scholarly journals HealthConnect: a trial of an after-hours telephone triage service

2002 ◽  
Vol 25 (2) ◽  
pp. 95 ◽  
Author(s):  
Patrick Bolton ◽  
Sharryn Ganon ◽  
David Aro
Keyword(s):  
Economies Of Scale ◽  
Lessons Learned ◽  
Telephone Triage ◽  
Optimal Service ◽  
After Hours ◽  
Staff Recruitment ◽  
Advice Service ◽  
And Training

This paper describes HealthConnect, an after-hours telephone triage and advice service which operated for 15 months in 2000 and 2001. We describe the service, discuss utilisation and implementation issues, and conclude with a description of the key lessons learned from the trial. The service received over of 12000 calls, of which over half were for information rather than immediately seeking care.Continuing marketing appears to be required in order to ensure ongoing demand for services of this kind. Qualityassurance is essential to ensure that an optimal service is provided, and staff recruitment and training are critical tothis. A national standardised approach to services of this kind is desirable to provide a consistent service to consumers and realise economies of scale.

Parental Compliance with After Hours Telephone Triage Advice: Nurse Advice Service versus On-Call Pediatricians

2003 ◽  
Vol 42 (7) ◽  
pp. 613-619 ◽  
Author(s):  
Thomas J. Lee ◽  
Larry J. Baraff ◽  
Stephen P. Wall ◽  
Judith Guzy ◽  
David Johnson ◽  
...  
Keyword(s):  
Telephone Triage ◽  
Parental Compliance ◽  
After Hours ◽  
Advice Service

scholarly journals British Columbia SHIFT: Early Lessons Learned from a Provincial Program for Countering Radicalization to Violent Extremism

Proceedings ◽  
2021 ◽  
Vol 77 (1) ◽  
pp. 8
Author(s):  
Garth Davies ◽  
Madison Reid
Keyword(s):  
British Columbia ◽  
Lessons Learned ◽  
First Year ◽  
Stakeholder Relationships ◽  
Violent Extremism ◽  
Excellent Work ◽  
Services And Supports ◽  
The Right ◽  
Government Initiative ◽  
And Training

Many existing programs for countering violent extremism focus on either end of the radicalization spectrum. On one hand are prevention programs aimed at deterring individuals from starting down the path to violent extremism. On the other hand are disengagement/de-radicalization programs designed for assisting individuals who have been fully radicalized. Conspicuously absent are programs for those who fall in-between, into what might be referred to as the pre-criminal space: individuals who have begun to exhibit signs of radicalization, but for whom radicalization is not yet complete. The British Columbia Shift (BC Shift) initiative was created to assist individuals determined to be in this pre-criminal space; that is, those deemed to be in danger of radicalizing. The goal of BC Shift is to stop individuals from traveling further down the path of radicalization, and, ideally, to turn individuals away from the path. BC Shift operates as a navigational model, connecting at-risk individuals with services and supports in the community. BC Shift is a government initiative supported by the Canada Centre for Community Engagement and Prevention of Violence. It is a civilian organization that partners very closely with, but is separate from, law enforcement. In addition to its primary CRVE mandate, BC Shift has rapidly evolved and expanded into several other responsibilities, including coordination on national CVE standards; liaising with other CVE programs across Canada; maintaining stakeholder relationships; and helping create capacity through dialog and training. Although the program only began accepting referrals in 2019, its operation has already revealed many important lessons for CRVE programs. First, it is critically important to have the right people in the room. There has to be buy-in from the highest levels of partner agencies and stakeholders, particularly early on. Second, programs of this sort should leverage existing resources wherever possible. BC Shift has been lucky enough to coordinate with situation tables, such as the CHART program in Surrey. There are already many organizations doing excellent work in their respective communities; it is very helpful to plug into those resources. Third, even though BC Shift operates as a navigational hub, it has benefitted greatly from having a social worker as part of the team. This skill set is important in helping referred individuals feel comfortable with the process of accessing services and supports. Finally, marketing matters! CRVE programs such as BC Shift have to navigate a complex reality. The very concept of violent extremism is disconcerting to a lot of people in the community; these fears have to be addressed, and difficulties related to differences in perspective and language have to be overcome. BC Shift’s first year-and-a-half of operation has also highlighted several issues that have not yet been satisfactorily resolved. There is, for example, the “low hanging fruit” problem; agencies are typically referring less severe cases. Trying to get agencies to refer more serious cases has proved challenging. We hope that, by outlining these lessons and issues, this presentation proves to be useful to other CRVE initiatives.

