Journal articles on the topic 'Staff utilization efficiency'
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Romanczyk, Raymond G. "A Case Study of Micro-computer Utilization and Staff Efficiency:." Journal of Organizational Behavior Management 6, no. 3-4 (April 17, 1985): 141–54. http://dx.doi.org/10.1300/j075v06n03_10.
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Emel'yanovich, Anzhelika, Ivan Lau, and Matthew Vlasov. "Time Utilization Assessment based on External Audit." Bulletin of Kemerovo State University. Series: Political, Sociological and Economic sciences 2019, no. 4 (December 30, 2019): 387–97. http://dx.doi.org/10.21603/2500-3372-2019-4-4-387-397.
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All current business management trends and techniques are aimed at improving the efficiency of personnel management. Traditionally, the main indicators of staff performance assessment are those of workforce productivity. According to labor productivity, Russia ranks 36th. This situation is caused by many factors, including poor management functions in the organization of staff work, i.e. planning, organization, motivation, and control. The research involved monitoring ordinary employees in situations when their managers had questions related to low productivity. Despite the digitalization of all economic sectors, the motion study still remains an objective and reliable tool that helps to understand work organization, as well as to explain low productivity and poor time utilization. The research objective was to analyze the results of the motion study conducted in two organizations, a self-regulatory construction firm and a large food production company. The authors analyzed the time management of the employees by using the motion study method. Therefore, the article presents the results of two projects implemented in different scale and industry organizations to identify the loss of working time and the causes of low productivity. They showed that the main cause of low efficiency, regardless of the size of the business, remains the poor management, especially planning and control.
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Majumdar, Sumit. "Utilization of Different Categories of Resources in Indian Industry." Vikalpa: The Journal for Decision Makers 22, no. 4 (October 1997): 41–48. http://dx.doi.org/10.1177/0256090919970405.
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In this paper, Sumit Majumdar analyses the patterns of utilization of various key resources — production staff, administrative staff, physical capital, and working capital — in the Indian indus try between the period 1950-51 and 1992-93. The ratio of optimal to actual input usage is calculated for the four key resource inputs. It is found that Indian industry was relatively efficient in the 1950s, but efficiency had plummeted in the 1960s and 1970s relative to the 1950s. The regression of industrial performance in the 1960s and 1970s was reversed in the 1980s. However, in the 1990s, the Indian industry has merely caught up with a performance level once attained in the 1950s and no dynamic progress in its performance over time is noted.
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Dmitrenko, L. B., and V. A. Borisov . "MAIN DIRECTIONS OF INCREASING EFFICIENCY OF UTILIZATION OF PERSONNEL POTENTIAL OF HEALTH INSTITUTIONS OF THE REGION." Region: systems, economy, management 2, no. 53 (2021): 120–25. http://dx.doi.org/10.22394/1997-4469-2021-53-2-120-125.
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Subject. Staff capacity of healthcare institutions of the region. Topic. More efficient use of staff capacity of healthcare institutions of the region. Purpose. Delineate the main trends in the formation of staff capacity of the industry and determine the degree of its influence on the efficiency of the system itself as a whole. Methodology. Methods of logical and comparative analysis of intergovernmental regulation practices in the format of interaction «department - healthcare institutions». Results. After analyzing the staffing policy of the Voronezh Region Health Department and the mortality rate in the region for 2020, we identified an inadequate staffing of health care institutions, which affects the improvement in the quality of medical services and the mortality rate. Application area. Sphere of staffing of the Voronezh Region. Conclusions. In 2020, healthcare institutions of the Russian Federation faced a serious threat to public health, namely the COVID-19 pandemic, which in turn determined the parameters of the roadmap for the development of the industry for the coming years and identified the main problem areas. There is traced the dependence of the decrease in the staffing level, depending on the distance of the MO from the regional center. The number of certified specialists, both doctors and paramedics, is at an insufficiently high level, which ultimately affects the quality of medical care and the mortality rate in the Voronezh region. Key words: Health care, human resources, availability of medical personnel, epidemic.
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Butler, Thomas Wayne, and Lucas Najera. "iOS data app for supportive care in cancer." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 148. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.148.
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148 Background: Providers in oncology must optimize time to serve as many patients as possible daily with the caveat that patient outcomes and satisfaction is paramount. However, a paucity of tools are available to evaluate efficiency. An objective analysis of productivity and patient flow would optimize staff utilization, resulting in an increase in quality and economics of patient care. Methods: Patient flow in a supportive care clinic was recorded manually to delineate patient flow and staff productivity. This method provided baseline data for analysis. An iOS app was then created which can be adjusted to gather data and measure the flow in the clinic prompting patients to complete a questionnaire in the waiting room. The application stores the weather and driving distances to determine how these possibly correlate with efficiency. Additional data points were identified to trend staffing schedules and patient flow. Data inputs include diseases, characteristics, family dynamics and other clinical demographics for analysis and deliverables received. Results: The application generates reports for any variable collected, with a predefined daily report to compute the total relative value units (RVU) of the visit, the total cost and RVUs distribution by provider and/or staff. A percent profit or loss illustrates “value” created by individual objects and staff. The application interprets changes in efficiency over time. In the preliminary results we found direct intervention with the patient and record taking to be the primary deterrent to efficiency and having adequate oncology nursing staffing was most conducive with physician wait times varying significantly with changes in oncology staffing. Conclusions: This tool is unique in producing a cost-effective tool to evaluate daily patient flow and staff utilization. It has future applicability in dynamic analysis of how symptom burden and barriers to care in cancer patients effects the economics of a supportive care clinic. This production of real time information will provide data to improve efficiency, outcomes of care. We plan a pilot study in the supportive care clinic to further evaluate this tool and its benefit to optimizing flow, and enhance cost-effective, patient-centered allocation of resources in supportive care.
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Kisuko, Anne, Thomas Githui, and Martin Kweyu. "Public Resource Utilization and Efficiency of Service Delivery of the County Governments in Kenya: A Case of Machakos County." Journal of Public Policy & Governance 6, no. 1 (April 14, 2022): 46–73. http://dx.doi.org/10.53819/81018102t4037.
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Efficiency on service delivery is about those with authority being answerable for their actions to the citizens, whether directly or indirectly, and managerial efficiency on service delivery is about making those with delegated authority answerable for carrying out agreed tasks according to agreed criteria of performance. The interest in efficiency on service delivery within public sector reform is a desire to make public sector staff more accountable for their decisions and actions. The purpose of this study was to determine the effect of public resource utilization on the efficiency of service delivery of the county government of Machakos. Specifically, the study sought to: establish the effect of equitable share utilization on the efficiency of service delivery of Machakos County Government, Kenya, determine the effect of own source revenue utilization on the efficiency of service delivery of Machakos County Government, Kenya, to assess the effect of donor funding utilization on the efficiency of service delivery of Machakos County Government, Kenya and investigate the effect of conditional grants utilization on the efficiency of service delivery of Machakos County Government, Kenya. The study additionally sought to determine the moderating effect of county service delivery principles on the relationship between public resource utilization and efficiency of service delivery of the county government of Machakos. The study was informed by Public Choice Theory of Budget, The resource-based view theory and the Rostow-Musgrave Model. The study adopted a descriptive research design and targeted all the employees of Machakos County totaling to 1,950. The study used a simple random sampling of 10% of the total population yielding 195 respondents as the sample size. The study used both primary and secondary data. Primary data was collected using structured questionnaire, while secondary data gathered using data collection sheet. The collected data was analyzed with the aid of SPSS using both descriptive and inferential statistics. The study used Pearson correlation to show the association between the independent variables and the dependent variable. The results were presented in tables, charts and bars. It was established from the findings that; money set by national government wasn’t used effectively for the current expenditure and that the county government was striving to collect and prudently utilized it’s owned collected revenue. External donors were observed as the leading source of income for development and that the county rarely received the equalization funds disbursed on an annual basis. The study recommends that the central government should monitor and evaluate the utilization of funds and disburse equalization funds timely. The county government on the other hand should uphold integrity in the utilization if funds and seek to generate more funds locally. Keywords: Public resource utilization, equitable share utilization, County own source revenue utilization, Donor funding utilization, Conditional grants utilization, Efficiency of service delivery, County service delivery principles
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Madaeen, Saba, and Mohammad Adeinat. "The Health Sector in Jordan: Effectiveness and Efficiency." Modern Applied Science 12, no. 12 (November 26, 2018): 234. http://dx.doi.org/10.5539/mas.v12n12p234.
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This paper compares a homogeneous group of countries in terms of capacity and technology, where we picked income as indicator for capacity and technology. We study the case of the Hashemite Kingdom of Jordan. We apply radical data envelopment analysis to 36 middle income countries where we calculate constant returns to scale technical efficiency and variable returns to scale technical efficiency to show the health care sector efficiency in Jordan. Using different factors for input first we studied healthcare expenditure per capita then as percent of GDP and public expenditure as percent of GDP and private as percent of GDP, and last was the number of beds per 1000 population and physicians per 1000 population all to the same output life expectancy. The results show that there is inefficiency in health care expenditure. The inefficiency mainly is shown by two major findings, first the lack of utilization of resources. Secondly, the public-sector inefficiency. The output is justifiable for many challenges faced the health sector in the year of the study one of which is the Syrian refuges crisis. We shed light on factors causing the inefficiency where modifications could yield substantial efficiency gains. As for the mix between public and private sectors and the quality and utilization and distribution of the real resources, nevertheless adding health economists to the management staff for there is a managerial inefficiency.
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Meade, Jeremy. "Improving infusion therapy efficiency at the Woodlands Regional Care Center (RCC)." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 84. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.84.
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84 Background: The Woodlands RCC opened the Ambulatory Treatment Center in September 2010. The center houses 14 infusion units. Within 1 year, the demand for its infusion therapy services had more than doubled with continued rapid growth expected. The perception was that more patients could not be accommodated without additional space and staff. Therefore, a performance improvement team was formed in August 2011 with the goal to increase operational efficiency to satisfy patient demand, while maintaining the highest level of quality care. The increased access for patients allows for treatment to start sooner. Methods: The six sigma Define-Measure-Analyze-Improve-Control methodology was used to manage the project, and several lean and six sigma tools were utilized. The project commenced with a project charter with a measureable AIM statement to increase infusion volumes from 1.7 to 2.4 patients/unit per 9 hour day. Historical data was extracted, and all patients’ movements were timed for 3 weeks. Benchmarking, observations, and process mapping were also performed. Baseline performance was measured using SPC charts. Sources of variation were uncovered using statistical quality tools, brainstorming techniques, and cause/effect analysis. Key interventions consisted of standardized scheduling practices, development of a scheduling template, creation of a fast track room, new processes for overbooks and preschedules, and work balancing of nursing staff using an acuity rating system. In addition, staff workload was redistributed, and the lab was reorganized. Results: Within 3 months, the center met targeted capacity and provided regional care access to 41% more patients without additional staff, space, or working hours. By March 2012, the center accommodated 67% more patients (2.9/unit or 40/day) without adversely affecting patient wait time. Infusion room utilization increased by 15%. Conclusions: Although space constrained, The Woodlands RCC was presented with the challenge to provide patients’ open access to infusion therapy services. The team successfully applied lean and six sigma principles to evaluate the current state, perform a gap analysis, and deploy interventions to support quality and operate more efficiently.
