Organizational Integration of Decision Analytic Methods in Healthcare Settings

Author(s):  
Christopher L. Pate ◽  
Mark D. Swofford

Healthcare organizations face a range of external and internal factors that both enable and hinder the organization's ability to provide safe, quality, timely and reliable healthcare services. The accessibility of data coupled with effectively integrated analytic methods can provide healthcare organizations with essential components of a solid framework for improving performance across the full spectrum of organizational contexts. However, data, methods, and a robust information infrastructure are only part of the solution. Healthcare organizations must consider characteristics of the organization and its strategy in order to effectively integrate analytic methods. Conceptual ideas from organizational theory, economics and strategic management can provide structure to the integration process.

Author(s):  
S. Karthiga Devi ◽  
B. Arputhamary

Today the volume of healthcare data generated increased rapidly because of the number of patients in each hospital increasing.  These data are most important for decision making and delivering the best care for patients. Healthcare providers are now faced with collecting, managing, storing and securing huge amounts of sensitive protected health information. As a result, an increasing number of healthcare organizations are turning to cloud based services. Cloud computing offers a viable, secure alternative to premise based healthcare solutions. The infrastructure of Cloud is characterized by a high volume storage and a high throughput. The privacy and security are the two most important concerns in cloud-based healthcare services. Healthcare organization should have electronic medical records in order to use the cloud infrastructure. This paper surveys the challenges of cloud in healthcare and benefits of cloud techniques in health care industries.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 273-274
Author(s):  
Shinyi Wu ◽  
Katherine Foster ◽  
Magaly Ramirez ◽  
Haomiao Jin ◽  
Elizabeth Joe

Abstract Family caregivers need access to information, education, and support for taking care of individuals with Alzheimer’s disease and other dementia (ADRD). As YouTube is increasingly being used for sharing health information, videos regarding the disease and caregiving are becoming an important source of information to support family ADRD caregivers. This study aimed to assess the types and quality of information available on YouTube videos related to ADRD caregiving. A framework categorizing information needs of family ADRD caregivers was developed through a qualitative study with caregivers (N=21) and with healthcare and community stakeholders (N=6). The framework was used to conduct content analysis of YouTube videos. Nineteen categories of information needs were identified, including information about ADRD, healthcare services and treatment, available community resources, caregiving skills, and short- and long-term care. YouTube videos that met the keywords, language, and view selection criteria were evaluated by two coders on a developed rating scale to measure their relevance and helpfulness. A neurologist verified the ratings in 10% of the coded videos for quality assurance. There were 48 English and 23 Spanish videos met the selection criteria. More English (89.6%) than Spanish (56.5%) videos provided tips on handling specific ADRD symptoms. The majority categories of information needs (15 of the 19) were absent in most videos (87.0%, 89.6%). Many of the most watched videos were not rated as helpful. Community-based providers and healthcare organizations are encouraged to make high quality needed information in commonly accessed videos sharing service to support ADRD family caregivers.


2013 ◽  
pp. 21-33
Author(s):  
Marco Ricceri

The evolution of the European integration process and the foundation of the Union, invite us to consider the National welfare systems in a wider outlook: the European Social Model (ESM). Integration process and EU foundation are both essential components to the ESM and they receive constant impulse towards the adoption of modern practices and rules. Without reference to the European framework we run the risk to simplify the understanding of both specific features of the national welfare models and of the contribution given by the religious traditions to their development. It is at the European level that the Churches and the religious Congregations have been able to introduce several central elements in the new social policy guidelines valid for the all national systems. An analysis and assessment of the influence brought by the Churches to the E.U. becomes a key factor in a scientific analytical study. Chapter aims to discuss: a) approaches to the "Social Question" assumed by the European authorities; b) the social system as defined by the Lisbon Treaty (2007); c) a shared definition of the "European Social Model"; d) the influence of Religious Congregations to defining the E.U. principles; e) the support of the Churches towards a sustainable social and economic development.


2019 ◽  
Vol 35 (1) ◽  
pp. 16-27 ◽  
Author(s):  
Rosanna Spanò ◽  
Mariavittoria Cicellin ◽  
Adriana Scuotto

Purpose In the last few decades, the effectiveness of the evaluation of human resources and their performances has become a crucial theme in the debates of the public sector. The purpose of this paper is to analyze key design characteristics of performance management system (PMS) that may be effectively adopted and deployed by management to enable the assessment for a health system improvement. Design/methodology/approach This paper falls under the field of studies that focuses on the design and implementation of PMS in the healthcare sector. This research adopted a qualitative approach across the case study method to understand the role of different contextual factors and their impact upon the design of PMS. Mainly drawing on previous studies on the Italian regional health systems, a target region has been selected for these purposes. Findings As a result, the new PMS was effectively working and was structured with a balanced focus on the region and the single healthcare organizations. The need for improving the information systems within the healthcare organizations was strongly emphasized. The crucial element of the new PMS was the transparency about the assessment procedures. Originality/value This paper contributes to the debate on factors that can influence the design of PMS in healthcare. Relying on a contingent approach, the authors put forward the need of a more comprehensive and integrated frameworks encompassing organic conception of PMSs, as well as of the interdependencies among their components.