scholarly journals Capacity Development for Use of Remote Sensing for REDD+ MRV Using Online and Offline Activities: Impacts and Lessons Learned

2021 ◽  
Vol 13 (11) ◽  
pp. 2172
Author(s):  
Sarah Carter ◽  
Martin Herold ◽  
Inge Jonckheere ◽  
Andres Espejo ◽  
Carly Green ◽  
...  
Keyword(s):  
Remote Sensing ◽  
Forest Cover ◽  
Hybrid Approach ◽  
Remote Sensing Data ◽  
Lessons Learned ◽  
Multiple Partners ◽  
Large Audience ◽  
Forest Cover Changes ◽  
The Impact ◽  
And Training

Four workshops and a webinar series were organized, with the aim of building capacity in countries to use Earth Observation Remote Sensing data to monitor forest cover changes and measure emissions reductions for REDD+ results-based payments. Webinars and workshops covered a variety of relevant tools and methods. The initiative was collaboratively organised by a number of Global Forest Observations Initiative (GFOI) partner institutions with funding from the World Bank’s Forest Carbon Partnership Facility (FCPF). The collaborative approach with multiple partners proved to be efficient and was able to reach a large audience, particularly in the case of the webinars. However, the impact in terms of use of tools and training of others after the events was higher for the workshops. In addition, engagement with experts was higher from workshop participants. In terms of efficiency, webinars are significantly cheaper to organize. A hybrid approach might be considered for future initiatives; and, this study of the effectiveness of both in-person and online capacity building can guide the development of future initiatives, something that is particularly pertinent in a COVID-19 era.

scholarly journals Evaluasi Pelaksanaan Webinar Pusdiklat Perdagangan Dengan Menggunakan Text Mining: Analisis Saran Peserta Webinar

2021 ◽  
Vol 5 (1) ◽  
pp. 60-68
Author(s):  
Hari Linda Lukitowati ◽  
Luksi Paryatno
Keyword(s):  
Text Mining ◽  
Education And Training ◽  
Training Center ◽  
Media Management ◽  
Audio Quality ◽  
Optimal Service ◽  
Development Of Competencies ◽  
Trade Education ◽  
Social Media Management ◽  
And Training

The Trade Education and Training Center (Pusdiklat Perdagangan) participates in the development of competencies and skills of the Indonesian people. One of contribution is organizing webinars through the learning management system (LMS) Kudagang. As an education and training center that organizes infographic webinars, Pusdiklat Perdagangan hopes to provide the best service. Therefore, evaluation is a mandatory thing that must be done. The infographic became a webinar topic that was given to participants, both academics and professionals. To provide optimal service, Pusdiklat Perdagangan evaluates webinar activities through participant suggestions. The purpose of this study is to identify things that need to be addressed and improved in the implementation of future webinars so that the quality of services provided is optimal and identify topics and webinar materials that are really needed by the community. Suggestions from participants in the form of text are processed and analyzed using text mining. The data analysis consisted of two parts: (1) analysis of suggestions regarding the webinar activities; (2) suggestions for the next webinar topic. The results of the analysis of participant suggestions indicate several things that need to be improved in the implementation of the webinar, including the audio quality, the practice duration, the technique in delivering material, and the role of the host in guiding the webinar activities. The webinar topic suggestions given by the participants to Pusdiklat Perdagangan are advanced infographics, social media management, public speaking, effective communication, and how to write scientific articles

After-Hours Telephone Coverage: The Application of an Area-Wide Telephone Triage and Advice System for Pediatric Practices

PEDIATRICS ◽  
1993 ◽  
Vol 92 (5) ◽  
pp. 670-679 ◽  
Author(s):  
Steven R. Poole ◽  
Barton D. Schmitt ◽  
Thea Carruth ◽  
Ann Peterson-Smith ◽  
Minnie Slusarski
Keyword(s):  
Home Care ◽  
Patient Care ◽  
Large Scale ◽  
Time Of Day ◽  
Physician Satisfaction ◽  
Telephone Triage ◽  
Total Cost ◽  
Phone Calls ◽  
After Hours ◽  
Telephone Calls

