scholarly journals IT Evaluation of Foundation Healthcare Group Vanguard Project

2021 ◽  
Author(s):  
Archana Tapuria ◽  
Maria Kordowicz ◽  
Mark Ashworth ◽  
Ewan Ferlie ◽  
Vasa Curcin ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
District General Hospital ◽  
Remote Access ◽  
It Infrastructure ◽  
Scarce Resources ◽  
Hospital Trust ◽  
System Leaders ◽  
Travelling Time ◽  
It Support ◽  
Skype For Business

The aim of the Foundation Healthcare Group (FHG) Vanguard model was to develop a sustainable local hospital model between two National Health Service (NHS) Trusts (a London Teaching Hospital Trust and a District General Hospital Trust) that makes best use of scarce resources and can be replicated across the NHS, UK. The aim of this study was to evaluate the provision, use and implementation of the IT infrastructure; based on qualitative interviews and focused mainly on the perspectives of the IT staff and the clinicians’ perspectives. In total 24 interview transcripts, along with ‘Acute Care Collaboration’ questionnaire responses, were analysed using a thematic framework for IT infrastructure, sharing themes across the vascular, paediatric and cardiovascular strands of the FHG programme. Findings indicated that Skype for Business had been an innovative and helpful development widely available to be used between the two Trusts. Clinicians initially reported lack of IT support and infrastructure expected at the outset for a national Vanguard project, but later appreciated that remote access to most clinical applications between the two Trusts became operational. The Local Care Record (LCR), an IT project was perceived to have been delivered successfully in South London. Shared technology reduced patient travelling time by providing locally based shared care. Spreading and scaling-up innovations from the Vanguard sites was the aspiration and challenge for system leaders.

Organisational Readiness for Knowledge Management

2014 ◽  
pp. 104-117 ◽  
Author(s):  
Amani Shajera ◽  
Yousif Al-Bastaki
Keyword(s):  
Knowledge Management ◽  
Public Sector ◽  
Questionnaire Survey ◽  
Significant Contribution ◽  
Reward Systems ◽  
It Infrastructure ◽  
The Public ◽  
Adoption And Implementation ◽  
It Support ◽  
Research Findings

This study explores the factors that affect organisational readiness for Knowledge Management (KM). This chapter assesses the organisational readiness for KM at public sector organisations in Bahrain; furthermore, it utilises these findings to develop a guideline to enable the successful adoption and implementation of KM. A questionnaire survey was conducted at the public sector organisations in Bahrain. The research findings indicate that culture (collaboration, trust, and learning), structure (centralisation, formalization, and rewards systems), and IT infrastructure (IT support) all provide a sound basis for organisations to assess their readiness for KM. The results show that the public sector organisations in Bahrain vary in terms of readiness levels against the different variables. The findings are discussed and relevant recommendations are made with regards to KM adoption at the public sector organisations in Bahrain. The findings imply a need for intensified organisational and managerial commitment in order to promote collaboration, trust, learning, decentralisation, less formalisation, reward systems, and enhanced IT support at the public sector organisations in Bahrain. Implementation of these required changes in the public sector’s culture and structure will help in preparing the public sector and their awareness and readiness to implement KM. This study is among the first empirical works assessing organisational readiness for adopting KM. Moreover, this chapter has extended knowledge in KM, especially concerning the need for the consideration of organisational readiness before embracing KM. The most significant contribution of this chapter is that it provides an instrument for assessing organisational readiness. It serves as a guideline for leaders and helps them to ensure that essential preliminary factors and variables are promoted and covered when they start KM implementation within their organisations.

scholarly journals White Spots in Business and IT: An Explorative Study for E-Mobility Services

2018 ◽  
Vol 9 (2) ◽  
pp. 27
Author(s):  
Dominik Martin ◽  
Niklas Kühl ◽  
Carola Stryja ◽  
Jan Haude
Keyword(s):  
Business Models ◽  
It Infrastructure ◽  
Systematic Analysis ◽  
Service Business ◽  
Mobility Service ◽  
Body Of Knowledge ◽  
White Spots ◽  
Study Results ◽  
It Support ◽  
Basic Services

E-mobility services are important enablers for the success of electric vehicles. In contrast to conventional mobility, where an ecosystem consisting of the vehicle and complementary services has been built up and has improved over decades, the ecosystem for e-mobility is far less advanced and still in its infancy. In order to get on the sustainable path to success in the steadily growing e-mobility market, innovative ideas are necessary which are not covered by existing service offerings. This paper therefore describes a study that explored opportunities for innovative e-mobility service business models through a systematic analysis. Furthermore, each e-mobility service depends on information technology (IT) support. Therefore, IT standardization is an important issue to consider in order to build up more complex services on top of basic services and further advance the e-mobility ecosystem. Consequently, this paper presents results from a survey conducted with 27 e-mobility experts from Germany to help identify necessary standardization gaps in the context of e-mobility services. The paper contributes to the existing body of knowledge by proposing a structured, repeatable method for identifying innovative business models and by offering insights into study results. In addition, gaps in the standardization of IT infrastructure that are important for the provision of existing e-mobility services are illustrated.

