scholarly journals MAPPING A SYSTEMS APPROACH TO EXISTING HEALTHCARE DESIGN, DELIVERY AND IMPROVEMENT METHODS

2021 ◽  
Vol 1 ◽  
pp. 1997-2006
Author(s):  
Aslı Günay ◽  
James Ward ◽  
P John Clarkson
Keyword(s):  
Systems Approach ◽  
Holistic Approach ◽  
Healthcare Systems ◽  
Healthcare Design ◽  
Major Improvement ◽  
Healthcare It ◽  
Systems Approach Framework ◽  
Compare And Contrast

AbstractDesign, delivery and improvement processes in healthcare is of great challenge due to increasing pressures on healthcare systems alongside inherent complexities, resulting in limited benefits or unforeseen consequences. A recent Systems Approach framework has aimed at responding to the calls about implementing a more holistic approach. Though being an approach in its own right that can iteratively and systematically structure, guide, and/or facilitate design and improvement projects in healthcare, it can also augment existing approaches that have already place in healthcare designers' and improvement practitioners' agendas. Thus, the objective of this paper is to compare and contrast the questions, activities, and tools of the Systems Approach with processes of other major improvement approaches in healthcare to demonstrate their coverages, overlaps, and extended and new opportunities to pursue in the light of the Systems Approach.

scholarly journals A Review of Reductionist versus Systems Perspectives towards ‘Doing the Right Strategies Right’ for Circular Economy Implementation

Systems ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 38
Author(s):  
Raquel Balanay ◽  
Anthony Halog
Keyword(s):  
Circular Economy ◽  
Systems Approach ◽  
Holistic Approach ◽  
Comprehensive Analysis ◽  
Unintended Consequences ◽  
Review Reports ◽  
The Right ◽  
Business As Usual ◽  
Analytical Frameworks ◽  
Reductionist Approach

This systematic review examines the importance of a systems/holistic approach in analyzing and addressing the footprints/impacts of business-as-usual activities regarding the development of a circular economy (CE). Recent works on why current CE approaches have to be examined in terms of reductionist vs. systems perspectives are reviewed to tackle questions pertaining to the right or the wrong way of CE implementation. ‘Doing the right thing right’ is essential for sustainability—the ultimate goal of a CE, which must be viewed as a system to begin with. The limited reductionist approach overlooks and thus cannot prognosticate on the formidable unintended consequences that emerge from ‘doing the right things wrong’, consequences that become too costly to undo. The systems approach, being holistic, is complicated and difficult to pursue but open to exciting opportunities to integrate innovations in CE analysis and implementation. Complexity is an inherent downside of the systems approach. However, both approaches are complementary, as reductionist models can be combined to create a system of comprehensive analysis to correct the approach towards implementation of current CE initiatives. This review reports that advancements in systems analytical frameworks and tools are highly important for creating general guidelines on CE analysis and implementation.

scholarly journals Active residents in care homes: A holistic approach to promoting and encouraging meaningful activity for residents living in care homes: Innovative Practice

Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1942-1947 ◽  
Author(s):  
Raymond Smith ◽  
Julia Wood ◽  
Fiona Jones ◽  
Liezl Anderson ◽  
Michael Hurley
Keyword(s):  
Residential Care ◽  
Systems Approach ◽  
Care Home ◽  
Family Members ◽  
Occupational Therapists ◽  
Holistic Approach ◽  
Care Homes ◽  
Care Home Staff ◽  
Meaningful Activity ◽  
Whole Systems

The active residents in care homes intervention aim to promote meaningful activity among care home residents. Residents, family members and staff from three residential care homes in South London are participating. It is a whole systems approach which involves formal and ‘on the floor’ training to empower care home staff to facilitate activity. Training is delivered by two occupational therapists, a physiotherapist and a rehabilitation assistant. This paper describes the active residents in care homes intervention, the evaluation methods and discusses some preliminary findings.

