scholarly journals Report on Hotel Revenue and IHG’s Improvement Plan during COVID-19

2020 ◽  
Vol 5 (4) ◽  
pp. p164
Author(s):  
Yilin Zhao
Keyword(s):  
Service Improvement ◽  
Improvement Program ◽  
Improvement Plan ◽  
The Impact

This report examines the impact of COVID-19 on hotel industries and their management adaptations through the example of an IHG brand hotel. By presenting and analyzing the hotel’s data of 2020, a trend of noticeable decrease in booking and room revenue can be found. This report also illustrates the hotel’s service improvement program, which is used to counter such decrease in its revenues.

scholarly journals The Neighbourhood Improvement Plan

2013 ◽  
Vol 17 (1) ◽  
pp. 16-28 ◽  
Author(s):  
Pierre Filion
Keyword(s):  
Urban Renewal ◽  
Citizen Participation ◽  
Local Level ◽  
Improvement Program ◽  
Improvement Plan ◽  
Federal Program ◽  
Two Cities ◽  
The Difference ◽  
The Impact ◽  
The City

During the late 1960s and early 1970s the Canadian government effected a turnabout in its urban renewal policy, which culminated in the launching of the Neighbourhood Improvement Program in 1973. This program differed from prior forms of renewal by emphasizing the preservation of the built environment and citizen participation in neighbourhood planning. This article is concerned with examining the difference in the attitudes the city administrations of Montreal and Toronto took toward the federal program, and the impact of this difference on the results in the two cities. It appears that Toronto's mode of implementation was in the spirit of the federal policy revision while Montreal endeavoured to pursue traditional urban renewal objectives through its use of the program. These two approaches to the Neighbourhood Improvement Program are depicted respectively as expressions of a participatory and a centralized mode of policy making at the local level.

Developing junior doctors as leaders of service improvement

2014 ◽  
Vol 27 (4) ◽  
pp. 316-329 ◽  
Author(s):  
Jason Micallef ◽  
Brodene Straw
Keyword(s):  
Leadership Development ◽  
Medical Staff ◽  
Medical Service ◽  
Health Service Delivery ◽  
Public Healthcare ◽  
Service Improvement ◽  
Junior Doctors ◽  
Program Outcomes ◽  
Improvement Program ◽  
Content Type

Purpose – This paper aims to provide an overview of the design and initial outcomes of a leadership and service improvement program for junior medical staff. Design/methodology/approach – This paper describes the rationale, initial set-up, structure, program outcomes and future directions of the Medical Service Improvement Program for junior doctors. This program is a recent initiative of the Western Australian public healthcare system. Findings – The Medical Service Improvement Program illustrates a successful approach to developing junior doctors to lead improvements in health service delivery. The program has resulted in tangible personal outcomes for participants, in addition to important organisational outcomes. Practical implications – This paper provides an evidence-based structured approach to developing the leadership abilities of junior medical staff. It provides practical information on the design of the leadership program that aligns the participant learning outcomes to postgraduate medical competencies. The program has demonstrated clear service outcomes, confirming that junior medical staff is both capable and committed to leading service improvement and reform. Originality/value – This paper provides clear evidence for the benefits of providing dedicated non-clinical time for junior medical staff to lead quality and improvement initiatives. This case study will assist hospital administrators, postgraduate education units and those involved in designing and administering clinical leadership development programs.

scholarly journals Use of Medication Error Simulations in Continuing Professional Education to Effect Change To Practice

2020 ◽  
Vol 11 (1) ◽  
pp. 7
Author(s):  
Jeanne Frenzel ◽  
Heidi Eukel ◽  
Rebecca Brynjulson
Keyword(s):  
Quality Improvement ◽  
Training Program ◽  
Continuous Quality Improvement ◽  
Professional Education ◽  
Continuing Professional Education ◽  
Improvement Program ◽  
Effect Change ◽  
Improvement Plan ◽  
Continuous Quality ◽  
Pharmacy Technicians