Implementation of ERPS in Accounting within Lebanese Organizations: Motives and Barriers

2020 ◽  
Vol 05 (10) ◽  
Author(s):  
Ibrahim Allouch ◽  
◽  
Ali Serhan ◽  
Keyword(s):  
Financial Management ◽  
Quantitative Research ◽  
Planning System ◽  
It Infrastructure ◽  
Enterprise Resources Planning ◽  
It Support ◽  
Barriers To Use ◽  
Mixed Approach ◽  
Resources Planning ◽  
Depth Interviews

ERPS (Enterprise Resources Planning System) is an information technology software that aims to aid organizations in their functions. According to many research the system proved its significance especially in the fields of accounting and financial management. However, this system in Lebanon has been less effective and less implemented. This research aims to identify the motives that make organizations implement ERPS and the reasons that render them not apply it. Accordingly, a mixed approach has been done. The methodology of the study used both quantitative and qualitative. The quantitative research used a questionnaire that addressed 150 employees who work with or are aware of ERPS in order to identify the barriers that made them not use it. For the qualitative research in-depth interviews were held with managers and supervisors to identify the motives that made them use ERPS. The findings of the study indicated that they use ERPS to manage financial resources, and report financial information effectively. The barriers to use it included lack of IT infrastructure, lack of training, and lack of IT support.

HIGH RESOLUTION ULTRASONOGRAPHY OF THE HAND AND WRIST: THREE-YEAR EXPERIENCE AT A DISTRICT GENERAL HOSPITAL TRUST

Hand Surgery ◽  
2010 ◽  
Vol 15 (03) ◽  
pp. 177-183 ◽  
Author(s):  
J. K. K. Chan ◽  
R. M. Choa ◽  
D. Chung ◽  
G. Sleat ◽  
R. Warwick ◽  
...  
Keyword(s):  
Foreign Body ◽  
High Resolution ◽  
General Hospital ◽  
District General Hospital ◽  
Rating System ◽  
Hospital Trust ◽  
Tunnel Syndrome ◽  
Us Findings ◽  
High Resolution Ultrasonography ◽  
Musculoskeletal Us

A retrospective analysis of 227 patients undergoing ultrasonography (US) of the hand/wrist over a three-year period in a district general hospital trust was performed. The usefulness in each case was assessed by two independent reviewers using a qualitative rating system, as (A) Useful: determines management, (B) Useful: contributory, (C) Not useful: not misleading, or (D) Not useful: misleading/potentially harmful. US was useful in 74.8% of cases but misleading/potentially harmful in 13.1%. Misleading rates exceeding 10% in sub-categories including tendinopathy, carpal tunnel syndrome, foreign body and lumps, where US findings may influence the decision to operate or not, are particularly worrying. There were a number of cases where US led to unnecessary operations or suggested operating on the wrong structures, and also cases where US findings wrongly suggested that surgery was unnecessary. Various recommendations aimed to improve the usefulness of US in the Hand and Wrist, including mandatory/formal musculoskeletal US training, are made.

scholarly journals DEVELOPMENT AND IMPROVEMENT OF THE OUTSOURCING TOOL IN BUSINESS

2021 ◽  
Vol 20 (1(47)) ◽  
pp. 98-109
Author(s):  
O. Balakhonova
Keyword(s):  
Business Processes ◽  
Human Factor ◽  
It Outsourcing ◽  
Operating Costs ◽  
Domestic Economy ◽  
It Infrastructure ◽  
Economic Relations ◽  
Commercial Enterprise ◽  
It Support ◽  
Retail Company

It is shown that in conditions of the crisis phenomena in world and domestic economy it is necessary to search for new forms and instruments of functioning of trade enterprises. Provided by the widespread use of IT outsourcing as a means of outsourcing by functions for the creation and management of it infrastructure of the commercial enterprise. It solutions and it support aimed at reducing operating costs and reducing the human factor in business processes. Analyzed the following tools that can be used in the framework of the implementation of outsourcing as a form of improving production processes in a retail company: outstaffing – withdrawal of personnel from the state; МRO – maintenance and logistics operations; vendor managed inventory – manage inventory through supplier; the concept of 4PL, which implements the technology of VMI. It is emphasized that the use of outsourcing in the restructuring of commercial enterprise means inventory and reconstruction of economic relations of the enterprise with the aim of creating effective together partner firms, mostly on a contractual basis. In the development of outsourcing along with the positive factors and negative. However, the influence of factors of the first group is significantly stronger, so the volume of services transmitted in outsourcing is growing rapidly. In each situation the management of the commercial enterprise should be based on hard economic calculations to determine the feasibility of outsourcing.

