Structures and processes in health care systems: Lessons learned from the VA HealtheVet portal

2012 ◽  
pp. 181-192
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Care Systems

scholarly journals Back to the Future: Principles on Resuming Outpatient Services in the COVID-19 Era

2020 ◽  
Vol 163 (4) ◽  
pp. 705-706 ◽  
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings
Keyword(s):  
Health Care ◽  
Outpatient Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Outpatient Services ◽  
Drastic Reduction ◽  
The Public ◽  
Outpatient Visits ◽  
The Future ◽  
Care Systems

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to outpatient care.

scholarly journals Return to Normalcy? Principles on Resuming Surgical Services in the COVID-19 Era

OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093665
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Drastic Reduction ◽  
The Public ◽  
Surgical Services ◽  
Outpatient Visits ◽  
Care Systems ◽  
Full Capacity

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits and surgical volumes. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. Our institution has had the unique opportunity to already return operations back to full capacity. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to patient care.

scholarly journals Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by COVID-19? Some Preliminary Lessons Learned from the European VIGOUR Project

2020 ◽  
Vol 20 (4) ◽  
Author(s):  
Sonja Lindner ◽  
Lutz Kubitschke ◽  
Christos Lionis ◽  
Marilena Anastasaki ◽  
Ursula Kirchmayer ◽  
...  
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Care Systems

scholarly journals Australia’s Two-Tier Health Care System United Against COVID-19

2020 ◽  
Vol 1 (1) ◽  
pp. 4-5
Author(s):  
Bishoy Hanna ◽  
Amanda Chung
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Infection Rates ◽  
Health Measures ◽  
Acute Health Care ◽  
Health Care Structure ◽  
Care Structure ◽  
The Face ◽  
Care Systems

The coronavirus disease 2019 (COVID-19) pandemic has had and continues to have an unprecedented impact on health care systems worldwide. The Australian system has yet to be truly tested by the pandemic, as rapid implementation of public health measures has curbed infection rates. Australia’s 2-tier health care has allowed sufficient staffing, equipment, and beds to continue providing acute health care in the face of an exceptional and extreme demand. No health system is perfect and, although Australia’s has some wonderful attributes that make it the envy of many other countries, it faces a number of important challenges. This paper describes how Australia’s health care structure has adapted to respond to the COVID-19 crisis, examines the challenges involved and the lessons learned, and explores how this environmental pressure could lead to systemic adaptations.

Re-establishment of medical and healthcare systems for nuclear emergency workers based on the lessons learned from the 2011 Fukushima nuclear accident

2019 ◽  
Vol 54 (4) ◽  
pp. 283-288
Author(s):  
S. Yasui
Keyword(s):  
Health Care ◽  
Health Risks ◽  
Health Care Systems ◽  
Healthcare Systems ◽  
Lessons Learned ◽  
Nuclear Accident ◽  
Fukushima Nuclear Accident ◽  
Emergency Workers ◽  
Care Systems ◽  
Medical And Healthcare

In response to the Fukushima nuclear accident in 2011, the Ministry of Health, Labour and Welfare (MHLW) temporarily increased emergency dose limits from 100 to 250 mSv from March 14 to December 16, 2011, but there were many problems in medical and health care systems. Based on the lessons learned, in 2015, the MHLW deliberated for radiation protection and medical and health care systems to prepare for future nuclear emergencies. The paper aims to describe and share the experience gained in the process of setting medical and healthcare systems. The paper outlines the issues of: (a) on-site medical and health care systems; (b) health care during emergency work and; (c) long-term health care. For the deliberation, the MHLW had to find the way to keep a balance between the protection of the emergency workers and the prompt implementation of crisis response. The MHLW built a consensus among stakeholders by providing lifetime healthcare systems as compensation for the radiation health risks and by enhancing preparedness to eliminate confusion and disorder and improve the level of protection against health risks. The experience gained shows that acceptance of the health risks due to radiation exposure needs not only a scientific basis, but also social acceptance.

scholarly journals Rapid Implementation of a Complex, Multimodal Technology Response to COVID-19 at an Integrated Community-Based Health Care System

2020 ◽  
Vol 11 (05) ◽  
pp. 825-838
Author(s):  
Andrew J. Knighton ◽  
Pallavi Ranade-Kharkar ◽  
Kimberly D. Brunisholz ◽  
Douglas Wolfe ◽  
Lauren Allen ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Tracking System ◽  
Health Care Systems ◽  
Care Quality ◽  
Lessons Learned ◽  
Leadership Role ◽  
Surge Capacity ◽  
Care Systems

Abstract Background The rapid spread of severe acute respiratory syndrome coronavirus-2 or SARS-CoV-2 necessitated a scaled treatment response to the novel coronavirus disease 2019 (COVID-19). Objective This study aimed to characterize the design and rapid implementation of a complex, multimodal, technology response to COVID-19 led by the Intermountain Healthcare's (Intermountain's) Care Transformation Information Systems (CTIS) organization to build pandemic surge capacity. Methods Intermountain has active community-spread cases of COVID-19 that are increasing. We used the Centers for Disease Control and Prevention Pandemic Intervals Framework (the Framework) to characterize CTIS leadership's multimodal technology response to COVID-19 at Intermountain. We provide results on implementation feasibility and sustainability of health information technology (HIT) interventions as of June 30, 2020, characterize lessons learned and identify persistent barriers to sustained deployment. Results We characterize the CTIS organization's multimodal technology response to COVID-19 in five relevant areas of the Framework enabling (1) incident management, (2) surveillance, (3) laboratory testing, (4) community mitigation, and (5) medical care and countermeasures. We are seeing increased use of traditionally slow-to-adopt technologies that create additional surge capacity while sustaining patient safety and care quality. CTIS leadership recognized early that a multimodal technology intervention could enable additional surge capacity for health care delivery systems with a broad geographic and service scope. A statewide central tracking system to coordinate capacity planning and management response is needed. Order interoperability between health care systems remains a barrier to an integrated response. Conclusion The rate of future pandemics is estimated to increase. The pandemic response of health care systems, like Intermountain, offers a blueprint for the leadership role that HIT organizations can play in mainstream care delivery, enabling a nimbler, virtual health care delivery system that is more responsive to current and future needs.

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems
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