Enhancing Patient Care and Care Coordination using Event Notification Systems

2016 ◽  
Vol 18 (1) ◽  
pp. 17-27
Author(s):  
Steven H. Ton ◽  
Alice M. Noblin ◽  
Kendall Cortelyou-Ward ◽  
Victor A. Nunez

Event notification systems (ENS) are being deployed to provide timely alerts to participating providers when their patients are being admitted, discharged or transferred (ADT) from participating hospitals. Hospitals and health information exchanges (HIE) are implementing ENS in an effort to reduce costly hospital readmissions and to improve the overall quality of patient care through improved care coordination. Today, there are numerous ENS actively facilitating care coordination across the country. For those participating providers and hospitals, coordination has been significantly improved and hospital readmissions have been reduced. Furthermore, patients and clinicians report improved patient care and care coordination, and report higher levels of patient satisfaction. Despite reported success, the application and implementation of ENS vary across the country. Some of the variability stems from the challenges that are inherent to the design of the ENS. These challenges, discussed herein, require careful consideration in order to fully realize ENS benefits.

2017 ◽  
Vol 34 (2) ◽  
pp. 457-486 ◽  
Author(s):  
Alain Pinsonneault ◽  
Shamel Addas ◽  
Christina Qian ◽  
Vijay Dakshinamoorthy ◽  
Robyn Tamblyn

2001 ◽  
Vol 14 (1) ◽  
pp. 27-35
Author(s):  
D. Tengilimoglu ◽  
A. Kisa ◽  
S. F. Dziegielewski

This article communicates the results of a patient satisfaction survey administered to 420 adults discharged from a major public hospital in Turkey. The direct measurement of patient satisfaction is a relatively new phenomenon for this country. A system was designed similar to those available in the US and was applied during an exit interview. Three areas of analysis were identified: accessibility and availability of services, perceived quality of patient care and organizational and administrative issues. Relationships and percentages within and among several variables are reported. Overall, most individuals were satisfied with direct patient care, although in some areas this varied significantly and was based on the education level of the respondent. In addition, many customers reported discontentment with organizational and administrative support services. We recommend that hospitals in Turkey adapt routine policies similar to those in the US for conducting these types of evaluations.


2001 ◽  
Vol 14 (1) ◽  
pp. 27-35 ◽  
Author(s):  
D. Tengilimoglu ◽  
A. Kisa ◽  
S. F. Dziegielewski

This article communicates the results of a patient satisfaction survey administered to 420 adults discharged from a major public hospital in Turkey. The direct measurement of patient satisfaction is a relatively new phenomenon for this country. A system was designed similar to those available in the US and was applied during an exit interview. Three areas of analysis were identified: accessibility and availability of services, perceived quality of patient care and organizational and administrative issues. Relationships and percentages within and among several variables are reported. Overall, most individuals were satisfied with direct patient care, although in some areas this varied significantly and was based on the education level of the respondent. In addition, many customers reported discontentment with organizational and administrative support services. We recommend that hospitals in Turkey adapt routine policies similar to those in the US for conducting these types of evaluations.


2016 ◽  
Vol 24 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Joshua R Vest ◽  
Jessica S Ancker

Objective: Event notifications are real-time, electronic, automatic alerts to providers of their patients’ health care encounters at other facilities. Our objective was to examine the effects of organizational capability and related social/organizational issues upon users’ perceptions of the impact of event notifications on quality, efficiency, and satisfaction. Materials and methods: We surveyed representatives (n = 49) of 10 organizations subscribing to the Bronx Regional Health Information Organization’s event notification services about organizational capabilities, notification information quality, perceived usage, perceived impact, and organizational and respondent characteristics. The response rate was 89%. Average item scores were used to create an individual domain summary score. The association between the impact of event notifications and organizational characteristics was modeled using random-intercept logistic regression models. Results: Respondents estimated that organizations followed up on the majority (83%) of event notifications. Supportive organizational policies were associated with the perception that event notifications improved quality of care (odds ratio [OR] = 2.12; 95% CI, = 1.05, 4.45), efficiency (OR = 2.06; 95% CI = 1.00, 4.21), and patient satisfaction (OR = 2.56; 95% CI = 1.13, 5.81). Higher quality of event notification information was also associated with a perceived positive impact on quality of care (OR = 2.84; 95% CI = 1.31, 6.12), efficiency (OR = 3.04; 95% CI = 1.38, 6.69), and patient satisfaction (OR = 2.96; 95% CI = 1.25, 7.03). Conclusions: Health care organizations with appropriate processes, workflows, and staff may be better positioned to use event notifications. Additionally, information quality remains critical in users’ assessments and perceptions.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Schrire ◽  
C Estela

Abstract Introduction Plastic Surgery Minor Operations is a fast paced, rapid turnover operative environment. It is reliant on effective communication, accurate surgery, and time efficiency. It was noticed in our department that there was confusion regarding booking and operative intentions leading to delays in surgery and over-running lists. This was worsening patient experience and leading to delays in patient care. Method In response to the delays and confusion in booking, a new booking form was created, so all patients have a standardised booking containing the necessary information. This form was disseminated across all the booking clinics and formed a vital part of the pre-operative check in process. Results The audit was carried out at the time of introduction, and then re-audited a year later to see if the form has improved care for patients. Results showed that with the new booking form, people were not having to cancel or rearrange patients. Patient booking forms were sufficient, and a copy of the clinic letter no longer required for the operation to proceed or for clarity. It was noted that more senior advice was sought. Conclusions The new form has improved patient flow and quality of patient care, whilst streamlining the booking process.


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