Prolonged supervised fast for insulinoma - an experience in a District General Hospital Trust

2019 ◽  
Author(s):  
Haris Khan ◽  
Maimoona Nawaz ◽  
Vilashini Arul-Devah ◽  
Fahad Hassan Ashraf ◽  
Lakshminarayanan Pichaipillai
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
Hospital Trust

scholarly journals 665 Surgical teaching in times of COVID-19 - The Forth Valley Royal Hospital Experience

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
L Dearie ◽  
K McGivern ◽  
M Wilson
Keyword(s):  
Teaching Method ◽  
District General Hospital ◽  
Remote Access ◽  
Specific Reference ◽  
Teaching Methodology ◽  
Free Text ◽  
Online Questionnaire ◽  
Social Distancing ◽  
Virtual Platform ◽  
Surgery Department

Abstract Introduction The COVID-19 pandemic has threatened all aspects of society. Medical education has not been immune to this. Clinical educators have had to enact creative solutions to ensure continued departmental learning and development. We describe our experience in the General Surgery department of a District General Hospital of transitioning to webinar-based teaching. Method 7 tutorials were delivered virtually from April-May 2020. A database was created to store presentations alongside supporting material. An online questionnaire canvassed attendee responses (n = 28) to individual teaching sessions and the methodology of the teaching. Results 71% of staff responded. 100% of respondents were “very,” or “extremely,” satisfied with the quality of teaching. 79% thought remote access encouraged attendance. Attendance rose from 45-65% to 60-75% through the use of the learning database. 92% wanted this teaching methodology to continue. Specific reference was made in free text responses to the quality, convenience, and utility of the learning database. Maintenance of responsible social distancing was also given as a positive aspect of this teaching method. Conclusions We report a successful transition from traditional teaching to a virtual platform as a result of COVID-19 restrictions. Our experience is that high quality teaching can be delivered virtually while encouraging attendance and maintaining social distancing.

scholarly journals IT Requirements Integration in High-Rise Construction Design Projects

2018 ◽  
Vol 33 ◽  
pp. 03009 ◽  
Author(s):  
Anastasia Levina ◽  
Igor Ilin ◽  
Rustam Esedulaev
Keyword(s):  
Enterprise Architecture ◽  
Design Stage ◽  
Engineering Systems ◽  
It Infrastructure ◽  
High Rise ◽  
Construction Design ◽  
Design Documentation ◽  
It Support ◽  
Role Of It

The paper discusses the growing role of IT support for the operation of modern high-rise buildings, due to the complexity of managing engineering systems of buildings and the requirements of consumers for the IT infrastructure. The existing regulatory framework for the development of design documentation for construction, including high-rise buildings, is analyzed, and the lack of coherence in the development of this documentation with the requirements for the creation of an automated management system and the corresponding IT infrastructure is stated. The lack of integration between these areas is the cause of delays and inefficiencies both at the design stage and at the stage of putting the building into operation. The paper proposes an approach to coordinate the requirements of the IT infrastructure of high-rise buildings and design documentation for construction. The solution to this problem is possible within the framework of the enterprise architecture concept by coordinating the requirements of the IT and technological layers at the design stage of the construction.

scholarly journals Changing health care with, for, or against the public: an empirical investigation into the place of the public in health service reconfiguration

2020 ◽  
Vol 26 (1) ◽  
pp. 12-19
Author(s):  
Scott L Greer ◽  
Ellen Stewart ◽  
Angelo Ercia ◽  
Peter Donnelly
Keyword(s):  
Health Care ◽  
Public Involvement ◽  
Theory And Practice ◽  
Collaborative Approach ◽  
Structured Interviews ◽  
Policy Document ◽  
Skill Sets ◽  
Scarce Resources ◽  
The Public ◽  
System Leaders

Objectives This study sought to understand the different approaches taken to involving the public in service reconfiguration in the four United Kingdom health systems. Methods This was a multi-method study involving policy document analysis and qualitative semi-structured interviews in England, Northern Ireland, Scotland and Wales. Results Despite the diversity of local situations, interview participants tended to use three frames within which they understood the politics of service reconfigurations: an adversarial approach which assumed conflict over scarce resources (change against the public); a communications approach which defined the problem as educating the public on the desirability of change (change for the public); and a collaborative approach which attempted to integrate the public early into discussions about the shape and nature of desirable services (change with the public). These three framings involved different levels of managerial time, energy, and resources and called on different skill sets, most notably marketing and communications for the communications approach and community engagement for the collaborative approach. Conclusions We argue that these framings of public involvement co-exist within organisations. Health system leaders, in framing service reconfiguration as adversarial, communicative or collaborative, are deciding between conceptions of the relationship between health care organisations and their publics in ways that shape the nature of the debates that follow. Understanding the reasons why organisations adopt these frames would be a fruitful way to advance both theory and practice.

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