2018 ◽  
Vol 72 (8) ◽  
pp. 1341-1368 ◽  
Author(s):  
Mike Bresnen ◽  
Damian Hodgson ◽  
Simon Bailey ◽  
John Hassard ◽  
Paula Hyde

While hybrid managers are increasingly important in contemporary organizations (especially in the public sector), we know little about why or how they become hybrid managers, or how this is shaped by the interplay of professional experience and organizational circumstances. In pursuit of a more variegated, contextualized and dynamic understanding of hybrid management, this article focuses on how individuals transition into managerial hybrids, emphasizing the dynamic and emergent nature of hybrid management identity. Studying managers in English healthcare, we employ the concept of identity work as expressed through career narratives to examine the influence of career trajectories and organizational experiences on emerging hybrid manager identity. The study identifies three broad managerial career narratives – aspirational, ambivalent and agnostic – and relates them to experiences of doctor and nurse hybrid managers in three healthcare settings. An interpretive analysis of these narratives reveals a more variegated, situated and dynamic interpretation of hybrid managerial identities than previously considered and underscores the importance of personal and organizational experiences in shaping emergent hybrid professional/managerial identity.


Author(s):  
Fransisca Desiana Pranata Sari ◽  
Sri Nathasya Br Sitepu

Business Competition encourages entrepreneurs to have competence in managing the business. Start-up businesses will grow if it is able to manage the internal factors and external factors well. This study focuses on internal factors from the perspective of companies consisting of four components, namely marketing, human resources, finance, and operations. The second focus of this study is the external factor of a business seen from the approach five forces Porter lists five essential components of the external factors, namely: barriers to entry in the industry, threat from substitute products, threat from suppliers bargaining power, threat from buyers bargaining power, Among existing industry and rival firms. The object of this study is a start-up business in the city of Surabaya. This study used descriptive qualitative method with the aim of optimizing the management view of internal and external factors in the success of a start-up business seen from the perspective of the company. Validation of the results using triangulation techniques using: parisipatif observation, interview, and documentation (photos and interviews) to the informant (object) research. The results showed the management of internal factors (marketing, human resources, finance, and operational) and external (barriers to entry in the industry, threat from substitute products, threat from suppliers bargaining power, threat from buyers bargaining power, and rival Among existing industry firms ) is an important component that must be optimized in order to support the success of start-up businesses.


Ekonomika ◽  
2020 ◽  
Vol 98 (2) ◽  
pp. 85-96
Author(s):  
Oksana Shatilo

The impact of external and internal factors on organization of operation at company level is studied. The necessity for implementing strategic management of innovation processes at company level is substantiated. The structural interactions of external and internal factors on the organization of company operation are determined; a classification of factors of external and internal environment in the context of strategic management of innovation processes at company level is constructed.  


2021 ◽  
Author(s):  
Minerva Rivas Velarde ◽  
Caroline Jagoe ◽  
Jess Cuculick

UNSTRUCTURED Abstract Objectives To identify existing evidence regarding the use of Video Remote Interpretation (VRI) in healthcare settings. To assess if VRI technology can enable deaf-users to overcome interpretation barriers and improve communication outcomes between them and health care personnel. Design Scoping review. Data sources Seven medical research databases (Medline, Web of Science, Embase, Google Scholar) from 2006 and bibliographies and citations of relevant papers. Searches included articles in English, Spanish and French. Eligibility criteria for study selection Original articles about the use of VRI for Deaf or Hard of Hearing sign language users (DHH) for, or within, healthcare. Results From the original 176 articles identified, 120 were eliminated after reading the article title and abstract, and 41 articles were excluded after they were fully read. Fifteen articles were selected for inclusion. Four were literature reviews; four were surveys, three qualitative studies; and one mixed-methods study that combined qualitative and quantitative data, one brief communication, one quality improvement report and one secondary analysis. This scoping review identified a knowledge gap regarding the quality of interpretation and training of sign language interpretation for healthcare. It also shows that this area is under researched and evidence is scant. All evidence was from high-income countries which is particularly problematic given that the majority of DHH persons live in low- and middle-income countries. Conclusions Furthering our understanding on the use of VRI technology is pertinent and relevant. Available literature shows that VRI may enable deaf-users to overcome interpretation barriers and can potentially improve communication outcomes between them and health personnel within healthcare services. For VRI to be acceptable, sign language users require a VRI system supported by devices with large screen and a reliable internet connection, as well as qualified interpreters trained on medical interpretation.


Author(s):  
Michele Bertoni ◽  
Bruno De Rosa ◽  
Guido Grisi ◽  
Alessio Rebelli

The issue of healthcare costs has become increasingly problematic over the years. This chapter summarizes the problems faced by hospitals when measuring the costs of healthcare treatments, explaining how an Activity-Based Costing (ABC) framework can be successfully adopted in healthcare settings. After describing the theoretical foundations of cost control and cost management, the chapter continues with the analysis of three real-life applications of ABC in a hospital, drawn from the process analysis and activity-based costing experience developed at the Azienda Ospedaliero-Universitaria “Ospedali Riuniti” (Joint Hospitals) of Trieste, Italy. In particular, the cases are about cost measurement in cardiology, odontostomatology, and radiology, and describe the technical solutions applied for computing the costs of selected therapeutic and diagnostic treatments. A particular emphasis is placed on how these measures have been subsequently used by hospital managers and medical personnel in order to gain insights and to improve the efficiency of the processes developed within the organization.


Author(s):  
Robert J. Mockler ◽  
Dorothy G. Dologite

This paper originated with strategic management work done at Jamaica Hospital in Queens, NY and the Jewish Home and Hospital for the Aged in Manhattan, NY. As background for the project, the initial phase involved industry-wide studies of healthcare institutions throughout this country and abroad. During these studies, which involved both field research and a review of the research literature, many samples of which are given throughout this paper, it became apparent that advances in hospital Information Technology (IT) are having a dramatic impact on improving patient healthcare services.


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