Implementation Considerations for Blockchain in Healthcare Institutions (Preprint)

2019 ◽  
Author(s):  
Ketan Paranjape ◽  
Josip Car ◽  
Mitchell Parker ◽  
David Houlding
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Financial Burden ◽  
Healthcare Services ◽  
Developed Countries ◽  
Healthcare Systems ◽  
Health Data ◽  
Care Quality ◽  
Security And Privacy ◽  
Blockchain Technology

BACKGROUND Healthcare is undergoing a transformation worldwide1. In many developed countries, mature but antiqued national healthcare services are being burdened with a growing aging population, changes in payment reforms, worker shortage and rising costs2. Combined with a surge in innovative technologies like Artificial Intelligence (AI)3 and blockchain4 which can help with automating medical record mining to provide a more accurate diagnosis5 or reduce errors in medical practice6 by providing accurate and tailored treatment while reducing the financial burden, today’s healthcare systems are ready for change. After success in industries like financial services7 and retail8, if blockchain can be scaled and moved into the mainstream in healthcare, it can help alleviate the many concerns with security and privacy of health data and help stitch together a longitudinal history of health data that is fragmented and locked away in multiple silos today. Sophisticated use of blockchain technology will contribute to improving health outcomes, improved health care quality, and lower health care costs – the three overarching aims that the U.S. is striving to achieve (also known as the “Triple aim”)9. OBJECTIVE This paper aims to provide a primer on blockchain technology, and implementation considerations for blockchain at healthcare institutions. METHODS Systematic literature survey, conversation with experts. RESULTS After extensive research and interviews, we developed a primer and high level implementation guide for healthcare systems exploring the use of blockchain technology. CONCLUSIONS The use of blockchain technology in healthcare is at a promising stage in development but Blockchain-based applications are yet to be demonstrated as a viable platform for exchanging and reviewing information. Healthcare systems should be cautiously optimistic regarding the potential of blockchain and do a thorough business and technical diligence that is driven by targeted use cases (s) to be successful.

scholarly journals In patient satisfaction survey- how does it help our health care delivery system (the patient, the health care giver and the organization)?

2017 ◽  
Vol 4 (10) ◽  
pp. 3280
Author(s):  
Priti Prasad Shah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Delivery ◽  
Health Care Quality ◽  
Care Delivery ◽  
Healthcare Services ◽  
Care Quality ◽  
Survey Study ◽  
Satisfaction Survey ◽  
Patient Satisfaction Survey

Background: Patient satisfaction is a mean of measuring the effectiveness of health care delivery.    It can suggest proportion to the problem areas and a reference point to take management decisions. It can serve as a mean of holding physician accountable. Patient satisfaction data can be used to document health care quality for accrediting organizations and consumer groups. They can also measure specific initiative or changes in service delivery.  They can increase loyalty of patients by demonstrating you care their perceptions and looking for ways to improve. The purpose of our study is to carry out evaluation of hospital services by getting a patient satisfaction survey. Main aim is to identify potential problems in the services.Methods: A hospital based inpatient satisfaction survey study done on 200 patients. A Predesigned structured questionnaire was based on relevance of questions to healthcare services on various aspects of inpatient care.  The interviewer based questionnaires were filled after obtaining verbal informed consent from all subjects. 200 valid responses were analyzed using MS office excel. Data analysis of study is done using the SPSS (Statistical Package for the Social Science) Version 17 for window.Results: Results of our study is very positive and suggest that patients were satisfied with the attitude of doctors, nurses and paramedical staff and it was appreciated. As in D Y Patil Medical College and Hospital most facilities are free for the patients, so we got better feedback for the facilities and satisfaction for this study. Satisfied patients are more likely to continue using the health care services and maintain their relationship with specific health care providers.Conclusions: Patient satisfaction survey can be a driving force for changes in health care delivery with institutions and individuals. These initiatives can promote improvement in practice and also respond to patient expressed needs.

scholarly journals QUALITY EVALUATION OF HEALTHCARE SERVICES IN SCHOOLS

2017 ◽  
Vol 72 (3) ◽  
pp. 180-194 ◽  
Author(s):  
A. A. Baranov ◽  
V. R. Kuchma ◽  
E. V. Anufrieva ◽  
S. B. Sokolova ◽  
N. A. Skoblina ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Equipment ◽  
Health Care Quality ◽  
School Health ◽  
Healthy Lifestyle ◽  
Healthcare Services ◽  
Care Quality ◽  
Medical Professionals ◽  
General Strategy

Background: School healthcare service standards and quality are the crucial factors for a development of a healthy lifestyle health of younger generation of the country. The goal of the study is an evaluation of the health care quality in schools.Methods: The paper discusses the evaluation of the quality of health care which is provided for school children in different parts of Russia. Assessment of the school health services is performed using the unified WHO recommendations in 21 schools.Results: The study revealed the similar pattern of problems concerning health services in schools located in different regions of the country, specifically: the absence of modern federal rules; shortage of medical professionals and their low sallary; insufficient medical equipment; inadequate list of medical services.Conclusions: This study gives the evidence for the necessity to develop a general strategy of measures to be implemented to solve the problems. The measures should include the regular trainings of medical professionals, determination of the list of basic services to be provided in schools, improvement of the medical equipment.

Patient registries from the view of health policy

2014 ◽  
Vol 155 (19) ◽  
pp. 729-731 ◽  
Author(s):  
Ildikó Kissné Horváth
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Policy ◽  
Health Care Providers ◽  
Health Care Quality ◽  
Health Data ◽  
Care Quality ◽  
Care Providers ◽  
Critical Importance ◽  
Disease Registries

Integrated health data management and disease registries which are able to support evidence-based decision making are of critical importance for health policy. Data provided by disease registries are used for the development of health strategy, planning of preventive activities, capacity-building in health care provision, improving health care quality, and planning clinical trials. Disease registries monitoring epidemiology, natural history of diseases, treatment outcomes and the detection of adverse reactions are requested not only by policy-makers, but public health authorities and health care providers, too. Registries for rare diseases are of critical importance for developing network between reference centres and developing and evaluating new drugs. Data and information need for decision-making in public services and the protection of health data of individuals require a careful balance that needs to be taken into account when considering disease registries. Orv. Hetil., 2014, 155(19), 729–731.

Patient-Centered, Integrated Health Care Quality Measures Could Improve Health Literacy, Language Access, and Cultural Competence

2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Literacy ◽  
Cultural Competence ◽  
Health Care Quality ◽  
Care Quality ◽  
National Committee ◽  
Patient Centered ◽  
Organizational System ◽  
Language Access

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.

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