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Prabyai, Suebpong, Yotravee Waythongkhum, and Patiya Pattanasak. "Development of 3D models for faculty of education database system via monitor’s graphical user interface interactive for perception and utilization." E3S Web of Conferences 244 (2021): 07004. http://dx.doi.org/10.1051/e3sconf/202124407004.
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This study is a research and development study that used systematic approaches as an operational concept. The objectives of the study included: (1) To study the usage demands of an on-screen interactive Graphical User Interface (GUI) for the Faculty of Education database. (2) To create 3D models and study their efficiency in the usage of an on-screen interactive GUI for the Faculty of Education database. (3) To evaluate the perception and utilization of 3D models in the usage of an on-screen interactive GUI for the Faculty of Education database. The population in this study included; (1) 100 staff and students in the Faculty of Education – who were selected using Purposive Sampling to study usage demands of an on-screen interactive GUI for the Faculty of Education database. (2) 5 experts and 40 staff and students of the Faculty of Education – who were selected using Purposive Sampling to study the efficiency of 3D models in the usage of an on-screen interactive GUI for the Faculty of Education database. (3) 300 staff and students of Ramkhamhaeng University who used 3D models with the on-screen interactive GUI of the Faculty of Education database within the 1-month test period of the study. The research instruments used in this study were: (1) a questionnaire about usage demands of an on-screen interactive GUI for the Faculty of Education database, (2) an expert opinion evaluation form, and (3) an assessment form for perception and utilization of 3D models in the usage of an on-screen interactive GUI for the Faculty of Education database – all of which were found with .930 reliability and item discrimination values between .71 - .85.
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Meyers, Michael, Erik Erdal, Christpoher Khan, Amy McKee, and Betsy Lahue. "Efficiency Outcomes Associated with Increased Ferumoxytol Use In An Infusion Clinic." Blood 116, no. 21 (November 19, 2010): 5151. http://dx.doi.org/10.1182/blood.v116.21.5151.5151.
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Abstract Abstract 5151 Patients with iron deficiency anemia (IDA) may require intravenous (IV) iron supplementation in an outpatient hematology setting. Such infusions require multiple visits and several hours of patient time. Ferumoxytol (Feraheme®) Injection is a novel IV iron approved for IDA in patients with reduced kidney function (CKD stages 1–5). Ferumoxytol requires fewer visits and fewer hours per treatment than other IV iron treatments. For instance, iron sucrose is generally given to nondialysis CKD patients in 200 mg doses given in five separate 1 hour infusions while ferumoxytol may be given in 510 mg doses given as a rapid injection in 2 visits. The objective of this analysis was to understand the impact of increased ferumoxytol utilization on patient, staff and financial efficiency metrics for an outpatient infusion clinic. Data on IV iron and other procedure mix, payer mix, length of clinic visit, medication and administration costs, and treatment revenue were collected from hospital financial data, staff interviews and pharmacy records for the 10-chair outpatient infusion clinic of a 325-bed academically-affiliated, non-profit hospital from January 1, 2008 through June 30, 2010. Cost of medication and administration used in each procedure came from the hospital's cost accounting system, revenue was captured as the amounts reimbursed by payers and margin was calculated as the difference between costs and revenue. Cost, revenue, margin and chair time required per IV iron treatment were analyzed for each year and estimated for 2011 utilization. Per hour efficiency metrics were calculated as the total revenue divided by total hours for each procedure. Revenue and margin per hour for the clinic's other administered therapies were also analyzed and modeled to quantify the projected financial impact of allocating freed IV iron chair time to these therapies. The clinic estimates that 80% of patients receiving IV iron treatment have reduced kidney function. Ferumoxytol treatment became available in 2009 and its share of the clinic's administered IV iron increased from 0% in 2008, to 25% in 2009, and to 42% in 2010. From 2008 to 2010, the clinic's use of iron sucrose dropped from 12% to 4%, sodium ferric gluconate decreased from 65% to 5% and iron dextran increased from 23% to 49%. The clinic forecasts that ferumoxytol will represent 60% (in 75% of ferumoxytol-eligible patients) of all IV iron administered in 2011. Because ferumoxytol requires 30 minutes per visit vs. 1.5 to 4.5 hours for other IV iron treatments, the average number of patient hours required to infuse a gram of IV iron in the clinic dropped 80% from 9.6 hours in 2008 to 1.9 hours in 2010. Furthermore, our study estimates that the clinic saved 282 hours of chair time in 2009 and the first half of 2010, and will save an additional 23 hours in 2011 by further increasing ferumoxytol utilization. Staff interviews suggested that ferumoxytol IV iron procedures were associated with improved clinic efficiencies such as reduced pharmacy preparation time (10-15 minutes less time) and improved availability of high demand equipment such as IV smart pumps. While total IV iron medication cost increased from 2008 to 2010, decreased chair time resulted in increased revenue per hour for IV iron medication (542%) and IV iron administration (153%). IV iron medication and administration margins per hour also increased (370% and 571%, respectively), moving the clinic's overall IV iron treatment margin per hour in line with their higher margin therapeutics, such as chemotherapy agents, erythropoietin, and monoclonal antibodies. By 2011, the clinic will have increased IV iron medication and administration revenue per hour by 858% and 195%, respectively over 2008 figures, and margins per hour by 588% and 753%, respectively, over 2008 figures. Given the clinic's average revenue and margin per hour for the current mix of other (non-IV iron) infusion therapies, reallocation of freed chair hours to other infusion therapies represents an additional clinic revenue and margin opportunity of $191,669 and $18,670, respectively. In conclusion, increasing use of ferumoxytol in an outpatient infusion clinic was associated with patient, staff and clinic efficiencies including fewer IV iron patient visits, decreased IV iron procedure time, the opportunity for increased clinic throughput and a substantial increase in overall IV iron revenue and margin per hour. Disclosures: Meyers: AMAG Pharmaceuticals, Inc.: Honoraria. Erdal:Boston Strategic Partners: Consultancy. Khan:Boston Strategic Partners: Consultancy. McKee:AMAG Pharmaceuticals, Inc.: Consultancy. Lahue:AMAG Pharmaceuticals, Inc.: Employment.
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Igun, Stella E. "Strategic Impact of ICT on Modern Day Banking in Nigeria." International Journal of Strategic Information Technology and Applications 5, no. 4 (October 2014): 78–93. http://dx.doi.org/10.4018/ijsita.2014100105.
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This paper examined impact of ICT on modern day banking relating to Ecobank Plc, Abraka Nigeria. The scope of the study covered staff of Ecobank Plc Abraka. The descriptive survey research design was used for the study. The population of the study was 72 respondents. Questionnaire were used to collect data from 72 respondents. Simple percentage and frequency count were used to analyse the data. It was found out that computers, internet scanners photocopiers, printers, e-mails, telecommunication, ATM and www are the ICT facilities available for use in Ecobank Plc Abraka. It was also found out that ICT has impacted the activities of the bank in the areas of speed delivery, on-line financial transaction, mobile banking services, reduction of long queues and congestion in the banking hall, easy communication between staff and customers, etc. The paper recommended that more adequate ICT facilities should be provided in the bank for utilization and staff should be adequately trained on the use of ICT facilities for greater efficiency.
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Kaur, Harpreet, and G. S. Bhalla. "Evaluating the resource use efficiency of government colleges in Punjab (India)." International Journal of Law and Management 60, no. 3 (May 14, 2018): 804–13. http://dx.doi.org/10.1108/ijlma-03-2017-0074.
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Purpose In the present era, government colleges in Punjab are facing cutthroat competition on three fronts, i.e. financial constraints and insufficiency of government grants, falling number of students and the shortage of teaching staff in the colleges because of stiff competition and other reasons. Thus, the purpose of this study is to evaluate the resource use efficiency of government colleges in Punjab. Design/methodology/approach The study covered 15 general degree government colleges from various districts of Punjab. Secondary data for the study were collected from financial budgets, income and expenditure statements and self study reports of the colleges. The data envelopment analysis was conducted using the CCR model and BCC model. Findings The technical efficiency results suggest that colleges analyzed in this study are operating at a moderate level of efficiency relative to each other. Most of the colleges were found to be inefficient during the study period. Only one college was found consistently efficient during all the years of the study. Moreover, input and output slacks exist in many of the colleges. Research limitations/implications To achieve the efficiency level, the colleges need to improve their utilization of resources and the enrollment rate at a given level of resources. To increase the efficiency of the colleges, the Government of India needs to reform their budgeting system. Originality/value Punjab is a well-known state of India and public higher education sector plays important role in the education system. This research provides a new insight to the efficiency of the government colleges.
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Pavlick, Anna C., Kathleen C. Duffy Fray, Annette C. Rabinovich, and Benjamin C. Wertheimer. "Transforming a cancer center into a high reliability organization." Journal of Clinical Oncology 37, no. 27_suppl (September 20, 2019): 234. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.234.
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234 Background: The goals of a high reliability organization (HRO) are to eliminate preventable harm and streamline processes to maximize efficiency. The NYU Langone Medical Center embarked upon transforming the entire organization into an HRO. Educating the staff of the NYU Perlmutter Clinical Cancer Center (NYUPCCC) about the principles of HRO and a stepwise rollout began in March 2018. Methods: All cancer center employees were provided with an anonymous survey designed to assess culture, teamwork and burnout. Response rate to the survey was 83%. The survey evaluated 8 areas: improvement readiness, local leadership, teamwork climate, safety climate, decision making, burnout climate, personal burnout and emotional recovery. Three areas of opportunity were identified: teamwork and communication, discussing and correcting errors and participation in decision-making. Implementation and onboarding of the NYUPCCC occurred in 3 phases due to the physical layout of the center. Infusion floors were paired with physician floors that utilized them. Three “aims” for each floor were proposed with one aim being an overlapping aim that would require collaboration between the treatment and physician floors. Weekly “huddles” at a white board occur at a defined time and is led by a different staff member each week. This 15-minute gathering of all floor staff allows for an open exchange of ideas, verbalization of new areas of improvement and staff acknowledgement who provided a service above and beyond expectations. Initiatives and results will be presented. Results: This initiative had a positive impact on culture, improved staff-wide communication, improved physician efficacy and decreased patient wait times through the utilization of staff generated ideas and processes. It identified the need for better physician engagement. It also identified a data collection challenge so that information could be gathered in real time and metrics analyzed promptly. Conclusions: Transforming the NYUPCCC into an HRO identified opportunities for staff to encourage a culture of acceptance, foster teamwork, enhance overall cancer center communication and streamline processes to maximize patient safety and overall system efficiency.
