Nudging Healthcare Organizations to Adopt New Care Delivery Practices

The delivery of routine health care during the COVID-19 global pandemic continues to be challenged as public health guidelines and other local/regional/state and other policies are enforced to help prevent the spread of the virus. The objective of this systematic review is to identify the facilitators and barriers affecting the delivery of routine health care services during the pandemic to provide a framework for future research. In total, 32 articles were identified for common themes surrounding facilitators of routine care during COVID-19. Identified constructed in the literature include enhanced education initiatives for parents/patients regarding routine vaccinations, an importance of routine vaccinations as compared to the risk of COVID-19 infection, an enhanced use of telehealth resources (including diagnostic imagery) and identified patient throughput/PPE initiatives. Reviewers identified the following barriers to the delivery of routine care: conservation of medical providers and PPE for non-routine (acute) care delivery needs, specific routine care services incongruent the telehealth care delivery methods, and job-loss/food insecurity. Review results can assist healthcare organizations with process-related challenges related to current and/or future delivery of routine care and support future research initiatives as the global pandemic continues.

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WhatsApp Tele-Medicine – usage patterns and physicians views on the platform

Israel Journal of Health Policy Research ◽

10.1186/s13584-021-00468-8 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Edward Barayev ◽

Omri Shental ◽

Dotan Yaari ◽

Elchanan Zloczower ◽

Itai Shemesh ◽

...

Keyword(s):

Instant Messaging ◽

Care Delivery ◽

Healthcare Providers ◽

Smartphone Application ◽

Cross Sectional Study ◽

Healthcare Organizations ◽

Cross Sectional ◽

Patient Confidentiality ◽

Medical Specialists ◽

Usage Patterns

Abstract Background Telemedicine has become an integral part of health care delivery in recent years. One of the leading applications for this use is WhatsApp — a free smartphone application that allows instant messaging with pictures and videos. This study analyzed the emerging role of WhatsApp on reducing the need for referrals to medical specialists and to compare the views of physicians regarding WhatsApp consultations. Methods A cross-sectional study based on an anonymous web-survey was conducted among PCPs and medical specialists working in the Israel Defense Forces Medical-Corps during September and October, 2019. Results Of 201 participants, 153 were PCPs and 48 were medical specialists. 86.9 % of PCPs and 86.5 % of specialists used WhatsApp every day in professional settings. Added workload, potential breaching of patient confidentiality and lack of full documentation of consultations were the main concerns among physicians using the application. 60.7 % of PCPs and 95.7 % of specialists stated that these consultations have reduced the need for in-person appointments at least once a week. Conclusions In times of COVID-19 that require social distancing, WhatsApp provides a simple, readily available platform for consultations between healthcare providers, even to the extent of rendering some in-person appointments unnecessary. Healthcare organizations should address the matters troubling healthcare providers, mainly patient confidentiality and lack of documentation in patients’ medical records, while providing adequate compensation for those providing the service during and after work hours.

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Impact of IoT Adoption on Agility and Flexibility of Healthcare Organization

International Journal of Innovative Technology and Exploring Engineering - Special Issue ◽

10.35940/ijitee.k2119.0981119 ◽

2019 ◽

Vol 8 (11) ◽

pp. 2673-2681 ◽

Cited By ~ 2

Keyword(s):

Service Delivery ◽

Empirical Evidence ◽

Structural Equation ◽

Service Sector ◽

Positive Impact ◽

Care Delivery ◽

Healthcare Sector ◽

Equation Modeling ◽

Success Factor ◽

Healthcare Organizations

This study addresses one of the most critical advents and highly sought after the technological breakthrough of today’s service sector. Internet of things has been finding relevance in today’s service sector as a significant impetus to superior service delivery and advanced service proposition to customers. Healthcare sector is also no exception. This study taking data from the Indian healthcare sector attempts to check the relationship between IoT adoption and proposed service delivery gains experienced by healthcare organizations (if any). The study based on the theoretical premises of cybernetic control theory and technology adoption model by Davis, Hypothesized that IoT adoption must positively influence flexibility and agility and in turn, flexibility positively influence readiness. The empirical evidence supports these hypotheses, and all the findings validate the propositions that healthcare organizations and the players and actors involved in healthcare consider IoT adoption as pivotal. Because the survey outcomes establish path analysis linkages through Structural equation modeling (SEM). SEM results highlight the significant positive impact of IoT adoption on flexibility and agility and in turn, even stronger association and effects of flexibility on readiness in the services offered by healthcare organizations. This study outcomes are very vital for hospital managers and upcoming healthcare practitioners as it establishes empirical evidence supporting IoT adoption as a helpful step and prominent success factor for better flexible patient care delivery and agility.

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Connecting the World of Healthcare Virtually: A Scoping Review on Virtual Care Delivery

Healthcare ◽

10.3390/healthcare9101325 ◽

2021 ◽

Vol 9 (10) ◽

pp. 1325

Author(s):

Cindy (Zhirui) Li ◽

Elizabeth M. Borycki ◽

Andre W. Kushniruk

Keyword(s):

Scoping Review ◽

Emergency Services ◽

Care Delivery ◽

Healthcare Organizations ◽

Specific Patient ◽

Anxiety Management ◽

Virtual Care ◽

Health Related ◽

Therapy Services ◽

Remote Care

Virtual care extends beyond the walls of healthcare organizations to provide care at a distance. Although virtual care cannot be regarded as a solution for all health-related inquiries, it provides another care delivery channel for specific patient populations with appointments that do not require in-person physical examinations or procedures. A scoping review was conducted to define the meaning of virtual care, understand how virtual care has influenced the healthcare industry and is being expanded to complement the existing healthcare system, and describe the outcomes of using virtual care for patients and providers. Findings from the scoping review suggest that virtual care encompasses the provision of care using advanced video conferencing technology to support remote care that takes place between patients and providers and the use of virtual reality technology to simulate care environments. Some of virtual care’s use in healthcare includes application to pain and anxiety management, virtual consultations and follow-up visits, rehabilitation and therapy services, outpatient clinics, and emergency services. Lastly, from a provider and patient perspective, while both saw benefits of virtual care and scored the service relatively high on satisfaction after using virtual care, the greatest barrier to using virtual care may be technological challenges.