Introduction: A novel continuing professional education CPE training program and simulation were used to teach pharmacists and pharmacy technicians about continuous quality improvement and how to identify, report, and communicate information regarding medication related errors using root cause analysis.   Methods: Pharmacists and pharmacy technicians attending a statewide pharmacy association meeting voluntary attended a CPE training program and simulation.  During the simulation, learners investigated and identified medication related errors in three different pharmacy settings.  A collection of items found at each pharmacy and audio recordings were used by learners to identify the medication related error.  After each simulation, facilitators led a debriefing to discuss the learners’ experiences.  Data was collected using online surveys.  Descriptive statistics and chi-square tests were used to analyze the data. Results:  Fourteen months following the program, 15 of the 67 participants responded to an anonymous survey.  Of the 15 responding participants, 73.3% (11/15) were confident or very confident they could establish or maintain a high-quality continuous quality improvement plan at their practice site.  Sixty percent (9/15) felt the experience reinforced their current practices, 13.3% (2/15) had implemented changes to their practice, and 13.3% (2/15) felt they needed more information before considering changes to their practice.  Reported barriers to establishing a continuous quality improvement program were time constraints, 40.0% (6/15), system constraints, 26.7% (4/15), or lack of staff 20.0% (3/15). Conclusion: A CPE training program and simulation reinforced practice for pharmacy personnel, resulted in changes to practice, and positively increased participants’ confidence in establishing a continuous quality improvement plan in the workplace.    Article Type: Note

scholarly journals Employment Opportunities And Human Resources Development In Digital Era: A Case Study In Industrial Sector

2018 ◽  
Vol 8 (2) ◽  
pp. 159-168
Author(s):  
Devi Asiati ◽  
Gutomo Bayu Aji ◽  
Vanda Ningrum ◽  
Ngadi Ngadi ◽  
Triyono Triyono ◽  
...  
Keyword(s):  
Industrial Sector ◽  
Production Equipment ◽  
Improvement Program ◽  
Digital Era ◽  
Local Resources ◽  
The World ◽  
The Government ◽  
Machine Replacement ◽  
The Impact

Transformation of digitalization in large industries has an impact on the automation of production equipment, including the replacement of production machines from conventional machines (manual) to digital machines. Meanwhile, automation of production equipment requires workers with higher skills, in fact the existing workforce does not have expertise in carrying out all-digital equipment. The impact is a reduction in labor (layoffs). Machine replacement is done in stages so that the reduction of workforce (PHK) in bulk is not visible. However, the inconsistency between the preparation in the world of education and the needs in the world of work continues to occur today. Until now, vocational development based on local resources has not been operating optimally and needs serious attention from the local government. The government on various occasions mentioned four leading sectors that will be strengthened in the development of vocational institutions, namely maritime, tourism, agriculture (food security), and the creative industry. In addition, the government is also developing a policy scheme for Skill Development Funds (SDF), which is a skills improvement program for workers affected by automation (PHK), including through Vocational Training Center (BLK).

Reporting Catheter-Associated Urinary Tract Infections: Denominator Matters

2011 ◽  
Vol 32 (7) ◽  
pp. 635-640 ◽  
Author(s):  
Marc-Oliver Wright ◽  
Maureen Kharasch ◽  
Jennifer L. Beaumont ◽  
Lance R. Peterson ◽  
Ari Robicsek
Keyword(s):  
Quality Improvement ◽  
Urinary Tract ◽  
Quality Improvement Initiative ◽  
Infection Rates ◽  
Improvement Program ◽  
Nursing Unit ◽  
Accepted Practice ◽  
Device Associated Infection ◽  
Tract Infections ◽  
The Impact

Objective.To evaluate two different methods of measuring catheter-associated urinary tract infection (CAUTI) rates in the setting of a quality improvement initiative aimed at reducing device utilization.Design, Setting, and Patients.Comparison of CAUTI measurements in the context of a before-after trial of acute care adult admissions to a multicentered healthcare system.Methods.CAUTIs were identified with an automated surveillance system, and device-days were measured through an electronic health record. Traditional surveillance measures of CAUTI rates per 1,000 device-days (R1) were compared with CAUTI rates per 10,000 patient-days (R2) before (T1) and after (T2) an intervention aimed at reducing catheter utilization.Results.The device-utilization ratio declined from 0.36 to 0.28 between T1 and T2 (P< .001), while infection rates were significantly lower when measured by R2 (28.2 vs 23.2, P = .02). When measured by R1, however, infection rates trended upward by 6% (7.79 vs. 8.28, P = .47), and at the nursing unit level, reduction in device utilization was significantly associated with increases in infection rate.Conclusions.The widely accepted practice of using device-days as a method of risk adjustment to calculate device-associated infection rates may mask the impact of a successful quality improvement program and reward programs not actively engaged in reducing device usage.

