scholarly journals Guidelines for the Safe Preparation of Sterile Compounds: Results of the ISMP Sterile Preparation Compounding Safety Summit of October 2011

2013 ◽  
Vol 48 (4) ◽  
pp. 282-301 ◽  
Author(s):  
Darryl S. Rich ◽  
Matthew P. Fricker ◽  
Michael R. Cohen ◽  
Stuart R. Levine
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Organization ◽  
Record Keeping ◽  
Policies And Procedures ◽  
Causative Factors ◽  
Mandatory Standard ◽  
Patient Safety Incidents

Significant patient safety incidents related to sterile drug compounding have occurred for many years. Previous guidelines have focused on ensuring sterility, but serious compounding errors have occurred as well. National efforts are needed to identify and reduce the potential for such errors and their causative factors. In response, the Institute for Safe Medication Practices (ISMP) convened in October 2011 a summit of 60 invited experts in the field for the purpose of establishing by consensus guidelines, safe practices, and standard operating procedures needed to ensure the safe preparation of compounded sterile preparations, especially intravenous admixtures. The resulting guidelines were categorized into 14 core processes: policies and procedures, order entry and verification, drug storage, assembling products and supplies, compounding, drug conservation during drug shortages, preparation of source/bulk containers, technology/automation used, IV workflow software, automated IV compounding devices, quality control/final verification, product labeling, record keeping, and staff management. They were also classified into 3 levels: mandatory, standard, and recommendation. The guidelines presented in this article were felt to be applicable to any health care organization that prepares sterile compounded products. The consensus of the group was that adherence to these guidelines will improve the safety of sterile product compounding and reduce harmful errors in patients receiving these products. Incorporation of these guidelines into sterile compounding practices of health care organizations is an important component of improving patient safety.

scholarly journals Patterns of Patients’ Interactions With a Health Care Organization and Their Impacts on Health Quality Measurements: Protocol for a Retrospective Cohort Study (Preprint)

2018 ◽  
Author(s):  
Arriel Benis ◽  
Nissim Harel ◽  
Refael Barak Barkan ◽  
Einav Srulovici ◽  
Calanit Key
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Communication Channel ◽  
Clustering Algorithm ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Communication Channels ◽  
Care Organization ◽  
Care Providers ◽  
Different Types

BACKGROUND Data collected by health care organizations consist of medical information and documentation of interactions with patients through different communication channels. This enables the health care organization to measure various features of its performance such as activity, efficiency, adherence to a treatment, and different quality indicators. This information can be linked to sociodemographic, clinical, and communication data with the health care providers and administrative teams. Analyzing all these measurements together may provide insights into the different types of patient behaviors or more accurately to the different types of interactions patients have with the health care organizations. OBJECTIVE The primary aim of this study is to characterize usage profiles of the available communication channels with the health care organization. The main objective is to suggest new ways to encourage the usage of the most appropriate communication channel based on the patient’s profile. The first hypothesis is that the patient’s follow-up and clinical outcomes are influenced by the patient’s preferred communication channels with the health care organization. The second hypothesis is that the adoption of newly introduced communication channels between the patient and the health care organization is influenced by the patient’s sociodemographic or clinical profile. The third hypothesis is that the introduction of a new communication channel influences the usage of existing communication channels. METHODS All relevant data will be extracted from the Clalit Health Services data warehouse, the largest health care management organization in Israel. Data analysis process will use data mining approach as a process of discovering new knowledge and dealing with processing data extracted with statistical methods, machine learning algorithms, and information visualization tools. More specifically, we will mainly use the k-means clustering algorithm for discretization purposes and patients’ profile building, a hierarchical clustering algorithm, and heat maps for generating a visualization of the different communication profiles. In addition, patients’ interviews will be conducted to complement the information drawn from the data analysis phase with the aim of suggesting ways to optimize existing communication flows. RESULTS The project was funded in 2016. Data analysis is currently under way and the results are expected to be submitted for publication in 2019. Identification of patient profiles will allow the health care organization to improve its accessibility to patients and their engagement, which in turn will achieve a better treatment adherence, quality of care, and patient experience. CONCLUSIONS Defining solutions to increase patient accessibility to health care organization by matching the communication channels to the patient’s profile and to change the health care organization’s communication with the patient to a highly proactive one will increase the patient’s engagement according to his or her profile. INTERNATIONAL REGISTERED REPOR RR1-10.2196/10734

