scholarly journals Managing Visitor and Patient Flow During the COVID-19 Pandemic: ExpectingU App

2021 ◽  
Author(s):  
Frederic Ehrler ◽  
Remy Trompier ◽  
Guerric Merle ◽  
Sebastien Andre ◽  
Florian Müller ◽  
...  
Keyword(s):  
High Risk ◽  
Patient Flow ◽  
Support Staff ◽  
Hospital Access

Access to hospitals has been dramatically restricted during the COVID 19 pandemic. Indeed, due to the high risk of contamination by patients and by visitors, only essential visits and medical appointments have been authorized. Restricting hospital access to authorized visitors was an important logistic challenge. To deal with this challenge, our institution developed the ExpectingU app to facilitate patient authorization for medical appointments and for visitors to enter the hospital. This article analyzes different trends regarding medical appointments, visitors’ invitations, support staff hired and COVID hospitalizations to demonstrate how the ExpectingU system has helped the hospital to maintain accessibility to the hospital. Results shows that our system has allowed us to maintain the hospital open for medical appointments and visits without creating bottlenecks.

scholarly journals Unique Partnership to Roll Out Cancer Awareness and Screening Program for High-Risk Population in Maharashtra

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 140s-140s
Author(s):  
S. Nair ◽  
K. Nikam
Keyword(s):  
Cancer Screening ◽  
High Risk ◽  
Early Detection ◽  
Support Staff ◽  
Baseline Survey ◽  
High Risk Population ◽  
Cancer Awareness ◽  
Bus Drivers ◽  
Cancer Society ◽  
Risk Population

Background and context: India is one of the few countries to have National Cancer Control Program and emphasis is given on tobacco related cancers because of high prevalence of such practices in India. As per the Global Adult survey 2016 around 30% of Indian population consume tobacco in any other form. Bus drivers, conductors and support staff of two leading public transport companies will be targeted by Indian Cancer Society as they are among high risk population with huge percentage of employees addicted with tobacco. Through this unique partnership, Indian Cancer Society (ICS) will promote tobacco deaddiction, cancer awareness and early detection of cancer among their staff. Aim: ICS is aiming at reaching out to around 1.20 Lakh bus drivers, conductors and support staff through this project in the span of 2 years. Strategy/Tactics: Cancer awareness will be created among targeted as well as general population by means of posters, banners, IEC leaflets. Depot managers will be sensitized about cancer, ill effects of tobacco consumption and importance of early detection. All eligible employees will be screened for commonest cancers in India like oral, breast, cervical and prostate. Tobacco deaddiction activities like support group meetings, experience sharing activities, role plays etc. will be organized for employees to facilitate tobacco deaddiction. Program/Policy process: Baseline survey was conducted for the sample size of 1000 employees in the month of March 2018 to assess their knowledge, attitude and practices related to tobacco addiction and cancer awareness. BCC and IEC activities will be planned based on the findings of baseline survey. Customized cancer screening packages will be developed based on the age and risk profile of employees. Support group meetings will be organized for employees with tobacco addiction. Outcomes: In the tenure of 2 years, cancer awareness will be created among 1.20 Lakh bus drivers, conductors and support staff. 75%–80% of these population will undergo cancer screening. General population residing in 30 districts of Maharashtra will be reached out through the cancer awareness drive organized at bus depots. Burden on the health system of these two transport companies will be reduced due to improved knowledge and health practices among their staff. Conclusion: With mandatory CSR, the private sector is keen on focusing on diseases with measurable outcome. Partnerships between government and NGOs can provide opportunities for private sector to collaborate; to reduce the burden of cancer through awareness and facilitate early detection thus improving chance of cure. This PPP model will provide structured quality cancer screening facility to identified high risk population and will facilitate early cancer detection. Best practices will be imbibed and tobacco deaddiction activities will be sustained beyond the project period.

scholarly journals Improvement of the Pre-Analytical Phase of Nasopharyngeal Samples During the COVID 19 Pandemic: Experience of the Institute Pasteur De Côte d’Ivoire in 2020

2021 ◽  
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Diagnostic Tests ◽  
Clinical Laboratory ◽  
Support Staff ◽  
African Countries ◽  
Patient Centered ◽  
Analytical Phase ◽  
Optimum Management ◽  
Delivery Of Health Services