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Schlosser, Evelyn, David Gladstone, Deborah Scribner, and Jennifer Snide. "Implementation of a visual appointment system to enhance oncology infusion suite efficiency at Norris Cotton Cancer Center (NCCC)." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 301. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.301.
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301 Background: Infusion suite patients were experiencing excessive delays for administration of chemotherapy, blood products, and hydration. Manually collected data revealed that 80% of patients did not start their infusion appointments on time, though there was limited additional data available for further analyses. The scheduling system allowed for booking a "start time" for infusion therapy, but there was no connection between the appointment slots and the actual number of infusion stations, length of the infusions, and available nursing staff. There was an identified need for 1) a “visual” scheduling system that would aid in better matching available resources with patient demand and 2) real time collection of electronic timestamps to better understand patient flow and improve efficiency. Methods: An already existing and supported visual scheduling system was introduced to the infusion schedulers. This system works by assigning patients to available resources (chairs and nurses) and timeslots. The system was piloted for four months before fully implemented. An electronic interface was created between the existing scheduling system and the visual system, eliminating the need for dual entry. Nursing began using the system to record the actual arrival and discharge times for patients. Scheduling guidelines were updated and additional functionality within the system was employed. Results: Adherence to the arrival and discharge processes are tracked on a monthly basis and shared with the infusion suite leadership and nursing staff. As compliance with check-in/out processes increase, actual utilization of the infusion suite by oncology service and treatment regimen is being evaluated. These data are useful in the identifying opportunities to reduce treatment delays and improve efficiency. Conclusions: Maximizing efficiency and utilization of infusion suite services is a goal of NCCC. Access to detailed electronic data that facilitates understanding of the demand for services and capacity of the system is critical to achieving this goal. It is our belief that a more efficient infusion suite will result in less treatment delays for patients.
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Bradea, Ioana, and Virginia Mărăcine. "Grey incidence between KPIs and hospital performance." Grey Systems: Theory and Application 5, no. 2 (August 3, 2015): 234–43. http://dx.doi.org/10.1108/gs-05-2015-0028.
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Purpose – Performance indicates how well the activities, operations and business processes of an enterprise are performed. In health care, performance illustrates the quality of medical services and targets the strategic objectives, the efficiency and effectiveness and the obtaining of the desired financial results. In economic analysis, the key performance indicators (KPIs) offers real, relevant and accurate information regarding the performance, using analysis and diagnosis techniques. The purpose of this paper is to discuss grey systems theory in order to bridge the KPIs and the hospital’s performance. Design/methodology/approach – Using the grey systems theory, the impact of seven selected KPIs (the beds utilization rate, the average length of hospitalization, the average cost of hospitalization/day, the proportion of physicians in total staff, the nosocomial infection rate, the death rate and the diagnostic concordance) on the hospital’s turnover is determined. Findings – By analyzing the grey incidence between turnover and several KPIs, for a period of six years, it has been concluded that the greatest impact on performance has the diagnostic concordance and the percent of the physicians in the total staff, followed by the nosocomial infection rate, the average bed utilization rate and the death rate. Research limitations/implications – The considered case study should be extended by including a greater number of hospitals into the analysis. Originality/value – The usage of the grey systems theory in an uncertain and limited information field such as the medical one, is a premier in this field. According to the grey incidence analysis results, the performance of health care institutions depends mainly on the quality of medical staff (that influence the diagnostic concordance, the nosocomial infection rate and the death rate) and on the management ability to attract competent and well-trained physicians, which can conduct in a new approach that should be considered by the hospitals’ managerial staff.
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Markenson, D., and M. Reilly. "(P1-102) Developing Methodologies to Assess Resource Needs and Ability to Provide Interventions and Care for Children in Disasters, Terrorism and Public Health Emergencies." Prehospital and Disaster Medicine 26, S1 (May 2011): s132. http://dx.doi.org/10.1017/s1049023x11004353.
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IntroductionIn emergency preparedness there is the need to prospectively develop an approach to which interventions can be provided with available resources and the maximal amount of clinical effectiveness which can be attained by staff.MethodsA panel of pediatric emergency preparedness experts employed our previously validated evidence based consensus process with a modified Delphi process for topic selection and approval. Interventions were chosen such that resources and staff efficiency would not exceed previously published data for non-disaster emergency care but allowing for standard emergency preparedness planning alterations in standards of care such as the assumption that usual numbers of staff would care for a disaster surge of four times the usual number of patients.ResultsUsing standard emergency preparedness assumptions of limited resources and staff efficiency, the panel agreed upon both methodologies for resource allocation and feasible interventions. A number of standard interventions would not be feasible and included detailed recording of vital signs, administration of vasoactive agents, prolonged resuscitation and central venous access.ConclusionBy employing this approach to resource utilization described combined with the unique aspects of pediatric care, we can improve our planning and responses. This can be accomplished by understanding the needs of the population being served, learning how to focus on both pediatric needs and the expectations of the community with regard to care of children, adopting what has been learned in prior events in the United States and abroad, and developing prospective recommendations regarding essential interventions which can be performed in a disaster.
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Gross, Katherine, Kelli Jacobs, and Michael Romano. "Operational improvements to clinic flow." Journal of Clinical Oncology 32, no. 30_suppl (October 20, 2014): 253. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.253.
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253 Background: With expanding clinic volume and future growth potential, we face an issue of limited physical clinic capacity. This has resulted in extended patient wait times, physician idle time, and longer clinics days. Each of these issues adds to both provider and patient dissatisfaction and operational inefficiencies. Methods: Key operational metrics and through put data was analyzed with the oncology team. Agreements and goals for the process improvement were: no provider would be told they could not see a sick patient, patient’s time would be respected and maximize provider productivity. Data demonstrated that the current state would not accommodate future growth. Several operational changes were agreed upon by physician and administrative leadership: level load the days of the week, require several providers to move their clinic days; place structure and real-time discussion into how we manage same day and future “add-on” patients though setting clear expectations around clinician template times; assign a full time staff member to function as a “clinic flow coordinator" to triage same day add-ons, and facilitate provider room assignments, communicate with providers, and identify system or people barriers to clinic flow; provide each of the patients a “restaurant style” pager that will light up when they are ready to be taken to a room, allowing them the freedom to leave the waiting room without fear of missing their appointment time; implement a room-utilization manager software program allowing staff to see and collectively manage real time clinic flow and room utilization. Results: Provider feedback was very positive related to the flow and utilization of clinic rooms. The check-in staff described a less full waiting room even though volumes remained constant. We will monitor patient perception by patient satisfaction scores. Conclusions: To date, much of the results have been anecdotal. In order for these changes to become practice there is a clear need to tie in satisfaction and operational efficiency metrics. There will be ongoing coaching and feedback with providers and staff related to adherence to the new processes. As new providers are added to the practice, we will be very purposeful when adding their creating their templates and adding their clinic days.
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Li, Yuanyuan, Yongqiang Zhao, Xixin Niu, Wei Zhou, and Jun Tian. "The Efficiency Evaluation of Municipal-Level Traditional Chinese Medicine Hospitals Using Data Envelopment Analysis After the Implementation of Hierarchical Medical Treatment Policy in Gansu Province, China." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802210957. http://dx.doi.org/10.1177/00469580221095799.
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Background: Efficiency evaluation is an integral part of new medical reform and is necessary to solve the problem of limited and unbalanced medical resources. This study evaluated the efficiency of municipal-level Traditional Chinese Medicine hospitals by Data Envelopment Analysis application after a hierarchical medical treatment policy was implemented. We propose solutions to the problems existing in hospital operations and promote the utilization efficiency of medical resources in those hospitals. Methods: The sample included all municipal-level TCM hospitals in Gansu province from 2017 to 2019. The DEA-BCC model was employed to evaluate the relative efficiency of hospital operations, and the Manny-Whitney test was used to compare the input and output variables of technical efficiency efficient and inefficient hospitals. Results: From 2017 to 2019, the growth in the number of staff in secondary hospitals (25.88%) was lower than that in tertiary hospitals (31.98%). However, the increase in the number of beds (16.52%) in secondary hospitals was higher than that in tertiary hospitals (−0.30%). 5 (38.46%) achieved DEA efficient in secondary hospitals and 2 (40.00%) in tertiary hospitals. The means of technical efficiency, pure technical efficiency, and scale efficiency in secondary hospitals were 0.812, 0.887, and 0.908, respectively. The means in tertiary hospitals were 0.868, 0.926, and 0.935, respectively. The hospital areas were statistically different between the TE efficient and inefficient hospitals ( P<0.05) in secondary hospitals. However, the number of outpatients between the two groups was statistically different ( P<0.05) in tertiary hospitals. Conclusion: In this study, the medical and health services of municipal TCM hospitals in Gansu Province have made great progress. Due to the backward economy of Gansu Province, the classification of diagnosis and treatment of diseases was still based on Western medicine, resulting in the slow medical development of some municipal TCM hospitals. TCM hospitals should improve management efficiency, optimize hospital operation scale, improve the utilization efficiency of medical resources and promote efficient hospital development.
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Li, Yuanyuan, Yongqiang Zhao, Xixin Niu, Wei Zhou, and Jun Tian. "The Efficiency Evaluation of Municipal-Level Traditional Chinese Medicine Hospitals Using Data Envelopment Analysis After the Implementation of Hierarchical Medical Treatment Policy in Gansu Province, China." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802210957. http://dx.doi.org/10.1177/00469580221095799.
