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

Implementing E-Health

2016 ◽  
Author(s):  
Bill Doolin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Point Of Care ◽  
Health Care Organization ◽  
Technical Problem ◽  
Local Health ◽  
Care Organization ◽  
Care Providers ◽  
Health Care Information ◽  
Local Health Care

The application of information and communication technology to support health care organization, management, and delivery is high on the health policy agenda in many countries, and its implementation has become a significant issue. Despite optimistic expectations and increasing investment in e-health, the anticipated benefits are often elusive. This chapter reviews the factors driving the development of e-health before introducing a conceptualization of e-health focused on the management and use of health care information at the point of care, between health care providers and, ultimately, by health care consumers. The chapter then explores a range of issues that render e-health implementation problematic. In particular, implementing e-health is both a complex and emergent process that requires consideration of local health care contexts, and a socio-technical problem involving changes in work processes, interactions, and behaviors.

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.

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.

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.

scholarly journals Communication Behavior Changes Between Patients With Diabetes and Healthcare Providers Over 9 Years: Retrospective Cohort Study (Preprint)

2019 ◽  
Author(s):  
Arriel Benis ◽  
Refael Barak Barkan ◽  
Tomer Sela ◽  
Nissim Harel
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Health Care Organization ◽  
Communication Channels ◽  
Communication Behavior ◽  
Care Organization ◽  
Health Organizations ◽  
Patient Profile ◽  
Health Organization

BACKGROUND Health organizations and patients interact over different communication channels and are harnessing digital communications for this purpose. Assisting health organizations to improve, adapt, and introduce new patient–health care practitioner communication channels (such as patient portals, mobile apps, and text messaging) enhances health care services access. OBJECTIVE This retrospective data study aims to assist health care administrators and policy makers to improve and personalize communication between patients and health care professionals by expanding the capabilities of current communication channels and introducing new ones. Our main hypothesis is that patient follow-up and clinical outcomes are influenced by their preferred communication channels with the health care organization. METHODS This study analyzes data stored in electronic medical records and logs documenting access to various communication channels between patients and a health organization (Clalit Health Services, Israel). Data were collected between 2008 and 2016 from records of 311,168 patients diagnosed with diabetes, aged 21 years and over, members of Clalit at least since 2007, and still alive in 2016. The analysis consisted of characterizing the use profiles of communication channels over time and used clustering for discretization purposes and patient profile building and then a hierarchical clustering and heatmaps to visualize the different communication profiles. RESULTS A total of 13 profiles of patients were identified and characterized. We have shown how the communication channels provided by the health organization influence the communication behavior of patients. We observed how different patients respond differently to technological means of communication and change or don’t change their communication patterns with the health care organization based on the communication channels available to them. CONCLUSIONS Identifying the channels of communication within the health organization and which are preferred by each patient creates an opportunity to convey messages adapted to the patient in the most appropriate way. The greater the likelihood that the therapeutic message is received by the patient, the greater the patient's response and proactiveness to the treatment will be. INTERNATIONAL REGISTERED REPORT RR2-10.2196/10734

scholarly journals Communication Behavior Changes Between Patients With Diabetes and Healthcare Providers Over 9 Years: Retrospective Cohort Study

10.2196/17186 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17186 ◽  
Author(s):  
Arriel Benis ◽  
Refael Barak Barkan ◽  
Tomer Sela ◽  
Nissim Harel
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Health Care Organization ◽  
Communication Channels ◽  
Communication Behavior ◽  
Care Organization ◽  
Health Organizations ◽  
Patient Profile ◽  
Health Organization

Background Health organizations and patients interact over different communication channels and are harnessing digital communications for this purpose. Assisting health organizations to improve, adapt, and introduce new patient–health care practitioner communication channels (such as patient portals, mobile apps, and text messaging) enhances health care services access. Objective This retrospective data study aims to assist health care administrators and policy makers to improve and personalize communication between patients and health care professionals by expanding the capabilities of current communication channels and introducing new ones. Our main hypothesis is that patient follow-up and clinical outcomes are influenced by their preferred communication channels with the health care organization. Methods This study analyzes data stored in electronic medical records and logs documenting access to various communication channels between patients and a health organization (Clalit Health Services, Israel). Data were collected between 2008 and 2016 from records of 311,168 patients diagnosed with diabetes, aged 21 years and over, members of Clalit at least since 2007, and still alive in 2016. The analysis consisted of characterizing the use profiles of communication channels over time and used clustering for discretization purposes and patient profile building and then a hierarchical clustering and heatmaps to visualize the different communication profiles. Results A total of 13 profiles of patients were identified and characterized. We have shown how the communication channels provided by the health organization influence the communication behavior of patients. We observed how different patients respond differently to technological means of communication and change or don’t change their communication patterns with the health care organization based on the communication channels available to them. Conclusions Identifying the channels of communication within the health organization and which are preferred by each patient creates an opportunity to convey messages adapted to the patient in the most appropriate way. The greater the likelihood that the therapeutic message is received by the patient, the greater the patient's response and proactiveness to the treatment will be. International Registered Report Identifier (IRRID) RR2-10.2196/10734

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.

‘Have you ever traded sex for money or drugs?’ Health care providers’ perspectives on sex trafficking risk assessments in clinics

2021 ◽  
pp. 135581962199747
Author(s):  
Lara Gerassi ◽  
Anna Pederson
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Nurse Practitioners ◽  
Sex Trafficking ◽  
Health Care Organization ◽  
The United States ◽  
Care Staff ◽  
Risk Assessments ◽  
Care Organization ◽  
Care Providers

Objective The United States’ Institute of Medicine recommends that health care providers be aware of sex trafficking (ST) indicators and conduct risk assessments to identify people at risk. However, the challenges among those who conduct such assessments remain largely understudied. The aim of this study was to understand the perceived barriers to ST risk assessment among health care providers in a large health care organization. Methods This study used a collective case study approach in five sites of a large health care organization that serves high-risk populations in a Midwestern state. Twenty-three in-depth, semi-structured interviews were conducted with health care staff (e.g. medical assistants, nurse practitioners). Two research team members conducted independent deductive coding (e.g. knowledge of ST), and inductive coding to analyse emerging themes (e.g. responses to ST risk or commercial sex disclosures, provider role ambiguity). Results Although staff routinely screened by asking ‘Have you ever traded sex for money or drugs?’, participants primarily described avoiding further discussions of ST with adult patients because they (1) aimed to be non-judgmental, (2) viewed following up as someone else’s job, and/or (3) lacked confidence to address ST concerns themselves, particularly when differentiating sex work from ST. Differences all emerged based on clinical context (e.g. urban location). Conclusions There may be missed opportunities to assess patients for ST risk and use harm-reduction strategies or safety plan to address patients’ needs. Implications for practice, policy, and future research are discussed.

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