Model for Assessment of Environmental Responsibility in Health Care Organizations

2018 ◽  
pp. 3131-3143 ◽  
Author(s):  
María Carmen Carnero
Keyword(s):  
Health Care ◽  
Environmental Sustainability ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Environmental Responsibility ◽  
Care Organization ◽  
Sustainable Business ◽  
Waste Production ◽  
Order Preference ◽  
Multicriteria Assessment

Sustainability is considered a paradigm for businesses in the 21st Century. Despite this, the existing tools for helping to introduce strategies and manage activities to promote sustainable business are few. These deficiencies become more important in Health Care Organizations owing to its particular conditions of resource consumption and waste production. It is, therefore, essential to have objective tools to assist in monitoring environmental sustainability in this type of organization. This Chapter therefore sets out a multicriteria assessment system constructed by extension to a fuzzy environment of the Technique for Order Preference by Similarity to Ideal Situation (TOPSIS), to assess the environmental responsibility of a Health Care Organization. This model allows joint evaluation of a significant number of decision criteria. The aim is to provide a hospital with a model which is easy to apply, with criteria specific to health care, and which allows its responsibility with regard to the environment to be monitored over time. The model has been used in a Public Hospital.

The Role of Diagnosis-related Groups in Health Care Organizations Financing

2010 ◽  
pp. 132-143
Author(s):  
T. Sklyar
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Single Channel ◽  
Diagnosis Related Groups ◽  
Health Care Organization ◽  
Prospective Payment System ◽  
Pilot Project ◽  
Care Organization ◽  
Theoretical Approaches

The article describes theoretical approaches to the choice of a hospital financing method. The paper discusses three ways of incorporating diagnosis-related groups in health care, i. e. in a prospective payment system which is widely spread abroad; within a pilot project on the single-channel financing of health care organizations in Russia; introducing diagnosis-related groups in St. Petersburg as a basis of health care organization costs recovery.

Measuring the Customer-Perceived Service Quality in Health Care Organization: A Case Study

2012 ◽  
Vol 14 (1) ◽  
pp. 27-41 ◽  
Author(s):  
Sunil C. D’Souza ◽  
A.H. Sequeira
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Service Quality ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Services Marketing ◽  
Care Organization ◽  
Nursing Quality

In today’s highly competitive environment, health care organizations are increasingly realizing the need to focus on service quality as a measure to improve their competitive position. While there has been a plethora of conceptual and empirical research regarding the many complexities involved in services marketing, few endeavours have been directed towards integrating the customer’s assessment into models to improve overall service quality. This article examines service quality through a case study of a health care organization in Mangalore, Karnataka, India with a tertiary health provision. The population consisted of patients aged 18–65 years and 45 patients were considered through a purposive sampling technique. The study basically started off using the grounded theory for patient of service quality and this exploration was enabled to formulate a hypothesis; to test the specific hypothesis, the descriptive approach was used. The grounded theory indentified service quality dimensions through open coding, axial coding and selective coding. The analysis was done for the assessment of overall service quality by ‘doctors’, ‘quality of care,’ ‘nursing quality of care’ and ‘operative quality of care’ and the proportion of statistically significant variance. The service quality in which operative quality of care yielded 79 per cent; doctor quality of care yielded 45.6 per cent; and nursing quality of care yielded 63.8 per cent of explanatory power.The results also indicated there is need to improve doctors’ care in the case of this organization. Service attributes related to this dimension requires management attention to improve the doctors’ care of quality. The article concludes by highlighting the dearth in services marketing research for service quality measurement through patient perspective in health care organizations.