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Background: Efficiency evaluation is an integral part of new medical reform and is necessary to solve the problem of limited and unbalanced medical resources. This study evaluated the efficiency of municipal-level Traditional Chinese Medicine hospitals by Data Envelopment Analysis application after a hierarchical medical treatment policy was implemented. We propose solutions to the problems existing in hospital operations and promote the utilization efficiency of medical resources in those hospitals. Methods: The sample included all municipal-level TCM hospitals in Gansu province from 2017 to 2019. The DEA-BCC model was employed to evaluate the relative efficiency of hospital operations, and the Manny-Whitney test was used to compare the input and output variables of technical efficiency efficient and inefficient hospitals. Results: From 2017 to 2019, the growth in the number of staff in secondary hospitals (25.88%) was lower than that in tertiary hospitals (31.98%). However, the increase in the number of beds (16.52%) in secondary hospitals was higher than that in tertiary hospitals (−0.30%). 5 (38.46%) achieved DEA efficient in secondary hospitals and 2 (40.00%) in tertiary hospitals. The means of technical efficiency, pure technical efficiency, and scale efficiency in secondary hospitals were 0.812, 0.887, and 0.908, respectively. The means in tertiary hospitals were 0.868, 0.926, and 0.935, respectively. The hospital areas were statistically different between the TE efficient and inefficient hospitals ( P<0.05) in secondary hospitals. However, the number of outpatients between the two groups was statistically different ( P<0.05) in tertiary hospitals. Conclusion: In this study, the medical and health services of municipal TCM hospitals in Gansu Province have made great progress. Due to the backward economy of Gansu Province, the classification of diagnosis and treatment of diseases was still based on Western medicine, resulting in the slow medical development of some municipal TCM hospitals. TCM hospitals should improve management efficiency, optimize hospital operation scale, improve the utilization efficiency of medical resources and promote efficient hospital development.
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Brodny, Jarosław, Sara Alszer, Jolanta Krystek, and Magdalena Tutak. "Availability analysis of selected mining machinery." Archives of Control Sciences 27, no. 2 (June 1, 2017): 197–209. http://dx.doi.org/10.1515/acsc-2017-0012.
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Abstract Underground extraction of coal is characterized by high variability of mining and geological conditions in which it is conducted. Despite ever more effective methods and tools, used to identify the factors influencing this process, mining machinery, used in mining underground, work in difficult and not always foreseeable conditions, which means that these machines should be very universal and reliable. Additionally, a big competition, occurring on the coal market, causes that it is necessary to take action in order to reduce the cost of its production, e.g. by increasing the efficiency of utilization machines. To meet this objective it should be pro-ceed with analysis presented in this paper. The analysis concerns to availability of utilization selected mining machinery, conducted using the model of OEE, which is a tool for quantitative estimate strategy TPM. In this article we considered the machines being part of the mechanized longwall complex and the basis of analysis was the data recording by the industrial automation system. Using this data set we evaluated the availability of studied machines and the structure of registered breaks in their work. The results should be an important source of information for maintenance staff and management of mining plants, needed to improve the economic efficiency of underground mining.
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Kaleem, Tasneem, Daniel Miller, Maresciel Yanez, and Steven J. Buskirk. "Utilization of patient pager for preservation of privacy in clinic waiting room." Journal of Clinical Oncology 35, no. 5_suppl (February 10, 2017): 192. http://dx.doi.org/10.1200/jco.2017.35.5_suppl.192.
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192 Background: Patient privacy is of the utmost importance for the emotional needs of a cancer patient and their family. As an effort to improve privacy, quality, and coordination of care within our Radiation Oncology department, in 2016 a patient pager system was devised to inform patients to prepare for daily treatment rather than verbally call the patient's name in waiting rooms. Methods: During June 2016, patients undergoing daily radiation therapy participated in a six-question survey addressing various aspects of the paging service, privacy prior to pager use, and demographics. Six radiation therapists also participated in a 7-question survey addressing privacy and workflow. Participants rated their experience on a scale of 1 to 5 (1 being poor, 5 being excellent). Surveys were collected and retrospectively reviewed. Results: 42 patients completed the survey. Patients rated "Very Good" to "Excellent" for the following categories: “Paging system more convenient than being called”(4.6), “Protection of privacy”(4.6), “Easiness”(4.7) and whether “Pager should be utilized for all appointments” (4.3). Patients rated “Patient privacy when name is called” as "Good" to "Very Good" (3.7). Seven patients also underwent therapy prior to pager implementation and rated the new system in comparison as "Very Good" to "Excellent" for “Privacy protection”(4.6), “Efficiency” (4.6), and “Satisfaction” (4.6). Only 24 filled out demographic information. Of the 24 patients, 54% of patients were female, 87% were above the age of 50, and all patients were receiving at least 10 treatments. Staff rated "Fair" to "Very Good" for “More preparation time” (2.8), “Patient use difficulty”(3.2), “Patient positive feedback”(2.3), “Receiving patients” (2.2) and “Workflow” (2). However, “Patient privacy” was rated as "Very Good" to "Excellent" (4.2). Conclusions: Overall, patients and staff highly rated the paging system for protecting privacy in the waiting room. Patients who experienced waiting room procedure prior to pager implementation display greater satisfaction with a paging system. However, it did not change overall workflow. Our study shows clinics should prioritize patient privacy in the waiting room to improve the emotional needs of the patient.
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Jian-yao, Zhao, Shuai Li-na, Guo Fang, and Chen Li. "Analysis of Service Efficiency of Traditional Chinese Medicine (TCM) Hospitals in China Based on Data Envelopment Analysis (DEA)." E3S Web of Conferences 251 (2021): 01032. http://dx.doi.org/10.1051/e3sconf/202125101032.
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In order to optimize the allocation of health resources and promote the development of traditional Chinese medicine (TCM), this research employs the China Health Statistics Yearbook 2018 to collect relevant data on TCM hospitals in 2017, and the DEA method is used to construct a BCC model for the evaluation of service efficiency of these hospitals in 30 provinces (including autonomous regions and municipalities directly under the central government) across the country. It is found that TCM hospitals in non-effective DEA provinces are not operating efficiently, with excessive investment in institutions, beds, and health staff, and insufficient output of visits, bed utilization, and the average length of stay. Given this, attention to promoting the service capacity and efficiency of TCM hospitals should be paid on the following aspects: scientific allocation of health resource, strengthened external policy control, improved internal management of hospitals, optimized characteristic services and establishment of scientific evaluation system.
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Shultz, Jonas, David Borkenhagen, Emily Rose, Brendan Gribbons, Hannah Rusak-Gillrie, Shelly Fleck, Allison Muniak, and John Filer. "Simulation-Based Mock-Up Evaluation of a Universal Operating Room." HERD: Health Environments Research & Design Journal 13, no. 1 (June 16, 2019): 68–80. http://dx.doi.org/10.1177/1937586719855777.
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Designing or renovating a physical environment for healthcare is a complex process and is critical for both the staff and the patients who rely on the environment to support and facilitate patient care. Conducting a simulation-based mock-up evaluation as part of the design process can enhance patient safety, staff efficiency, as well as user experience, and can yield financial returns. A large urban tertiary care center located in Vancouver, Canada followed a framework to evaluate the proposed design template for 28 universal operating rooms (ORs) included within the OR Renewal Project scope. Simulation scenarios were enacted by nursing staff, surgeons, anesthesiologists, residents, radiology techs, and anesthesia assistants. Video and debriefing data were used to conduct link analyses, as well as analyses of observed behaviors including congestions and bumps to generate recommendations for evidence-based design changes that were presented to the project team. Recommendations incorporated into the design included relocating doors, booms, equipment, and supplies, as well as reconfigurations to workstations. These recommendations were also incorporated into the mock-up and retested to iteratively develop and evaluate the design. Findings suggest that incorporating the recommended design changes resulted in better room utilization, decreased congestion, and enhanced access to equipment.
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Owigho, O., and AR Isara. "Women’s perception of quality and utilization of antenatal care and delivery services in Oshimili South Local Government Area of Delta State, Nigeria." Journal of Community Medicine and Primary Health Care 34, no. 1 (March 15, 2022): 81–98. http://dx.doi.org/10.4314/jcmphc.v34i1.6.
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Background: The perception of quality of antenatal care and delivery services is one of the several factors that influence utilization of these services. This study assessed the perception of quality and utilization of antenatal care (ANC) and delivery services among women of childbearing age in Oshimili South Local Government Area (LGA) of Delta State, Nigeria.Methods: A cross-sectional study among 301 women aged 15-49 years selected by multistage random sampling technique using mixed methods of data collection. Quantitative data were analyzed using SPSS version 21 while thematic analysis was done for the qualitative data.Results: The mean age of the women was 32.0 ± 2.5 years. Most were married 287 (95.3%), had secondary education 211 (70.1%)) and self-employed 227 (75.4%). One hundred and forty-eight (49.2%) had good perception of technical competence of staff, 132 (43.9%) their safety consciousness and 134 (44.5%) effectiveness/efficiency of drugs. However, 136 (43.5%) had poor perception of waiting time, 118 (39.2%) health workers respectfulness and 116 (38.5%) compassion for patients. Two hundred and seventy-three (90.7%) and 251(83.4%) utilized ANC and delivery services, respectively, while 22 (7.3%) delivered at home.Conclusion: The women’s perception of quality of ANC and delivery services varied across domains. There was a high level of utilization of antenatal care and delivery services. However, there were few traditional birth attendant (TBA) and home deliveries. Addressing the issues of long waiting time and attitude of health workers will encourage full scale utilization of health facilities and discourage TBA and home deliveries
Keywords: Antenatal care; Delivery services; Perception; Quality of care; Utilization; Nigeria
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Colligan, Erin, and Brittany Branand. "Post-Acute Care for Medicare Beneficiaries in Accountable Care Organizations." Innovation in Aging 4, Supplement_1 (December 1, 2020): 19. http://dx.doi.org/10.1093/geroni/igaa057.061.
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Abstract Post-acute care (PAC) is a component of health-care utilization and spending that is subject to the discretion of providers. Prior research has demonstrated that Accountable Care Organizations (ACOs) recognize PAC as a logical target for increased efficiency and cost savings. As part of the evaluation of the Centers for Medicare & Medicaid Services (CMS) Next Generation ACO (NGACO) Model, we investigated NGACOs’ approaches to PAC services and the impact of these efforts on utilization and cost using a mixed-methods study design. We conducted interviews and surveys with NGACO leadership and providers and performed a difference-in-differences analysis of utilization and spending based on Medicare claims data. We found that NGACOs focused specifically on establishing partnerships with skilled nursing facilities (SNF) to facilitate transitions in care by establishing new channels of communication, sharing performance data, embedding staff in SNFs, and (in some cases) sharing financial risk. We observed a statistically significant decrease in SNF spending, a trend toward fewer SNF days, and statistically significantly lower expenditures for other PAC settings (e.g., inpatient rehabilitation and long-term acute care facilities). These findings suggest that NGACOs have contributed to improving transitions in care and diverting beneficiaries from intensive PAC settings. Nonetheless, the reduction in PAC spending alone did not translate to a decline in total cost of care. Future ACOs may need to expand their focus to the inpatient utilization and spending that precedes PAC in order to impact total cost of care.
