scholarly journals An intern’s case study analysis of the patient transport function

2019 ◽  
Vol 9 (1) ◽  
pp. 11
Author(s):  
Asa B. Wilson ◽  
Zachary Wilkerson ◽  
Leanne Dickinson ◽  
Caitlin M. Young
Keyword(s):  
Health Information System ◽  
Service Needs ◽  
Strategic Positioning ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery ◽  
Wide Transition ◽  
Participant Observer ◽  
Electronic Health Information

Study provides an understanding of a hospital’s patient transportation department (PTD) and its essential function within a complex health care system. A participant-observer case study was accomplished using an intern’s extended exposure to first-hand interactions with managers, directors, and employees. The narrative delineates the importance of patient transportation in a large, expanding, fast-paced integrated delivery system; an environment requiring daily vigilance, continuous improvement, strategic positioning, innovation, and anticipation of future service needs. The departmental challenges and benefits of a facility-wide transition to a new electronic health information system are specified. The intern’s insights into the strategies and data sources that leadership uses to ensure departmental operating effectiveness are identified. Future PTD operations research opportunities are summarized.

scholarly journals Physicians’ Voices: What Skills and Supports Are Needed for Effective Practice in an Integrated Delivery System? A Case Study of Kaiser Permanente

2017 ◽  
Vol 54 ◽  
pp. 004695801771176 ◽  
Author(s):  
Benjamin Chesluk ◽  
Laura Tollen ◽  
Joy Lewis ◽  
Samantha DuPont ◽  
Marc H. Klau
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Kaiser Permanente ◽  
Institutional Settings ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery ◽  
High Level ◽  
Cost Awareness

Payers are demanding that US health care become more accountable and integrated, posing new demands for physicians and the organizations that partner with them. We conducted focus groups with 30 physicians in a large integrated delivery system who had previous experience practicing in less integrated settings and asked about skills they need to succeed in this environment. Physicians identified 3 primary skills: orienting to teams and systems, engaging patients as individuals and as a panel, and integrating cost awareness into practice. Physicians also expressed a high level of trust that the system was designed to help them provide better care. This belief appeared to make the new demands and mental shifts tolerable, even welcome, standing in contrast to research showing widespread physician distrust of their institutional settings. Physicians’ new skills and the system features that promote trust are described in the article and should be a focus for systems transitioning to a more integrated, accountable model.

scholarly journals Country-Wide Resilience Model for the Health System: A Case Study on Iran, under Coronavirus Outbreak

2021 ◽  
Author(s):  
Nazanin Pilevari ◽  
Mahyar Valeh Shiva
Keyword(s):  
Health System ◽  
Health Systems ◽  
Dynamic Capabilities ◽  
Health Information System ◽  
National Health System ◽  
Building Blocks ◽  
Interpretive Structural Modeling ◽  
System A ◽  
The Impact

Background: The outbreak of the COVID-19 virus has had many destructive impacts on socio-economic and health systems. The health systems of countries could be supportive in crisis management, but they also are affected by the impact of the crisis, consequently, their operational level has declined. This study pursued resilience in an overall national health system under pandemic stress. Methods: Based on WHO building blocks, by interviewing informants of the Ministry of Health and Medical Education, in Tehran-Iran, early 2021 a rich picture of the current situation depicted, the resilience model was extracted via a mixed method of Soft System Methodology (SSM) and total interpretive structural modeling (TISM). Dynamic capabilities were applied for the orchestration of the Iranian health system. Results: Particular functional and structural suggestions applicable for designing a ubiquitous resilience model for the country-wide health system are presented in this study. The variables of crisis sensing, opportunity seizing, and reconfiguration are the cornerstones of health system resilience. Conclusion: Well-suited health technology assessment (HTA) and health information system (HIS) play significant roles in the overall strengthening of the health system. All reforms for resilience will have a lasting result when the capabilities created by the resilience model are learned and reused in a dynamic cycle.

scholarly journals Overactive bladder in an integrated delivery system: a longitudinal cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jeffrey A. Linder ◽  
Joel S. Weissman ◽  
Harry Reyes Nieva ◽  
Stuart Lipsitz ◽  
R. Sterling Haring ◽  
...  
Keyword(s):  
Cohort Study ◽  
Overactive Bladder ◽  
Delivery System ◽  
Longitudinal Cohort Study ◽  
Longitudinal Cohort ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery
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