Assessment

2020 ◽  
pp. 73-82
Author(s):  
Stephen J. Swensen ◽  
Tait D. Shanafelt
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Health Care Professionals ◽  
Health Care Organization ◽  
Well Being ◽  
Intangible Asset ◽  
Care Organization ◽  
Time Data ◽  
Current State ◽  
Common Purpose

The most important determinant of value in a health care organization is an intangible asset called social capital. Social capital comprises the talent, knowledge, goodwill, trust, skill, and interconnectedness of people. Social capital is a critical characteristic of organizations and the ingredient that allows people to work together for a common purpose. Organizations need objective data to understand the experience and well-being of their health care professionals. A baseline measurement is necessary to assess the current state and to evaluate progress toward an ideal future state. Objective measures of the efficiency of the practice environment can also serve as improvement targets and often provide continuous real time data on progress without burdening staff with repeated surveys.

scholarly journals The importance of monitoring nurses' workplace satisfaction of nurses for the well-being of all employees in nursing

2015 ◽  
Vol 49 (3) ◽  
Author(s):  
Mateja Lorber ◽  
Sonja Treven ◽  
Damijan Mumel
Keyword(s):  
Health Care ◽  
Quantitative Research ◽  
Health Care Organization ◽  
Linear Regression Analysis ◽  
Well Being ◽  
Middle Level ◽  
Care Organization ◽  
Cross Sectional ◽  
Workplace Satisfaction ◽  
The Relationship

Introduction: Work is an important constituent of an individual’s life since the experience of work influences well-being and health. The well-being of employees is an important issue in the work environment. The aim was to examine the relationship between satisfaction in the workplace and the well-being of employees in nursing. Methods: Quantitative research based on a cross-sectional study was used, with 640 employees in nursing from eight Slovenian hospitals participating in the study. A structured survey questionnaire was administered. The relationship between psychological well-being and workplace satisfaction was analysed with correlation and linear regression analysis. Results: The workplace satisfaction (x = 3.69, s = 1.13) and well-being ( x=161.27, s = 55.19) of employees in nursing are at a middle level. With the correlation analysis we established that well-being statistically significantly correlates with workplace satisfaction (r = 0.611, p < 0.001). Workplace satisfaction explains 42 % of the total variability of well-being of employees in nursing. Discussion and conclusion: It is necessary for every health care organization to take care of its employees' workplace satisfaction and well-being. Health care organizations can be successful and achieve their organisational objectives if their employees are satisfied with their work and have a high level of well-being.

scholarly journals Building perspective awareness as a workplace practice

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Pia Andersson ◽  
Lotta Dellve ◽  
Gunnar Gillberg ◽  
Hans Lindgren
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Organization ◽  
Work Organization ◽  
Implementation Process ◽  
Care Organization ◽  
Content Type ◽  
Dialogue Model ◽  
Organizational Conditions ◽  
The Right

Purpose The present study aims to describe the implementation of a facilitated dialogue model intended to improve communication across professional logics and knowledge boundaries in two units of a large health-care organization in Sweden. Design/methodology/approach This is a mixed-methods study with interviews, field observations and follow- up questionnaires that were conducted during the implementation process. Findings The conclusion drawn in this study is that it is possible to change and improve the dialogue between health-care professionals with the help of a tailored, facilitated dialogue model. The authors found that different professional logics can indeed meet and share perspectives if the right conditions are provided. Moreover, an improved dialogue between different professional groups may contribute to work satisfaction, engagement, social cohesion and communication between professionals. Practical implications This study shows that the right organizational conditions, such as support from managers, must exist if the model’s inherent possibilities are to be used. Inhouse facilitation may be a sustainable model for facilitated workplace dialogue when its implementation is supported by the overall organization. Originality/value The contribution is an empirically based analysis of a new form of model for mediating perspectives within an organization with distinct professional roles. This study shows how, under the right conditions, the model can contribute to a perspective awareness and thus a more mature work organization.

scholarly journals Implementation of a sustainable enterprise risk management framework: The Administrator on Duty model

2016 ◽  
Vol 5 (2) ◽  
pp. 80
Author(s):  
Linda L Vila ◽  
Vito Buccellato
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Organizational Performance ◽  
Health Care Organization ◽  
Well Being ◽  
Safety Net ◽  
Risk Identification ◽  
Enterprise Risk Management ◽  
Care Organization ◽  
Enterprise Risk