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Sharma, Khem R., PingSun Leung, and Lynn Zane. "Performance Measurement of Hawaii State Public Libraries: An Application of Data Envelopment Analysis (DEA)." Agricultural and Resource Economics Review 28, no. 2 (October 1999): 190–98. http://dx.doi.org/10.1017/s1068280500008182.
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In view of continuing economic stagnation and consequent budgetary constraints facing the state, Hawaii public libraries have been concerned with their operational efficiency and library managers have been seeking better methods in allocating limited resources among the libraries. This paper employed data envelopment analysis (DEA) technique to assess the performance and resource utilization efficiency of 47 public libraries in Hawaii. Three output measures—circulation, reader visits, and reference transactions and four input categories—collection, library staff, days open, and nonpersonal expenditures were used in the analysis. For fiscal year 1996/97, the estimated technical efficiency scores for Hawaii State public library branches ranged from 0.45 to 1.00, with an average of 0.84. The results showed that 14 of the 47 libraries are technically efficient. The estimated efficiency scores were related to relevant library-specific factors and community characteristics, such as total floor space, size of collection, population density, and location to identify factors influencing library performance. Only floor space and volume of collection did show moderate positive effects on library performance. The resulting information can be mainly useful in improving the performance of inefficient libraries. With special consideration to factors uncontrollable by the libraries the results may also be useful in allocating limited resources among them.
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Darwish, Alex, Pratik Mehta, Ahmed Mahmoud, Amr El-Sergany, and David Culberson. "Improving operating room start times in a community teaching hospital." Journal of Hospital Administration 5, no. 3 (March 1, 2016): 33. http://dx.doi.org/10.5430/jha.v5n3p33.
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Introduction: The operating room (OR) is an expensive entity to manage. Efficiency in hospital resource utilization is critical for hospital financial solvency. One measure of efficiency in the OR is percentage of on-time starts for cases at the beginning of each day. This study looks at a community teaching hospital where measures were taken to identify and address causes of tardiness in the OR.Methods: An interdisciplinary team of doctors, nurses, and other hospital staff came together to implement a three-phase agenda. In Phase I, staff identified causes of tardiness. In Phase II, potential solutions to address each specific task were drawn up. Phase III involved maintenance of efficiency measures created in Phase II and documentation of progress for future analysis.Results and Discussion: Over twelve months, the percentage of cases that started on time steadily increased from 14% to 68%. Additionally, of the cases that were late, the average number of minutes late decreased significantly. Of the identified causes of tardiness, surgeon arriving late was found to be the most prevalent. We analyzed the relationship between average minutes late each month and the cost and revenue per unit of service (UOS). Average minutes late per month and hospital revenue per UOS showed a strong inverse correlation of -0.83, while average minutes late per month and cost er UOS showed a moderate positive correlation of 0.62. We analyzed the relationship between average minutes late each month and the cost and revenue per UOS. Average minutes late per month and hospital revenue per UOS showed a strong inverse correlation of -0.83, while average minutes late per month and cost per UOS showed a moderate positive correlation of 0.62.Conclusions: Identifying causes of tardiness based on input from a multidisciplinary healthcare team and addressing each cause with a specific measure to combat it was effective in improving the percentage of on-time starts in the OR. We demonstrated that reducing delays in OR start times can both decrease cost and increase revenue. Documenting progress of efficiency measures is critical in distinguishing measures that work from those that do not. Furthermore, continued analysis of efficiency is required to maintain efficiency standards.
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Marini, Gabriele, Benjamin Tag, Jorge Goncalves, Eduardo Velloso, Raja Jurdak, Daniel Capurro, Clare McCarthy, William Shearer, and Vassilis Kostakos. "Measuring Mobility and Room Occupancy in Clinical Settings: System Development and Implementation." JMIR mHealth and uHealth 8, no. 10 (October 27, 2020): e19874. http://dx.doi.org/10.2196/19874.
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Background The use of location-based data in clinical settings is often limited to real-time monitoring. In this study, we aim to develop a proximity-based localization system and show how its longitudinal deployment can provide operational insights related to staff and patients' mobility and room occupancy in clinical settings. Such a streamlined data-driven approach can help in increasing the uptime of operating rooms and more broadly provide an improved understanding of facility utilization. Objective The aim of this study is to measure the accuracy of the system and algorithmically calculate measures of mobility and occupancy. Methods We developed a Bluetooth low energy, proximity-based localization system and deployed it in a hospital for 30 days. The system recorded the position of 75 people (17 patients and 55 staff) during this period. In addition, we collected ground-truth data and used them to validate system performance and accuracy. A number of analyses were conducted to estimate how people move in the hospital and where they spend their time. Results Using ground-truth data, we estimated the accuracy of our system to be 96%. Using mobility trace analysis, we generated occupancy rates for different rooms in the hospital occupied by both staff and patients. We were also able to measure how much time, on average, patients spend in different rooms of the hospital. Finally, using unsupervised hierarchical clustering, we showed that the system could differentiate between staff and patients without training. Conclusions Analysis of longitudinal, location-based data can offer rich operational insights into hospital efficiency. In particular, they allow quick and consistent assessment of new strategies and protocols and provide a quantitative way to measure their effectiveness.
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Liu, Yue, and Huaping Liu. "Utilization of Nursing Defect Management Evaluation and Deep Learning in Nursing Process Reengineering Optimization." Computational and Mathematical Methods in Medicine 2021 (November 15, 2021): 1–12. http://dx.doi.org/10.1155/2021/8019385.
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It was to explore the application of nursing defect management evaluation and deep learning in nursing process reengineering optimization. This study first selects the root cause analysis method to analyse the nursing defect management, then realizes the classification of data features according to the convolution neural network (CNN) in deep learning (DL) and uses the constructed training set and verification set to obtain the required plates and feature extraction. Based on statistical analysis and data mining, this study makes statistical analysis of nursing data from a macroperspective, improves Apriori algorithm through simulation, and analyses nursing data mining from a microperspective. The constructed deep learning model is used, CNN network training is conducted on the selected SVHN dataset, the required data types are classified, the data are analysed by using the improved Apriori algorithm, and nurses’ knowledge of nursing process rules is investigated and analysed. The cognition of nursing staff on process optimization and their participation in training were analyzed, the defects in the nursing process were summarized, and the nursing process reengineering was analyzed. The results show that compared with Apriori algorithm, the running time difference of the improved Apriori algorithm is relatively small. With the increase of data recording times, the line trend of the improved algorithm gradually eases, the advantages gradually appear, and the efficiency of data processing is more obvious. The results showed that after the optimization of nursing process, the effect of long-term specialized nursing was significantly higher than that of long-term nursing. Health education was improved by 7.57%, clinical nursing was improved by 6.55%, ward management was improved by 9.85%, and service humanization was improved by 8.97%. In summary, the reoptimization of nursing process is conducive to reduce the defects in nursing. In the data analysis and rule generation based on deep learning network, the reoptimization of nursing process can provide reference for decision-making departments to improve long-term nursing, improve the quality and work efficiency of clinical nurses, and is worthy of clinical promotion.
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Avey, Jaedon P., Laurie Moore, Barbara Beach, Vanessa Y. Hiratsuka, Lisa G. Dirks, Denise A. Dillard, and Douglas Novins. "Pilot of a screening, brief intervention and referral to treatment process for symptoms of trauma among primary care patients." Family Practice 37, no. 3 (December 14, 2019): 374–81. http://dx.doi.org/10.1093/fampra/cmz090.
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Abstract Background For populations with high rates of trauma exposure yet low behavioural health service use, identifying and addressing trauma in the primary care setting could improve health outcomes, reduce disability and increase the efficiency of health system resources. Objective To assess the acceptability and feasibility of a screening, brief intervention and referral to treatment (SBIRT) process for trauma and symptoms of posttraumatic stress disorder (PTSD) among American Indian and Alaska Native people. We also examine the short-term effects on service utilization and the screening accuracy of the Primary Care Posttraumatic Stress Disorder Screen. Methods Cross-sectional pilot in two tribal primary care settings. Surveys and interviews measured acceptability among patients and providers. Health service utilization was used to examine impact. Structured clinical interview and a functional disability measure were used to assess screening accuracy. Results Over 90% of patient participants (N = 99) reported the screening time was acceptable, the questions were easily understood, the right staff were involved and the process satisfactory. Ninety-nine percent would recommend the process. Participants screening positive had higher behavioural health utilization in the 3 months after the process than those screening negative. The Primary Care Posttraumatic Stress Disorder Screen was 100% sensitive to detect current PTSD with 51% specificity. Providers and administrators reported satisfaction with the process. Conclusions The SBIRT process shows promise for identifying and addressing trauma in primary care settings. Future research should explore site specific factors, cost analyses and utility compared to other behavioural health screenings.
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Carpentier, Michelle, Candida Rose, and Megan Begnoche. "Cancer services phone triage center: Using live operators and state-of-the-art communication technology to improve the patient care experience." Journal of Clinical Oncology 35, no. 8_suppl (March 10, 2017): 185. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.185.
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185 Background: The term “telephone triage” best represents a large proportion of customer interactions carried out by telephone versus other contact channels. It’s often referred to as the “front door” to a business and is the place where the most crucial customer interactions take place. Therefore, the effective and efficient operation of managing these interactions is a key ingredient to the overall success of any organization. Over the last several years, customer feedback and monitoring of trends on the Press Ganey Patient Satisfaction surveys showed opportunity for improvement in the overall patient care experience at our centers. This led to the development of a strategic goal to create a decentralized phone triage center that would manage these interactions as a group across the service line. Methods: A subgroup of key stakeholders came together for a Failure Mode Effects Analysis of the current state. Results were used in the creation of standard work and process flow algorithms for training the new staff. Staff training included: customer service education; shadow experiences across sites; one to one mentoring on new software and technology Results: The Phone Triage room opened this fall and is staffed daily to manage roughly 400 calls. We track quality metrics that fall into three categories: service, quality and efficiency measures. Service measures include the total number of incoming call; number of abandoned calls; length of time the caller is on hold; and statistics on the telephone and answered service factor. Quality measures include: knowledge/competency of service agents; adherence to protocol; first call resolution rate and transfer rate. Lastly, efficiency measures include average handle time; on hold time; schedule efficiency; and agent availability. In October, the center managed 4657 calls over a 14-day period, 98% were answered in under 2.5 minutes with a 2% abandon call rate. Conclusions: Early data shows pooling of service line resources and utilization of technology has increased customer satisfaction. We plan to monitor trends on several key Press Ganey performance indicators with the next quarter results available in January 2017.
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Barnett, Paul G. "Determination of VA Health Care Costs." Medical Care Research and Review 60, no. 3_suppl (September 2003): 124S—141S. http://dx.doi.org/10.1177/1077558703256483.