Operationalizing the Science

2011 ◽  
pp. 1600-1622
Author(s):  
Joseph L. Kannry
Keyword(s):  
United States ◽  
Medical Informatics ◽  
21St Century ◽  
Medical Center ◽  
The United States ◽  
Clinical Informatics ◽  
Evidence Based ◽  
Medical Practices ◽  
Healthcare It ◽  
Compare And Contrast

Healthcare IT (HIT) has failed to live up to its promise in the United States. HIT solutions and decisions need to be evidence based and standardized. Interventional informatics is ideally positioned to provide evidence based and standardized solutions in the enterprise (aka, the medical center) which includes all or some combination of hospital(s), hospital based-practices, enterprise owned offsite medical practices, faculty practice and a medical school. For purposes of this chapter, interventional informatics is defined as applied medical or clinical informatics with an emphasis on an active interventional role in the enterprise. A department of interventional informatics, which integrates the science of informatics into daily operations, should become a standard part of any 21st century medical center in the United States. The objectives of this chapter are to: review and summarize the promise and challenge of IT in healthcare; define healthcare IT; review the legacy of IT in healthcare; compare and contrast IT in healthcare with that of other industries; become familiar with evidence based IT: Medical informatics; differentiate medical informatics from IT in healthcare; distinguish medical, clinical, and interventional informatics; justify the need for operational departments of interventional informatics.

Operationalizing the Science

2011 ◽  
pp. 219-239
Author(s):  
Joseph L. Kannry
Keyword(s):  
United States ◽  
Medical Informatics ◽  
21St Century ◽  
Medical Center ◽  
The United States ◽  
Clinical Informatics ◽  
Evidence Based ◽  
Medical Practices ◽  
Healthcare It ◽  
Compare And Contrast

Healthcare IT (HIT) has failed to live up to its promise in the United States. HIT solutions and decisions need to be evidence based and standardized. Interventional informatics is ideally positioned to provide evidence based and standardized solutions in the enterprise (aka, the medical center) which includes all or some combination of hospital(s), hospital based-practices, enterprise owned offsite medical practices, faculty practice and a medical school. For purposes of this chapter, interventional informatics is defined as applied medical or clinical informatics with an emphasis on an active interventional role in the enterprise. A department of interventional informatics, which integrates the science of informatics into daily operations, should become a standard part of any 21st century medical center in the United States. The objectives of this chapter are to: review and summarize the promise and challenge of IT in healthcare; define healthcare IT; review the legacy of IT in healthcare; compare and contrast IT in healthcare with that of other industries; become familiar with evidence based IT: Medical informatics; differentiate medical informatics from IT in healthcare; distinguish medical, clinical, and interventional informatics; justify the need for operational departments of interventional informatics.

scholarly journals A systems thinking approach to understanding the challenges of achieving the circular economy

2020 ◽  
Author(s):  
Eleni Iacovidou ◽  
John N. Hahladakis ◽  
Phil Purnell
Keyword(s):  
Systems Thinking ◽  
Value Chain ◽  
Circular Economy ◽  
Systems Approach ◽  
Transformational Change ◽  
Holistic Approach ◽  
Time Investment ◽  
Material Component ◽  
Systems Thinking Approach ◽  
The Way

AbstractCircular economy (CE) is extensively discussed around the globe. Presently, discussions are mostly concerned with the importance of achieving CE and the benefits associated therewith, with the various barriers surrounding its implementation being less debated. Understanding the context in which circularity can flourish is a prerequisite in building the capabilities to deal with the multi-faceted challenges that currently hamper progress in closing the material, component and product loops. In this study, we discuss the importance of systems thinking in understanding the way resource recovery systems operate, and in promoting deep transformational change. We suggest that transformational change needs to go beyond closing materials, components and products (MCPs) loops, and promote sustainability in the way resources are exploited, used and managed throughout the system. By adopting a system of systems approach, we postulate that there are five interconnected sub-systems that need to be considered for supporting transitions to CE, namely, resource flows and provisioning service; governance, regulatory framework and political landscape; business activities and the marker; infrastructure and innovation; and user practices. This holistic approach provides a useful means to cutting through systemic complexity, and focuses on the dynamics between processes, values and actors in the value chain, and their dependence on cultural, spatial and temporal characteristics. We conclude that a systems-based approach can build up the capabilities required to identify and understand persistent linear trends and, in turn, support forward-thinking and time investment in enabling sustainable transitions. This, in turn, can help to align priorities and transform our current practices, speeding up the process of closing the MCP loops in a sustainable manner.