Background: Today’s health care landscape requires a new standard of service delivery aimed at quality outcomes, cost-effective provisions of coordinated treatment, and access to equitable care. This standard has brought emerging risks that pose threats to the operational and financial well-being of health care organizations, especially safety net hospitals. The establishment of enterprise risk management (ERM) programs guided by the efforts of efficacious health care managers will promote deeper risk analysis, engagement of the entire health care organization, and structured, coordinated and cohesive mitigation responses to risk exposures.Objective: To establish and implement an ERM program using the Administrator on Duty (AOD) model that will promote a patient-centric paradigm of care while optimizing organizational performance and mitigating risk and exposure.Results: The AOD model significantly contributes to all phases of ERM, particularly risk identification, risk assessment, risk response and monitoring. The model, as perceived by both AODs and hospital senior leadership, provides tremendous benefits to a health care organization. These include, among many others, a substantial leadership presence, dynamic risk mitigation efforts, continuous education to staff and facilitation of problem solving and conflict resolution.Conclusions: The AOD program is a vital constituent of an ERM endeavor. AODs are pivotal to managing the global risk terrain of a health care organization and play a substantial role in promoting patient, staff and visitor safety while working to ensure potential and actual risk issues are addressed timely and appropriately.

scholarly journals Communication Behavior Changes Between Patients With Diabetes and Healthcare Providers Over 9 Years: Retrospective Cohort Study (Preprint)

2019 ◽  
Author(s):  
Arriel Benis ◽  
Refael Barak Barkan ◽  
Tomer Sela ◽  
Nissim Harel
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Health Care Organization ◽  
Communication Channels ◽  
Communication Behavior ◽  
Care Organization ◽  
Health Organizations ◽  
Patient Profile ◽  
Health Organization

BACKGROUND Health organizations and patients interact over different communication channels and are harnessing digital communications for this purpose. Assisting health organizations to improve, adapt, and introduce new patient–health care practitioner communication channels (such as patient portals, mobile apps, and text messaging) enhances health care services access. OBJECTIVE This retrospective data study aims to assist health care administrators and policy makers to improve and personalize communication between patients and health care professionals by expanding the capabilities of current communication channels and introducing new ones. Our main hypothesis is that patient follow-up and clinical outcomes are influenced by their preferred communication channels with the health care organization. METHODS This study analyzes data stored in electronic medical records and logs documenting access to various communication channels between patients and a health organization (Clalit Health Services, Israel). Data were collected between 2008 and 2016 from records of 311,168 patients diagnosed with diabetes, aged 21 years and over, members of Clalit at least since 2007, and still alive in 2016. The analysis consisted of characterizing the use profiles of communication channels over time and used clustering for discretization purposes and patient profile building and then a hierarchical clustering and heatmaps to visualize the different communication profiles. RESULTS A total of 13 profiles of patients were identified and characterized. We have shown how the communication channels provided by the health organization influence the communication behavior of patients. We observed how different patients respond differently to technological means of communication and change or don’t change their communication patterns with the health care organization based on the communication channels available to them. CONCLUSIONS Identifying the channels of communication within the health organization and which are preferred by each patient creates an opportunity to convey messages adapted to the patient in the most appropriate way. The greater the likelihood that the therapeutic message is received by the patient, the greater the patient's response and proactiveness to the treatment will be. INTERNATIONAL REGISTERED REPORT RR2-10.2196/10734

scholarly journals Communication Behavior Changes Between Patients With Diabetes and Healthcare Providers Over 9 Years: Retrospective Cohort Study

10.2196/17186 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17186 ◽  
Author(s):  
Arriel Benis ◽  
Refael Barak Barkan ◽  
Tomer Sela ◽  
Nissim Harel
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Health Care Organization ◽  
Communication Channels ◽  
Communication Behavior ◽  
Care Organization ◽  
Health Organizations ◽  
Patient Profile ◽  
Health Organization

