World hospitals and health services: the official journal of the International Hospital Federation (World Hosp Health Serv )

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  • ISSN
    1029-0540

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Teamwork and communication failures are leading causes of patient safety incidents in health care. Though health care providers must work in teams, they are not well-trained in teamwork and communication skills. Health care faces the problems of differences in communication styles, communication failures and poor teamwork. There is enough evidence in the literature to show that communication failure is detrimental to patient safety. It is estimated that 80% of serious medical errors worldwide take place because of miscommunication between medical providers. NUH recognizes that effective communication and teamwork are essential in the delivery of high quality safe patient care, especially in a complex organization. NUH is a good example, where there is a rich mix of nationalities and races, in staff and in patients, and there is a rapidly expanding care environment. NUH had to overcome these challenges by adopting a multi-pronged approach. The trials and tribulations of NUH in this journey were worthwhile as the patient safety climate survey scores improved over the years.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):19-22.
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    ABSTRACT: Quality in health care is important as it is directly linked with patient safety. Quality as we know is driven either by regulation or by market demand. Regulation in most developing countries has not been effective, as there is shortage of health care providers and governments have to be flexible. In such circumstances, quality has taken a back seat. Accreditation symbolizes the framework for quality governance of a hospital and is based on optimum standards. Not only is India establishing numerous state of the art hospitals, but they are also experiencing an increase in demand for quality as well as medical tourism. India launched its own accreditation system in 2006, conforming to standards accredited by ISQua. This article shows the journey to accreditation in India and describes the problems encountered by hospitals as well as the benefits it has generated for the industry and patients.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):9-12.
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    ABSTRACT: This study was conducted to explore the entire spectrum of initiatives that have evolved globally over time in health care delivery mechanisms. The quality improvement initiatives that have been reviewed were undertaken at the department of radiology at a tertiary care teaching hospital in the developing world. This article reveals that conducting only clinical audits is not enough to bring about improvements in the health care delivery processes. It also illustrates examples of other initiatives that combine to enable sustainable, safe and high quality health care services for the patients whom we serve.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):23-6.
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    ABSTRACT: Productivity is NOT the same as quality. Productivity is about the value-add we bring to work, to each job, to each day. To create a productive hospital environment, it is so much more than buying the right equipment or hiring the right mix of people. Productivity comes from investing in our people and giving them the tools and authority to do their jobs effectively. Adding more "quality programmes" can actually kill productivity by taking people away from their core jobs. Adding a tick-list in the operating theatre can cut mortality rates in half by eliminating the smallest of mistakes. This article is a guide to help you focus on the key elements of productivity and not to get distracted by the hype and confusion from media. Its bottom-line focus and "how-to" tools and ideas make it useful and practical.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):16-8.
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    ABSTRACT: It is recognized that health services are facing increasing cost pressures amid a climate of increasing demand and increasing expectations from patients and families. The ability to innovate is important for the future success of all health care organizations. By malting some simple but profound changes in behaviours and processes as illustrated across seven dimensions, leaders can have great impact on the culture for innovation. This in turn can support the transformation of health services through increased innovation.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):4-6.
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    ABSTRACT: Health services are one of the most important criteria for making a country function. Turkey has mobilized all of its resources to provide high-quality, easily accessible and patient-friendly services for its population. To achieve this aim, the Turkish health care system has been undergoing a significant transformation through its Health Transformation Programme begun in 2005. The reforms focus on the introduction of a general health insurance system, changing hospital health services, improvements in hospital management and transformational leadership skills. Firstly, all state-run hospitals in the country were merged under the same umbrella, giving millions of people covered by the national security agency access to all of these hospitals. Secondly, all drugs and medical equipment used by patients were made free of charge. Thanks to these developments, hospitals were modernized, and this modernization process in the health sector is still continuing swiftly. On the other hand, for Turkish hospitals to survive, they need to modernize further and become closer to European models, and produce new leaders with new paradigms. In this new and changing health system, hospital leaders and executive officers should be visionaries and strategists advising when to change direction. Following this doctrine, most Turkish hospitals are now run by two top executives: the hospital manager and the chief executive officer who is in charge of business functions. These executives should clearly be the leaders of high-quality, health care organizations.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):7-8.
