driving the changes in healthcare. While all areas of medicine are being impacted, changes are mostly of chronic care, long term care and any place that causes a need for constant data, monitoring or training. The acceptance of mobile devices by healthcare consumers within wide range of age and socioeconomic circumstances is reason to look at mobile technology as the future of healthcare. While increased use of mobile applications are welcomed by most providers and consumers alike, there is a need to systematize the study of its use. The authors provide a framework for considering mobile applications in healthcare, based on their risk-profile. They accomplish this by first identifying and classifying the mobile healthcare applications. DOI: 10.4018/jhdri.2011040103 International Journal of Healthcare Delivery Reform Initiatives, 3(2), 28-39, April-June 2011 29 Copyright © 2011, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. and better applications among competing hardware companies is just heating up. No longer is the hardware assessed by customers for the look, design or plan, but rather by the number of applications that are available. Healthcare is no different in terms of the need for newer and better applications. However it appears that healthcare applications have only skimmed the surface in terms of potential possibilities for the future. Healthcare may be the area that experiences the most growth in coming years as a result of the current economic conditions and the price of healthcare. This paper will first enumerate some medical uses of mobile technology and also discuss demographics of people using mobile healthcare applications to change the way that healthcare is delivered to many patients. A major benefit to mobile apps is that they can strengthen the ties between patients and healthcare providers to extend treatment more thoroughly into their daily lives (Dunham, 2011). This integration into the lives of patients is the way in which mobile apps will redefine healthcare, as we know it. The capabilities of mobile devices and the versatility of the software applications (apps) as well as their popularity as a communication and information method will only continue to grow (Dunham, 2011). Some of the areas that these apps are growing are in the area of learning (i.e., junior doctors), diagnosis, long term care, psychological apps and disease management apps such as speech language, diabetes and smoking cessation.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125099563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CRM Index Development and Validation in Indian Hospitals","authors":"Arun Kumar Agariya, Deepali Singh","doi":"10.4018/JHDRI.2011040101","DOIUrl":"https://doi.org/10.4018/JHDRI.2011040101","url":null,"abstract":"This paper aims to develop a reliable and valid CRM (Customer relationship management) Index specifically catering to Indian hospitals. Standard method of scale development was followed by case based method for development of CRM Index. The proposed scale shows CRM in Indian hospitals as a multidimensional construct comprising of factors namely tangibles, service quality, trust, availability and accessibility which is validated through the structural model. The proposed Index will help in identifying issues that contribute to CRM in Indian hospitals and formulate strategies accordingly, resulting in efficient (cost) and effective (outcomes) practices. A fair amount of literature on Indian hospitals dealt with identifying factors explaining the constructs of quality, value or satisfaction. There is paucity of research pertaining to industry specific CRM Index development and validation and the authors attempt to bridge this gap in the existing literature. DOI: 10.4018/jhdri.2011040101 2 International Journal of Healthcare Delivery Reform Initiatives, 3(2), 1-22, April-June 2011 Copyright © 2011, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. The expenditure of government of India on this sector is around 0.9% of GDP (Gross Domestic Product) according to a report (“Accreditation results in high quality,” 2009). According to the survey the per capita health expenditure is just around 80$ in India which is quite less comparable to USA (6,714$) and China (230$) (Jadhav, 2008). The private hospitals are found to be the main source for healthcare in India taking care of 63% of rural and 70% of urban people according to the report of National Family Health Survey (International Institute for Population Sciences, 2005). A recent study (Sahay, 2008) stated that although Indian private hospitals are providing quite a high standard medical care, a lot to be desired from customer service point of view. Moreover, negative word of mouth can cost hospitals $6,000-$400,000 in lost revenues over one patient’s lifetime (Stasser et al., 1995). The penetration of health insurance in India is only marginal with a figure of 5% of the population whose at least single member of the family is covered by the insurance whereas majority of the medical expenses (approx. 80%) are borne by the people as per the report of National Family Health Survey (International Institute for Population Sciences, 2005). This clearly indicates that majority of the Indian population have to rely on the public hospitals because of the cost factor. The Indian government launched the National Rural Health Mission (NRHM) in 2005 with a major goal to provide quality healthcare for all and to increase the expenditure on healthcare from the existing level of 0.9% of GDP to 2-3% of GDP by 2012. By looking the fact it is quite surprising that the major chunk of the health budget only caters to the top 40% of the population all ac","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128953148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Biometrics Devices for Improving Automation in Hospital Management System: A Case Study in Semi-Urban