Contextualizing Health Literacy to Health Care Organizations

2016 ◽  
Vol 18 (4) ◽  
pp. 611-624 ◽  
Author(s):  
Carmela Annarumma ◽  
Rocco Palumbo
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Organizational Health ◽  
Poor Health ◽  
Care Organization ◽  
Health Care Environment ◽  
Inadequate Health Literacy ◽  
The Way

Parker, Ratzen and Lurie (2003) pointed out that a silent epidemic is affecting the health status of the American population, namely poor health literacy. Actually, inadequate health literacy is the main cause of the patients’ inability to navigate the health care environment, paving the way for inappropriateness in the provision of care as well as for poor health outcomes. Moreover, it has been esteemed that a third of the European population is not able to properly understand, process and use health information (HLS-EU Consortium, 2012). The same issue has been identified in several Asian countries (see, for example, Nakayama et al., 2015; Pednekar, Gupta & Gupta, 2011). What is striking is that—until today—the attention has been focused on the individual determinants of low health literacy, while studies concerning the organizational health literacy—that is to say, the ability of health care organization to establish friendly and comfortable relationships with the patients—are uncommon (Weaver, Wray, Zellin, Gautam & Jupka, 2012). This article is aimed at exploring the way health care organizations deal with patients living with inadequate health literacy. Drawing on the prevailing literature (Brach et al., 2012; DeWalt et al., 2013; Matthews & Sewell, 2002; Murphy-Knoll, 2007; Stableford & Mettger, 2007) the main approaches to improve organizational health literacy are examined. Then, a distinction between formal and informal tools to address organizational health literacy is suggested and the effectiveness of both of them is compared. The findings of the research suggest that informal tools are more common than formal tools, even though the former have lower perceived effectiveness as compared with the latter. Health care organizations seem to be still far from effectively activating comprehensive organizational health literacy pathways. There is a desperate need for systemic efforts to enhance the awareness of organizational health literacy and to encourage processes of change towards health literate organizational environments.

Benchmarking of the Maintenance Service in Health Care Organizations

2017 ◽  
pp. 1-25
Author(s):  
María Carmen Carnero
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Quality ◽  
Care Staff ◽  
Care Organization ◽  
Analytic Hierarchy ◽  
Maintenance Service ◽  
Hierarchy Process

The support services of health care organizations, such as maintenance, have not traditionally been considered important from the perspective of care quality. Nevertheless, the degree of excellence in maintenance significantly influences availability, maintenance costs and safety of facilities, medical equipment, patients and care staff. Thus, it would be of great importance for health care organizations to apply benchmarking to their maintenance processes, as do other processing companies, in order to determine the quality of maintenance provided, and compare it to other, similar, organizations. This would also allow all the continuous improvement processes to be controlled, and actions for radical improvement to be carried out by comparing performance with that of companies in other sectors. This chapter describes a multicriteria model integrating a fuzzy Analytic Hierarchy Process with utility theory to obtain a valuation for the Maintenance Service of a Health Care Organization over time.

scholarly journals Examining The Impact Of Sarbanes-Oxley On Non-Profit Health Care Organizations

2012 ◽  
Vol 10 (2) ◽  
pp. 69
Author(s):  
Caprina P. Beal ◽  
Thomas Griffin
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Organization ◽  
Font Size ◽  
Case Study Method ◽  
Non Profit ◽  
Sarbanes Oxley ◽  
The Impact

