scholarly journals Impact of a Patient Experience Leadership Structure on Performance and Engagement

2019 ◽  
Vol 7 (2) ◽  
pp. 146-150
Author(s):  
Sven Gierlinger ◽  
Agnes Barden ◽  
Nicole Giammarinaro
Keyword(s):  
Organizational Culture ◽  
Case Report ◽  
Patient Experience ◽  
Care Delivery ◽  
Culture Care ◽  
Service Excellence ◽  
Key Stakeholders ◽  
Organizational Experience ◽  
Leadership Structure

The patient experience leadership structure at Northwell Health is strategically championed by Culture Leaders, a novel role established to transform the organizational culture from “service excellence” to “patient experience.” This case report describes how the implementation of Culture Leader structure has aided in the improvement of organizational patient experience performance as well as how Culture Leaders remain highly engaged. Responsible for effectuating change by bridging the gap between local and organizational experience strategies, Culture Leader engages key stakeholders within the strategic pillars of culture, care delivery, hospitality, and accountability.

scholarly journals Evaluation of Patient Experience During Virtual and In-Person Urgent Care Visits: Time and Cost Analysis

2021 ◽  
Vol 8 ◽  
pp. 237437352098148
Author(s):  
Saif Khairat ◽  
Xi Lin ◽  
Songzi Liu ◽  
Zhaohui Man ◽  
Tanzila Zaman ◽  
...  
Keyword(s):  
Patient Experience ◽  
Care Delivery ◽  
Turnaround Time ◽  
Cross Sectional Study ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Cross Sectional ◽  
Significant Difference ◽  
Virtual Visits ◽  
One Year

Urgent care (UC) is one of the fastest growing venues of health care delivery for nonemergent conditions. This study compared the patient experience during virtual and in-person urgent care visits. We conducted a cross-sectional study of patients with the same diagnosis during Virtual Urgent Care (VUC) and in-person UC visits with the same diagnosis with regard to time and cost over a period of one year. We recorded and analyzed 16 685 urgent care visits: In-person UC (n = 14 734), VUC (n = 1262). Significant differences were found in the average total time for a visit in an in-person UC (70.89 minutes), and VUC (9.38 minutes). The average total cost of VUC ($49) and in-person UC ($142.657) differed significantly. Significant difference was found between UC turnaround time and VC turnaround time (Dependent variable (DV): 53.77, P < .01). We found significant differences in cost and time between in favor of virtual visits. Our findings suggest additional policy reform to expand the use of virtual care among target populations to improve access, reduce costs, meet the needs of patients, and reduce emergency department visits.

scholarly journals Cultivating Connection: The Magic of Attuning, Wondering, Following & Holding

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ann Flanagan Petry
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Nursing Care ◽  
Interpersonal Relations ◽  
Care Delivery ◽  
Employee Attitudes ◽  
Patient Centered ◽  
Caring Relationships ◽  
Award Winning ◽  
And Performance

Remember what drew you to health care? And what makes your work meaningful now? Chances are caring for people is the answer to both questions. In fact, healthcare is provided through relationships. Over a decade ago we developed a care delivery framework described in the award-winning book Relationship-Based Care: A Model for Transforming Practice. We were on the vanguard of a revolution toward more patient-centered caring. Indeed, we have always known the importance of connection to patient experience, employee attitudes, interpersonal relations, teams and performance. For nurses, caring relationships are so essential at work that it is inseparable from the work itself. We believe the best nursing care requires understanding of three key relationships: A. Relationship to one’s self, B. Relationship to co-workers and C. Relationship to patients and families. And, the hallmark of meaningful connection is attunement or tuning-in to others with genuine interest and care.