India","authors":"S. Mohapatra","doi":"10.4018/JHDRI.2011040104","DOIUrl":"https://doi.org/10.4018/JHDRI.2011040104","url":null,"abstract":"This study discusses the best practices of a hospital in a semi-urban area in India and how the hospital management system has gained extended use through the usage of bio metrics device. Using the information system, all the stakeholders have benefitted and the monetary benefits have justified IT investment. Integration of information systems with patient care activities has reduced the patient care cost, making it a sustainable investment, making this a benefit to all hospitals. DOI: 10.4018/jhdri.2011040104 International Journal of Healthcare Delivery Reform Initiatives, 3(2), 40-48, April-June 2011 41 Copyright © 2011, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. is providing services to the richest. It will also be useful to understand critical success factors involved in this change management process. Different factors such as organization structure, technology infrastructure and implementation approach influence the success of the automation (Nolan, 1992; Galliers & Sutherland, 1991; Lubitz & Wickramasinghe, 2006). Parallel to the entry of private players, systematic and rational changes at the policy level like: 1. The reduction in customs and excise duties on various items has proved to be of great help to the sector resulting in the formation of the healthy competition. 2. Permissible depreciation rates for medical equipment under the Income Tax Law have been increased to enhance cash flows of the corporate hospitals in the private sector. 3. Lower interest on lending for private sector hospitals exceeding 100 beds will improve access to low cost funding for hospitals. 4. But the biggest leap has been the community-based universal health insurance scheme for the poor whereby a cover of Rs 30,000 is available for as low as Rs 2 per day with the Government contributing Rs 100 per annum for families below the poverty line. The entry of big pharmaceutical companies and the increasing research going in the field of drugs and medicine have also proved to be major support pillars of this sector. These companies have made tremendous impact on quality of services provided to the customers as well as reduction in cost giving value for money. This has been made possible by using technology. The introduction of technology has also shown a remarkable change in the performance of the health care sector in the rural scenario. According to Lubick et al. (2009), the use of Information Technology in health care has tremendous promise in improving efficiency, cost effectiveness, quality, and safety of medical delivery. However, Kaplan (2009) puts a very detailed argument about the complexity involved in integrating IT systems as well as the success and failure risks involved in implementing the IT In health care. This Case study will deal with the present MIS structure of CARE group of hospitals.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127476653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management and Challenges Facing Wireless Sensor Networks in Telemedicine Applications","authors":"I. E. Emary","doi":"10.4018/978-1-61520-805-0.CH009","DOIUrl":"https://doi.org/10.4018/978-1-61520-805-0.CH009","url":null,"abstract":"This chapter focuses on the management process of the wireless sensor networks in telemedicine applications. The main management tasks that are reported and addressed covers: topology management, privacy and security issues in WSN management, topology management algorithms, and route management schemes. Also, failure detection in WSN and fault management application using MANNA was presented and discussed. The major challenges and design issues facing WSN management was touched in a separate section. Typical telemedicine interactions involve both store-and-forward and live interaction. Both the traditional live and store-and-forward telemedicine systems provide an extension of healthcare services using fixed telecommunications networks (i.e. non-mobile). Various telemedicine solutions have been proposed and implemented since its initial use some 30 years ago in the fixed network environment using wired telecommunications networks (e.g. digital subscriber line). Technological advancements in wireless communications systems, namely wireless personal area networks (WPANs), wireless local area networks (WLANs), WiMAX broadband access, and cellular systems (2.5G, 3G and beyond 3G) now have the potential to significantly enhance telemedicine services by creating a flexible and heterogeneous network within an end-to-end telemedicine framework. In the future, integrating wireless solutions into healthcare delivery may well come to be a requirement, not just a differentiator, for accurate and efficient healthcare delivery. However, this raises some very significant challenges in terms of interoperability, performance and the security of such systems. ‘store-and-forward’ telemedicine [H S Ng 2006]. Live telemedicine requires the presence of both parties at the same time using audiovisual communications over high-bandwidth and low-latency connections. Almost all specialties of healthcare are able to make use of this kind of consultation, including psychiatric, medical, rehabilitation, cardiology, pediatrics, obstetrics, gynecology and neurology, and there are many peripheral devices which can be attached to computers as aids to an interactive examination. DOI: 10.4018/978-1-61520-805-0.ch009 40 International Journal of Healthcare Delivery Reform Initiatives, 2(4) 39-65, October-December 2010 Copyright © 2010, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. Store-and-forward telemedicine involves the acquisition of data, images and/or video content and transmission of this material to a medical specialist at a convenient time for assessment off line. Many medical specialties rely a great deal on images for assessment, diagnosis and management, and radiology, psychiatry, cardiology, ophthalmology, otolaryngology, dermatology