scholarly journals Development of Key Performance Indicators for Capturing Impact of Pharmaceutical Care in Palestinian Integrative Healthcare Facilities: A Delphi Consensus Study

2020 ◽  
Vol 2020 ◽  
pp. 1-14 ◽  
Author(s):  
Ramzi Shawahna
Keyword(s):  
Pharmaceutical Care ◽  
Integrative Medicine ◽  
Performance Indicators ◽  
Sampling Technique ◽  
Key Performance Indicators ◽  
Evidence Based ◽  
Delphi Consensus ◽  
Healthcare Facilities ◽  
Number Of Patients ◽  
The Impact

Background. The current study was performed to develop a consensus-based core inventory of key performance indicators (KPIs) to be used in capturing the impact of pharmaceutical care in healthcare facilities that employ integrative medicine paradigm in Palestine. Methods. A panel of healthcare professionals and risk/quality assurance managers was composed employing a judgmental sampling technique. The study tool was a questionnaire. Views and opinions of the panelists on the roles of pharmacists in caring for patients admitted to or visiting healthcare facilities that employ integrative medicine were collected using 11 statements. An initial inventory of activities and services that potentially can be used as KPIs was compiled from the literature and interviews with key contact experts in the domain. Three iterative Delphi rounds were conducted among the panelists (n = 50) to achieve formal consensus on the KPIs that should be used. The consensus-based KPIs were ordered by the scores of the panelists. Results. A total of 8 consensus-based KPIs were developed. The KPIs related to the number of problems related to medications and complementary and alternative medicine (CAM) that were resolved by pharmacists and CAM practitioners (p < 0.0001), number of patients for whom reconciliations were documented (p < 0.0001), number of patients receiving direct, comprehensive, and/or collaborative care (p < 0.0001), and number of patients for whom pharmacists and CAM practitioners were involved in implementing a therapeutic plan (p < 0.05) were rated significantly higher than the KPI (#8) related to the participation in multi-healthcare provider discussions/deliberations. Conclusions. Consensus-based KPIs that can be used in capturing the impact of evidence-based CAM and pharmaceutical care of patients in healthcare facilities that employ integrative medicine paradigm were developed. Future studies are still needed to investigate if implementing these KPIs might promote evidence-based CAM and pharmaceutical care in healthcare facilities that employ the integrative medicine paradigm.

scholarly journals Quality Indicators of Pharmaceutical Care in Palestinian Integrative Healthcare Facilities: Findings of a Qualitative Study among Stakeholders

2020 ◽  
Vol 2020 ◽  
pp. 1-13 ◽  
Author(s):  
Ramzi Shawahna
Keyword(s):  
Pharmaceutical Care ◽  
Quality Indicators ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Facilities ◽  
Care Services ◽  
Integrative Healthcare ◽  
The Impact

Background. Recently, there has been shifts from providing large volumes to providing higher quality of healthcare services. This qualitative exploratory study was conducted to explore the views of different stakeholders on activities and services that could serve as quality indicators of pharmaceutical care in Palestinian integrative healthcare facilities. Methods. A judgmental sampling technique was used to invite and recruit stakeholders for this study. Semistructured in-depth interviews were conducted with the stakeholders. Data collected during the interviews were qualitatively analyzed using the interpretive description methodology. Themes, subthemes, and patterns were recognized using the Qualitative Analysis Guide of Leuven. The data were coded using RQDA software. Results. Interviews (n = 22) were conducted with 9 complementary and alternative medicine practitioners, 8 pharmacists, 2 physicians, 2 nurses, and 1 risk/quality assurance manager. The interview median duration was 41 with an IQR of 22 min. Following the thematic analysis adopted to achieve the objectives of this study, six major themes emerged from the data collected from the interviews. The themes emerged from the data were (1) provision of collaborative, direct, and comprehensive patient care services; (2) common services and activities at the time of admission, during stay, at transition between wards/services/hospitals, and at discharge to home or community care; (3) screening for, identifying, and resolving problems; (4) collaboration with other healthcare providers; (5) professional development; and (6) performance and efficiency. Conclusions. Quality indicators are invaluable for informing decisions relevant to justifying allocation of scarce resources, securing funds, and demonstrating value in activities and services within integrative healthcare facilities. Further studies are still needed to develop a set of measurable indicators to measure the impact of pharmaceutical care in integrative healthcare facilities.

