Integration Issues in the Healthcare Supply Chain

Author(s):  
Spyros Kitsiou ◽  
Aristides Matopoulos ◽  
Maro Vlachopoulou ◽  
Vicky Manthou

The efficacy, quality, responsiveness, and value of healthcare services provided is increasingly attracting the attention and the questioning of governments, payers, patients, and healthcare providers. Investments on integration technologies and integration of supply chain processes, has been considered as a way towards removing inefficiencies in the sector. This chapter aims to initially provide an in depth analysis of the healthcare supply chain and to present core entities, processes, and flows. Moreover, the chapter explores the concept of integration in the context of the healthcare sector, and indentifies the integration drivers, as well as challenges.

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 ahead-of-print (ahead-of-print) ◽  
Author(s):  
Qian Chen ◽  
Daniel Mark Hall ◽  
Bryan Tyrone Adey ◽  
Carl Thomas Haas

PurposeManaging stakeholders' reciprocal interdependencies is always a challenging issue. Stakeholders need to find out different ways to communicate information and coordinate material flows during the supply chain processes. Many recent studies have advanced construction supply chain coordination from multiple perspectives. However, the field still lacks a comprehensive analysis to summarize existing research, to explicitly identify all the possible enablers for coordination and to investigate how the enablers can be carried out at the supply chain interfaces. To fill the gap, this study aims to conduct a systematic review in order to examine the relevant literature.Design/methodology/approachA systematic literature review process was conducted to identify and synthesize relevant publications (published in the past 20 years) concerning the coordination of construction supply chain functions. These publications were coded to link main research findings with specific enabler categories. In addition, how these enablers can be used at the interfaces across supply chain processes was reviewed with an in-depth analysis of reciprocal communications between stakeholders at design-to-production, production-to-logistics and production-to-site-assembly phases.FindingsThe coordination enablers were classified into three categories: (1) contractual enablers (including subtopics on relational contracts and incentive models), (2) procedural enablers (including subtopics on multiagent knowledge sharing systems and the last planner system) and (3) technological enablers (including subtopics on linked databases for design coordination, design for manufacturing software platforms and automated monitoring technologies). It was found that interfacing different functions requires a certain level of integration of stakeholders for quick response and feedback processes. The integration of novel contractual forms with digital technologies, such as smart contracts, however, was not adequately addressed in the state of the art.Research limitations/implicationsThe scope of the systematic review is limited to the static analysis of selected publications. Longitudinal studies should be further included to sharpen the inductions of enablers considering organizational changes and process dynamics in construction projects.Practical implicationsDifferent enablers for coordination were summarized in a concise manner, which provides researchers and project stakeholders with a reinforced understanding of various ways to manage reciprocal interdependencies at different supply chain interfaces.Originality/valueThis study constitutes an important input for research on the construction supply chain by illuminating the thematic topic of coordination from inductively developed review processes, which included a holistic framing of the emerging coordination enablers and their use across supply chain functions. Consequently, it closes some identified knowledge gaps and offers additional insights to improve the supply chain performance of construction projects.


Author(s):  
Mohammad Zahedul Alam ◽  
Wang Hu ◽  
Aslam Uddin

Digital transformation in healthcare services has massive potential to ensure healthcare quality, accessibility, equality & affordability in developing countries. Bangladesh is not exception to this trend for digitalization of healthcare sector as a part of vision 2021 of digital Bangladesh. This paper aims to explore the current standing of the digital transformation in healthcare services sector of the public, private & NGOs, as well as the managerial and technical challenges facing the digitalization of healthcare projects in Bangladesh. The digital transformation in healthcare is at the introductory stage in Bangladesh. Studies explored that although digitalization of this sector remains somewhat problematic, the difficulties and challenges could be overcome. Due to lack of technological knowhow, literacy, poverty, trust, attitudes, resistance to change and infrastructural facilities, this project does not work effectively and efficiently. Based on the assessment of this sector, the scope of some fields requires further improvement. The findings will help government agencies, policymakers, healthcare providers and mobile phone companies to make effective decisions regarding the digitalization of Healthcare services.  


