A Framework for Delivering m-Health Excellence

Nursing Management, 2019

International Journal of Health Care Quality Assurance, 2007

Purpose-The purpose of this paper is to assess the future of healthcare and quality. Design/methodology/approach-The paper describes six future healthcare systems based on four archetypes. Findings-Instead of dealing with process oriented practice, management participation, financial incentives and capacity management, the emphasis should be on communication, education, shared decisions and quality of life. Originality/value-The paper makes it clear that quality improvement efforts should be centred on the needs and wishes of patients, recognising patients' expertise, values and preferences.

BMC Health Services Research, 2009

The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on the future of healthcare delivery. Because it is generally agreed that academic medical centers will play a role in the sustainability of this future system, a fundamental understanding of the relative contributions of the stakeholders is important as well as creativity in developing novel strategies to achieve a shared vision.

Healthcare is in the throes of great change. And history has shown that large-scale disruption incubates innovation. The issue of balancing affordability and value with respect to health care is to define the dimensions of interest and place them in priority order. Primary focus on optimizing health care allocations and investments, notwithstanding, the real purpose is to maximize health. Quality health care is essential - as it is a critical element in enhancing the health of the population. Other priorities include value - getting the best; and the affordability - not spending too much. There is a need to build a stronger healthcare delivery system rightfully led by primary care that seeks to remain cost conscious, efficient in its delivery, and fairly compensated for helping people attain a healthy life. Healthcare is in the midst of transformational change in the way it is financed. Rising health care costs; the new approach to cost containment (which asks individuals to pay more for their own health care) is going to lead to tiering, in which those with higher incomes will be able to afford a wider range of health care services than those with lower incomes; and growing number of elderly people, suggesting a rapid increase in funding for long-term care and the development of alternatives to nursing home; new and reemerging infectious diseases, rediscovery of lifestyle-related health issues (smoking, obesity, diabetes, cancers) and the advances in technology. Consumers are expecting higher levels of quality. Service industries have moved toward “data-driven” methods in which they closely monitor their processes for anomalies; the response has to be more efficient systems with fewer errors. But the pace in Health industry is slow. New drugs and devices meant that people are living longer and healthier lives than ever before, but the health care experience has become complex. Hospitals and health systems will face ever more pressure in next few years to establish the core skills needed to thrive in a rapidly changing healthcare market. Healthcare leaders continue to put infrastructure and governance practices in place to support value-based models even as providers still have significant fee-for-service revenue. Health organizations that are shifting to value-based models must contend with the realities and limits of their local economies, the strategies of large employers for reducing their healthcare costs, concentration of the payer market and physician practice alignment. Health systems with cash reserves and strong margins are better positioned to make investments that are related to. Investments that can supplement declining revenue from payers can include ambulatory care centers, telemedicine, business software development and pharmaceutical research. These developments point towards opportunities for improvements in the delivery of health care. The building block is operational efficiency, such as optimizing staffing and managing the supply chain efficiently. Changing the way care is delivered with the right providers at the right place at the right time, reducing unnecessary services and focusing on value is essential for the survival in the competitive market. This paper focuses on health transformation, technological advances, health economics, health insurance, universal health care and future trends in healthcare delivery system.

EurasianUnionScientists, 2019

The meaning of quality of medical care is usually perceived as a sum of a number of medical care attributes, reflecting its ability to meet the needs of patients, taking into account medical standards that are relevant to the current stage of medical development. Access to medical care is a real opportunity for the population to receive the medical care they need, regardless of social status, welfare level, and place of residence. In other words, quality of medical care is timely medical care provided by qualified health care providers and complies with statutory acts, standards of medical care, contractual or customary expected requirements [17, 18]. According to Alexeyev's approach, the notion of the quality of medical care is the ability of the main links of the medical process to provide adequate care to the needs of all participants in the process [2]. The following characteristics are classified as the main criteria for the quality of medical care: Access to health services is the free access to health services, regardless of geographical, economic, social, cultural, organizational and linguistic barriers. Access to medical services is enshrined in the constitutions of many countries, regulated by the free medical care and service regulations, and by national legal norms. This regulation is conditioned by a number of factors: compliance with state funding and services, right to free medical facility and doctor, provision of timely medical care, health promotion and enhancement, public education, disease prevention [10, 19, 37]. However, the above mentioned does not mean that States have access to all types of medical care and services. In developing countries, such restrictions are widely applied, and in developed countries such restrictions apply only to expensive and difficult to access research. In addition, different countries apply confidential restrictions such as queues, bureaucratic scrutiny, non-inclusion of different services in the basic services package, etc. [44]. The main factor affecting access to medical services is the economic situation of the country. Excessive health care costs lead to rising prices and competitiveness of medical services. Therefore, understanding of resource limitation is fundamental to medical service delivery opportunities [12, 22]. According to Kharabchiev's opinion, access to health care can be achieved by dividing the requirements by the minimum (mandatory) and the optimal (required) volume, which is provided by medical instructions and includes expensive types of care [20].

2007

In the healthcare industry, quality of care is more than a concept. It has become essential to patient well-being and financial survival. This chapter will discuss the complex concept and multiple definitions of quality of care and evaluate how it has become an increasingly important factor in the delivery of healthcare. We will start by providing a historical perspective to help readers understand the evolution of quality in the healthcare industry. This perspective will include landmark reports and events that have helped shape the role quality of care currently plays in the industry. We will then explore the key principles and definitions that are essential to healthcare quality. After reviewing the key principles, we will explore a case study that illustrates the impact that quality improvement is having on a particular company within the industry. Last, we will speculate on the role quality will play as the healthcare industry continues to evolve. The authors of this chapter ar...

Journal of Spinal Disorders & Techniques

The passage of the Patient Protection and Affordable Care Act in March 2010 has resulted in dramatic changes to the delivery of health care in the United States toward a value-based system. While this is a significant change from the previous model, it presents an opportunity for high-quality health care providers to improve patient outcomes while also increasing revenue. However, those that lack a clear strategy to effectively implement change and communicate the increased value to the patients likely will suffer, regardless of how successful or prestigious they seem today.

Health Affairs, 1997

2007

In the healthcare industry, quality of care is more than a concept. It has become essential to patient well-being and financial survival. This chapter will discuss the complex concept and multiple definitions of quality of care and evaluate how it has become an increasingly important factor in the delivery of healthcare. We will start by providing a historical perspective to help readers understand the evolution of quality in the healthcare industry. This perspective will include landmark reports and events that have helped shape the role quality of care currently plays in the industry. We will then explore the key principles and definitions that are essential to healthcare quality. After reviewing the key principles, we will explore a case study that illustrates the impact that quality improvement is having on a particular company within the industry. Last, we will speculate on the role quality will play as the healthcare industry continues to evolve. The authors of this chapter ar...