Development of a best-practice model at a university hospital to increase efficiency in the management of patients with community-acquired pneumonia

2000 ◽  
Vol 57 (suppl_3) ◽  
pp. S6-S9 ◽  
Author(s):  
Mary Lea Gora-Harper ◽  
Robert P. Rapp ◽  
John P. Finney
Keyword(s):  
Best Practice ◽  
Community Acquired Pneumonia ◽  
University Hospital ◽  
Practice Model ◽  
Increase Efficiency

Abstract T P259: What Should Really be Happening to Our Stroke Patients Post-Acute Care?: A System Best Practice Model for Inpatient Rehab

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Shelley Sharp ◽  
Elizabeth Linkewich ◽  
Jacqueline Willems ◽  
Nicola Tahair ◽  
Charissa Levy ◽  
...  
Keyword(s):  
Acute Care ◽  
Stroke Unit ◽  
Best Practice ◽  
Patient Flow ◽  
System Capacity ◽  
Stroke Patients ◽  
Practice Model ◽  
Term Care ◽  
Stroke Unit Care ◽  
The Right

Background: A regional Stroke Report Card identified poor performance on system efficiency, effectiveness, and integration of stroke best practice. This engaged regional funders and 17 organizations (11 acute, 6 rehab) to collaborate in stroke system planning. The focus included stroke unit care and access to timely and appropriate rehabilitation, including increased access for severe stroke. Changes in acute care, including pre-hospital, have facilitated access to stroke unit care in the city. A model of patient flow from acute care was needed to understand other system capacity needs. Purpose: To use best practice and benchmarks to delineate post-acute patient flow and facilitate alignment of resources for inpatient rehabilitation. Methods: Administrative data from national reporting and local rehab referral system databases were used to review current system usage from acute care. A model of proportional distribution of cases from acute, specifically to inpatient rehab, was established using provincial benchmarks, evidence informed targets, and organization market share of total inpatient rehab system capacity. Iterative discussions were required to confirm the organizations’ commitment to stroke best practice. New volume and case mix changes were applied to determine capacity and resource planning needs across organizations. Results: The best practice model, approved by all stakeholders, proposes 40% of stroke patients discharged alive from acute care should access inpatient, 13% outpatient rehabilitation and 6% to Complex Continuing Care and Long Term Care. Current practice is 26%, <5% and 13% respectively. A projected volume increase of 278 patients is distributed across 5/6 rehab providers. This results in a total proportional system shift from 20% (n=160) to 41.5% (n =446) of severe patients receiving access to high intensity rehab. A reduction in the overall proportion of moderate and mild stroke patients from 65% (519) to 49.5% (n=534) and 15% (n=119) to 9% (n=96) respectively. Conclusion: Significant investment/redistribution of resources within the system is required to support patient flow and provide care in the right place at the right time. System funder support is critical to create a quality of care (best practice) system.

scholarly journals A Conceptual Paper on The Best Financial Management Model That Has Become The Practice of the Malay in Klang Valley

2019 ◽  
Vol 5 (2) ◽  
pp. 15
Author(s):  
Leylawati Joremi
Keyword(s):  
Financial Management ◽  
Best Practice ◽  
Practice Model ◽  
The Public ◽  
Body Of Knowledge ◽  
Quantitative Studies ◽  
Family Finances ◽  
Klang Valley ◽  
Conceptual Paper ◽  
The Government

This conceptual paper is presented with the intention to study the best practice model of financial management, which has become the practice of the Malay in Klang Valley.  It begins by reviewing the literature on household financial management and the behavior of households against finances and debt.  The theory of utility and the life-cycle hypothesis were used as the basis of the study.  This study is inspired by the concerns of the government and the public on the growing bankruptcy issue in Malaysia.  Many previous quantitative studies discussed the flaws in money management.  This study, however, slightly different.  Using a qualitative method, it intends to look at the best practices implemented by the household in managing family finances.  The findings can add value to today's body of knowledge.  Identified themes can be used to design financial modules which are more compatible to be used by all levels of society.

scholarly journals Radiographic aspects of acute community-acquired bacterial pneumonia and pulmonary tuberculosis in children

2021 ◽  
Author(s):  
Rivo Lova Herilanto Rakotomalala ◽  
Harimino Mireille Rakotondravelo ◽  
Andrianina Harivelo Ranivoson ◽  
Annick Lalaina Robinson
Keyword(s):  
Community Acquired Pneumonia ◽  
University Hospital ◽  
Radiographic Images ◽  
X Ray ◽  
Male Predominance ◽  
Mother And Child ◽  
Chest X Ray ◽  
The Right ◽  
The University ◽  
Tuberculosis In Children