2021 ◽  
Vol 17 (2) ◽  
pp. 40-59
Author(s):  
Ali Abdullrahim ◽  
Rebecca DeCoster

Healthcare providers have reasons to consider telemedicine technologies when determining the best practices for service provision. The use of such technologies in developing countries is still limited, and it is important to examine the readiness to telemedicine solutions at an organisational level in developing countries such as Libya in order to provide healthcare services. Therefore, a model was proposed and validated to assess telemedicine readiness in Libya from the healthcare providers' perspective. Healthcare providers' operational capability and telemedicine outcome expectations were also investigated. The results highlight that the level of telemedicine readiness could be influenced by various health-specific organisational factors including organisational capabilities and resources. The findings of this research are that various organisational factors have an impact on telemedicine readiness and thus on the implementation of such technology including healthcare providers' human resources, IT infrastructure, perceived ease of use, and prospective healthcare providers.


2014 ◽  
Vol 30 (3) ◽  
pp. 737 ◽  
Author(s):  
Alina Chircu ◽  
Eldar Sultanow ◽  
Satya Prakash Saraswat

Todays healthcare environments are characterized by a variety of products, services, and associated data and information that are transferred across many healthcare sector participants. Pharmaceutical supply chains in particular are one example of fragmented information flows among supply chain participants. Pharmaceutical supply chain processes have a crucial influence on medication quality and ultimate patient outcomes. When manufacturing problems arise, temperature control cannot be maintained throughout the supply chain, counterfeit medications enter the supply chain, containers are damaged or sensitive medication is improperly transported and stored, the drugs effectiveness can be affected and this can result in serious consequences, including patient sickens or even death. In this paper, we analyze Radio Frequency Identification Technology (RFID), a technology that can improve communication of data and information, reduce counterfeiting, and enable monitoring of drug quality in pharmaceutical supply chains. The study is conducted in the context of an RFID platform implemented in Germany. The paper extends and complements previous studies by analyzing the RFID implementation and business value in an end-to-end supply chain process across multiple stakeholders in the pharmaceutical supply chain, from the manufacturer via the wholesaler to pharmacies and hospitals. The results confirm that RFID benefits are realized when supply chain processes are changed with the help of technology, but that different supply chain participants have different benefit realization perceptions. The analysis further reveals specific types of process changes for each supply chain participant and their corresponding benefits.


2019 ◽  
Author(s):  
Robert Mahler

Cost bearers in the healthcare sector have to prevent fraudulent invoicing by third parties at their expense so as not to expose themselves to breach of trust under German law. However, not all of them are equally committed to protecting the money of insured people and taxpayers against fraudulent practices. In this book, the author, whose investigation of a nationwide healthcare fraud scandal was extensively covered by the media, draws attention to this issue. Starting with a description of Germany’s dual healthcare system and typical manipulations regarding the invoicing of healthcare services, he highlights the risks under criminal law that cost bearers face in connection with fraudulent invoicing. He vividly combines the highly complex issues of health law and criminal law with reference to current legal practice. The book makes for insightful reading, not just for health insurance professionals but also for healthcare providers and legal practitioners.


2017 ◽  
Vol 17 (1) ◽  
pp. 7-28
Author(s):  
Robert Muharremi

The paper outlines the current healthcare sector reform process in Kosovo and the challenges to its implementation. The reform attempts to introduce modern public management principles into Kosovo’s healthcare sector, including a purchaser–provider split, performance incentives, and performance-based contracting, as well as a reorganisation of healthcare service delivery with a view to improving effectiveness and efficiency. This is the first major reform of the healthcare sector since Kosovo declared independence in 2008, and it intends to replace the healthcare system established by the United Nations between 1999 and 2008. Kosovo’s earlier healthcare system had been characterised by decentralised decision-making, but was re-established by the UN in the form of an emergency healthcare system after the UN was deployed to administer Kosovo in 1999. The reform envisages separating healthcare regulators from healthcare providers and healthcare purchasers. Kosovo Hospital and University Clinical Services is established as a new entity providing healthcare services, and a new Health Insurance Fund will become the healthcare purchaser. The Ministry of Health will be restricted to the functions of a regulator, divested of all administrative functions in favour of healthcare providers and purchasers. A major challenge lies in the limited capacities of the Kosovo Government to implement such an ambitious reform. This is also an attempt to introduce modern public management principles into a public administration which is dominated by traditional public administration principles. Lack of implementation capacities and contradictory public administration principles are the most important factors that may endanger the successful implementation of the reform.