Informatics for Medicines Management Systems in Resource-Limited Settings

2012 ◽  
pp. 634-645
Author(s):  
Andy Stergachis ◽  
Douglas Keene ◽  
Shabir Somani
Keyword(s):  
Information Technologies ◽  
Care Delivery ◽  
Monitoring And Evaluation ◽  
Management Systems ◽  
Medicines Management ◽  
Resource Limited Settings ◽  
Treatment And Prevention ◽  
Resource Limited ◽  
Key Stakeholders ◽  
Potential Benefits

Improved access to information is necessary to ensure achievement of the potential benefits of medicines in resource-limited countries. The scaling up of treatment and prevention programs involving medicines in resource-limited regions with high disease burdens requires proper and urgent attention to the development and use of information technologies. Areas of need for medicines management systems informatics include prescribing, dispensing, pharmaceutical care, administration, patient monitoring, education and training, supply chain management, and monitoring and evaluation of program performance. Such information systems should strive to collect and manage data that are a standardized, compiled, and made easily accessible for use by key stakeholders, including ministries of health, medicines regulators, pharmaceutical industry, public health programs, academic researchers, donor organizations, the health care delivery sector, and ultimately the public and patients. A framework is described for medicines management systems informatics in resource-limited settings.

Leadership

2018 ◽  
pp. 573-586
Author(s):  
Maria Flynn ◽  
Dave Mercer
Keyword(s):  
Patient Experience ◽  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Leadership Skills ◽  
Nursing Leadership

There is an ongoing professional debate about the nature of effective nursing leadership. It is important that general adult nurses have an understanding of definitions and key principles of leadership, and the leadership skills and attributes which are relevant to nursing care delivery. Exploring these issues will support nurses in reflecting on their role and responsibilities, examining how, as a leader of care, they can enhance nursing practice and improve the patient experience. This chapter considers the broad principles of leadership which are relevant to general adult nurses and their practice.

scholarly journals Exploring the ripple effects of an Australian hospital redevelopment: a protocol for a longitudinal, mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027186 ◽  
Author(s):  
Chiara Pomare ◽  
Kate Churruca ◽  
Janet C Long ◽  
Louise A Ellis ◽  
Brett Gardiner ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Patient Experience ◽  
Care Delivery ◽  
Well Being ◽  
Survey Analysis ◽  
Hospital Data ◽  
Delivery Of Care ◽  
Ripple Effects ◽  
Network Analyses ◽  
Mixed Methods Case Study

IntroductionHospital redevelopment projects typically intend to improve hospital functioning and modernise the delivery of care. There is research support for the proposition that redevelopment along evidence-based design principles can lead to improved quality and safety. However, it is not clear how redevelopment influences the wider context of the hospital and its functioning. That is, beyond a limited examination of intended outcomes (eg, improved patient satisfaction), are there additional consequences (positive, negative or unintended) occurring within the hospital after the physical environment is changed? Is new always better? The primary purpose of this study is to explore the ripple effects of how hospital redevelopment may influence the organisation, staff and patients in both intended and unintended ways.Methods and analysisWe propose to conduct a longitudinal, mixed-methods, case study of a large metropolitan hospital in Australia. The study design consists of a series of measurements over time that are interrupted by the natural intervention of a hospital redevelopment. How hospital redevelopment influences the wider context of the hospital will be assessed in six domains: expectations and reflections of hospital redevelopment, organisational culture, staff interactions, staff well-being, efficiency of care delivery and patient experience. Methods of data collection include a hospital-wide staff survey, semistructured interviews, a network survey, a patient experience survey, analysis of routinely collected hospital data and observations. In addition to a hospital-level analysis, a total of four wards will be examined in-depth, with two acting as controls. Data will be analysed using thematic, statistical and network analyses, respectively, for the qualitative, quantitative and relational data.Ethics and disseminationThe study has been reviewed and approved by the relevant Ethics Committee in New South Wales, Australia. The results will be actively disseminated through peer-reviewed journals, conference presentations and in report format to the stakeholders.

scholarly journals Patient Experience of Obstetric Care During the COVID-19 Pandemic: Preliminary Results From a Recurring National Survey

2020 ◽  
Vol 7 (5) ◽  
pp. 653-656
Author(s):  
Dani Bradley ◽  
Arianna Blaine ◽  
Neel Shah ◽  
Ateev Mehrotra ◽  
Rahul Gupta ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Surveillance System ◽  
Care Delivery ◽  
Obstetric Care ◽  
Health Care Facilities ◽  
Traditional Health ◽  
Care Facilities ◽  
Traditional Health Care ◽  
Ongoing Surveillance