Abstract 2524: Increasing the Proportion of Patients Treated with Stroke Thrombolysis: Reducing In-hospital Delays has Substantially More Impact than Extension of the Time Window

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Martin A James ◽  
Thomas Monks ◽  
Ken Stein ◽  
Martin Pitt
Keyword(s):  
Time Window ◽  
Discrete Event ◽  
Fold Increase ◽  
Service Improvement ◽  
Disability Benefit ◽  
Prospective Data ◽  
Stroke Service ◽  
Event Simulation ◽  
Simulation Based ◽  
The Impact

Background Pooled analyses show the benefit of IV alteplase for ischemic stroke up to 4·5 hours after onset, and expert guidelines have been updated to reflect this. However, the benefit from thrombolysis is critically time-dependent, and the additional benefit from extending the time window may be jeopardised by in-hospital delays. Methods We developed a discrete-event simulation based on prospective data from 1142 acute stroke patients arriving at our large district hospital over a two-year period to April 2011, modelling the time spent in the ED for triage and assessment, brain imaging and, if applicable, thrombolysis. Outputs from the model included arrival to treatment times (ATT), percentage of strokes thrombolysed, and the number of thrombolysed patients with a 90 day modified Rankin Scale (mRS) of 0-1. We sought to model the current stroke pathway (treatment <3 hours of onset), and compare it with developmental scenarios exploring the impact of extending treatment from 3 to 4.5 hours, of ED staff alerting the stroke service at triage, of ambulance pre-alert to the stroke service, and combinations of these measures. Results The model illustrates that extending the treatment window modestly increases the percentage of acute strokes thrombolysed, from 5% to 6% (95% CI 5.8-6.1%), and increases the number of thrombolysed patients with mRS 0-1 by 7 per year (95% CI 5.9-8.0). Both the triage alert and ambulance pre-alert scenarios increase thrombolysis rates to 15% (95% CI 14.9% to 15.7%); but the ambulance pre-alert reduces ATT by a mean of 27 mins (95% CI 26.3-28.4) compared to the triage alert scenario. The ambulance pre-alert scenario increases the number of thrombolysed patients with mRS 0-1 by 35/year (95% CI 32.9-37.7) compared to 22 (95% CI 20.4-23.5) in the triage alert scenario. Combining the treatment extension with either alerting measure does not increase the thrombolysis rate further (15%, 95% CI 14.7-15.1%). Sensitivity analysis illustrates that the pre-alert system is the least vulnerable to a drop in compliance rates. Conclusions Our simulation model shows that the greatest disability benefit accrues from measures to substantially reduce in-hospital delays to alteplase treatment - a potential three-fold increase in the proportion of patients treated. Compared to extending the time window for alteplase from 3 to 4.5 hours, eradicating in-hospital delays to treatment offers a five-fold greater disability benefit, and this should be the pre-eminent focus of service improvement for all emergency receiving hospitals.

Abstract 186: Improving Identification and Assessment of Readmission Risk for Acute Myocardial Infarction and Heart Failure Patients Following Implementation of a National Quality Improvement Program

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
Ty J Gluckman ◽  
Nancy M Albert ◽  
Robert L McNamara ◽  
Gregg C Fonarow ◽  
Adnan Malik ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Quality Improvement ◽  
Improvement Program ◽  
Patient Level ◽  
Transition Care ◽  
National Quality ◽  
The Impact ◽  
Readmission Risk