The clinical laboratory is playing an increasingly important role in the patient-centered approach to the delivery of health services. Early detection of the importation of COVID-19 is a crucial challenge for all countries at risk of importation from areas of active transmission. This article aims to share the experience of the IPCI in the optimum management of the pre-analytical phase related to diagnostic tests for COVID 19. From the start of the pandemic the state and the IPCI made several organizational decisions to respond effectively to all trends of the COVID 19 epidemic in our country. Outsourcing of pre-analysis with creation of several sections: preparation of tube kits, aliquoting of samples from patients suspected of COVID19, reception, sorting and decontamination. Exemplary use of administrative and laboratory support staff. Our findings should help establish urgent priorities for intensified preparedness and response support in specific African countries with moderate or high risk of COVID-19 importation and whose capacity to manage the health emergency is low relatively low.

scholarly journals P112: FLO on flow: front line ownership of emergency department, hospital, and health system patient flow a novel approach to ED overcrowding (Part 1)

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S96-S97 ◽  
Author(s):  
D. A. Petrie ◽  
S. Ackroyd ◽  
S. Comber ◽  
K. Mumford
Keyword(s):  
Emergency Department ◽  
Health System ◽  
Complex Adaptive Systems ◽  
Operations Management ◽  
Adaptive Systems ◽  
Patient Flow ◽  
Full Range ◽  
Front Line ◽  
Hospital Access ◽  
Ed Overcrowding

Introduction: Hospital access block, often called Emergency Department (ED) overcrowding when it manifests there, is an important public health issue and seemingly intractable problem in our evolving Health Care system. The multiple, dynamic, and inter-dependent factors influencing its cause (and potential solutions) may best fit a complex adaptive systems analysis and approach. One technique described in similar contexts is Front Line Ownership (FLO) based on the theoretical framework of positive deviance. The aim of this study is to discover where pragmatic bottom-up insights and adaptive work-arounds can be elicited, described, iterated, and potentially implemented at a broader scale to catalyze systems change, in service of improving patient flow. Methods: This is a qualitative study which identified, convened, and surveyed stakeholders representing three components of the system. Purposive sampling was used to gather a full range of perspectives from three groups: 1) patients and or families, 2) front-line providers, and 3) management/leaders. Interviews were recorded and transcribed by a third party, then each transcription was coded independently by two investigators (at least one of which was the PI). Informed consent was obtained from all participants and each was offered the opportunity to review the transcription to ensure accuracy. A framework analysis was used to synthesize, reflect upon, and interpret the data from multiple perspectives using a structured, iterative approach. Results: In part 1 of this study, three broad over-lapping themes emerged from the analysis as being areas of opportunity for reducing hospital access block. They are: 1. Boundary Conditions (the historical, organizational cultural, psychological, economic, and other contexts influencing system performance), 2. Systems Integration (how well the parts interface with each other relate to the whole), and 3. Operations management (the more technical aspects of patient flow). When these three broad themes are cross-analyzed with a more conventional input-throughput-output approach, previously under-emphasized avenues for improvement may become apparent. Conclusion: A front-line ownership analysis of ED overcrowding is feasible. There are adaptive behaviors by some front-line individuals at each “level” of perspective that have been identified and could be modified and implemented locally to improve patient flow in the ED (and the rest of the health system).

scholarly journals Knowledge, perception of risk of disease, and infection prevention and control practices among healthcare workers and support staff toward COVID-19 in an Ethiopian referral hospital: a cross-sectional survey

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Esubalew T. Mindaye ◽  
Bekalu Assaminew ◽  
Goytom K. Tesfay
Keyword(s):  
High Risk ◽  
Public Transportation ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Support Staff ◽  
Referral Hospital ◽  
Infection Prevention And Control ◽  
Cross Sectional Survey ◽  
And Control

Coronavirus disease 2019 (COVID-19) is a pandemic affecting over 106 million and killing over 2.3 million people. Inadequate knowledge of the disease coupled with scarce or improper use of infection prevention and control (IPC) measures by healthcare workers (HCWs) and support staff may be contributing to the rapid spread of infection. This survey aims to assess knowledge, risk perception, and precaution practices of HCWs and support staff toward COVID-19 under resource-constrained circumstances at a major referral hospital in Ethiopia. An institution-based survey was conducted in April 2020 using 422 subjects selected by stratified random sampling. A five-section survey instrument was distributed, and the collected responses were cleaned and entered into Epi data (v3.1) and exported to SPSS (v.26) for further statistical analysis. The survey found that about 58% of the HCWs and support staff in the hospital appear to have adequate awareness and perceive COVID-19 to be a high-risk disease. Seven out of 10 subjects practice some form of IPC measures. However, the knowledge among allied HCWs and support staff appears to be inadequate. Gender, occupation, and years in service correlated with the level of awareness. Of those surveyed, 78% were concerned about the lack of personal protective equipment and perceived public transportation to be a high-risk factor for the transmission of infection. Additional campaigns may be necessary to reinforce existing knowledge of HCWs, but more emphasis should be geared toward educating allied HCWs and support staff.