Background. After-hours telephone calls are a stressful and frustrating aspect of pediatric practice. At the request of private practice pediatricians in Denver, a metropolitan area-wide system was created to manage after-hours pediatric telephone calls and after-hours patient care. This system, the After-Hours Program (AHP), uses specially trained pediatric nurses with standardized protocols to provide after-hours telephone triage and advice for the patients of 92 Denver pediatricians, representing 56 practices. Objectives. This report describes the AHP, presents data from 4 years' experience with the program, and describes results of our evaluation of the following aspects of the program: subscribing physician satisfaction, parent satisfaction, the accuracy and appropriateness of telephone triage, and program costs. Methods. After-Hours Program records (including quality assurance data) for all 4 years of operation were retrospectively reviewed, tabulated, and analyzed. The results of two subscribing physician surveys and one parent caller satisfaction survey are presented. A retrospective review of after-hours patient care encounter forms assessed the necessity for after-hours visits triaged by the AHP. An analysis of the total cost of this program to 10 randomly selected subscribing physicians was conducted using current AHP data and a survey of the 10 physicians. Results. In 4 years, 107 938 calls have been successfully managed without an adverse clinical outcome. Minor errors in using protocols occurred in one call out of 1450 after-hours calls. After-hours phone calls necessitated an after-hours patient visit 20% of the time and generated one after-hours hospital admission out of every 88 calls. Just over half of the patients were managed with home care advice only, and 28% were given home care advice after-hours and seen the next day in the primary physician's office. Of all patients directed by the telephone triage nurses to be seen after hours, 78% were determined to have a condition necessitating after-hours care. Data are presented regarding call volumes by time of day, day of week, patient age, and patient's initial complaint. The 6 most common complaints accounted for more than one half of the calls, and 38 complaints accounted for more than 95% of all after-hours calls. Utilization by subscribing physicians is described. Satisfaction among subscribing pediatricians was 100%, and among parents was 96% to 99% on a variety of issues. The total cost to participating Denver pediatricians (which includes revenues "given up" as a result of not seeing patients after hours) ranged from 1% to 12% of their annual net income, depending on a variety of factors. Conclusions. Large-scale after-hours telephone coverage systems can be effective and well-received by patients, parents, and primary physicians. Data presented in this report can assist in planning the training of personnel who provide after-hours telephone advice and triage. Controversies associated with this type of program are discussed. Suggestions are made regarding the direction of future programs and research.

Standardization of Lightweight Structure Via Design One Build Many Solution

2021 ◽  
Author(s):  
Syakira Saadon ◽  
Norhazrin Azmi ◽  
Prabagar Murukesavan ◽  
Norsham Nordin ◽  
Salman Saad
Keyword(s):  
Economies Of Scale ◽  
Integrated Approach ◽  
Lessons Learned ◽  
Scale Efficiency ◽  
Development Costs ◽  
Long Time ◽  
Execution Strategy ◽  
Small Fields ◽  
Lightweight Structure ◽  
Multiple Challenges

Abstract Petroliam Nasional Berhad (PETRONAS) is embarking on the implementation of the Design One Build Many (D1BM) concept, an integrated approach on design standardization, replication and volume consolidation for light weight fit for purpose wellhead platforms - also known as Lightweight Structure (LWS). The objective of the standardization is to enable monetization of marginal and small fields by improving project economics that are challenged with the high development costs and conventional execution schedules. Traditionally, projects are developed through a "bespoke" design which requires a specific engineering study during the Front End Loading (FEL) phase to cater for the field specific requirements. In addition, once the project has been sanctioned, it is a must to undergo tendering and bidding activities which can increase field monetization duration by four to five months. The current "bespoke" design has resulted in non-standardization, loss of opportunity for volume consolidation and ultimately longer time for field monetization. Although the Design One Build Many principles were known for a long time, but they were rather project oriented. Thus this emerging solution is a result of synthesizing multiple challenges with the goal to establish an end-to-end systematic approach in monetizing marginal and small fields by lowering development cost and monetization duration. There will be standardized sets of Base Design and a flexible Catalogue items to cater for standardized add on items. Lessons learned incorporation upon the repeated design and standardized execution strategy including Engineering, Procurement, Construction, Installation and Commissioning could also help in improving the delivery efficiency for the lightweight structure. The greater collaboration across fields and blocks will give significant added advantage through economies of scale efficiency and eventually increase in the overall project value.

