Teaching Students to Transform: The Health Innovations Scholars Program 6 Years Later

Training in leadership and health system transformation is increasingly important in undergraduate medical education in order to develop a pipeline of engaged physicians dedicated to transforming health care. Despite this growing need, it is unclear whether current leadership training methods have long-term impact on students’ career trajectory. The authors analyzed career outcomes from 6 years of the Health Innovations Scholars Program (HISP) to better understand how the program affected the 46 graduates’ future involvement in health system transformation and leadership. Eighty-eight percent of the graduates remained involved in quality improvement, 70% held leadership positions, 31% participated in health innovation, and 15% participated in patient safety initiatives. Project involvement of the graduates represented both primary and secondary catalysts for health system change, leading to 28 unique catalyst events. HISP is a model for directing trainees’ career trajectory toward engagement in health system leadership and redesign.

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Modelling change and cultural safety: A case study in northern British Columbia health system transformation

Healthcare Management Forum ◽

10.1177/0840470418807948 ◽

2018 ◽

Vol 32 (1) ◽

pp. 11-14 ◽

Cited By ~ 1

Author(s):

Margo Greenwood

Keyword(s):

Health System ◽

Indigenous Peoples ◽

Cultural Safety ◽

System Transformation ◽

Health System Change ◽

Health Authorities ◽

The Relationship ◽

Canadian Healthcare System ◽

Canadian Healthcare

The relationship that Indigenous Peoples have to the Canadian healthcare system makes the system’s weaknesses and complexities obvious. The long-standing lack of consideration to the historical and contemporary realities of Indigenous Peoples has resulted in miscommunication, misunderstanding, mistrust and racism. Health leaders, including health authorities, across the province are thus challenged to ensure that culturally safe environments are available and culturally safe practices are being used. This article begins with an overview of contemporary social political contexts in which Indigenous individual and collective realities are situated. Following is a conceptual discussion focused on health system change and the experiences of Indigenous Peoples. Change at structural, systemic and individual levels is the focus of the change model presented in this article. Throughout this exploration, examples of concrete actions currently underway in a health authority are offered. The article concludes with visions for future change.

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Long-Term Impact of Disasters on the Public Health System: A Multi-Case Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176251 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6251

Author(s):

Nina Lorenzoni ◽

Verena Stühlinger ◽

Harald Stummer ◽

Margit Raich

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

Psychosocial Support ◽

Holistic Approach ◽

The Public ◽

Preparedness Planning ◽

Tunnel Fire ◽

Long Term Impact

As past events have shown, disasters can have a tremendous impact on the affected population’s health. However, research regarding the long-term impact on a systems level perspective is still scarce. In this multi-case study, we analyzed and compared the long-term impacts on the public health system of five disasters which took place in Europe: avalanche (Austria), terror attack (Spain), airplane crash (Luxembourg), cable-car tunnel fire (Austria), and a flood in Central Europe. We used a mixed-methods approach consisting of a document analysis and interviews with key stakeholders, to examine the various long-term impacts each of the disasters had on health-system performance, as well as on security and health protection. The results show manifold changes undertaken in the fields of psychosocial support, infrastructure, and contingency and preparedness planning. The holistic approach of this study shows the importance of analyzing long-term impacts from the perspective of the type (e.g., disasters associated with natural hazards) and characteristic (e.g., duration and extent) of a disaster, as well as the regional context where a disaster took place. However, the identified recurring themes demonstrate the opportunity of learning from case studies in order to customize the lessons and apply them to the own-disaster-management setting.