scholarly journals Evaluation of the impact of promotional campaign through a social networks on the key performance indicators of website for online of group-buying in Brazil

2016 ◽  
pp. 244
Author(s):  
I. А. Rodello ◽  
V. Dândolo ◽  
M. M. Grande
Keyword(s):  
Social Networks ◽  
Correlation Coefficient ◽  
Performance Indicators ◽  
Web Site ◽  
Pearson Correlation ◽  
Key Performance Indicators ◽  
Main Task ◽  
Group Buying ◽  
Promotional Campaign ◽  
The Impact

Relevance of the study: Based on data collection and analysis, present research made it possible to identify how the activities devised by a group-buying website on Facebook may exert influence on the KPIs for success.Purpose: The main task of present research is to answer the following question: can a digital social network be considered an effective tool for the improvement of key performance indicators (KPI) of a group-buying website?Findings: The research was conducted by considering data collected via mechanical observation using the computational tools Facebook Dashboard and Google Analytics. Data were analyzed using the means of comparison and a Pearson correlation coefficient, which demonstrated positive results of the campaign. When compared, the key performance indicators of the web site relating to Facebook displayed a larger dynamics than the general performance indicators of this web site. By the correlation coefficient, it was found that a higher power range of the Facebook Enterprise´s fan page could result in the increased traffic page hits of the examined web site, and an increase, mainly, in the number of new visitors.Originality / value: This paper analyzes some key performance indicators of a promotional campaign on Facebook for an online group-buying website in the city of Ribeirão Preto, São Paulo State, Brazil.Practical implications: Based on the collected data and performed analysis, it was found that the promotional activities on Facebook can increase the flow of new visitors and attract potential buyers to a group-buying website.Future research: It is recommended to perform further research for other social networks and in other countries.

Nga Takepu and Ako

2019 ◽  
pp. 364-374
Author(s):  
Norma Rosales-Anderson
Keyword(s):  
Performance Indicators ◽  
Key Performance Indicators ◽  
The Impact

This chapter explores ngā takepū relationships that positively influence kaiako and ākonga engagement within Te Wānanga o Aotearoa. The focus is on the impact of whanaungatanga, wairuatanga, whakapono, kaitiakitanga, and āhurutanga within the ako process. The approach of being accountable and responsible through key performance indicators are compared to ngā takepū as hoa haere or kaitiaki that are markers of a softer approach. Ngā takepū advocacy of responsibility and accountability are explained as well as their gentle touch as constant reminders of what is just, fair, honorable, and right in the pursuit of mauri ora for all.

scholarly journals Implementing and measuring person-centredness using an APP for knowledge transfer: the iMPAKT app

2020 ◽  
Vol 32 (4) ◽  
pp. 251-258 ◽  
Author(s):  
Tanya McCance ◽  
Brighide M Lynch ◽  
Christine Boomer ◽  
Donna Brown ◽  
Christopher Nugent ◽  
...  
Keyword(s):  
Knowledge Transfer ◽  
Patient Experience ◽  
Performance Indicators ◽  
Key Performance Indicators ◽  
Structured Interviews ◽  
Evaluation Approach ◽  
Experience Of Care ◽  
Measurement Framework ◽  
The Uk ◽  
The Impact

