scholarly journals Single-Entry Models in Surgical Services

2021 ◽  
Vol 1 (5) ◽  
Author(s):  
Jonathan Harris
Keyword(s):  
Health System ◽  
Success Factors ◽  
Resistance To Change ◽  
Clinical Pathways ◽  
Action Plan ◽  
Surgical Services ◽  
Entry Models ◽  
Single Entry ◽  
The Face ◽  
Central Intake

In the health care system, common elements of SEMs include pooled referrals and waiting lists, centralized intake through a single-entry point, and triage for urgency and appropriateness. Four programs including the use of SEMs from the Canadian context were examined: the Winnipeg Central Intake System for hip and knee replacements, the British Columbia Surgical Strategy, the Nova Scotia Hip and Knee Action Plan, and the Saskatchewan Surgical Initiative. SEMs were generally implemented as 1 element of broader strategies to reduce surgical waits and enhance quality and safety of surgical services.Key success factors for implementation of SEMs included: Concurrent investments in surgical capacity and health system resources. The establishment of standardized clinical pathways to reduce care variation. Strong leadership, including a focus on change management and use of clinician champions. Standardized data collection and public reporting on key performance indicators. Concurrent focus on quality improvement and patient-centred care. Challenges for implementation of SEMs included: Effectively managing change and resistance to change. Challenges in other areas of the health system that could impact wait times. Maintaining strategic focus and predictable funding, especially in the face of external shocks.

scholarly journals Circular Bioeconomy Business Models to Overcome the Valley of Death. A Systematic Statistical Analysis of Studies and Projects in Emerging Bio-Based Technologies and Trends Linked to the SME Instrument Support

2021 ◽  
Vol 13 (4) ◽  
pp. 1899
Author(s):  
Fabiana Gatto ◽  
Ilaria Re
Keyword(s):  
Circular Economy ◽  
Success Factors ◽  
Business Models ◽  
Raw Materials ◽  
Action Plan ◽  
Future Perspective ◽  
The European Union ◽  
Strategic Orientations ◽  
Start Ups ◽  
Valley Of Death

Reducing the environmental pressure along the products life cycle, increasing efficiency in the consumption of resources and use of renewable raw materials, and shifting the economic system toward a circular and a climate-neutral model represent the heart of the current macro-trends of the European Union (EU) policy agendas. The circular economy and bioeconomy concepts introduced in the EU’s Circular Economy Action Plan and the Bioeconomy Strategy support innovation in rethinking economic systems focusing on market uptaking of greener solutions based on less-intensive resource consumption. In recent decades, industrial research has devoted enormous investments to demonstrate sustainable circular bio-based business models capable of overcoming the “Valley of Death” through alternative strategic orientations of “technological-push” and “market-pull”. The study highlights industrial research’s evolution on bio-based circular business model validation, trends, and topics with particular attention to the empowering capacity of start-ups and small and medium-sized enterprises (SMEs) to close the loops in renewable biological use and reduce dependence on fossil fuels. The research methodology involves a bibliographic search based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach and the European Innovation Council (EIC) Accelerator Data Hub investigation to understand SMEs’ key success factors and start-ups of the circular bioeconomy sector. Eco and bio-based materials, nutraceuticals, and microalgae represent the most sustainable industry applications, leading to circular bioeconomy business models’ future perspective.

scholarly journals Prioritising surgical cases deferred by the COVID-19 pandemic: an ethics-inspired algorithmic framework for health leaders

BMJ Leader ◽  
2021 ◽  
pp. leader-2020-000343
Author(s):  
Amit Jain ◽  
Tinglong Dai ◽  
Christopher G Myers ◽  
Punya Jain ◽  
Shruti Aggarwal
Keyword(s):  
Decision Analysis ◽  
Health System ◽  
System Capacity ◽  
Surgical Case ◽  
The World ◽  
The Face ◽  
Algorithmic Framework ◽  
Limited Health ◽  
Healthcare Leaders

Elective surgical suspension during the COVID-19 pandemic resulted in a sizeable surgical case backlog throughout the world. As we ramp back up, how do we decide which cases take priority? Potential future waves (or a future pandemic) may lead to additional surgical shutdown and subsequent reopening. Deciding which cases to prioritise in the face of limited health system capacity has emerged as a new challenge for healthcare leaders. Here we present an ethically grounded and operationally efficient surgical prioritisation framework for healthcare leaders and practitioners, drawing insights from decision analysis and organisational sciences.

scholarly journals Epidemic of plague amidst COVID-19 in Madagascar: efforts, challenges, and recommendations

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Abdullahi Tunde Aborode ◽  
Ana Carla dos Santos Costa ◽  
Anmol Mohan ◽  
Samarth Goyal ◽  
Aishat Temitope Rabiu ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Healthcare Sector ◽  
The Face ◽  
Endemic Areas

AbstractThe plague has been wreaking havoc on people in Madagascar with the COVID-19 pandemic. Madagascar’s healthcare sector is striving to respond to COVID-19 in the face of a plague outbreak that has created a new strain on the country’s public health system. The goal and activities of the gradual epidemic of plague in Madagascar during COVID-19 are described in this research. In order to contain the plague and the COVID-19 pandemic in this country, we have suggested long-term recommendations that can help to contain the outbreak so that it may spread to non-endemic areas.

