Population Approach to All Levels of Commissioning and Health Service Decision-Making

Author(s):  
Julie Sin

Pragmatically, healthcare commissioning activities can be described at different levels, these can be considered as strategic, tactical, and operational levels. This chapter demonstrates that a population approach to decision-making and planning is integral to all these levels of commissioning decisions. A model (Figure 9.1) illustrates the interactions between a big picture population healthcare perspective, the commissioning cycle, and the different levels of commissioning activities. It brings together the tasks to be achieved, population concepts, and business processes. It can be used to help develop commissioning systems (or equivalent strategic planning processes to secure health services for populations), and to support development of leadership for health gain across the system.

Author(s):  
Julie Sin

This introductory chapter sets out the book’s practical purpose to be a useful and salient guide in the real life arena of commissioning and health services decision-making for better population health outcomes. The book is grounded in the experience of health services in England where the intention is to provide a comprehensive range of services on a whole population basis. The reader will be taken through the book using the main anchoring point of commissioning, the process of securing services for populations within finite resources. The book is structured in two parts. The first half (Part I) contains core topics to help build confidence about commissioning for health gain. It covers the purpose of commissioning, its health service context, and offers concepts that tangibly link commissioning actions with a population approach. Part II builds on that to cover more applied topics that commissioners will need to navigate in practice.


Author(s):  
Julie Sin

This is the final chapter of the book. It is a preparation for the reader’s onward journey. It includes a summary of the main things to keep in mind throughout practice and how to dip in and out of the chapters as needed. Beyond the nuts and bolts there is a reminder that it is also important to reach a transformational stage in commissioning for health gain rather than just the transactional processes. The theme of building capacity and enabling a system that nurtures a population approach to health services decision-making is discussed and the contributions of education and research to this theme are recognized. The ‘evolutionary’ nature of health services is acknowledged and transparent processes for population approach remain salient whatever the structures of the day.


Author(s):  
Julie Sin

The book explores the vital link between population health (what the health system is aiming for) and the commissioning of health services (the process of securing services) and how this can be achieved. It covers the key opportunities for applying a population approach to the nuts and bolts of commissioning, as well as to the more strategic challenges in commissioning practice. It includes fundamental concepts needed in a commissioner’s repertoire of skills and competencies, and also more applied scenarios to navigate in practice. The emphasis is on a solid foundation for practice for those who work in commissioning, those whose work supports commissioning functions, public health professionals working in the quality and commissioning arena, and students studying in this area. It is particularly relevant to current developments in whole-system thinking and a population approach. Core concepts or ‘navigation tools’ are included to help with common challenges in commissioning such as the scoping of a health issue from a population perspective, making sense of different types of evidence, purposeful use of health intelligence, effective preventive opportunities, prioritization, quality issues for commissioners, and other applied topics that have to be navigated in practice. Whilst each topic is a salient component in itself, in combination the collection forms a comprehensive armoury for commissioning for health gain and decision-making for populations. These vantage points are useful whatever the structural system of the day because issues about finite health resources, securing quality health services, and reducing amenable health inequalities will always be pertinent.


2020 ◽  
Vol 159 ◽  
pp. 09003
Author(s):  
Galimkair Mutanov ◽  
Zhanl Mamykova ◽  
Oksana Kopnova ◽  
Mukhtar Bolatkhan

In the context of the university digital transformation, the development of digitalization processes, it is necessary to introduce a data management culture. In most cases, this approach does not allow to see a big picture, as well as to identify “bottlenecks”. There is a need to develop a unified data management strategy, which will assess the value of IT technology, and ensure the adoption of effective decisions. This article highlights the conceptual issues of data management strategies in higher education, using the example of the university. The place of the data processing strategy within the university’s information space is considered a map model for analyzing key issues for decision making. The basic principles of organizing a data strategy for the university are determined. There is also considered an approach to designing and implementing an information and analytical system on the Microsoft Power BI cloud-based business analysis platform, which integrates all disparate data from university’s corporate information systems and transactional data sources. The analysis of reports of key business processes of the university is carried out, in which the formulation of research questions is shown, and there have been given conclusions to these issues. Introduction of the information and analytical system in the contour of the university’s corporate information system will contribute to the early identification of bottlenecks in the organization of the educational system and prompt decision-making in a systematic and comprehensive analysis of the main business processes of the educational organization through building a data map and visualizing all statistical reports.


Author(s):  
Dulce Magalhaes de Sá ◽  
Ana Cristina M. Costa

Geographic information systems are largely used in different levels of administration and planning where geo-referenced information is a crucial factor behind analysis and determination of different decision-making scenarios. The potential of these systems is increasingly being perceived as a support to facilitate public participation in planning processes.


2008 ◽  
Vol 14 (3) ◽  
pp. 312-327 ◽  
Author(s):  
Rostislav Kopitov ◽  
Lev Faingloz

The combination of coupled managerial approaches directed to designing a full‐functional system of improving the business functioning is examined in this research. This improvement could be achieved on the basis of the business processes uninterrupted monitoring. Such system is oriented to the establishment of the integral analytical business platform for providing the coordinated objectives setting, timely revealing and neutralising the unforeseen events, decision‐making at different levels of an organization. Santrauka Šiame straipsnyje nagrinėjami vadybos metodų deriniai, siekiant sukurti daugiafunkcę sistemą, gerinančią verslo funkcionavimą. Sukurtoji sistema užtikrintų vadinamosios integruotos analitinės verslo platformos funkcionavimą, kuri vykdytų nenutrūkstamą verslo monitoringą. Sistema padėtų nustatyti tikslus, išaiškinti ir neutralizuoti neprognozuojamus įvykius, priimti sprendimus įvairiais organizacijos lygmenimis.


2022 ◽  
pp. 373-394
Author(s):  
Marco Venuta ◽  
Fabiana Pirola ◽  
Michela Zambetti ◽  
Giuditta Pezzotta ◽  
Sergio Cavalieri ◽  
...  

IoT solutions represent one of the most powerful approaches towards asset and maintenance management supporting a multi-user environment that can be adopted to monitor machine and guide decision-making at different levels. Several studies discussed the benefits that may be achieved, but few studies discussed how to implement such a complex process that should consider a systematic approach in the development of the infrastructure, platform content, analytics, and internal processes reengineering. To this purpose, the presented chapter describes an IoT platform implementation in a manufacturing company. Specifically, the case study illustrates the steps that have been followed to develop and implement the IoT solution, namely (1) definition of the platform desired functionalities; (2) reengineering of the business processes affected by the platform; (3) development of the proof of concept of the platform dashboards, also considering the data to be sent to the platform; and (4) the implementation of the IoT platform with the connection of customer machines.


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