Background Health organizations and patients interact over different communication channels and are harnessing digital communications for this purpose. Assisting health organizations to improve, adapt, and introduce new patient–health care practitioner communication channels (such as patient portals, mobile apps, and text messaging) enhances health care services access. Objective This retrospective data study aims to assist health care administrators and policy makers to improve and personalize communication between patients and health care professionals by expanding the capabilities of current communication channels and introducing new ones. Our main hypothesis is that patient follow-up and clinical outcomes are influenced by their preferred communication channels with the health care organization. Methods This study analyzes data stored in electronic medical records and logs documenting access to various communication channels between patients and a health organization (Clalit Health Services, Israel). Data were collected between 2008 and 2016 from records of 311,168 patients diagnosed with diabetes, aged 21 years and over, members of Clalit at least since 2007, and still alive in 2016. The analysis consisted of characterizing the use profiles of communication channels over time and used clustering for discretization purposes and patient profile building and then a hierarchical clustering and heatmaps to visualize the different communication profiles. Results A total of 13 profiles of patients were identified and characterized. We have shown how the communication channels provided by the health organization influence the communication behavior of patients. We observed how different patients respond differently to technological means of communication and change or don’t change their communication patterns with the health care organization based on the communication channels available to them. Conclusions Identifying the channels of communication within the health organization and which are preferred by each patient creates an opportunity to convey messages adapted to the patient in the most appropriate way. The greater the likelihood that the therapeutic message is received by the patient, the greater the patient's response and proactiveness to the treatment will be. International Registered Report Identifier (IRRID) RR2-10.2196/10734

Clinical Guidelines as Plans

2006 ◽  
Vol 45 (02) ◽  
pp. 204-210 ◽  
Author(s):  
B. Smith ◽  
D. M. Pisanelli ◽  
A. Gangemi ◽  
M. Stefanelli ◽  
A. Kumar
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Clinical Guidelines ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Two Dimensions ◽  
Care Organization ◽  
Standard Guideline ◽  
Different Levels ◽  
Ontological Theory

Summary Objective: Clinical guidelines are special types of plans realized by collective agents. We provide an ontological theory of such plans that is designed to support the construction of a framework in which guideline-based information systems can be employed in the management of workflow in health care organizations. Method: The framework we propose allows us to represent, in formal terms, how clinical guidelines are realized through the actions of individuals or ganized into teams. We provide various levels of implementation representing different levels of conformity on the part of health care organizations. Result: Implementations built in conformity with our framework are marked by two dimensions of flexibility that are designed to make them more likely to be accepted by health care professionals than standard guideline-based management systems. They do justice to the fact 1) that responsibilities within a health care organization are widely shared, and 2) that health care professionals may on different occasions be non-compliant with guidelines for a variety of well justified reasons. Conclusion: The advantage of the framework lies in its built-in flexibility, its sensitivity to clinical context, and its ability to use inference tools based on a robust ontology. One disadvantage lies in its complicated implementation.

Quality Assurance to Quality Improvement: The Impact of the Agenda for Changes

1991 ◽  
Vol 2 (1) ◽  
pp. 82-89
Author(s):  
Joanne Moreland
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Patient Care ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Organization ◽  
Flow Monitoring ◽  
The Impact

Health care professionals are committed to the continual improvement of the quality of patient care. The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) has launched a major research and development project intended to improve its ability to evaluate health care organizations and encourage greater attention to the quality of daily patient care. This chapter describes JCAHO’s challenge to evaluate capability and performance of health care organizations and practitioners. The intent of JCAHO’s agenda for change is to focus on patient outcomes and quality improvement through a more precise and objective evaluation of both clinical and managerial performance. Through the agenda for change, JCAHO and the health care organization will participate in a continuous-flow monitoring system in which clinical and organizational data are transmitted from the field to JCAHO, analyzed, and fed back to the health care organization

Intelligent Processing of Loosely Structured Documents as a Strategy for Organizing Electronic Health Care Records

1993 ◽  
Vol 32 (04) ◽  
pp. 265-268 ◽  
Author(s):  
D. J. Essin
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Database Systems ◽  
Relevant Information ◽  
Full Potential ◽  
Care Organization ◽  
Intelligent Processing ◽  
Data Interchange ◽  
Structured Documents ◽  
Health Care Records

AbstractLoosely structured documents can capture more relevant information about medical events than is possible using today’s popular databases. In order to realize the full potential of this increased information content, techniques will be required that go beyond the static mapping of stored data into a single, rigid data model. Through intelligent processing, loosely structured documents can become a rich source of detailed data about actual events that can support the wide variety of applications needed to run a health-care organization, document medical care or conduct research. Abstraction and indirection are the means by which dynamic data models and intelligent processing are introduced into database systems. A system designed around loosely structured documents can evolve gracefully while preserving the integrity of the stored data. The ability to identify and locate the information contained within documents offers new opportunities to exchange data that can replace more rigid standards of data interchange.

Effective and cost-efficient health care organization in cataract patient

2018 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Monika Raulinajtys-Grzybek ◽  
Renata Wachowicz ◽  
Arnold Maciejewski
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Care Organization ◽  
Cataract Patient ◽  
Cost Efficient
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