and pathology are some of major services that can successfully make extensive use of the store-and-forward approach [H S Ng 2006]. The advances in the growth of medi","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122008548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Linkages between Quality, E-Health and Healthcare Education","authors":"C. Pate, Joyce E. Turner-Ferrier","doi":"10.4018/978-1-61692-843-8.CH013","DOIUrl":"https://doi.org/10.4018/978-1-61692-843-8.CH013","url":null,"abstract":"Changes in healthcare delivery have become so widespread and frequent that the idea of change in healthcare has become one of anticipation and expectation rather than interruption and surprise. Consumers, providers, organizations and societies have seen changes in the definitions of vital concepts related to healthcare delivery, like health and quality, which have in turn altered the methods by which healthcare organizations and communities align and create the structures and processes necessary to provide healthcare services to supported populations. In addition to changing definitions, the healthcare sector remains influenced by changing expectations and interests of the numerous and diverse set of stakeholders found within the healthcare sector. The concept of e-health is one of the more recent concepts to emerge in the healthcare sector and, like many other aspects of healthcare delivery, is a concept that clearly embodies a combination of ideas and theoretical approaches. Eysenbach defines the concept as: ABSTRACT","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128491333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Approach to Participative Personal Health Record System Development","authors":"Vasso Koufi, F. Malamateniou, G. Vassilacopoulos","doi":"10.4018/978-1-60960-469-1.CH006","DOIUrl":"https://doi.org/10.4018/978-1-60960-469-1.CH006","url":null,"abstract":"Healthcare delivery is undergoing radical change in an attempt to meet increasing demands in the face of rising costs. Among the most intriguing concepts in this effort is shifting the focus of care management to patients by means of Personal Health Record (PHR) systems which can integrate care delivery across the continuum of services and also coordinate care across all settings. However, a number of organizational and behavioral issues can delay PHR adoption. This chapter presents a general approach to breaking down barriers that exist at the level of individual healthcare professionals and consumers. According to this approach, user participation in PHR system development is considered essential for achieving systems implementation success. Realizing a participative PHR system development, where users are full members of the development team, requires not only choosing an appropriate methodology but also organizing the participation process in a way that is tailored to the particular situation in order to achieve the desired results. status when this is mostly needed (e.g. in case of an emergency). Recently there has been a remarkable upsurge in activity surrounding the adoption of Personal Health Record (PHR) systems for patients (Tang, Ash, Bates, Overhage and Sands, 2006). A PHR is a consumer-centric approach to making comprehensive electronic health records (EHRs) available at the point of care while protecting patient privacy (Lauer, 2009). Unlike traditional EHRs which are based on the ‘fetch and show’ model, PHRs’ architectures are based on the fundamental assumptions that the complete records are held on a central repository and that each patient retains authority over DOI: 10.4018/978-1-60960-469-1.ch006 2 International Journal of Healthcare Delivery Reform Initiatives, 2(4) 1-16, October-December 2010 Copyright © 2010, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. access to any portion of his/her record (Lauer, 2009; Wiljer, Urowitz, Apatu, DeLenardo, Eysenbach, Harth, Pai, Leonard, 2008). In essence, a PHR is a health record bank account which operates much like a checking account (Yasnoff, 2008). Instead of depositing money, healthcare providers deposit copies of the patients’ new records after each care episode (which they must do at the patient’s request under the Health Insurance Portability & Accountability Act, or HIPAA) (Yasnoff, 2008). Thus, an entire class of interoperability is eliminated since the system of storing and retrieving essential patient data is no longer fragmented. Hence, quality and safety of patient care is enhanced by providing patients and health professionals with relevant and timely information while ensuring protection and confidentiality of personal data. Providing patients with access to their electronic health records offers great promise to improve patient health and satisfaction with their care, as well as to improve profess","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115292786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two Case Studies in Human Factors in Healthcare: The Nurse and Older Patient","authors":"R. Pak, Nicole Fink, Margaux M. Price, Dina Battisto","doi":"10.4018/978-1-60960-177-5.CH012","DOIUrl":"https://doi.org/10.4018/978-1-60960-177-5.CH012","url":null,"abstract":"The delivery and consumption of health care services and information is in rapid change due to the introduction of technology, socio-political considerations (in the United States), and the change in population demographics (i.e., the “baby boom generation”). This chapter discusses some of these trends and their implications for two specific stakeholders in the health care system: the nurse and the older patient. In two case studies the authors report on the application of human factors methods to better understand the role of the built-environment on nursing work and the role of technology acceptance issues in older adult usage of electronic personal health records. The authors hope to show that while the challenges are great, the