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In the absence of billing data, alternative methods are used to estimate the cost of hospital stays, outpatient visits, and treatment innovations in the U.S. Department of Veterans Affairs (VA). The choice of method represents a trade-off between accuracy and research cost. The direct measurement method gathers information on staff activities, supplies, equipment, space, and workload. Since it is expensive, direct measurement should be reserved for finding short-run costs, evaluating provider efficiency, or determining the cost of treatments that are innovative or unique to VA. The pseudo-bill method combines utilization data with a non-VA reimbursement schedule. The cost regression method estimates the cost of VA hospital stays by applying the relationship between cost and characteristics of non-VA hospitalizations. The Health Economics Resource Center uses pseudo-bill and cost regression methods to create an encounter-level database of VA costs. Researchers are also beginning to use the VA activity-based cost allocation system.
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Huang, Yu-Li, Alan H. Bryce, Tracy Culbertson, Sarah L. Connor, Sherry A. Looker, Kristin M. Altman, James G. Collins, et al. "Alternative Outpatient Chemotherapy Scheduling Method to Improve Patient Service Quality and Nurse Satisfaction." Journal of Oncology Practice 14, no. 2 (February 2018): e82-e91. http://dx.doi.org/10.1200/jop.2017.025510.
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Introduction: Optimal scheduling and calendar management in an outpatient chemotherapy unit is a complex process that is driven by a need to focus on safety while accommodating a high degree of variability. Primary constraints are infusion times, staffing resources, chair availability, and unit hours. Methods: We undertook a process to analyze our existing management models across multiple practice settings in our health care system, then developed a model to optimize safety and efficiency. The model was tested in one of the community chemotherapy units. We assessed staffing violations as measured by nurse-to-patient ratios throughout the workday and at key points during treatment. Staffing violations were tracked before and after the implementation of the new model. Results: The new model reduced staffing violations by nearly 50% and required fewer chairs to treat the same number of patients for the selected clinic day. Actual implementation results indicated that the new model leveled the distribution of patients across the workday with an 18% reduction in maximum chair utilization and a 27% reduction in staffing violations. Subsequently, a positive impact on peak pharmacy workload reduced delays by as much as 35 minutes. Nursing staff satisfaction with the new model was positive. Conclusion: We conclude that the proposed optimization approach with regard to nursing resource assignment and workload balance throughout a day effectively improves patient service quality and staff satisfaction.
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Sirai, Sylvia, Esther Tawarar, and Victor Aliata. "INFLUENCE OF RECRUITMENT AND SELECTION ON RETENTION OF TEACHERS SERVICE COMMISSION SECRETARIAT STAFF IN BUSIA COUNTY, KENYA." Journal of Human Resource and Leadership 6, no. 2 (December 8, 2021): 1–9. http://dx.doi.org/10.47604/jhrl.1425.
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Purpose: Employee retention has been a key source of competitive advantage as well as achievement of business goals and objectives. Employee turnover can have a detrimental influence on the implementation of business strategies and eventually lead to productivity reduction. The secretariat staff labour turnover at the Teachers Service Commission (TSC) has for years increased and this has affected the overall performance at the TSC since qualified employees with experience leave the TSC yearly. For example, in 2018, the recorded turnover of employees was at 20% and the efficiency of TSC fell by 5%. The purpose of the study was to establish the influence of recruitment and selection on retention of Teachers Service Commission secretariat staff in Busia County, Kenya.
Methodology: Human Capital and Motivation theories served as the foundation for this study. In this study, a descriptive research design was used. The target population was115 employees working at the TSC in Busia County as secretariat staff. The sample size was 115 according to Slovins, (1980).
Findings: The findings revealed that recruitment and selection had a positive significant effect on retention (β=.408, p<.05). The study concluded that HRM practices have a positive influence on employee retention.
The output of the research may be utilized by the Department of HRM practices at the TSC Kenya, by employers, academicians, employees, trade unions, HR practitioners, Ministry of Labour in the formulation of a systematic process of ensuring employee retention at work places. The outcome may also lead to efficient and effective service delivery as well as proper utilization of resources by all the departments at the TSC offices in Kenya.
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Arthur, Karen J., Deanna S. Kania, and Christina A. White. "Utilization of Lean Techniques in Pharmacy Residency Training: Modifying the PGY1 Management and Leadership Experience." Hospital Pharmacy 53, no. 4 (November 16, 2017): 247–55. http://dx.doi.org/10.1177/0018578717741568.
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Purpose: The purpose of this study was to utilize lean process improvement principles to enhance the health-system pharmacy administration learning experience within a postgraduate year 1 (PGY1) residency program. Summary: The Richard L. Roudebush VA Medical Center adopted the use of lean to improve customer service and workplace efficiency. The Residency Advisory Council, overseeing the 6 pharmacy residency programs, felt that training residents in a proven process improvement technique would benefit the service and assist in developing problem-solving skills. Yellow Belt training was incorporated into the residency programs in 2012, and the Yellow Belt project for the 2014-2015 residency class was the modification of the PGY1 Health-System Pharmacy Administration learning experience. Residents focused on a few key areas as part of their completion plan: educating residents and preceptors on the importance of leadership activities, establishing a list of consistent topic discussions to be held during the administration learning experience, confirming a topic list for the pharmacy practice management and leadership seminars, piloting collaborative precepting for the administration experience, revising the staff development program, and increasing resident involvement in the PGY1 interview process. Two portions of the project lacked effective and timely communication, and as a result, those areas were not fully implemented. The remainder of the items achieved 100% completion. Conclusion: Lean techniques were effectively utilized within a residency program to enhance the health-system pharmacy administration learning experience. Successful implementation of lean requires engagement of stakeholders within the health-system, timely communication, frequent reassessments, and accountability.
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Colman, Gerard, and Todd L. Foster. "Using IT solutions to empower your patients and improve quality and satisfaction scores." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 249. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.249.
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249 Background: Provider organizations are being bombarded from every direction with demands to better patient experience, engage patients, manage populations, implement or enhance implementations of EHRs…the list goes on. Dr. Charles Safran testified to Congress in 2004 that “patients are the most underutilized resource in the U.S. health system.” Taking this to heart, MD Anderson’s recognized their complex registration process was perceived as overwhelming and new patients were experiencing feelings of uncertainty and a lack of control. Patients translated this into poor quality of care. Patients and their caregivers needed to be engaged during this emotionally trying time. Methods: PreCare was born from the desire to use technology to place the first appointment process into the patients’ hands. PreCare is a web site that allows patients to drive the process to expedite their first appointment and track progress transparently. It gives the patients the appropriate information at the appropriate time during their first appointment process. No longer are they bombarded with all information all at once. They could not possibly process it all so vital information was missed, resulting in poor quality of care. Results: Obtaining medical records faster has increased the quality of patient care. Approximately 24% of previously diagnosed patient diseases are changed or refined from their original diagnosis. Accurate diagnosis is critical as cancer treatments become more targeted. MD Anderson has noted improvements in clinical operations, increases in patient retention, reducing dependence on staff, manual processes, print materials and phone calls. Presenters will demonstrate the self-driven tools, lessons learned and the impact of using IT such as: a 4% increase in new referrals, reduction in costs, improvements in efficiency and increased satisfaction for staff, patients and their families. A 47% reduction in patient anxiety has been demonstrated. Conclusions: The overall system utilization is well above national averages, with as high as 74% utilization in key areas. All cancer patients have very high expectations. Our patients using PreCare find their quality of care far exceeds their expectations.
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Hayes, Beverly A., Courtney Barnes, Gina Aranzamendez, Laurie Kaufman, Valerie Haywood, and Duke Rohe. "Clinical process analysis: Embedding performance improvement skills for measurable and sustainable change." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 67. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.67.
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67 Background: The Clinical Process Analysis methodology, based on Time Driven Activity Based Costing (Kaplan), aligns data reporting with frontline processes to drive improvement in clinical quality and financial performance. After the completion of 6 ambulatory centers (with 6 in progress), the program evolved to include a Performance Improvement (PI) Phase. The goal: embed PI skills in all clinical operations; provide resources for PI project initiation, facilitation, and sustainability; and continue collaboration with MD Anderson Cancer Center process owners through measurable improvement in safety, timeliness, effectiveness, efficiency, equity and patient-centeredness. (IOM 2001). Methods: The center and the CPA Team utilize institutional dashboards and multiple data resources to establish the project scope. The scope is converted to a Blueprint which outlines a timeline of the project, a list of required resources, and center-specific data. The CPA Team interviews frontline staff, clinical leadership and financial teams to create a current state process flow chart. Opportunities for Improvement (OFI), operational and clinical variations, cycle times and other management reporting metrics are included on the charts, as well as patient experience audio, as gathered by an MD Anderson marketing team. OFIs are evaluated, categorized, and prioritized by clinical leadership, and the CPA Team works with the center’s designated PI team to develop and implement Quick Fixes, PDSA and more extensive projects. Results: In 6 completed ambulatory centers in FY13: 176 Opportunities for Improvement, $936,463 Savings. Summary reports provide direct labor costs and estimated times, per resource type, for center activities. Per MDs, managers, staff and financial experts, other uses for process flow charts include: tracking patient flow; resource utilization; customer satisfaction; patient education; and on-boarding staff. Conclusions: In FY14, the CPA Program will focus on patient access in 15 centers, gathering data to identify trends and common themes to implement Best Practices across the institution.
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Sarmoen, Norhayati, Haliyana Khalid, Siti Zaleha Abd Rasid, Shathees A L Baskaran, and Rohaida Basiruddin. "Understanding Human Behaviour in Information Security Policy Compliance in a Malaysian Local Authority Organization." Business Management and Strategy 10, no. 2 (August 15, 2019): 64. http://dx.doi.org/10.5296/bms.v10i2.14909.
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The utilization of the Information and Communications Technology (ICT), such as the Internet and electronic mail (e-mail) has made communication nowadays easier, faster and has tremendously reduced the usage of paper. However, if the usage of internet is not properly managed, the possibility of confidential information leakage from the inside of the organization to other entities outside of the organization may occur. The impacts of this malicious activity are beyond the boundaries and cannot be controlled despite implementing various preventive steps and enforcing various regulations. Previous studies have outlined different factors in influencing information leakages in various organizations. However, none had really identified the severity of the factors up to this day. This research hopes to fill this gap, by focusing on staff in Majlis Perbandaran Pasir Gudang (MPPG), Johor, Malaysia. This study covers factors related to human behaviour which have led towards the cases of information breach. The factors include the lack of understanding of information policy, the lack of training, poor management support and the insensitivity of the staffs toward safeguarding the information from falling to the wrong hands. Thus, it is suggested that the ICT security protection needs to be robust, secure and reliable so that the use of the internet or social media will not only enhance the communication efficiency, but also to ensure that the information security in an organization is at the most optimum level.