Abstract Objective The aim of the study was to evaluate a technological solution in the form of an App to implement and measure person-centredness in nursing. The focus was to enhance the knowledge transfer of a set of person-centred key performance indicators and the corresponding measurement framework used to inform improvements in the experience of care. Design The study used an evaluation approach derived from the work of the Medical Research Council to assess the feasibility of the App and establish the degree to which the App was meeting the aims set out in the development phase. Evaluation data were collected using focus groups (n = 7) and semi-structured interviews (n = 7) to capture the impact of processes experienced by participating sites. Setting The study was conducted in the UK and Australia in two organizations, across 11 participating sites. Participants 22 nurses from 11 sites in two large health care organizations were recruited on a voluntary basis. Intervention Implementing the KPIs and measurement framework via the APP through two cycles of data collection. Main Outcome Measures The main outcome was to establish feasibility in the use of the App. Results The majority of nurse/midwife participants found the App easy to use. There was broad consensus that the App was an effective method to measure the patient experience and generated clear, concise reports in real time. Conclusions The implementation of the person-centred key performance indicators using the App enhanced the generation of meaningful data to evidence patient experience across a range of different clinical settings.

scholarly journals Defining colchicine resistance/intolerance in patients with familial Mediterranean fever: a modified-Delphi consensus approach

Rheumatology ◽  
2020 ◽  
Author(s):  
Seza Özen ◽  
Erdal Sag ◽  
Eldad Ben-Chetrit ◽  
Marco Gattorno ◽  
Ahmet Gül ◽  
...  
Keyword(s):  
Familial Mediterranean Fever ◽  
Nominal Group ◽  
Evidence Based ◽  
Delphi Consensus ◽  
Modified Delphi ◽  
Health Authorities ◽  
Colchicine Resistance ◽  
Mediterranean Fever ◽  
Definition Of ◽  
The Impact

Abstract Objectives Colchicine is the main treatment for familial Mediterranean fever (FMF). Although a number of individuals with FMF are intolerant/resistant to colchicine, there is no standard definition of colchicine resistance/intolerance. We developed a set of evidence-based core statements defining colchicine resistance/intolerance in patients with FMF that may serve as a guide for clinicians and health authorities. Methods A set of statements was identified using a modified-Delphi consensus-based approach. The process involved development of an initial colchicine resistance/intolerance-related questionnaire derived from a systematic literature review. The questionnaire, which was completed by an international panel of 11 adult and pediatric rheumatologists with expertise in FMF, was analysed anonymously. The results informed draft consensus statements that were discussed by a round-table expert panel, using a nominal group technique to agree on the selection and wording of the final statements. Results Consensus among the panel was achieved on 8 core statements defining colchicine resistance/intolerance in patients with FMF. A definition of resistance was agreed upon that included recurrent clinical attacks (average one or more attacks per month over a 3-month period), or persistent laboratory inflammation in between attacks. Other core statements recognize the importance of assessing treatment adherence, and the impact of active disease and intolerance to colchicine on quality of life. Conclusion Based on expert opinion, a set of evidence-based core statements defining colchicine resistance/intolerance in patients with FMF were identified to help guide clinicians and health authorities in the management of patients with FMF.

scholarly journals Key Performance Indicators for the Impact of Cognitive Assembly Planning on Ramp-Up Process

2012 ◽  
Vol 2012 ◽  
pp. 1-19
Author(s):  
Christian Buescher ◽  
Eckart Hauck ◽  
Daniel Schilberg ◽  
Sabina Jeschke
Keyword(s):  
Performance Indicators ◽  
Main Idea ◽  
Control Unit ◽  
Key Performance Indicators ◽  
Production Costs ◽  
Human Cognition ◽  
Assembly Planning ◽  
Assembly Systems ◽  
Planning Effort ◽  
The Impact