The Impact of Scale and Scope on Global University Rankings

2017 ◽  
pp. 140-160
Author(s):  
Liang-Cheng Zhang ◽  
Andrew C. Worthington
Keyword(s):  
Economies Of Scale ◽  
Research Performance ◽  
Private Universities ◽  
University Rankings ◽  
Public And Private ◽  
Global University ◽  
Teaching Programs ◽  
Institutional Reputation ◽  
The Impact ◽  
And Training

Economies of scale and scope are increasingly critical for universities operating in globally competitive higher education teaching, research and training markets. This is because the associated cost advantages could enable some institutions to increase their university rankings relatively easier. This chapter investigates the relationships between economies of scale (measured by the number of enrollments) and scope (measured by the number of teaching programs), research performance, and institutional reputation (measured by the ARWU and QS ranking scores). The results show that larger and more diverse institutions tend to have higher scores. However, when separated into public and private universities, the scale and scope effects are not so obvious between private universities and the ARWU ranking scores. Nevertheless, the chapter does identify a significant scope effect in the QS rankings for private institutions, implying that expanding research, teaching, and training programs may benefit these scores.

scholarly journals Improved Biosafety and Biosecurity Measures and/or Strategies to Tackle Laboratory-Acquired Infections and Related Risks

2018 ◽  
Vol 15 (12) ◽  
pp. 2697 ◽  
Author(s):  
Huasong Peng ◽  
Muhammad Bilal ◽  
Hafiz Iqbal
Keyword(s):  
Genetically Modified Organisms ◽  
Hazardous Materials ◽  
Education And Training ◽  
Lessons Learned ◽  
Working Environment ◽  
Salmonella Spp ◽  
The Past ◽  
Health Related ◽  
Laboratory Workers ◽  
And Training

Herein, we reviewed laboratory-acquired infections (LAIs) along with their health-related biological risks to provide an evidence base to tackle biosafety/biosecurity and biocontainment issues. Over the past years, a broad spectrum of pathogenic agents, such as bacteria, fungi, viruses, parasites, or genetically modified organisms, have been described and gained a substantial concern due to their profound biological as well as ecological risks. Furthermore, the emergence and/or re-emergence of life-threatening diseases are of supreme concern and come under the biosafety and biosecurity agenda to circumvent LAIs. Though the precise infection risk after an exposure remains uncertain, LAIs inspections revealed that Brucella spp., Mycobacterium tuberculosis, Salmonella spp., Shigella spp., Rickettsia spp., and Neisseria meningitidis are the leading causes. Similarly, the human immunodeficiency virus (HIV) as well as hepatitis B (HBV) and C viruses (HCV), and the dimorphic fungi are accountable for the utmost number of viral and fungal-associated LAIs. In this context, clinical laboratories at large and microbiology, mycology, bacteriology, and virology-oriented laboratories, in particular, necessitate appropriate biosafety and/or biosecurity measures to ensure the safety of laboratory workers and working environment, which are likely to have direct or indirect contact/exposure to hazardous materials or organisms. Laboratory staff education and training are indispensable to gain an adequate awareness to handle biologically hazardous materials as per internationally recognized strategies. In addition, workshops should be organized among laboratory workers to let them know the epidemiology, pathogenicity, and human susceptibility of LAIs. In this way, several health-related threats that result from the biologically hazardous materials can be abridged or minimized and controlled by the correct implementation of nationally and internationally certified protocols that include proper microbiological practices, containment devices/apparatus, satisfactory facilities or resources, protective barriers, and specialized education and training of laboratory staffs. The present work highlights this serious issue of LAIs and associated risks with suitable examples. Potential preventive strategies to tackle an array of causative agents are also discussed. In this respect, the researchers and scientific community may benefit from the lessons learned in the past to anticipate future problems.

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