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    ABSTRACT: By 2020, the population of Ulaanbaatar will reach 1,522,400 inhabitants. In addition, estimates show that relative to 2010, there will be 13.1% more outpatient registrations and 11.6% more inpatients by 2020. This study, conducted by descriptive design based on demographic and morbidity data, analyzes whether current health care facilities meet the demands and needs of the Ulaanbaatar population. It also assesses health care needs and accessibilty in Ulaanbaatar by 2020. Both data analysis and qualitative interviews with different sub-groups of the population reveal the neccesity to both reorganize primary level health care facilities and adjust resources in accordance with changing morbidity patterns.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):27-30.
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    ABSTRACT: The people who work in health care organizations are committed to providing the best care possible to their patients. In the contemporary health care environment this is a very difficult commitment to keep. Health care has never been more complicated or demanding of the people who work in the industry. This article describes two different but complimentary methods for improving the quality and safety of health care. Accreditation provides a foundation for creating systems of care across many types of health care organizations. High reliability inspires people and organizations to strive for the highest levels of performance. Together, these methods give people working in health care an opportunity to fulfil their commitment to their patients.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):13-5.
  • World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):3.
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    ABSTRACT: Newcomers to the United Arab Emirates (UAE) health care system often enquire about the way in which UAE health services are financed particularly when funding issues affect eligibility for treatment. The UAE ranks alongside many western counties on measures of life expectancy and child mortality but because of the unique population structure spends less of its national income on health. In the past as a wealthy country the UAE had no difficulty ensuring universal access to a comprehensive range of services but the health needs of the UAE population are becoming more complex and like many countries the UAE health system is facing the twin challenges of quality and cost. To meet these challenges new models of health care financing are being introduced. In this brief article we will describe the evolution of UAE health financing, its current state and likely future developments.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(2):33-9.
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    ABSTRACT: Health care is one of the most significant global issues. The Korean health care systems, which has both good and bad features, is grabbing international attention because of its cost effectiveness. However, it is also facing a lot of challenges such as a rapidly ageing population, increases in expenditure and too many competing acute hospitals. Therefore, many Korean hospitals have been trying to find innovative ways to survive. This article introduces some possible answers such as expansion and consolidation strategies, quality assureance, converging ICT and health care, attracting foreign patients, research-driven hospitals, public-private partnerships and a focus on service design and patient experience.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(4):31-3.
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    ABSTRACT: The Electronic Medical Record Adoption Model (EMRAM)SM developed by HIMSS Analytics has become a universally recognized maturation model of a hospital's electronic medical record (EMR) environment. Numerous health care organizations (HCOs) throughout the world spend significant time and resources to improve their EMRAM standing. Yet, to the health care information technology (HIT) outsider, the value of the EMRAM and the outcomes of the efforts tied to advancing EMR capabilities are virtually unknown. This is a significant concern when efforts around the EMR compete for scarce health care resources. This article purposes to establish the EMRAM as a valuable framework for policy-makers and hospital leaders. To accomplish this end, we begin with a necessarily brief description of the EMRAM process and stages. Our attention will then turn to examples of the model's use and presence throughout the world, before ending on the ERMAM's benefits for varied health care audiences.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(3):7-9.
  • World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(3):3.
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    ABSTRACT: Information Technology (IT) innovation and its impact on health care is of particular relevance to the developing world, which spends a fraction of what health systems spend in OECD countries. Given the issues of accessibility, affordability and quality health services in the developing world, IT can play an important role by bringing marginalized communities closer to health care systems. Aga Khan University (AKU) and the eHealth Resource Center (eHRC), which are part of Aga Khan Development Network (AKDN), are active in the developing regions of East Africa, Central Asia and South East Asia and are currently initiating new changes in the use of IT and also the manner in which it is deployed. The eHealth programmes implemented and the lessons learned by AKU and eHRC in achieving its core values of impact, access, relevance, and quality through implementation of these innovations are described. These can be of value to health systems and academic medical centres in the developing world wanting to leverage scarce resources to create meaningful impact using IT.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(3):10-3.