Within the ramp-up phase of highly automated assembly systems, the planning effort forms a large part of production costs. Due to shortening product lifecycles, changing customer demands, and therefore an increasing number of ramp-up processes, these costs even rise. So assembly systems should reduce these efforts and simultaneously be flexible for quick adaption to changes in products and their variants. A cognitive interaction system in the field of assembly planning systems is developed within the Cluster of Excellence “Integrative production technology for high-wage countries” at RWTH Aachen University which integrates several cognitive capabilities according to human cognition. This approach combines the advantages of automation with the flexibility of humans. In this paper the main principles of the system's core component—the cognitive control unit—are presented to underline its advantages with respect to traditional assembly systems. Based on this, the actual innovation of this paper is the development of key performance indicators. These refer to the ramp-up process as a main objective of such a system is to minimize the planning effort during ramp-up. The KPIs are also designed to show the impact on the main idea of the Cluster of Excellence in resolving the so-called Polylemma of Production.

Pharmacist Intervention Enhances Adherence to Orlistat Therapy

2003 ◽  
Vol 37 (11) ◽  
pp. 1598-1602 ◽  
Author(s):  
Margaret Malone ◽  
Sharon A Alger-Mayer
Keyword(s):  
Weight Loss ◽  
Pharmaceutical Care ◽  
Pharmacist Intervention ◽  
Community Practice ◽  
Management Skills ◽  
Large Numbers ◽  
Number Of Patients ◽  
Significant Difference ◽  
Additional Support ◽  
The Impact

BACKGROUND: Pharmacists, especially those in community practice, should increase their level of intervention in dealing with the nationwide epidemic of obesity since they interact with large numbers of the public on a regular basis. We hypothesized that patients who receive medication for weight loss may have an improved therapeutic outcome if they received additional support from their community pharmacist. OBJECTIVE: To evaluate the impact of pharmacist support on patient persistence with orlistat. METHODS: Pharmacists were trained in basic obesity management skills. Patients who were prescribed orlistat and attending an outpatient nutrition program were invited to participate in the study. All patients agreed to receive pharmaceutical care. Those who lived where the service was available were assigned to the intervention (I) group and those who did not were assigned to the control (C) group. All patients received usual care provided by the outpatient clinic. RESULTS: Thirty patients, 15 in the I group and 15 in the C group, were recruited. Both groups were predominantly women (87%) with a mean ± SD age of 43.8 ± 9.7 years. Patients in the I group had significantly greater persistence with orlistat therapy as assessed by duration of therapy (p = 0.006) and number of patients completing the 26-week study (7 I, 2 C; p = 0.046). There was no significant difference in percent of weight loss between groups (p > 0.05). CONCLUSIONS: In this pilot study, patients receiving pharmaceutical care took orlistat longer than the controls and had improved outcome with orlistat therapy.

scholarly journals Financial management: The impact of performance indicators on the organizational profitability

2015 ◽  
Vol 13 (1) ◽  
pp. 84-96
Author(s):  
Hayat M. Awan ◽  
M. Ishaq Bhatti ◽  
Zahid Razaq
Keyword(s):  
Performance Management ◽  
Performance Indicators ◽  
Financial Management ◽  
Business Performance ◽  
Manufacturing Sector ◽  
Sampling Technique ◽  
Supportive Culture ◽  
Single List ◽  
Reliability Performance ◽  
The Impact

This paper investigates the financial management performance involved in increasing the firms’ profitability. It contributes to a single list of performance indicators which never existed in the literature empirically with reference to third world countries, like Pakistan. Stratified random sampling technique was used to select a sample of 200 manufacturing firms with process performance management system (PPMS) criteria to check the impact of performance indicators on the overall business performance index using ROE, ROA. The results of AHP analysis show that the “Supportive Culture” and “PPMS facilitate the competitive advantage” are the major facilitators for those organizations who have implemented the PPMS whereas firms without implementation of PPMS have major inhibitors as “ Non supportive culture” and ”Have another Performance System”. And the Measuring financial performance, Quality performance, Delivery reliability performance, customer satisfaction performance and employees satisfaction lead to increase in the organizational Profitability. This study will be helpful to the top management of the organizations from manufacturing sector regarding the implementing decision of the PPMS. The organization can choose the best indicators used by firms in order to achieve the overall excellence.