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Li, Qian, Sha Tao, Heap-Yih Chong, and Zhijie Sasha Dong. "Robust Optimization for Integrated Construction Scheduling and Multiscale Resource Allocation." Complexity 2018 (July 24, 2018): 1–17. http://dx.doi.org/10.1155/2018/2697985.
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This research investigates an integrated problem of construction scheduling and resource allocation. Inspired by complex construction practices, multi-time scale resources are considered for different length of terms, such as permanent staff and temporary workers. Differing from the common stochastic optimization problems, the resource price is supposed to be an uncertain parameter of which probability distribution is unknown, but observed data is given. Hence, the problem here is called Data-Driven Construction Scheduling and Multiscale Resource Allocation Problem (DD-CS&MRAP). Based on likelihood robust optimization, a multiobjective programming is developed where project completion time and expected resource cost are minimized simultaneously. To solve the problem efficiently, a double-layer metaheuristic comprised of Multiple Objective Particle Swarm Optimization (MOPSO) and interior point method named MOPSO-interior point algorithm is designed. The new solution presentation scheme and decoding process are developed. Finally, a construction case is used to validate the proposed method. The experimental results indicate that the MOPSO-interior point algorithm can reduce resource cost and improve the efficiency of resource utilization.
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Tiehi, Tito N. "Technical Inefficiency of District Hospitals in Côte d'Ivoire: Measurement, Causes and Consequences." International Journal of Economics and Finance 12, no. 9 (August 5, 2020): 35. http://dx.doi.org/10.5539/ijef.v12n9p35.
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The aim of this study is to estimate the level of inefficiency and to identify the causes and consequences of Cote d’Ivoire public hospitals inefficiency. To that effect, we are using the non-parametric Data Envelopment Analysis (DEA) and the double Bootstrap procedures to analyze the data. The analysis of data from the Ministry of Health in Cote d’Ivoire reveals that districts’ hospitals are not technically efficient. This situation has a negative impact on hospital output in the country. Thus, the health system is impacted by the inefficiency of districts’ hospitals in accommodating the demand of health care. That technical inefficiency remains dependent on environmental factors that constitute an impediment for some of the levers ((ratio of doctors per capita, malnutrition, average length of stay, geographical access, and correlation Tuberculosis / HIV) and others (number of doctors in medical staff) able to increase hospitals technical efficiency. The outcomes of this study reveal two main stakes: firstly, the need for improvement of hospitals productive efficiency and secondly, the need for a better planning and utilization of the resources allocated to the health sector. Providing adequate responses to these concerns is extremely important for the country’s ambition to establish a universal health insurance system and improve the quality of health care services.
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Ahmad, Masood, Eric L. Wallace, and Gaurav Jain. "Setting Up and Expanding a Home Dialysis Program: Is There a Recipe for Success?" Kidney360 1, no. 6 (May 1, 2020): 569–79. http://dx.doi.org/10.34067/kid.0000662019.
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Home dialysis modalities remain significantly underused in the United States despite similar overall survival in the modalities, and recent incentives to expand these modalities. Although the absolute number of patients using home modalities has grown, the proportion compared to in-center hemodialysis (ICHD) continues to remain quite low. Well known barriers to home dialysis utilization exist, and an organized and team-based approach is required to overcome these barriers. Herein, we describe our efforts at growing our home dialysis program at a large academic medical center, with the proportion of home dialysis patients growing from 12% to 21% over the past 9 years. We prioritized individualized education for patients and better training for physicians, with the help of existing resources, aimed at better utilization of home modalities; an example includes dedicated dialysis education classes taught twice monthly by an experienced nurse practitioner, as well as the utilization of the dialysis educator from a dialysis provider for inpatient education of patients with CKD. The nephrology fellowship curriculum was restructured with emphasis on home modalities, and participation in annual home dialysis conferences has been encouraged. For timely placement and troubleshooting of access for dialysis, we followed a complementary team approach using surgeons and interventional radiologists and nephrologists, driven by a standardized protocol developed at UAB, and comanaged by our access coordinators. A team-based approach, with emphasis on staff engagement and leadership opportunities for dialysis nurses as well as collaborative efforts from a team of clinical nephrologists and the dialysis provider helped maintain efficiency, kindle growth, and provide consistently high-quality clinical care in the home program. Lastly, efforts at reducing burden of disease such as decreased number of monthly visits as well as using innovative strategies, such as telenephrology and assisted PD and HHD, were instrumental in reducing attrition.
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Clarke, Sarah C., Emily E. Shohfi, and Sharon Han. "Federal Library Utilization of LibGuides to Disseminate COVID-19 Information." Evidence Based Library and Information Practice 17, no. 1 (March 15, 2022): 38–55. http://dx.doi.org/10.18438/eblip30017.
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Objective – In winter 2019-2020, the world saw the emergence of coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). More than a year later, the pandemic continues with the U.S. death toll surpassing 550,000. Over the last decade, librarians have increased their roles in infectious disease outbreak response. However, no existing literature exists on use of the widely-used library content management platform, LibGuides, to respond to infectious disease outbreaks. This research explores how Federal Libraries use LibGuides to distribute COVID-19 information throughout the ongoing COVID-19 pandemic. Methods – Survey questions were created and peer-reviewed by colleagues. Survey questions first screened for participant eligibility and collected broad demographic information to assist in identifying duplicate responses from individual libraries, then examined the creation, curation, and maintenance of COVID-19 LibGuides. The survey was hosted in Max.gov, a Federal Government data collection and analysis tool. Invitations to participate in the survey were sent via email to colleagues and listservs and posted to personal social media accounts. The survey was made publicly available for three weeks. Collected data were exported into Excel to clean, quantify, and visualize results. Long form answers were manually reviewed and tagged thematically. Results – Of the 78 eligible respondents, 42% (n = 33) reported that their library uses LibGuides to disseminate COVID-19 information; 45% of these respondents said they spent 10+ hours creating their COVID-19 LibGuide, and 60% of respondents spent <1 hour a week on maintenance and updates. Most LibGuides were created in early spring 2020 as the U.S. first saw an uptick in COVID-19 cases. For marketing purposes, respondents reported using web/internal announcements (75%) and email (50%) most frequently. All respondents reported inclusion of U.S. Government resources in their COVID-19 LibGuides, and a majority also included guidelines, international websites, and databases to inform their user communities. Conclusion – Some Federal Libraries use LibGuides as a tool to share critical information, including as a tool for emergency response. Results show libraries tend to start from scratch and share the same resources, duplicating efforts. To improve efficiency in LibGuide curation and use of library staff time, one solution to consider is the creation of a LibGuides template that any Federal Library can use to quickly set up and adapt an emergency response LibGuide specifically for their users. Additionally, findings show that libraries are uncertain of archiving and preservation plans for their guides post-pandemic, suggesting a need for recommended best practices.
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Valėnaitė, Edita, and Irena Zabielavičienė. "ANALYSIS OF PRODUCTION FUNDS EFFICIENCY IN THE COUNTRY’S CRANE SECTOR / GAMYBINIŲ FONDŲ EFEKTYVUMO ANALIZĖ RESPUBLIKOS KRANŲ SEKTORIUJE." Mokslas - Lietuvos ateitis 4, no. 3 (July 9, 2012): 274–77. http://dx.doi.org/10.3846/mla.2012.43.
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The article deals with methodological aspects of the production funds analysis. In this work the study of literature which examines the basic and transferable funds is presented. Much attention is paid to the analysis of basic production funds in the crane sector. Analysis of the basic production funds in the country’s crane sector is presented. Special attention is paid to the structure of the cranes park and crane utilization efficiency. In the analysis of basic production funds, the factors that impede the efficiency of production funds were established as follows: the greatest negative impact on basic production funds efficiency of businesses was in small tower crane fleet; a small range of tower cranes in the park is reducing the technical possibilities of the lease. Basing on the analysis and observation of tower cranes installation and dismantling, the poor supply of the parts for the work place, lack of competence and motivation of the support staff have been ascertained. After elimination of these factors it is possible to raise the efficiency of the main production funds. Santrauka Straipsnyje nagrinėjami gamybinių fondų analizės metodiniai aspektai. Pateikta literatūros, nagrinėjančios pagrindinius ir apyvartinius fondus, studija. Daug dėmesio skiriama pagrindinių gamybinių fondų analizės specifikai kranų sektoriuje. Pateikta šalies kranų sektoriaus pagrindinių gamybinių fondų analizė. Daug dėmesio skiriama kranų parko struktūrai ir kranų naudojimo efektyvumui tirti. Išanalizavus pagrindinių gamybinių fondų veiksnius, trukdančius gamybinių fondų efektyvumui, nustatyta: didžiausią įtaką įmonių pagrindinių gamybinių fondų mažam efektyvumui daro nepakankamas kai kurių įmonių turimas bokštinių kranų parkas; mažas asortimentas bokštinių kranų parke mažina technines nuomos galimybes. Atlikus tyrimą, bokštinių kranų montavimo ir demontavimo stebėjimą, buvo nustatytas prastas detalių pateikimas į darbo vietą, pagalbinių darbuotojų kompetencijos trūkumas ir motyvacijos stoka. Pašalinus šiuos veiksnius, pagrindinių gamybinių fondų efektyvumas pakiltų.
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Mowafi, Hani, Kristin Nowak, and Karen Hein. "Facing the Challenges in Human Resources for Humanitarian Health." Prehospital and Disaster Medicine 22, no. 5 (October 2007): 351–59. http://dx.doi.org/10.1017/s1049023x00005057.
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AbstractThe human resources crisis in humanitarian health care parallels that seen in the broader area of health care. This crisis is exacerbated by the lack of resources in areas in which humanitarian action is needed—difficult environments that often are remote and insecure—and the requirement of specific skill sets is not routinely gained during traditional medical training. While there is ample data to suggest that health outcomes improve when worker density is increased, this remains an area of critical under-investment in humanitarian health care. In addition to under-investment, other factors limit the availability of human resources for health (HRH) in humanitarian work including: (1) over-reliance on degrees as surrogates for specific competencies; (2) under-development and under-utilization of national staff and beneficiaries as humanitarian health workers; (3) lack of standardized training modules to ensure adequate preparation for work in complex emergencies; (4) and the draining of limited available HRH from countries with low prevalence and high need to wealthier, developed nations also facing HRH shortages.A working group of humanitarian health experts from implementing agencies, United Nations agencies, private and governmental financiers, and members of academia gathered at Hanover, New Hampshire for a conference to discuss elements of the HRH problem in humanitarian health care and how to solve them. Several key elements of successful solutions were highlighted, including: (1) the need to develop a set of standards of what would constitute “adequate training” for humanitarian health work; (2) increasing the utilization and professional development of national staff; (3) “training with a purpose” specific to humanitarian health work (not simply relying on professional degrees as surrogates); (4) and developing specific health taskbased competencies thereby increasing the pool of potential workers.Such steps would accomplish several key goals, such as: (1) more confidently ensuring that individuals hired for a given post would have the capacity to function at a commonly understood level of training; (2) greatly increasing the potential number and types of workers available for humanitarian work;(3) increasing the efficiency of human resources utilization in humanitarian projects; and (4) recognition that humanitarian work is a multi-disciplinary endeavor: these goals will contribute to ensuring that humanitarian health workers have a minimum training in broader humanitarian action, making them more effective team members in the field.Efforts were made to highlight some promising pilot programs for human resource development in humanitarian work, to identify a future vision for humanitarian health as a profession, and to develop a human resources strategy for achieving that vision.