The systems approach framework for collaborative, science-based management of complex systems

2019 ◽  
Vol 23 (5) ◽  
pp. 881-898 ◽  
Author(s):  
Josianne G. Støttrup ◽  
Grete E. Dinesen ◽  
Johanna Schumacher ◽  
Christina Gillgren ◽  
Miguel Inácio ◽  
...  
Keyword(s):  
Complex Systems ◽  
Systems Approach ◽  
Systems Approach Framework

scholarly journals Leveraging service design for healthcare transformation: toward people-centered, integrated, and technology-enabled healthcare systems

2020 ◽  
Vol 31 (5) ◽  
pp. 889-909 ◽  
Author(s):  
Lia Patrício ◽  
Daniela Sangiorgi ◽  
Dominik Mahr ◽  
Martina Čaić ◽  
Saleh Kalantari ◽  
...  
Keyword(s):  
Design Research ◽  
Systems Approach ◽  
Service Design ◽  
Healthcare Systems ◽  
Service Systems ◽  
Design Approach ◽  
Content Type ◽  
Centered Care ◽  
Conceptual Study ◽  
Healthcare Transformation

PurposeThis paper explores how service design can contribute to the evolution of health service systems, moving them toward people-centered, integrated and technology-enabled care; the paper develops a research agenda to leverage service design research for healthcare transformation.Design/methodology/approachThis conceptual study starts by analyzing healthcare challenges in terms of demographic trends and economic constraints, along with the problems of lack of people-centricity, dispersion of care and slowness in incorporating emerging technologies. Then, it examines the theoretical underpinnings of service design to develop a framework for exploring how a human-centered, transformative and service systems approach can contribute to addressing healthcare challenges, with illustrative cases of service design research in healthcare being given.FindingsThe proposed framework explores how a human-centered service design approach can leverage the potential of technology and advance healthcare systems toward people-centered care; how a transformative service design approach can go beyond explanatory research of healthcare phenomena to develop innovative solutions for healthcare change and wellbeing; and how a service systems perspective can address the complexity of healthcare systems, hence moving toward integrated care.Originality/valueThis paper systematizes and develops a framework for how service design can contribute to healthcare transformation. It identifies key healthcare application areas for future service design research and pathways for advancing service design in healthcare by using new interdisciplinary bridges, methodological developments and theoretical foundations.

Developing a Clinical Leadership Pipeline

2018 ◽  
pp. 164-182
Author(s):  
Valerie A. Storey ◽  
Thomas E. Beeman ◽  
Karen Flaherty-Oxler
Keyword(s):  
Systems Approach ◽  
Chief Executive ◽  
Cost Effective ◽  
Healthcare Systems ◽  
Solid Base ◽  
Healthcare Leadership ◽  
Clinical Leadership ◽  
Leadership Pipeline ◽  
Systems Leadership

Healthcare systems are embarking on efforts to improve organizational leadership as a lever to promote organizational efficiency. Such efforts have a solid base of research attesting to their effectiveness, and some view them as particularly cost effective. This chapter fills an important gap in the literature on healthcare systems leadership by presenting (1) a rationale and approach from the perspective of a healthcare systems chief executive officer for understanding the strategic planning, resources, and expenditures associated with efforts to prepare, hire, evaluate, develop, and support clinical leaders; (2) a theoretical foundation and framework for a systems approach to an organizational healthcare leadership pipeline; and (3) a sample case study describing the observed outcomes of a strategically developed leadership pipeline. The case study highlights the resources required to put in place and operate clinical leadership pipelines—pipelines for preparing, hiring, supporting, and managing clinical leaders—based on one large healthcare system.

Nursing Perspectives on Person- and People-Centered Integrated Care for All

2015 ◽  
Vol 4 (3) ◽  
pp. 163-166
Author(s):  
Yukiko Kusano
Keyword(s):  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Code Of Ethics ◽  
Healthcare Systems ◽  
Healthcare Design ◽  
International Council ◽  
Active Involvement ◽  
Care Recipients ◽  
Service Delivery Systems ◽  
Centered Care

 Person-centeredness resides at the heart of nursing and nurses also place people at the centre of their activities to achieve a healthier society. The commitment of the International Council of Nurses (ICN) to deliver person- and people-centered care is evident in the ICN Code of Ethics for Nurses [1], ICN policy papers and is translated into various guidelines, programmes and research.  Person- and people-centered healthcare requires not only commitment of individual nurses and other healthcare workers but also changes in healthcare systems including service delivery systems and other structures. It is necessary to take a whole government approach where person- and people-centered healthcare is considered by all ministries including non-health sectors. Active involvement of care recipients, nurses and other healthcare professionals in healthcare design and decision making is essential to achieve person- and people-centered healthcare. 

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