Are Communities Willing to Transition Into Learning Health Care Communities? A Community-Based Participatory Evaluation of Stakeholders’ Receptivity

2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Lessons Learned ◽  
Community Members ◽  
Community Based ◽  
Care Community ◽  
Care Experience ◽  
National Initiative

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.

Empirical exploration of brilliance in health care: perceptions of health professionals

2017 ◽  
Vol 41 (3) ◽  
pp. 336 ◽  
Author(s):  
Leila Karimi ◽  
Ann Dadich ◽  
Liz Fulop ◽  
Sandra G. Leggat ◽  
Jiri Rada ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Management Practices ◽  
Health Management ◽  
Care Delivery ◽  
Lessons Learned ◽  
Lexical Analysis ◽  
Professional Perspective

Objective The aim of the present study was to develop a positive organisational scholarship in health care approach to health management, informed by health managers and health professionals’ experiences of brilliance in health care delivery. Methods A sample of postgraduate students with professional and/or management experience within a health service was invited to share their experiences of brilliant health services via online discussions and a survey running on the SurveyMonkey platform. A lexical analysis of student contributions was conducted using the individual as the unit of analysis. Results Using lexical analysis, the examination of themes in the concept map, the relationships between themes and the relationships between concepts identified ‘care’ as the most important concept in recognising brilliance in health care, followed by the concepts of ‘staff’ and ‘patient’. Conclusions The research presents empirical material to support the emergence of an evidence-based health professional perspective of brilliance in health management. The findings support other studies that have drawn on both quantitative and qualitative materials to explore brilliance in health care. Pockets of brilliance have been previously identified as catalysts for changing health care systems. Both quality, seen as driven from the outside, and excellence, driven from within individuals, are necessary to produce brilliance. What is known about the topic? The quest for brilliance in health care is not easy but essential to reinvigorating and energising health professionals to pursue the highest possible standards of health care delivery. What does this paper add? Using an innovative methodology, the present study identified the key drivers that health care professionals believe are vital to moving in the direction of identifying brilliant performance. What are the implications for practitioners? This work presents evidence on the perceptions of leadership and management practices associated with brilliant health management. Lessons learned from exceptionally well-delivered services contain different templates for change than those dealing with failures, errors, misconduct and the resulting negativity.

scholarly journals Improving Care in the Pediatric Emergency Department With Virtual Reality (Preprint)

2018 ◽  
Author(s):  
Jessica DeClercq ◽  
Marie Bowen ◽  
Shelia R. Cotten ◽  
Aileen Hansen ◽  
Kelly Hebert ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Group Versus ◽  
Human Interaction ◽  
Psychosocial Needs ◽  
Care Experience ◽  
Use Of Technology

BACKGROUND Emergency departments (EDs) are often perceived as scary and have been shown to induce anxiety in children. Some hospitals utilize Certified Child Life Specialists (CCLS), hospital staff trained to meet the psychosocial needs of children, to assist when children show signs of anxiety and/or pain during treatment. The CCLS will distract the child, such as with an iPad; however, the child may still watch the IV start, which could result in a failure of the distraction. Digital distraction, distracting a child with technology during stressful procedures, has shown to reduce pain and anxiety better than medications or no distraction at all. Virtual reality (VR) is one form of digital distraction and is increasingly being used in hospitals, as both vision and hearing are blocked by the headset. Previous research shows that the more senses used in the distraction, the less likely the patient will experience pain and anxiety. OBJECTIVE The main goal of this study was to improve care delivery for children in the ED while receiving IV placements. To achieve this, we utilized VR to determine whether it could decrease pain and anxiety for children by acting as a form of digital distraction. METHODS The intervention included patients between the ages of 5 and 12 who needed an IV in the ED at a public, Michigan hospital. Each participant was randomly assigned to either VR or the standard of care distraction (SD). For those in the VR group, the child played a game while wearing a VR headset. For those in the SD group, the CCLS used standard distraction methods, such as watching a video on an iPad. The guardian then completed a survey to measure the effectiveness and satisfaction of the distraction. RESULTS Thirty children participated in the study. Of those who participated, 12 guardians from the VR group and 16 from the SD completed surveys. Seventy-five percent of the VR group and 94 percent of the SD agreed that the distraction reduced the child’s anxiety, while 75 percent of the VR group and 88 percent of the SD agreed that the distraction reduced the child’s pain during the IV placement. Sixty-seven percent of the VR group versus 94 percent of the SD were more satisfied with health care delivery because of the distraction, and 83 percent of the VR group while 88 percent of the SD were more likely to choose this hospital again because of the distraction. CONCLUSIONS Although there is potential for the use of VR in health care settings, the use of technology in addition to the CCLS shows great potential to reduce pain and anxiety while improving health care delivery and patient satisfaction. Because most guardians reported positive outcomes with both VR and the SD, the use of technology compared to no distraction should be examined in larger studies to fully understand the effect of digital distraction along with human interaction. With the option of technology in conjunction with caregiver guidance, pediatric patients may perceive less pain and have a better care experience during IV placements in the Emergency Department.