Author(s):  
Monika Rani ◽  
Piyush Verma ◽  
Shivam Kumar ◽  
Nikita Tayal ◽  
Sahil Pant

Blockchain technology has been used in many industries providing security and preventing fraud so it can be beneficial in the medical industry too. One of the most essential blockchain features that can be implemented in the healthcare sector is that by recording every change across the peer-to-peer network, every transaction is validated. Since clinical trials require fast, reliable and transparent ways to locate patient’s data, blockchain could be the possible solution. Effective supply chain management is a challenge in every sector but in healthcare, it comes with added complexity and risk as it is related with the patient’s health and safety. Effective management of the healthcare supply chain (HCSC) process is critical for healthcare providers not only during pandemics such as COVID-19 but also in their normal operations. Despite many advances in new technologies and treatment options, the providers still suffer from poor procurement, ordering, forecasting, and distribution practices. Hence, blockchain can be the potential solution for the security, integrity and functionality of health supply chain.


Author(s):  
Konstantinos Perakis

The evolutions in the field of telecommunications technologies, with the robustness and the fidelity these new systems provide, have significantly contributed in the advancement and development in the field of medicine, and they have also brought forth the need for their utilisation in the healthcare sector. Thus, telemedicine and e-Health have clearly started to become an important issue for implementation, operational deployment of services and a promising market for industry. Recognizing this trend, its importance in the lives of citizens all around the globe and its contribution in the daily healthcare delivery by all actors involved in the procedure, the authors of this chapter attempt to familiarize the readers with the impact that high broadband wireless networks have upon telemedicine services and with the way they facilitate the secure transmission of vital information stemming from bandwidth demanding applications in real time. After providing the readers with an overview of telemedical services and commenting on how they can offer added value to existing healthcare services, they provide an analysis of the wireless infrastructure that has facilitated telemedical services over the years, and point out the significant role that the third generation telecommunications systems can play in the field. After that, follows an analysis of the range of new applications that can be supported by the 3G telecommunications infrastructure, and the related research that has taken place in the European level regarding the utilization of 3G networks for telemedical applications. However, 3G networks are not a panacea; for this reason the limitations of this infrastructure is also stressed out. The authors conclude by discussing whether 3G networks can prove to be an attractive solution for telemedical services to healthcare providers.


2020 ◽  
Vol 5 (Special) ◽  

Dubai Health Authority (DHA) is the entity regulating the healthcare sector in the Emirate of Dubai, ensuring high quality and safe healthcare services delivery to the population. The World Health Organization (WHO) declared COVID-19 a pandemic on the 11th of March 2020, indicating to the world that further infection spread is very likely, and alerting countries that they should be ready for possible widespread community transmission. The first case of COVID-19 in the United Arab Emirates was confirmed on 29th of January 2020; since then, the number of cases has continued to grow exponentially. As of 8th of July 2020 (end of the day), 53,045 cases of coronavirus have been confirmed with a death toll of 327 cases. The UAE has conducted over 3,720,000 COVID-19 tests among UAE citizens and residents over the past four months, in line with the government’s plans to strengthen virus screening to contain the spread of COVID-19. There were vital UAE policies, laws, regulations, and decrees that have been announced for immediate implementation to limit the spread of COVID- 19, to prevent panic and to ensure the overall food, nutrition, and well-being are provided. The UAE is amongst the World’s Top 10 for COVID-19 Treatment Efficiency and in the World’s Top 20 for the implementation of COVID-19 Safety measures. The UAE’s mission is to work towards resuming life after COVID-19 and enter into the recovery phases. This policy research paper will discuss the Dubai Health Authority’s rapid response initiatives towards combating the control and spread of COVID-19 and future policy implications and recommendations. The underlying factors and policy options will be discussed in terms of governance, finance, and delivery.


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