scholarly journals Evidence-based implementation of normal childbirth: what are the obstacles? (qualitative study)

2020 ◽  
Vol 3 (2) ◽  
pp. 115-126
Author(s):  
Rizki Amalia ◽  
Moch. Hakimi ◽  
Herlin Fitriani
Keyword(s):  
Clinical Care ◽  
Sampling Technique ◽  
Obstetric Care ◽  
Evidence Based ◽  
Independent Practice ◽  
Structured Interviews ◽  
Delivery Assistance ◽  
Quality Of Obstetric Care ◽  
The Impact

Evidence-based is a very effective strategy to improve the quality of midwifery services. One of the most frequently problems faced is the gap between midwifery practices that are in accordance with the procedures (based on evidence-based) with clinical care practices that occur in the clinic. The purpose of this study was to explore in-depth the obstacles to the implementation of evidence-based normal childbirth, which are the position of delivery, monitoring and documenting delivery by using partographs in the Independent Practice of Midwives of Gunungkidul District, Yogyakarta.This research was a qualitative research with a phenomenological descriptive approach. The participants of this study were midwives who had the Independent Midwife Practice (PMB) consisting of 7 informants. Participant selection in this study used a purposive sampling technique with convenience sampling and identification of obstacles used was the Consolidated Framework for Implementation Research (CFIR). Data collection used was semi-structured interviews and observations. Data analysis used was a thematic analysis.The interview and observation of delivery assistance is done at the Independent Midwife Practice Center (PMB). The position of delivery that was often used by patients was lithotomy and left slant, and the application of evidence-based monitoring and documentation using partograph was still not optimal. This was because there were several obstacles in its application, which were obstacles from patients, families, midwives, and obstacles from the organization. The impact of these obstacles was that it can reduce the quality of obstetric care in patients according to evidence-based. The evaluation of clinical practice based on evidence-based by the organization and the existence of feedback from patients to midwives are expected to improve the quality of service to patients.    

scholarly journals Corporate Governance and Economic Performance: The Limit of Short Termism

2019 ◽  
Vol 3 (4) ◽  
pp. 49-61
Author(s):  
F. D. Tommaso ◽  
A. Gulinelli
Keyword(s):  
Corporate Governance ◽  
Board Of Directors ◽  
Economic Performance ◽  
Performance Indicators ◽  
Financial Management ◽  
Firm Value ◽  
Key Performance Indicators ◽  
Common Interest ◽  
The Board Of Directors ◽  
The Impact

This article includes exploring arguments and counterarguments in the context of conducting a scientific discussion on the impact of corporate governance on a company’s financial and economic performance. The main purpose of this paper is to determine the nature of the impact of corporate governance policy on the activities of economic entities. The systematization of literary sources and approaches to problem solving has shown that there are two opposing points of view: firm value, efficiency), on the other hand, a number of scientists are convinced that there is a positive influence of the functioning of the corporate governance system on the valuation of listed companies. The work emphasizes the decisive role of the board of directors of the company in the development and adoption of the strategic direction of development of the organization. The author points out in the study the need for coordinated interaction of the board of directors with the financial management of the company and the business owners in order to increase the efficiency and profitability of the business entity. It is stated that the key economic tools for achieving and implementing the strategic plans of the company can be the key performance indicators and accordingly developed measures to achieve such success. As a result, it is justified that corporate governance should not be a set of rules and mechanisms aimed at managing and controlling companies, but rather as a process by which companies become sensitive to stakeholder rights. The spread of corporate culture, according to the author of a work aimed at protecting the common interest, is facilitated by the existence of good rules and effective authorities that control their observance. Keywords: corporate governance, financial and economic activity, board of directors, key performance indicators.

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