scholarly journals The Internet of Things: Impact and Implications for Health Care Delivery (Preprint)

2020 ◽  
Author(s):  
Jaimon T Kelly ◽  
Katrina L Campbell ◽  
Enying Gong ◽  
Paul Scuffham
Keyword(s):  
Health Care ◽  
Internet Of Things ◽  
Data Storage ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Policy Support ◽  
The Internet ◽  
Public Health Services ◽  
The Internet Of Things

UNSTRUCTURED The Internet of Things (IoT) is a system of wireless, interrelated, and connected digital devices that can collect, send, and store data over a network without requiring human-to-human or human-to-computer interaction. The IoT promises many benefits to streamlining and enhancing health care delivery to proactively predict health issues and diagnose, treat, and monitor patients both in and out of the hospital. Worldwide, government leaders and decision makers are implementing policies to deliver health care services using technology and more so in response to the novel COVID-19 pandemic. It is now becoming increasingly important to understand how established and emerging IoT technologies can support health systems to deliver safe and effective care. The aim of this viewpoint paper is to provide an overview of the current IoT technology in health care, outline how IoT devices are improving health service delivery, and outline how IoT technology can affect and disrupt global health care in the next decade. The potential of IoT-based health care is expanded upon to theorize how IoT can improve the accessibility of preventative public health services and transition our current secondary and tertiary health care to be a more proactive, continuous, and coordinated system. Finally, this paper will deal with the potential issues that IoT-based health care generates, barriers to market adoption from health care professionals and patients alike, confidence and acceptability, privacy and security, interoperability, standardization and remuneration, data storage, and control and ownership. Corresponding enablers of IoT in current health care will rely on policy support, cybersecurity-focused guidelines, careful strategic planning, and transparent policies within health care organizations. IoT-based health care has great potential to improve the efficiency of the health system and improve population health.

A new model of online health care delivery science education for mid-career health care professionals

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
Author(s):  
Adrienne Faerber ◽  
Alice Andrews ◽  
Ano Lobb ◽  
Eric Wadsworth ◽  
Katherine Milligan ◽  
...  
Keyword(s):  
Health Care ◽  
Science Education ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
New Model

scholarly journals Scaling virtual health at the epicentre of coronavirus disease 2019: A case study from NYU Langone Health

2020 ◽  
pp. 1357633X2094139
Author(s):  
Jason Sherwin ◽  
Katharine Lawrence ◽  
Veronica Gragnano ◽  
Paul A Testa
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Systems ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Lessons Learned ◽  
Virtual Care ◽  
Health Enterprise