scholarly journals Diagnostics and monitoring tools for noncommunicable diseases: a missing component in the global response

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Antonio Bernabé-Ortiz ◽  
Jessica H. Zafra-Tanaka ◽  
Miguel Moscoso-Porras ◽  
Rangarajan Sampath ◽  
Beatrice Vetter ◽  
...  
Keyword(s):  
Health System ◽  
New Technologies ◽  
Action Plan ◽  
Building Blocks ◽  
Communicable Diseases ◽  
Noncommunicable Disease ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Diagnostic Tools ◽  
Monitoring Tools

AbstractA key component of any health system is the capacity to accurately diagnose individuals. One of the six building blocks of a health system as defined by the World Health Organization (WHO) includes diagnostic tools. The WHO’s Noncommunicable Disease Global Action Plan includes addressing the lack of diagnostics for noncommunicable diseases, through multi-stakeholder collaborations to develop new technologies that are affordable, safe, effective and quality controlled, and improving laboratory and diagnostic capacity and human resources. Many challenges exist beyond price and availability for the current tools included in the Package of Essential Noncommunicable Disease Interventions (PEN) for cardiovascular disease, diabetes and chronic respiratory diseases. These include temperature stability, adaptability to various settings (e.g. at high altitude), need for training in order to perform and interpret the test, the need for maintenance and calibration, and for Blood Glucose Meters non-compatible meters and test strips. To date the issues surrounding access to diagnostic and monitoring tools for noncommunicable diseases have not been addressed in much detail. The aim of this Commentary is to present the current landscape and challenges with regards to guidance from the WHO on diagnostic tools using the WHO REASSURED criteria, which define a set of key characteristics for diagnostic tests and tools. These criteria have been used for communicable diseases, but so far have not been used for noncommunicable diseases. Diagnostic tools have played an important role in addressing many communicable diseases, such as HIV, TB and neglected tropical diseases. Clearly more attention with regards to diagnostics for noncommunicable diseases as a key component of the health system is needed.

TymeBank: digital disruption in SA’s banking sector

2021 ◽  
Vol 11 (2) ◽  
pp. 1-32
Author(s):  
Boris Urban ◽  
Stephanie Althea Townsend
Keyword(s):  
Success Factors ◽  
Banking Sector ◽  
Business Students ◽  
Chief Executive ◽  
Corporate Entrepreneurship ◽  
Content Type ◽  
Customer Base ◽  
Academic Level ◽  
The Face ◽  
Digital Disruption

Learning outcomes Amongst others, these are that students should be able to: identify key components of corporate entrepreneurship; assess the role of technology innovation in terms of creating a competitive advantage; appreciate how an entrepreneurial orientation is related to innovation and growth; and make an informed decision regarding key success factors in influencing growth and sustainability. Case overview/synopsis TymeBank became the first fully branchless, digital bank in South Africa when it launched in February 2019. Since then, the bank’s customer base had grown beyond expectation, but the market had also become more competitive, as new digital banks opened for business and traditional banks expanded their range of digital offerings. The case situates the chief executive officer, Tauriq Keeran, in November 2019, considering how whether the bank was doing enough to grow, in the face of this competition. Complexity academic level Master’s level business students, as well as entrepreneurship, innovation and digital business at both undergraduate and postgraduate level. Supplementary materials Teaching Notes are available for educators only. Subject code CSS 3: Entrepreneurship.

Strategy, Action Plan, and Approaches for Business Intelligence in Banking and Mining

2019 ◽  
pp. 305-325
Author(s):  
Hafeez Niazi
Keyword(s):  
Data Quality ◽  
Data Visualization ◽  
Business Intelligence ◽  
Success Factors ◽  
Action Plan ◽  
Study Analysis ◽  
Key Factors ◽  
Case Study Analysis ◽  
Critical Success

This case study will analyze the critical success factors and key matters related to the deployment of BI deployment in different organizations. Different organizations have different approaches to making BI available for different business users, divisions, and departments. Data visualization is also one of the important factors which will provide user better reflection of data rather than make them confuse about organization data with too much information in the reports and dashboards. Data quality and diverse standards, which make BI famous in the different organizations, are also analyzed during the investigation of both organizations used in this case study. The case study analysis also shows how BI maturity, governance, and framework are key factors involved in the successful deployment of the BI in different organizations.

scholarly journals Completing asthma action plans by screen-sharing in video-consultations: practical insights from a feasibility assessment

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Omer Hamour ◽  
Eve Smyth ◽  
Hilary Pinnock
Keyword(s):  
Action Plan ◽  
Action Plans ◽  
Face To Face ◽  
Feasibility Assessment ◽  
Global Pandemic ◽  
The Face ◽  
Vital Component ◽  
Asthma Action Plans ◽  
Screen Sharing ◽  
Remote Consultations