The experience of pregnant and postpartum patients continues to evolve during the COVID-19 pandemic. Limited clinical data and the unknown nature of the virus’ impact and transmission routes have forced constant changes to traditional care delivery. Dependence on telehealth technology such as telephonic and videoconferencing has surged, and patients’ willingness to visit traditional health care facilities has plummeted. We set out to create an ongoing surveillance system to monitor changes to prenatal and obstetric care and the patient experience during the COVID-19 pandemic.

scholarly journals 299. “Where the Rubber Meets the Road”: Stakeholders’ Perspectives about the Current State of HCV Care Delivery in Massachusetts Jails

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S161-S162
Author(s):  
Alysse G Wurcel ◽  
Jessica Reyes ◽  
Julia Zubiago ◽  
Deirdre Burke ◽  
Tom Concannon ◽  
...  
Keyword(s):  
Public Health ◽  
Care Delivery ◽  
Mutual Recognition ◽  
Healthcare Delivery ◽  
Hiv Care ◽  
Structured Interviews ◽  
The Road ◽  
Transient Nature ◽  
Purposeful Sampling ◽  
Key Stakeholders

Abstract Background HCV is highly prevalent in criminal-justice involved populations (CJIP). Nationally, the operationalization of guideline-driven HCV care (including testing and treatment) for CJIP has been challenging, prompting this study to understand barriers and facilitators. Methods We used purposeful sampling strategies to recruit key stakeholders including people who are incarcerated, clinicians providing care in jail, clinicians providing care outside of jail, corrections administrators, and representatives of industry, public health and public policy. Semi-structured interviews were performed in Spanish or English, based on preference of participant. Written notes were used to capture details from interviews in jails and interviews outside of jail were recorded. People interviewed outside of jail were offered a stipend. Interviews were coded and analyzed with a compare and consensus approach. Results Of 120 people, 49 (41%) people agreed to be interviewed in each of the stakeholder categories including 21 men who were incarcerated (mean age 32 [IQR 25, 39], 60% non-White). Barriers to HCV care delivery included (1) Fragmented healthcare delivery because of transient nature of CJIP (2) Frustration and disempowerment experienced by people incarcerated in jail and (3) Heterogeneous views on stakeholders responsible for providing and financing HCV care in jails. Facilitators to HCV care delivery included (1) Incarcerated population’s interested in HCV care for public and personal health and (2) An existing strong public health infrastructure in place supporting HIV care delivery. Conclusion Understanding various stakeholders’ views of barriers to HCV care in jails is a necessary first step to building improved care pathways. Mutual recognition may help to focus limited administrative and fiscal resources on HCV care for this transient population. Disclosures All authors: No reported disclosures.

scholarly journals Recruiting Practices for Change Initiatives Is Hard: Findings From EvidenceNOW

2017 ◽  
Vol 33 (3) ◽  
pp. 246-252 ◽  
Author(s):  
Shannon M. Sweeney ◽  
Jennifer D. Hall ◽  
Sarah S. Ono ◽  
Leah Gordon ◽  
David Cameron ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Delivery ◽  
Recruitment Strategies ◽  
Change Initiatives ◽  
Key Stakeholders ◽  
Observational Site ◽  
State Initiatives ◽  
Grant Proposals ◽  
Care Practices ◽  
Primary Care Practices

Engaging primary care practices in initiatives designed to enhance quality, reduce costs, and promote safety is challenging as practices are already participating in numerous projects and mandated programs designed to improve care delivery and quality. Recruiters must expand their recruitment tools to engage today’s practices in quality improvement. Using grant proposals, online diaries, observational site visits, and interviews with key stakeholders, the authors identify successful practice recruitment strategies in the EvidenceNOW initiative, which aimed to recruit approximately 1500 small- to medium-sized primary care practices. Recruiters learned they needed to articulate how participation in EvidenceNOW aligned with other initiatives and could help practices succeed with federal and state initiatives, recognition programs, and existing or future payment requirements. Recruiters, initiative leaders, and funders must now consider how their efforts align with ongoing initiatives to successfully recruit and engage practices, ease practice burden, and encourage participation in efforts that support practice transformation.

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