The coronavirus disease 2019 (COVID-19) pandemic has accelerated the drive of health-care delivery towards virtual-care platforms. While the potential of virtual care is significant, there are challenges to the implementation and scalability of virtual care as a platform, and health-care organisations are at risk of building and deploying non-strategic, costly or unsustainable virtual-health systems. In this article, we share the NYU Langone Health enterprise approach to building and scaling an integrated virtual-health platform prior to and during the COVID-19 pandemic, and offer lessons learned and recommendations for health systems that need to undertake or are currently undertaking the transition to virtual-care delivery.

scholarly journals Home health simulation: Helping students meet the changing healthcare needs

2018 ◽  
Vol 9 (1) ◽  
pp. 27 ◽  
Author(s):  
Teresa Gore ◽  
Rebecca Lutz ◽  
R. Oscar Bernard ◽  
Ivonne F. Hernandez
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Home Care ◽  
Acute Care ◽  
Health Care Delivery ◽  
Care Setting ◽  
Care Delivery ◽  
Community Based ◽  
Specific Content ◽  
Healthcare Needs

Background/Objective: Nursing education has traditionally educated students in an acute care setting. However, recent trends in health care delivery models have moved the care of clients to a variety of out-patient settings. For the role of the nurse educator to transform, the curriculum must be able to expand beyond just the hospital-based focus to also include a community-based focus. To meet this demand, the College of Nursing faculty created a geriatric home care simulation to enhance the students’ experiences of providing care beyond the hospital setting to this growing population.Methods: A gap analysis of current simulations imbedded within the curricula identified the need for a community-based simulation and a geriatric home care simulation was chosen. The American Association of Colleges of Nursing Essentials of Baccalaureate Education and Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults were used as the framework for the analysis.Results: This simulation was designed as an interactive, low-stakes experience since many students lacked the opportunity to experience this unique clinical care setting. This article describes the development of the simulation, specific content objectives and outcomes, summary of the reactions of the students and faculty, as well as revisions and closing reactions.Conclusions: Nursing education has historically focused on acute care and now nursing students must be able to care for clients in a variety of out-patient settings, while focusing on the management of chronic diseases, promoting wellness and disease prevention. The future of nursing education will continue to require that faculty members explore innovative solutions to meet the educational needs of students, while balancing the health care needs of various populations and our changing health care delivery systems.

scholarly journals The Internet of Things: Impact and Implications for Health Care Delivery

10.2196/20135 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e20135
Author(s):  
Jaimon T Kelly ◽  
Katrina L Campbell ◽  
Enying Gong ◽  
Paul Scuffham
Keyword(s):  
Health Care ◽  
Internet Of Things ◽  
Data Storage ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Policy Support ◽  
The Internet ◽  
Public Health Services ◽  
The Internet Of Things

The Internet of Things (IoT) is a system of wireless, interrelated, and connected digital devices that can collect, send, and store data over a network without requiring human-to-human or human-to-computer interaction. The IoT promises many benefits to streamlining and enhancing health care delivery to proactively predict health issues and diagnose, treat, and monitor patients both in and out of the hospital. Worldwide, government leaders and decision makers are implementing policies to deliver health care services using technology and more so in response to the novel COVID-19 pandemic. It is now becoming increasingly important to understand how established and emerging IoT technologies can support health systems to deliver safe and effective care. The aim of this viewpoint paper is to provide an overview of the current IoT technology in health care, outline how IoT devices are improving health service delivery, and outline how IoT technology can affect and disrupt global health care in the next decade. The potential of IoT-based health care is expanded upon to theorize how IoT can improve the accessibility of preventative public health services and transition our current secondary and tertiary health care to be a more proactive, continuous, and coordinated system. Finally, this paper will deal with the potential issues that IoT-based health care generates, barriers to market adoption from health care professionals and patients alike, confidence and acceptability, privacy and security, interoperability, standardization and remuneration, data storage, and control and ownership. Corresponding enablers of IoT in current health care will rely on policy support, cybersecurity-focused guidelines, careful strategic planning, and transparent policies within health care organizations. IoT-based health care has great potential to improve the efficiency of the health system and improve population health.

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