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Mbirua, Margaret, Dr Ruth Thinguri, and Dr Reuben K. Kenei. "Influence of headteachers' communication planning practices on Management performance in public primary schools in Thika West sub-county, Kiambu county, Kenya." International Journal for Innovation Education and Research 8, no. 6 (June 1, 2020): 218–29. http://dx.doi.org/10.31686/ijier.vol8.iss6.2393.
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Communication is very critical in primary school management by ensuring that there is improved efficiency. However, in many primary schools in Thika West Sub-county encounter challenges which border on school management such as unhealthy staff relations, imprudent use of financial resources, poor maintenance of facilities, imprudent time management and under-utilization of instructional materials are on the rise. Thus, this study sought to assess the influence of headteachers’ communication planning practices on management performance in public primary schools in Thika West Sub-county, Kiambu County, Kenya. The study was guided by the communication theory and school management theory. The study adopted mixed methodology and concurrent triangulation research design. Qualitative data were analyzed thematically along the objectives and presented in narrative forms. Quantitative data were analyzed descriptively using frequencies and percentages and inferentially using ANOVA Test Analysis using Statistical Packages for Social Science (SPSS Version 23) and presented using tables. The study established that headteachers’ communication planning practices influence on management performance in primary schools. The study recommends that headteachers should ensure that they design the content of message to be relayed and also identify the specific recipients of their information to be communicated. Headteachers should adopt layers of communication which are efficient and provide immediate and objective feedback. Headteachers should adopt forms of communication to suit every occasion to avoid interruptions. Headteachers should adopt a feedback mechanism which guarantees efficiency and prudence in school management.
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Neyem, Andres, Marie J. Carrillo, Claudio Jerez, Guillermo Valenzuela, Nicolas Risso, Jose I. Benedetto, and Juan S. Rojas-Riethmuller. "Improving Healthcare Team Collaboration in Hospital Transfers through Cloud-Based Mobile Systems." Mobile Information Systems 2016 (2016): 1–14. http://dx.doi.org/10.1155/2016/2097158.
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It is a clinical fact that better patient flow management in and between hospitals improves quality of care, resource utilization, and cost efficiency. As the number of patients in hospitals constantly grows, the need for hospital transfers is directly affected. Interhospital transfers can be required for several reasons but they are most commonly made when the diagnostic and therapeutic facilities required for a patient are not available locally. Transferring a critical patient between hospitals is commonly associated with risk of death and complications. This raises the question: How can we improve healthcare team collaboration in hospital transfers through the use of emerging information technology and communication services? This paper presents a cloud-based mobile system for supporting team collaboration and decision-making in the transportation of patients in critical condition. The Rapid Emergency Medicine Score (REMS) scale was used as an outcome variable, being a useful scale to assess the risk profile of critical patients requiring transfers between hospitals. This helps medical staff to adopt proper risk-prevention measures when handling a transfer and to react on time if any complications arise in transit.
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Mustapha, Feisul Idzwan, Jens Aagaard-Hansen, Shiang Cheng Lim, Nazrila Hairizan Nasir, Tahir Aris, and Ulla Bjerre-Christensen. "Variations in the Delivery of Primary Diabetes Care in Malaysia: Lessons to Be Learnt and Potential for Improvement." Health Services Research and Managerial Epidemiology 7 (January 1, 2020): 233339282091874. http://dx.doi.org/10.1177/2333392820918744.
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Background: The article describes variations in the organization of clinical services for diabetes patients in 10 public primary health clinics in Malaysia with the view to learn from current innovations and improve diabetes service provision. Methods: This study combined the use of secondary data and a qualitative multicase study approach applying observations in 10 randomly selected Ministry of Health (MOH) health clinics in Kuala Lumpur and Selangor and semistructured interviews of the family medicine specialists from the same clinics. Results: Although there are specific MOH guidelines for diabetes care, some clinics had introduced innovations for diabetes care such as the novel ‘personalized care’, ‘one-stop-centre’ and utilization of patients’ waiting time for health education. Analysis showed that there was room for improvement in terms of task shifting to free precious time of staff with specialized functions, streamlining appointments for various examinations, increasing continuity of consultations with same doctors, and monitoring of performance. Conclusion: We contend that there is a potential for increased effectiveness and efficiency of primary diabetes care in Malaysia without increasing the resources – a potential that may be tapped into by systematic learning from ongoing innovation.
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Giannola, Gabriele, Riccardo Torcivia, Riccardo Airò Farulla, and Tommaso Cipolla. "Outsourcing the Remote Management of Cardiac Implantable Electronic Devices: Medical Care Quality Improvement Project." JMIR Cardio 3, no. 2 (December 17, 2019): e9815. http://dx.doi.org/10.2196/cardio.9815.
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Background Remote management is partially replacing routine follow-up in patients implanted with cardiac implantable electronic devices (CIEDs). Although it reduces clinical staff time compared with standard in-office follow-up, a new definition of roles and responsibilities may be needed to review remote transmissions in an effective, efficient, and timely manner. Whether remote triage may be outsourced to an external remote monitoring center (ERMC) is still unclear. Objective The aim of this health care quality improvement project was to evaluate the feasibility of outsourcing remote triage to an ERMC to improve patient care and health care resource utilization. Methods Patients (N=153) with implanted CIEDs were followed up for 8 months. An ERMC composed of nurses and physicians reviewed remote transmissions daily following a specific remote monitoring (RM) protocol. A 6-month benchmarking phase where patients’ transmissions were managed directly by hospital staff was evaluated as a term of comparison. Results A total of 654 transmissions were recorded in the RM system and managed by the ERMC team within 2 working days, showing a significant time reduction compared with standard RM management (100% vs 11%, respectively, within 2 days; P<.001). A total of 84.3% (551/654) of the transmissions did not include a prioritized event and did not require escalation to the hospital clinician. High priority was assigned to 2.3% (15/654) of transmissions, which were communicated to the hospital team by email within 1 working day. Nonurgent device status events occurred in 88 cases and were communicated to the hospital within 2 working days. Of these, 11% (10/88) were followed by a hospitalization. Conclusions The outsourcing of RM management to an ERMC safely provides efficacy and efficiency gains in patients’ care compared with a standard in-hospital management. Moreover, the externalization of RM management could be a key tool for saving dedicated staff and facility time with possible positive economic impact. Trial Registration ClinicalTrials.gov NCT01007474; http://clinicaltrials.gov/ct2/show/NCT01007474
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Roper, Kathy O., Arya Sedehi, and Baabak Ashuri. "A cost-benefit case for RFID implementation in hospitals: adapting to industry reform." Facilities 33, no. 5/6 (April 7, 2015): 367–88. http://dx.doi.org/10.1108/f-05-2013-0041.
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Purpose – The purpose of this paper is to analyze a conceptual framework to identify significant benefit and cost attributes of a radio-frequency identification (RFID) system for asset tracking in healthcare facilities. Sources of value function for RFID in healthcare are categorized according to major improvement. Several cost functions are proposed to measure aspects of automated tracking implementation. Design/methodology/approach – The four phases of problem definition, literature identification, assessment and analysis were used to begin the research. A cost–benefit analysis (CBA) was completed to identify the factors within healthcare with major benefits, and finally, a recommended group of items were identified to track with the CBA. Findings – RFID to manage mobile devices increases the utilization rate, decreases annual spending, allows withdrawal of funds for underutilized assets and establishes confidence that equipment is readily available when needed. These benefits provide improved staff productivity, quicker patient turnover, higher quality of care and more cost savings. Real-time location system technologies allow hospitals to be prepared for emergencies requiring the immediate use of medical devices without delay and allow staff to determine the status, condition and location of essential equipment, leading to a decrease in patient wait time. Additional improvements were also found. Originality/value – The transition from pay-for-service to pay-for-performance is taking place in an industry hampered by rising costs and limited available resources. Healthcare expenditures are estimated to grow dramatically, and various factors contribute to rising expenses, including an aging population and increased chronic conditions resulting in higher demand for care, poor quality and operational inefficiencies. Therefore, understanding benefits of new technology use like RFID is critical for improvement and efficiency in healthcare.
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Suci, Ramadhan, Dyan,. "Analisis Tingkat Technopreneurship Pada UMKM Sambel Pecel Wahyu Tumurun Kota Madiun." EQUILIBRIUM : Jurnal Ilmiah Ekonomi dan Pembelajarannya 6, no. 2 (July 30, 2018): 170. http://dx.doi.org/10.25273/equilibrium.v6i2.2937.
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Madiun city is one of the cities located in the East Java region that has a typical food<br />that is "Sambel Pecel". One of the most famous pecel sambel in Madiun City is sambel pecel<br />Wahyu Tumurun. UMKM sambel pecel Wahyu Tumurun is one of the excellent products of<br />Madiun city. There needs to be a technopreneursip level analysis at UMKM sambel pecel<br />Wahyu Tumurun of Madiun City in order to improve the results and the quality development<br />of the undertakings, so as to be able to compete in the global market. The research was<br />conducted by using qualitative descriptive research method. Data collection technique is<br />done by observation, interview, and documentation. Analysis of data used with the process of<br />data collection, data reduction, data presentation, and conclusion. From the research result<br />level Technopreneurship of UMKM Sambel Pecel Wahyu Tumurun at level 5 and level 4. At<br />level 5 includes appropriate technology assistance, documentation of production process,<br />introduction of alternative process technology, introduction of market expansion and<br />improvement of business efficiency and productivity, assistance to improve new technology<br />access capability, utilization of technology in product design / design process, improvement<br />of innovation climate among staff. At level 4 includes funding of technology utilization,<br />technology audit, mentoring and training on UMKM is more emphasized on improvement of<br />product research and development capability.