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    ABSTRACT: Reduction of ALOS in the hospital through streamlined processes with validation for standardized work such as clinical pathways. The implementation of barcoding and streamlining laboratories with interface solutions has reduced the cycle time for the diagnostic areas. The long standing cases over seven days provided a trigger for the Medical Board, which helped in multidisciplinary care of these patients. Cohort of patients in respective wards according to discipline for almost 80% of patients have improved nursing and other paramedical services and had a definite impact on ALOS and other outcomes. Finally, the organization had a benefit of nearly USD 0.9 million for a period of nine months during this study. The organization has carried on with the benefits of the ALOS reduction and currently has reduced ALOS to 4.5 days.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(2):16-7.
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    ABSTRACT: Thailand has become one of the most famous medical hub countries, which is reflected in the increasing number of international patients visiting the Bangkok Hospital Medical Center (BMC). In response, the Interpreter Department at BMC has been established to provide translation for non-English speaking patients. Overtime the Interpreter Department frequently reaches maximum capacity when providing prompt services on demand, resulting in long waiting times and delayed medical treatment. BMC has foreseen the necessity to implement a tele-interpreter system via videoconferencing technology to provide effective translations in the medical environment where delay is usually not tolerated. Tele-interpretation allows doctors to simply select a language icon on their Wi-Fi IP telephone to instantly connect to an interpreter. After implementation in 2oo9, the overall customer satisfaction index for the Interpreter Department increased from 64.5% in Quarter 1 to 85.5% in Quarter 3 of 2011. The tele-interpretation system is currently the closest approximation to the face-to-face interpretation method.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(2):30-2.
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    ABSTRACT: As of 1 January 2012,all Swiss hospitals have had to charge acute somatic care hospitalization according to the Swiss disease related group (DRG) System. In this system, hospital bills are based on the discharge summaries. Coders analyze these in order to identify diagnostic and interventional codes. These codes are used by the system grouper to determine a specific DRG code and cost-weight. The amount to be charged per episode is based on this cost-weight. Since acute care billing relies on discharge summaries and knowing that these are incomplete, our aim was to inprove the completeness of these documents by automatically detecting pathologies that should have been coded and charged. We also aimed to help improve the selection of the main diagnosis. We have implemented algorithms for the automatic detection of pathologies that directly inform the coders whilst by-passing the physician. Final validation of the new pathologies remains with the physician. Our results are very encouraging from a financial point of view.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(4):21-4.
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    ABSTRACT: The health care industry is fast changing and rapid transformation is required to meet the ever-increasing needs and demands of its patient population. Hospitals and health care providers are shifting from viewing patients as uneducated with few health care choices to educated consumers with many service demands and health care choices available. Modern health care organizations have identified the patient as an ultimate consumer of hospital services and understand the importance of patient satisfaction, establishing this as the yardstick. The present study is explorative in nature. This cross sectional study is aimed at collecting data regarding attitude of patients, assessing their satisfaction levels towards ease of getting care, facilities offered at the hospital, attitude of the staff at the hospital and overall status of the hospital. The research study revealed many insights regarding attributes that are important for doctors, nurses and hospitals which would match patient expectation and lead to satisfaction.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(2):26-9.
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    ABSTRACT: The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) has prioritized noncommunicable diseases (NCDs). An innovative integrated health system built around medical systems and strategic partnerships is proposed to combat NCDs. Information and communication technology (ICT) is needed for the implementation of integrated care in a medical systems approach. The Teaching Hospital of Montpellier has set up the clinic and uses IP-Soins as an ICT tool. Patients with NCDs will be referred to the chronic disease clinic of the hospital by a primary care physician. This paper reviews the complexity of NCDs intertwined with ageing. It gives an overview of the problem. It presents an innovative approach in the implementation of a clinical information system in a "SaaS" (Software as a Service) mode.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2013; 49(3):25-8.