Background: Optimal transition care represents an important step in mitigating the risk of early hospital readmission. For many hospitals, however, resources are not available to support transition care processes, and hospitals may not be able to identify patients in greatest need. It remains unknown whether a coordinated quality improvement campaign could help to increase a) identification of at-risk patients and b) use of a readmission risk score to identify patients needing extra services/resources. Methods: The American College of Cardiology Patient Navigator Program was designed as a 2-year (2015-2017) quality improvement campaign to assess the impact of transition-care interventions on transition care performance metrics for patients with acute myocardial infarction (AMI) and heart failure (HF) at 35 acute care hospitals. All sites were active participants in the NCDR ACTION Registry. Facilities were free to choose their transition care priorities, with at least 3 goals established at baseline. Pre-discharge identification of AMI and HF patients and assessment of their respective readmission risk were 4 of the 36 metrics tracked quarterly. Performance reports were provided regularly to the individual institutions. Sharing of best practices was actively encouraged through webinars, a listserv, and an online dashboard with display of blinded performance for all 35 hospitals. Results: At baseline, 31% (11/35) and 23% (8/35) of facilities did not have a process for prospectively identifying AMI and HF patients, respectively. At 2 years, the rate of not having processes decreased to 8% (3/35) and 3% (1/35), respectively. Among hospitals able to identify AMI and HF patients, there was high patient-level identification performance from the outset (91% for AMI and 86% for HF at baseline), with added improvement over 2 years (+2.2% for AMI and +9.3% for HF). At baseline, processes to assess readmission risk for AMI and HF patients were only completed by 26% (9/35) and 31% (11/35) of facilities, respectively. At 2 years, AMI and HF readmission risk assessment rose to 80% (28/35) and 86% (30/35), respectively. Similar improvements were noted at the patient-level, with 34% (52% --> 86%) and 16% (75% --> 91%) absolute 2-year increases in the percentage of AMI and HF patients undergoing assessment of readmission risk, respectively. Conclusions: Implementation of a quality improvement campaign focused on care transition can substantially improve prospective identification of AMI and HF patients and assessment of their readmission risk. It remains to be determined whether process improvement lead to reduction in 30-day readmission and/or improvement in other clinically important outcome measures.

Endovascular Therapy for Acute Mesenteric Ischemia: An NSQIP Analysis

2015 ◽  
Vol 81 (11) ◽  
pp. 1170-1176 ◽  
Author(s):  
Bernardino C. Branco ◽  
Miguel F. Montero-Baker ◽  
Hassan Aziz ◽  
Zachary Taylor ◽  
Joseph L. Mills
Keyword(s):  
Endovascular Therapy ◽  
Mesenteric Ischemia ◽  
Acute Mesenteric Ischemia ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Improvement Program ◽  
Risk Of Death ◽  
Transfusion Requirements ◽  
Emergency Surgical Intervention ◽  
The Impact

Acute mesenteric ischemia (AMI) continues to carry high morbidity and mortality. Endovascular strategies have been increasingly used in the management of AMI. The purpose of this study was to evaluate the impact of endovascular therapy on outcomes of patients with AMI. The National Surgical Quality Improvement Program database was queried to identify all patients requiring emergency surgical intervention for AMI. Demographics, clinical data, interventions, and outcomes were extracted. Patients were compared according to treatment (endovascular versus hybrid versus open revascularization). Over the six-year study period, a total of 439 patients were found to have AMI [27 (6.2%) endovascular, 23 (5.2%) hybrid, and 389 (88.6%) open revascularization]. A total of 16 (59.3%) patients in the endovascular group avoided laparotomy. There was a trend toward lower transfusion requirements (intraoperative transfusion: 3.7% for endovascular vs 17.4% for hybrid vs 19.3% for open, adjusted. P = 0.127) and complications in particular pneumonia (22.2% vs 39.1% vs 27.8%, respectively, Adj. P = 0.392) and sepsis (25.9% vs 21.7% vs 35.5%, adjusted P = 0.260). Endovascular therapy was associated with a 2.5-fold decrease in the risk of death [odds ratio, 95% confidence interval: 0.4 (0.2, 0.9), adjusted P = 0.018]. In this analysis of morbidity and mortality, endovascular therapy was associated with decreased need for laparotomy and a trend toward lower transfusion requirements and complications, in particular pneumonia and sepsis. Endovascular first therapy was associated with a 2.5-fold decrease in the risk of death. Further prospective evaluation of these results is warranted.

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