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Macroeconomic trends and practice models impacting acute care surgery

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2018-000295 ◽

2019 ◽

Vol 4 (1) ◽

pp. e000295 ◽

Cited By ~ 5

Author(s):

Andrew Bernard ◽

Kristan Staudenmayer ◽

Joseph P Minei ◽

Jay Doucet ◽

Adil Haider ◽

...

Keyword(s):

Critical Care ◽

Acute Care ◽

Elective Surgery ◽

Care Delivery ◽

Acute Care Surgery ◽

Healthcare Organizations ◽

Emergency General Surgery ◽

Case Volume ◽

Practice Models ◽

Care Surgery

Acute care surgery (ACS) diagnoses are responsible for approximately a quarter of the costs of inpatient care in the US government, and individuals will be responsible for a larger share of the costs of this healthcare as the population ages. ACS as a specialty thus has the opportunity to meet a significant healthcare need, and by optimizing care delivery models do so in a way that improves both quality and value. ACS practice models that have maintained or added emergency general surgery (EGS) and even elective surgery have realized more operative case volume and surgeon satisfaction. However, vulnerabilities exist in the ACS model. Payer mix in a practice varies by geography and distribution of EGS, trauma, critical care, and elective surgery. Critical care codes constitute approximately 25% of all billing by acute care surgeons, so even small changes in reimbursement in critical care can have significant impact on professional revenue. Staffing an ACS practice can be challenging depending on reimbursement and due to uneven geographic distribution of available surgeons. Empowered by an understanding of economics, using team-oriented leadership inherent to trauma surgeons, and in partnership with healthcare organizations and regulatory bodies, ACS surgeons are positioned to significantly influence the future of healthcare in the USA.

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Information System Failures in Healthcare Organizations

Effective Healthcare Information Systems ◽

10.4018/978-1-931777-01-8.ch015 ◽

2011 ◽

pp. 231-236

Author(s):

Pamela E. Paustian ◽

Donna J. Slovensky ◽

Jacqueline W. Kennedy

Keyword(s):

Information System ◽

Business Processes ◽

Care Delivery ◽

Care Facility ◽

Health Care Facility ◽

Healthcare Organizations ◽

Cause Analysis ◽

System Failures ◽

Root Cause ◽

Patient Care Delivery

Preparedness for response and continued operation of a health care facility following an information systems disaster must encompass two facets: continuation of patient care delivery and continuation of business processes. This chapter reports a root cause analysis following an information system failure that compromised the organization’s ability to capture clinical documentation for a 33-hour period.

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A Context-Aware Authorization Model for Process-Oriented Personal Health Record Systems

Certification and Security in Health-Related Web Applications ◽

10.4018/978-1-61692-895-7.ch003 ◽

2011 ◽

pp. 46-65

Author(s):

Eleni Mytilinaiou ◽

Vassiliki Koufi ◽

Flora Matamateniou ◽

George Vassilacopoulos

Keyword(s):

Care Delivery ◽

Personal Health Record ◽

Healthcare Delivery ◽

Healthcare Providers ◽

Healthcare Services ◽

Information Support ◽

Personal Health ◽

Health Record ◽

Healthcare Organizations ◽

Process Oriented

Healthcare delivery is a highly complex process involving a broad range of healthcare services, typically performed by a number of geographically distributed and organizationally disparate healthcare providers requiring increased collaboration and coordination of their activities in order to provide shared and integrated care. Under an IT-enabled, patient-centric model, health systems can integrate care delivery across the continuum of services, from prevention to follow-up, and also coordinate care across all settings. In particular, much potential can be realized if cooperation among disparate healthcare organizations is expressed in terms of cross-organizational healthcare processes, where information support is provided by means of Personal Health Record (PHR) systems. This chapter assumes a process-oriented PHR system and presents a security framework that addresses the authorization and access control issues arisen in these systems. The proposed framework ensures provision of tight, just-in-time permissions so that authorized users get access to specific objects according to the current context. These permissions are subject to continuous adjustments triggered by the changing context. Thus, the risk of compromising information integrity during task executions is reduced.

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Pricing and cost accounting: challenges for healthcare organizations in a market economy

Buhuchet v zdravoohranenii (Accounting in Healthcare) ◽

10.33920/med-17-2109-02 ◽

2021 ◽

pp. 16-23

Author(s):

L.M. Korchagina

Keyword(s):

Health Care ◽

Market Economy ◽

Care Delivery ◽

Cost Accounting ◽

Healthcare Organizations ◽

Pricing Models ◽

Healthcare Executives ◽

Reducing Costs ◽

Access And Quality ◽

Improve Access

The development of health care aims to improve access and quality while reducing costs. An important part of this is improving pricing models to more accurately reflect the costs of health care delivery. Transparent, cost-reflective pricing is needed to communicate information to consumers and manufacturers. This information is central to a consumer-driven marketplace. Healthcare organizations today must focus as much on financial performance and profitability as they do on patient care. This means that healthcare executives must be well versed in cost accounting and budgeting. This article explores pricing issues and the problems associated with cost accounting in healthcare organizations. The author considers application of a method of the account of the expenses based on identification of processes within the firm and allocation of expenses in proportion to their use (method ABC).

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