A modified stakeholder participation assessment framework for design thinking in health innovation
Publication date: Available online 28 June 2018Source: HealthcareAuthor(s): Sharief Hendricks, Nailah Conrad, Tania S. Douglas, Tinashe MutsvangwaAbstractIncreasing pressure to improve health outcomes of populations with limited resources has prompted an emphasis on innovation. Design thinking has been proposed as a systematic approach to innovation in health, owing to its human-centred methodology that prioritises deep empathy for the end-users’ desires, needs and challenges, which results in a better understanding of the problem in order to develop more comprehensive and effective solutions. A key feature of design thi...
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
The mayo clinic model of clinical integration
Publication date: Available online 30 June 2018Source: HealthcareAuthor(s): Richard A. Helmers, C. Michel HarperAbstractThe multi-campus Academic Health Center (AHC) of the future will need to be system-based and committed to clinical integration to continue to meet institutional goals and serve the needs of its patients. The key tactics we describe to accomplish this are:-the creation of a central governance body and a single strategic and operational plan-the subsequent development of specialty councils and independent multidisciplinary practices (IMP)-the creation of enterprise-wide specialty departments (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Redesigning provider payment: Opportunities and challenges from the Hawaii experience
ConclusionsThis paper will provide useful guidance to health plans or health delivery systems considering shifting primary care payment away from fee-for-service towards value highlighting some of the design challenges and necessary compromises in implementing such a system at scale. (Source: Healthcare)
Source: Healthcare - July 11, 2018 Category: Middle East Health Source Type: research
Recruiting and retaining physician leaders
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): Nick Wolter, Stephen L. Tarnoff, Linda Leckman (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Crafting successful training programs for physician leaders
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): David Bronson, Edward Ellison (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Physician leadership initiatives at small or mid-size organizations
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): Joseph Bisordi, Marwan Abouljoud (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Physician leadership in organizations undergoing major transformation
Publication date: Available online 20 October 2015Source: HealthcareAuthor(s): Lee Sacks, Robert Margolis (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
How should we develop physician leaders?
Publication date: Available online 23 October 2015Source: HealthcareAuthor(s): Mark A. Kelley (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Scheduling primary care appointments online: Differences in availability based on health insurance
ConclusionsThere were a substantial number of available appointments at close distances. However, Medicaid patients had less access to appointments within proximity than self-pay or Medicare patients. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Longer wait times affect future use of VHA primary care
ConclusionsPatients reporting longer usual wait times for immediate VHA care exhibited lower future reliance on VHA primary care.ImplicationsLonger wait times may reduce care continuity and impact cost shifting across two federal health programs. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Using hospital use trends to improve transitional care
Conclusion and implicationsReduced post-visit hospital use is likely related to increased clinic resources, Affordable Care Act insurance expansions, and improved clinical and community social service expertise.Level of evidenceCohort study, Level 2 (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
The impact of tailored intervention services on charges and mortality for adult super-utilizers
ConclusionsThe use of tailored services, including a dedicated intensive outpatient clinic, for super-utilizers within a larger primary care practice transformation reduced mortality and provided significant savings, even while total hospitalizations increased. These savings were achieved through a reduction in the intensity of inpatient services. The unexpected finding of a reduction in ICU charges deserves further exploration.ImplicationsThese findings suggest that intensity of inpatient service, and not merely volume of services, should be considered a focus for future intervention design and evaluated as an outcome.Le...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Achieving scale rapidly in public health: Applying business management principles to scale up an HIV prevention program in India
Publication date: Available online 21 September 2017Source: HealthcareAuthor(s): Sema K. Sgaier, Aparajita Ramakrishnan, Alkesh Wadhwani, Aparajita Bhalla, Hari Menon, James Baer, Ashok AlexanderAbstractNumerous public-health interventions have demonstrated effectiveness in pilots or on a small scale, but have proven challenging to scale up for population-level impact. Avahan, the Bill & Melinda Gates Foundation’s HIV prevention program in 6 states of India, confronted the challenge of rapidly scaling up services to reach 300,000 people most at risk of HIV. This meant working in diverse and complex environments with marg...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Implementation of a multidisciplinary, team-based model to treat chronic hepatitis C in the primary care setting: Lessons learned
Publication date: Available online 18 October 2017Source: HealthcareAuthor(s): Randi Sokol, Jessica Early, Amanda Barner, Sarah Gottfried, Richard Gumpert, Lorky Libaridian, Virginia Morrison, Alexandra Santamaria, Linda ShiptonAbstractHepatitis C virus (HCV) is the most common blood-borne virus in the U.S., and its incidence continues to rise. With approval of direct-acting antiviral medications, treatment for Chronic Hepatitis C (CHC) has become highly efficacious with a minimal side effect profile. Primary care physicians are well-positioned to address this increased demand, yet most do not feel comfortable treating CHC...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
