Healthcare organization management � Requirements for patient-centred staffing

2021 ◽  
Keyword(s):  
Healthcare Organization ◽  
Organization Management

scholarly journals Eight Priorities for Improving Primary Care Access Management in Healthcare Organizations: Results of a Modified Delphi Stakeholder Panel

2019 ◽  
Vol 35 (2) ◽  
pp. 523-530 ◽  
Author(s):  
Lisa Rubenstein ◽  
Susanne Hempel ◽  
Margie Danz ◽  
Danielle Rose ◽  
Susan Stockdale ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Healthcare Delivery ◽  
Healthcare Organization ◽  
Veterans Health ◽  
Health Administration ◽  
Access Management ◽  
Healthcare Organizations ◽  
Organization Management ◽  
Modified Delphi

Abstract Objective To identify priorities for improving healthcare organization management of patient access to primary care based on prior evidence and a stakeholder panel. Background Studies on healthcare access show its importance for ensuring population health. Few studies show how healthcare organizations can improve access. Methods We conducted a modified Delphi stakeholder panel anchored by a systematic review. Panelists (N = 20) represented diverse stakeholder groups including patients, providers, policy makers, purchasers, and payers of healthcare services, predominantly from the Veterans Health Administration. A pre-panel survey addressed over 80 aspects of healthcare organization management of access, including defining access management. Panelists discussed survey-based ratings during a 2-day in-person meeting and re-voted afterward. A second panel process focused on each final priority and developed recommendations and suggestions for implementation. Results The panel achieved consensus on definitions of optimal access and access management on eight urgent and important priorities for guiding access management improvement, and on 1–3 recommendations per priority. Each recommendation is supported by referenced, panel-approved suggestions for implementation. Priorities address two organizational structure targets (interdisciplinary primary care site leadership; clearly identified group practice management structure); four process improvements (patient telephone access management; contingency staffing; nurse management of demand through care coordination; proactive demand management by optimizing provider visit schedules), and two outcomes (quality of patients’ experiences of access; provider and staff morale). Recommendations and suggestions for implementation, including literature references, are summarized in a panelist-approved, ready-to-use tool. Conclusions A stakeholder panel informed by a pre-panel systematic review identified eight action-oriented priorities for improving access and recommendations for implementing each priority. The resulting tool is suitable for guiding the VA and other integrated healthcare delivery organizations in assessing and initiating improvements in access management, and for supporting continued research.

Safety of medical activities as an integrated problem

2019 ◽  
Vol 2019 (6) ◽  
pp. 30-35
Author(s):  
Алан Карсанов ◽  
Alan Karsanov ◽  
Наталья Полунина ◽  
Natal'ya Polunina
Keyword(s):  
Integrated Approach ◽  
Complex Problem ◽  
Healthcare Organization ◽  
Structural Components ◽  
Medical Activity ◽  
Staff Motivation ◽  
Medical Technologies ◽  
Systemic Nature ◽  
Clinical Risks

The combined nature of the factors that threaten the patient and the complex subordination of many clinical risks are the basis of the authors' perception of the safety of medical activity (SMA) as a complex problem, the solution of which should be sought in improving managerial measures of a systemic nature. As structural components of an integrated approach to providing SMA, measures should be implemented aimed at increasing staff motivation, at increasing the level of medical communications, at introducing modern diagnostic and medical technologies, at improving the control and administrative component based on the industrial model of healthcare organization.

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