application of human factors methods can help increase performance, safety, and satisfaction for both nurse and older patient. well as improving safety for both patients and caregivers. Since 2008, costs associated with adverse events such as falls or medical errors can no longer be paid by secondary payers. If an adverse event occurs in a hospital, the hospital is financially responsible. This has caused healthcare systems to review healthcare delivery processes in an effort to reduce errors, improve quality, maximize efficiency, and effectiveness all while reducing costs. Hospital personnel expenses make up more than fifty percent of a hospitals operating budget according to the American Hospital Association (American Hospital Directory, 2009). To reduce costs, it is imperative for hospitals to streamline common procedures and processes so that existing staff can optimize their clinical tasks DOI: 10.4018/978-1-60960-177-5.ch012 18 International Journal of Healthcare Delivery Reform Initiatives, 2(4) 17-38, October-December 2010 Copyright © 2010, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. involving care delivery. Optimizing healthcare processes requires fundamental changes in the way that stakeholders carry out their tasks, and human factors can assist through conducting tasks analyses of key nursing tasks The purpose of this chapter is to discuss two very different stakeholders. First, nurses are directly and indirectly affected by the healthcare environment and clinical tasks that support care delivery. Nurses report among the highest levels of job dissatisfaction and burnout of any occupation (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). This may be partly due to the demands of the job and task design. One consequence of overburdened nurses is that patients may start to be more self-sufficient in health matters because of possible reduced time with the provider. Every visit may soon require patients to be even more informed than usual (e.g., looking up health conditions, increased awareness of their own health information). This has a direct impact on the older adult patient, the second stakeholder discussed in this chapter, who is","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115608457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Use for Real Time Locating Systems: Discrete Event Simulation Validation in Medical Systems","authors":"T. Eugene Day, Anchit Mehrotra, Nathan Ravi","doi":"10.4018/JHDRI.2010070102","DOIUrl":"https://doi.org/10.4018/JHDRI.2010070102","url":null,"abstract":"","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114685368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of Business and Healthcare Delivery Processes: Case Study on Quality and Clinical Effectiveness of Performance Measurement in Polish Healthcare","authors":"Anna Rosiek","doi":"10.4018/JHDRI.2010070103","DOIUrl":"https://doi.org/10.4018/JHDRI.2010070103","url":null,"abstract":"Demand for performance improvement drives many healthcare organizations to learn as much as possible about continuous quality improvement. This case study examines the implementation of new ideas in Polish Healthcare systems, such as problem solving procedures, data collection, provision of patients satisfaction reports, employee satisfaction surveys, and management of various processes, with the use of clinical algorithms. The author examines monitoring and improvement of healthcare quality, emphasizing problem identification, development of standards, data collection, data analyses and evaluation, implementation of quality improvement in public healthcare with cost saving, and at the same time, improve the quality of patient care. Traditional forums for measuring performance have two aspects: i) Organization and ii) Patient. Organizations must measure three aspects: balance score, value-based cost management and Baldrige criteria, which lead to improvement of organizational performance and, in consequence, delivery of constantly improving value for patients—the anticipated outcome for improved healthcare quality. The method used in this article is intertwined with balance score and value based cost management in public healthcare within Poland. organizations to learn as much as possible about continuous quality improvement. They began implementing new ideas such as: problem solving procedures, data collection, providing patients with satisfying results of their treatment, employee satisfaction surveys, and management of various processes with the use of clinical algorithms. The need to measure performance in healthcare is greater than in any other public sector. The lack of high standards in healthcare DOI: 10.4018/jhdri.2010070103 International Journal of Healthcare Delivery Reform Initiatives, 2(3), 20-28, July-September 2010 21 Copyright © 2010, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. affects nearly every citizen therefore public investment in healthcare must be substantial. In the last decade Polish government started to implement reforms to improve quality of medical procedures in public healthcare. The government introduced a system, in which a certain number of points are allocated to a hospital, depending on time of patient’s hospitalization. The number of points is also dependent on whether the medical procedure, that was performed, was a traditional one, referred to as MIOM (minimal invasive operation method). Many public hospitals which do not provide highly specified procedures were degraded to a second-level healthcare institutions. That was the beginning of improvement of overall organizational performance of hospitals and their capabilities as healthcare providers. 2. LITeraTure revIew Performance measurement is one of the most important current topics discussed in healthcare institutions. Evaluation of quality improvement in healthcare (Ovretveit & ","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133710333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}