<span style="font-family: Times New Roman; font-size: small;"> </span><p style="margin: 0in 0.5in 0pt; text-align: justify; mso-pagination: none;" class="MsoBodyText"><span style="font-size: 10pt;"><span style="font-family: Times New Roman;">This paper presented a proposal for research on how the Sarbanes-Oxley Act of 2002 impacts a non-profit health care organization. The research study follows a qualitative research method of the case study. In this study, the researcher presented a brief introduction of the SOX act and discussed the research data collected in the case study. Qualitative case study method was used for analysis.</span></span></p><span style="font-family: Times New Roman; font-size: small;"> </span>

Ceding Care to the Corporation

2017 ◽  
Author(s):  
Timothy J. Hoff
Keyword(s):  
Health Care ◽  
Brand Loyalty ◽  
Health Care Organizations ◽  
Health Management ◽  
Health Care Organization ◽  
Care Physician ◽  
Care Organization ◽  
Patient Needs ◽  
Management Approaches ◽  
The Individual

The forces impacting the doctor-patient relationship cede many care responsibilities from the individual primary care physician to the health care organization. Many physicians are now salaried employees of these organizations and report feeling a great deal of pressure from having to embrace population health management approaches that involve heavy use of quality metrics and care standardization. Aided by lowered expectations of their interactions with physicians, patient loyalties begin to shift toward the organization rather than any single doctor, as patients describe their lowered expectations and how these create opportunity to place their faith in a presumed ability by the organization to provide them with satisfactory care. This dynamic further undermines the dyadic bond potential between doctor and patient, and provides additional rationales for health care organizations to introduce retail tactics into their own interactions with patients, designed to build brand loyalty and meet more basic patient needs, such as convenience, in standardized ways.

Clinical Guidelines as Plans

2006 ◽  
Vol 45 (02) ◽  
pp. 204-210 ◽  
Author(s):  
B. Smith ◽  
D. M. Pisanelli ◽  
A. Gangemi ◽  
M. Stefanelli ◽  
A. Kumar
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Clinical Guidelines ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Two Dimensions ◽  
Care Organization ◽  
Standard Guideline ◽  
Different Levels ◽  
Ontological Theory

Summary Objective: Clinical guidelines are special types of plans realized by collective agents. We provide an ontological theory of such plans that is designed to support the construction of a framework in which guideline-based information systems can be employed in the management of workflow in health care organizations. Method: The framework we propose allows us to represent, in formal terms, how clinical guidelines are realized through the actions of individuals or ganized into teams. We provide various levels of implementation representing different levels of conformity on the part of health care organizations. Result: Implementations built in conformity with our framework are marked by two dimensions of flexibility that are designed to make them more likely to be accepted by health care professionals than standard guideline-based management systems. They do justice to the fact 1) that responsibilities within a health care organization are widely shared, and 2) that health care professionals may on different occasions be non-compliant with guidelines for a variety of well justified reasons. Conclusion: The advantage of the framework lies in its built-in flexibility, its sensitivity to clinical context, and its ability to use inference tools based on a robust ontology. One disadvantage lies in its complicated implementation.

Knowledge Management In Health Care Organizations

2004 ◽  
Vol 13 (01) ◽  
pp. 144-155
Author(s):  
M. Stefanelli
Keyword(s):  
Health Care ◽  
Information And Communication Technologies ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Workflow Management ◽  
Medical Knowledge ◽  
Communication Technologies ◽  
Care Organization ◽  
Management Technology ◽  
Information And Communication

Abstract:This review article analyzes theories, methods, and technologies that can be effective in building a socio-technical environment within a health care organization that is able to facilitate the collaboration between individuals in the management of patient care and in expanding scientific and professional knowledge. The article is organized as follows. In section 2, I discuss the nature of knowledge in general and with a particular attention to medical knowledge. The future of health information systems (HIS) is discussed in section 3, which provides also an overview of theories for designing and developing such systems. Section 4 describes different types of collaboration, and reviews the methods and information and communication technologies (ICT), which can be exploited for knowledge creation and interaction management. The potential of workflow management technology for building innovative components within HIS is analyzed in section 5. Finally, section 6 presents the conclusions.

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