scholarly journals Implementation in a Large Health System of a Program to Identify Women at High Risk for Breast Cancer

2011 ◽  
Vol 7 (2) ◽  
pp. 85-88 ◽  
Author(s):  
William L. Owens ◽  
Thomas J. Gallagher ◽  
Michael J. Kincheloe ◽  
Victoria L. Ruetten
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
High Risk ◽  
Health System ◽  
Intervention Program ◽  
Primary Care Providers ◽  
Support Staff ◽  
Evidence Based ◽  
Care Providers ◽  
Breast Care

To implement an evidence-based screening and high-risk intervention program for breast cancer, primary care providers, breast care specialists, administrators, and support staff must work together in a multidisciplinary manner.

scholarly journals Aging, patient-bed management and overcrowding in the medical departments

2013 ◽  
pp. 35-43
Author(s):  
Aldina Gardellini ◽  
Roberto Nardi ◽  
Vincenzo Arienti ◽  
Domenico Panuccio ◽  
Raffaella Bernardi ◽  
...  
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Patient Flow ◽  
Local Health Authority ◽  
Local Health ◽  
Community Resources ◽  
Term Care ◽  
Frequent Users ◽  
Bed Management ◽  
The Impact

BACKGROUND Hospital overcrowding (HO) profoundly affects the whole hospital system, reducing productivity and efficiency. The aging population and the increased prevalence of chronic-degenerative diseases, susceptible to acute exacerbations, make the elderly as frequent users of the emergency room (ER). There is a general agreement that the current disease-oriented and episodic model of care does not adequately cope with the complex needs of older patients. Hospital admission and discharge do not sufficiently link with primary care and other community resources, such as long-term care facilities and outpatient clinics. AIM OF THE STUDY To evaluate, using a simple dedicated software, the activity data of nine hospitals of Local Health Authority of Bologna (Italy) (ER accesses, hospital admissions, average length of stay – LOS) and the impact of a patient and bed management net in which managers, doctors and nurses share their operational skills to improve patient flow in medical and geriatric wards. RESULTS Data show that 24% ER accesses concern people > 75 years old; 51% admissions concern people > 75 years old; half of these admissions are from ER frequent users (FU = ≥ 3 ER accesses/ year). Only 15% admissions of younger people are from ER frequent users. Each of > 75 years old frequent users produces an average of 2 admissions/year. At the end of the first year of this experience, ER accesses and admissions rose more than 8%. In our model of bed-management (patient and bed management net-software matching hospital capacity with admission, escalation measures) LOS was shortened by an average 0.5-1 day to a range from 0,5 to 1 day. DISCUSSION HO is due to mismanagement of chronic diseases (CD). Further actions are needed in primary health care to avoid unscheduled hospital due to CD. Applications for admission to hospital should be administered in the real context of the needs, developing both measures to face the contingent situation (setting temporary additional beds in one of the highest step of escalation measures) and post-discharge case management for selected “high risk-FU” patient profiles. CONCLUSIONS Our experience shows that an organizational model with a simple software is effective only to manage patient flow for relative small variations. Biggest peak of admissions requires strong link with primary care and other community resources, by systemic administration of health, particularly in frail people, with not scheduled hospital readmissions, for which hospital-centred care is not ever the best choice. Further research in initial ER assessment of FU is needed, by an identification of the high risk patient’s profile and its appropriate setting allocation.

A Community Based High Risk Register for Hearing Loss

1982 ◽  
Vol 47 (4) ◽  
pp. 373-375 ◽  
Author(s):  
James L. Fitch ◽  
Thomas F. Williams ◽  
Josephine E. Etienne
Keyword(s):  
Hearing Loss ◽  
System Identification ◽  
High Risk ◽  
Language Learning ◽  
Education Program ◽  
Communication System ◽  
Auditory Signal ◽  
Early Age ◽  
Community Based ◽  
Children With Hearing Loss

The critical need to identify children with hearing loss and provide treatment at the earliest possible age has become increasingly apparent in recent years (Northern & Downs, 1978). Reduction of the auditory signal during the critical language-learning period can severely limit the child's potential for developing a complete, effective communication system. Identification and treatment of children having handicapping conditions at an early age has gained impetus through the Handicapped Children's Early Education Program (HCEEP) projects funded by the Bureau of Education for the Handicapped (BEH).

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