Abstract Supported self-management is a vital component of routine asthma care. Completion of an agreed personalised asthma action plan is integral to implementation of this care, and traditionally this requires a face-to-face consultation. We aimed to assess the practical feasibility and potential utility of using screen-sharing technologies to complete asthma action plans remotely. Assisted by people with diverse technological ability and using a range of devices, we tested the technological feasibility of completing action plans in remote consultations using two leading video-conference systems. We used a semi-structured topic guide to check functionality and lead feedback discussions. Themes were interpreted using the Model for ASsessment of Telemedicine applications (MAST). Discussions with ten participants (age 20–74 years) revealed that screen-sharing was practical on most devices. Joint editing of an action plan (as was possible with Zoom) was considered to encourage participation and improve communication. Attend Anywhere had less functionality than Zoom, but the NHS badging was reassuring. Most participants appreciated the screen-sharing and considered it enabled a meaningful discussion about their action plan. Online shared completion of action plans is feasible with only a few (potentially remediable) practical problems. These findings suggest this may be a fruitful approach for further study—made more urgent by the imperative to develop remote consultations in the face of a global pandemic.

Achieving a balanced life in the face of chronic illness

2010 ◽  
Vol 16 (1) ◽  
pp. 66 ◽  
Author(s):  
Yun-Hee Jeon ◽  
Tanisha Jowsey ◽  
Laurann Yen ◽  
Nicholas J. Glasgow ◽  
Beverley Essue ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Health Services ◽  
Health System ◽  
Care Delivery ◽  
Models Of Care ◽  
System Reform ◽  
Family Carers ◽  
Co Morbidity ◽  
The Face ◽  
Future Policy

The increasing prevalence of chronic disease is a driver of health system reform in most economically advanced nations. A consistent theme within these reforms is building greater patient-centredness into the health care delivery. This study aims to develop an in-depth understanding of the experience of patients and family carers affected by chronic illness that will be the basis on which to propose policy and health system interventions that are patient-centred. Participants struggled with the ongoing tasks of balancing their lives with the increasing demands and intrusion of chronic illness. Their attempts to achieve a balance were seriously hampered by fragmented services, complexity in navigating health services, relationships with health professionals and others, and co-morbidity. Future policy directions include designing models of care and infrastructure that enable patients and their family carers to balance life and illness, and aligning patient-centred care not only within health services but also with community and social support services.

Rethinking police legitimacy in postcolonial Hong Kong: Paramilitary policing in protest management

2020 ◽  
Author(s):  
Ho Lawrence Ka-Ki
Keyword(s):  
Hong Kong ◽  
Resistance To Change ◽  
Police Legitimacy ◽  
Civil Unrest ◽  
The Public ◽  
Protest Policing ◽  
Street Violence ◽  
The Face ◽  
One Country Two Systems ◽  
The One

Abstract This article addresses a frequently asked question regarding Hong Kong policing since the outbreak of prolonged civil unrest in June 2019: How can we understand the tactics adopted by the police in their attempts to de-escalate street violence, and why did the highly regarded police quickly lose its legitimacy among the public? This article argues that these phenomena can be explained by the abrupt change in the structural and policing context. This combined and interacted with the limitations of the ‘paramilitary policing model’ and public order legislation of Hong Kong adopted since the realignment of Beijing’s Hong Kong policy under the ‘One Country Two Systems’ principle in 2012. In the face of growing resistance to change this shift demystified the ‘professionalism’, ‘neutrality’, and ‘accountability’ that had continually been associated with the public’s perception of the Hong Kong Police since the 1970s. The protests pulled the police back to the escalated force in protest policing which in turn led to further declines in perceptions of police legitimacy across the population of the special administrative region. The findings also provide the platform for further conceptual debate on police legitimacy.

Realisation of a joint consumer engagement strategy in the Nepean Blue Mountains region

2017 ◽  
Vol 23 (6) ◽  
pp. 531 ◽  
Author(s):  
Ilse Blignault ◽  
Diana Aspinall ◽  
Lizz Reay ◽  
Kay Hyman
Keyword(s):  
Health System ◽  
Success Factors ◽  
Health District ◽  
Direct Care ◽  
Consumer Participation ◽  
Local Health ◽  
Consumer Engagement ◽  
Blue Mountains ◽  
Existing Structures ◽  
Critical Success

Ensuring consumer engagement at different levels of the health system – direct care, organisational design and governance and policy – has become a strategic priority. This case study explored, through interviews with six purposively selected ‘insiders’ and document review, how one Medicare Local (now a Primary Health Network, PHN) and Local Health District worked together with consumers, to establish a common consumer engagement structure and mechanisms to support locally responsive, integrated and consumer-centred services. The two healthcare organisations worked as partners across the health system, sharing ownership and responsibility. Critical success factors included a consumer champion working with other highly motivated consumers concerned with improving the health system, a budget, and ongoing commitment from the Medicare Local or PHN and the Local Health District at executive and board level. Shared boundaries were an enormous advantage. Activities were jointly planned and executed, with consumer participation paramount. Training and mentoring enhanced consumer capacity and confidence. Bringing everyone on board and building on existing structures required time, effort and resources. The initiative produced immediate and lasting benefits, with consumer engagement now embedded in organisational governance and practice.

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