Background: The etiological diagnosis of pneumonia is often difficult because of the impossibility of microbiological confirmation most of the time. Therefore, chest X-ray is still essential for a positive diagnosis and etiological orientation. The main objective of our study was to describe the radiographic aspects of acute community-acquired pneumonia and tubercular pneumonia in children.Methods: This was a descriptive retrospective study conducted at the university hospital mother and child of Tsaralalana from January 1st to July 31st, 2017.Results: Sixty-nine cases of pneumonia were included, including 13 cases of TB pneumonia and 46 cases of acute community-acquired pneumonia. The average age was 36.68 months with a male predominance. Clinically, respiratory functional signs predominated in both cases. Alteration in general condition was mainly observed in tubercular pneumonia (26.08%). Alveolar syndromes were present in 43.47% of TB pneumonias and 36.94% of acute community-acquired pneumonia. With regard to the radiographic images, alveolar involvement was common to both types of pneumonia; the nodular image was present in 8.69% of the tubercular pneumonias and 2.17% of the acute community-acquired pneumonia; the cavity image was present only in the tubercular pneumonia (p=0.04); the right-sided location predominated in both cases.Conclusions: X-ray images were common to both TB pneumonia and acute community-acquired pneumonia; some images were specific to TB pneumonia. However, the etiologic orientation of pneumonia is based on a combination of epidemiologic, clinical, and radiographic evidence.

scholarly journals SERUM CORTISOL AS A BIOMARKER IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA AT ASSIUT UNIVERSITY UNIVERSITY HOSPITAL

CHEST Journal ◽  
2020 ◽  
Vol 157 (6) ◽  
pp. A51
Author(s):  
S. Farghaly ◽  
Y. Ahmad ◽  
R. El Morshedy ◽  
R. El Zohni ◽  
D. Abd El_Kareem
Keyword(s):  
Serum Cortisol ◽  
Community Acquired Pneumonia ◽  
University Hospital

Perinatal palliative care: a dedicated care pathway

2019 ◽  
pp. bmjspcare-2019-001849 ◽  
Author(s):  
Francesca Rusalen ◽  
Maria Elena Cavicchiolo ◽  
Paola Lago ◽  
Sabrina Salvadori ◽  
Franca Benini
Keyword(s):  
Palliative Care ◽  
Best Practice ◽  
Work Group ◽  
Care Pathway ◽  
Shared Care ◽  
University Hospital ◽  
Grade Method ◽  
Paediatric Palliative Care ◽  
Extremely Preterm ◽  
Perinatal Palliative Care

ObjectiveEnsure access to perinatal palliative care (PnPC) to all eligible fetuses/infants/parents.DesignDuring 12 meetings in 2016, a multidisciplinary work-group (WG) performed literature review (Grading of Recommendations, Assessment, Development and Evaluation (GRADE) method was applied), including the ethical and legal references, in order to propose shared care pathway.SettingMaternal-Infant Department of Padua’s University Hospital.PatientsPnPC eligible population has been divided into three main groups: extremely preterm newborns (first group), newborns with prenatal/postnatal diagnosis of life-limiting and/or life-threatening disease and poor prognosis (second group) and newborns for whom a shift to PnPC is appropriate after the initial intensive care (third group).InterventionsThe multidisciplinary WG has shared care pathway for these three groups and defined roles and responsibilities.Main outcome measuresPrenatal and postnatal management, symptom’s treatment, end-of-life care.ResultsThe best care setting and the best practice for PnPC have been defined, as well as the indications for family support, corpse management and postmortem counselling, as well suggestion for conflicts’ mediation.ConclusionsPnPC represents an emerging field within the paediatric palliative care and calls for the development of dedicated shared pathways, in order to ensure accessibility and quality of care to this specific population of newborns.

Best Practice in Company Standardization

2011 ◽  
pp. 141-163
Author(s):  
Henk J. de Vries ◽  
Florens J.C. Slob
Keyword(s):  
Knowledge Management ◽  
Quality Management ◽  
Best Practice ◽  
Multinational Companies ◽  
Process Approach ◽  
It Management ◽  
Review Of Literature ◽  
Practice Model ◽  
Management Quality

This article describes a best practice model for standardization within companies, based on a process approach to the development of company standards. Per process, a best practice is developed based on an investigation within six multinational companies and a review of literature, if any. The findings are benchmarked against experiences in three comparable fields: IT management, quality management, and knowledge management. Though the number of company standards exceeds by far the number of external standards, they have been neglected in standardization research. The authors hope that standards practitioners will benefit from their study and that it will stimulate researchers to pay more attention to this topic.

Risk Management in a Pandemic Crisis at a Global Non Profit Health Care Organization

2012 ◽  
Vol 1 (4) ◽  
pp. 1-17
Author(s):  
Drew Sugaretty
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Best Practice ◽  
Health Care Organization ◽  
Care Organization ◽  
Practice Model ◽  
Non Profit ◽  
Global Pandemic ◽  
Management Processes

This paper categorizes the risks experienced and voiced by subject matter experts at a pandemic crises event which unfortunately claimed almost 800 lives before it could be controlled. The project was a case study design using multiple methods. Qualitative data was collected by interviewing 22 front-line multicultural crisis practitioners. The unit of analysis was the constructed meaning of the uncertainty and risk management processes experienced by the participants, while they were attempting to control the global pandemic crisis associated with the Severe Acute Respiratory Syndrome outbreak during 2003. Several guiding constructs were researched from the literature review. NVIVO was used to analyze the interview transcripts to build a thematic model of constructed meanings. The result was a best-practice model constructed by the practitioners which they felt improved risk control during a significant global pandemic crisis event considering the lead mitigation agency was a nonprofit health care organization.

Best Practice Model for Immunization

2010 ◽  
Vol 28 (9) ◽  
pp. 524-532
Author(s):  
ELIZABETH ROLFE ◽  
LEIGH ANN HOWARD
Keyword(s):  
Best Practice ◽  
Practice Model
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