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Investing in a “Rehabilitation Model” to Improve the Decision-Making Process in Long-Term Care

Advances in Healthcare Information Systems and Administration - Research Perspectives on the Role of Informatics in Health Policy and Management ◽

10.4018/978-1-4666-4321-5.ch003 ◽

2013 ◽

pp. 37-47

Author(s):

Connie D’Astolfo

Keyword(s):

Decision Making ◽

Health System ◽

Chronic Diseases ◽

Long Term Care ◽

Hospital Costs ◽

Cost Savings ◽

System Transformation ◽

Term Care ◽

Rehabilitation Model

An aging population is a primary factor associated with escalating healthcare costs due to increased drug spending, chronic diseases and co-morbidities, physician visits, and hospital costs (TD Report, 2010). There has already been a marked increase in the number of Long-Term Care (LTC) residents with co-morbidities, and chronic diseases will be more prevalent in future years (Conference Board of Canada, 2011). The chapter explores the use of a rehabilitation model to improve the current decision-making processes that impact the health outcomes of seniors across the Ontario LTC continuum. Improved clinical management of this population through rehabilitation could result in not only enhanced quality of care but also significant cost savings for both the Long-Term Care (LTC) industry and the health system at large. The chapter highlights the need for the LTC sector to identify strategies for harnessing innovation to improve its own activities and outcomes and become a leader in health system transformation.

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Long-term impact of the Galtuer avalanche on the public health system

Journal of Emergency Management ◽

10.5055/jem.0570 ◽

2021 ◽

Vol 19 (2) ◽

pp. 197-208

Author(s):

Nina Lorenzoni, MA ◽

Margit Raich, PhD

Keyword(s):

Public Health ◽

Health System ◽

Disaster Management ◽

Public Health System ◽

The Public ◽

Disaster Situation ◽

Long Term Impact ◽

The Village

On February 23, 1999, an avalanche buried large parts of the village of Galtuer Austria, killing 31 people. The purpose of this paper is to examine the longer-term impact of this avalanche on the public health system. For the case study, we used a mixed-method approach consisting of a document study and expert interviews with people who were involved in the disaster-management operations. Many long-term changes were undertaken in the context of infrastructural measures, disaster-management structures, and coordination and cooperation within the existing system to protect people and property as well as to provide important information for decision makers. The investigation reveals the importance of situational approaches to the post-disaster phase depending on the recovery needs of those affected. Moreover, the value of social capital in a disaster situation is emphasized.

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Long-Term Impact of Environmental Public Health Disaster on Health System Performance

Southern Medical Journal ◽

10.1097/smj.0b013e31827c54fc ◽

2013 ◽

Vol 106 (1) ◽

pp. 74-81 ◽

Cited By ~ 8

Author(s):

Jennifer R. Runkle ◽

Hongmei Zhang ◽

Wilfried Karmaus ◽

Amy Brock-Martin ◽

Erik R. Svendsen

Keyword(s):

Public Health ◽

Health System ◽

System Performance ◽

Health System Performance ◽

Environmental Public Health ◽

Long Term Impact

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PUK14 ACUTE Renal Failure during COVID-19 and Its LONG-TERM IMPACT on Health System

Value in Health ◽

10.1016/j.jval.2020.08.2057 ◽

2020 ◽

Vol 23 ◽

pp. S752

Author(s):

S. Boeger ◽

J. Petrovic ◽

E. Busink ◽

C. Apel ◽

F. Kircelli ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Health System ◽

Long Term Impact

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Crisis Phones - Suicide Prevention Versus Suggestion/Contagion Effects

Crisis ◽

10.1027/0227-5910/a000313 ◽

2015 ◽

Vol 36 (3) ◽

pp. 220-224 ◽

Cited By ~ 3

Author(s):

Steven Stack

Keyword(s):

Suicide Prevention ◽

Contagion Effects ◽

Long Term Impact

Abstract. Background: There has been no systematic work on the short- or long-term impact of the installation of crisis phones on suicides from bridges. The present study addresses this issue. Method: Data refer to 219 suicides from 1954 through 2013 on the Skyway Bridge in St. Petersburg, Florida. Six crisis phones with signs were installed in July 1999. Results: In the first decade after installation, the phones were used by 27 suicidal persons and credited with preventing 26 or 2.6 suicides a year. However, the net suicide count increased from 48 in the 13 years before installation of phones to 106 the following 13 years or by 4.5 additional suicides/year (t =3.512, p < .001). Conclusion: Although the phones prevented some suicides, there was a net increase after installation. The findings are interpreted with reference to suggestion/contagion effects including the emergence of a controversial bridge suicide blog.

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