World hospitals and health services : the official journal of the International Hospital Federation最新文献

This article describes the activities of MAA Medicare Charitable Foundation, which provides support for two charitable arms - the MAA Medicare I(idney Charity Fund and the MAA Medicare Heart Charity Fund. Author describe how such charitable organizations can play a vital role in supporting the care of patients with kidney disease in cases where such care is not available through the public programs offered by the government. Public employees and government retirees who need dialysis can receive care from private dialysis centers, through government subsidies. But many low income patients who cannot afford the high price of dialysis would be deprived of care without the MAA Medicare and other non-profit programs for dialysis. The article highlights how a public private partnership between NGOs that finance such a program, can play an imprint role in strengthening the health system and accessing effective and affordable care in a setting where such care would not otherwise be available to vulnerable segments of the population.

Consumers in today's healthcare economy are more invested in their healthcare decisions. Experiences from innovators in other industries - such as clear payment communication and convenient, digital payment options - set expectations for the healthcare payment experience. However, healthcare payments have been slow to change, despite this evolution in the consumer's role, and continue to rely on disjointed, paper-based processes that leave consumers confused and frustrated. As a result, many consumers are demanding changes to the healthcare payments experience.

Seniors and other hospital patients in the United States have traditionally had the option of being discharged to a skilled nursing facility (convalescent home) for post-acute services, or home with nursing and therapy services provided in the home setting. Traditionally, these home based services have been referred to as "home health." As more Americans have retired, home health services have expanded and are readily accessible. This growth put tremendous stress on the Medicare fund which pays for senior care services. However, "Home Care," which traditionally has been viewed as non-medical home based services, has also become a booming industry for the cost conscious in recent years as more Americans reach retirement age. With the passing of the Affordable Care Act in 2010, providers and payers are now finding themselves responsible for post-acute care and continuous patient health, so cost efficient solutions for post-acute care are thriving. For the first time in history, American hospitals and Insurers are recognizing Home Care as an effective model that achieves the Triple Aim of Health Care reform. Home Care, which is no longer completely non-medical services, has proven to be an integral part of the care continuum for seniors in recent years and is now becoming a viable solution for keeping patients well, while still honoring their desire to age and heal at home. This paper analyzes the benefits and risks of home care and provides a clear understanding as to why American hospitals are emphasizing SNF Avoidance and skipping home health, opting instead to refer patients directly to home care as the preferred discharge solution in a value based model.

In this article, we describe our project to initiate an online learning course, using real-world scenarios to help nurses enhance their communication skills with patients so as to improve the patient experience. The philosophy behind our project is 'a complaint is a gift'. We discuss how patient's complaints are incorporated into our curriculum and the use of HEART language to provide patients a better hospital experience. The 'HEART' acronym refers to five attributes which we believe all nurses should embody: Be HUMBLE, be EMPATHETIC, use APPEALING statements, be RESPONSIBLE and TELL the facts when interacting with patients. The communication modules are hosted online as an alternative to classroom teaching, as this offers increased learning flexibility.

From June 27th to July 1st 2016, the International Hospital Federation (IHF) and Health Investment & Financing hosted a Hospital Executive Study Tour in New York City, NY, USA. The objective of the Hospital Executive Study Tour was to enable participant to learn how the US hospital sector addresses some of the key challenges and solutions in transforming the way hospital care is delivered in the 21st Century. The New York Study Tour was part of a series of premier events offered by the IHF. This Study Tour was a collaborative effort among regional members and partner organizations in hosting various events to allow an exchange of ideas, knowledge, experiences and best practices in the delivery of healthcare services, and in the leadership and management of their organizations.

"PWH easyGo" is a mobile smartphone application (app) designed to help patients and visitors to look for different departments and facilities on the hospital premises. Posters with QR code are displayed at various hospital entrances. Users with the app installed can scan the QR codes printed on posters on site or manually select their current locations and destinations in the app, and the system will display the relevant routes with photos. It is the first such app developed by the Hong Kong Hospital Authority and is available for download at Apple store (iOS version) and Play Store (Android version).

As of 2015, it was estimated that 400 million people lacked access to essential health services The Universal Health Coverage (UHC). Initiative aims to address this issue by delivering quality health service to people around the world whilst minimizing costs. Access to affordable medical technology is a cornerstone to this initiative. Consequently, the World Health Organisation (WHO) has developed the 'Compendium of Innovative Technologies for Low-Resource Settings' in order to highlight 127 innovations that could help to address these health issues. In low resource settings, the lack of reliable infrastructure can limit the success of medical devices, but it is clear that technology developed specifically for these settings, could have a more sustained impact. The 'Feasibility Tool' was designed by the WHOR to quantitatively analyse whether a medical device could be successfully implemented in a particular setting. The WHO has taken steps towards establishing criteria to encourage medical device innovation for appropriate and affordable technologies and local production of basic products, when feasible, in low resource settings. It is evident that encouraging this paradigms shift in our perception of medical technology development and manufacture will benefit healthcare systems around the world.

This study investigated critical drivers in implementing quality health care strategies in the national referral hospitals in Kenya. The health service delivery system in Kenya is organized across six levels of care with the national referrals hospitals at the apex. The population of this study comprised two national referral hospitals in Kenya, namely Kenyatta National Hospital and Moi Teaching and Referral Hospital. Qualitative data analysis was done using one-tailed test to establish regression co-efficient at 95% confidence interval and qualitative data was subjected to content analysis. Application of descriptive statistics involving mean within a Likert scale was used. The critical drivers in the implementation of quality healthcare strategies included strategic plan, service delivery charter, vision admission. Other implementation drivers were effective quality improvement teams, staff commitment, availability of human and physical resources, and specific programmatic interventions at the functional units. This implies that a holistic approach focusing on standards, resources and people is required to ensure positive results at all levels in the hospitals' service delivery systems.

Northern Pakistan remains very challenging terrain due to harsh weather all year round presenting an infrastructura, human resource and supply chain challenge of its own. Many times the facility had to move to different locations on emergency and ad hoc basis due to landslides, earthquakes affecting continuity of care. Providing quality healthcare to often resource constraint hard-to-reach areas has always been AKHS,P's unique forte. Breaking barriers for catchment population to access quality healthcare, AKHS,P embarked on an initiative of implementing, achieving and sustaining ISO 9001:2008 Quality Management System international standards certification. This article shares the unique experience of AKHS,P in achieving and sustaining ISO 9001:2008 International Quality Management System Certification. After untiring efforts and the hard work of ground staff; AKHS,P achieved ISO 9001:2008 International Quality Management System Certification as well as 1st Surveillance Audit which itself proved that AKHS,P sustained quality systems and ensured continuous quality improvement in the Mountains of Northern Pakistan.