Lessons Learned from the Crew Health Care System (CHeCS) Rack 1 Environmental Control and Life Support (ECLS) Design

2006 ◽  
Author(s):  
David E. Williams
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Life Support ◽  
Environmental Control ◽  
Lessons Learned ◽  
Care System

Health Product Manufacturers and Innovators COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

2022 ◽  
Author(s):  
Mathai Mammen ◽  
◽  
Vas Narasimhan ◽  
Richard Kuntz ◽  
Freda Lewis-Hall ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Transformational Change ◽  
Lessons Learned ◽  
Health Product ◽  
Science Data ◽  
Public And Private ◽  
Public And Private Sector ◽  
The U.S ◽  
Care System

United States health care spending consumes nearly a fifth of the GDP [1]. While, in many respects, the U.S. health care system is enviable and highly innovative, it is also characterized by elements of ineffectiveness, inefficiency, and inequity. These aspects, resulting from pre-existing vulnerabilities within the system and interactions between the various stakeholders, were acutely highlighted by the COVID-19 pandemic. As health product manufacturers and innovators (HPMI) took steps to mitigate the immediate crisis and simultaneously begin to develop a longer-term sustainable solution, six common themes arose as areas for transformational change: support for science, data sharing, supply chain resiliency, stockpiling, and surge capacity, regulatory and reimbursement clarity and flexibility, public- and private-sector coordination and communication, and minimizing substandard care offerings. Within these categories, the authors of this paper suggest policy priorities to increase the effectiveness, efficiency, and equity of the HPMI sector and writ large across the U.S. health care system. These priorities call for increased scientific funding to diversify the pipeline for research and development, strengthening the nation’s public health infrastructure, building and maintaining “ever warm” manufacturing capacity and related stockpiles, instituting efficient and effective regulatory and reimbursement frameworks that promote innovation and creativity, devising structures and processes that enable more efficient collaboration and more effective communication to the public, and implementing rewards that incentivize desired behaviors among stakeholders. This assessment draws from the collective experience of the authors to provide a perspective for the diagnostics, hospital supplies and equipment, medical devices, therapeutics, and vaccines segments. While the authors of this paper agree on a common set of key policies, sub-sector-specific nuances are important to consider when putting any action priority into effect. With thoughtful implementation, these policies will enable a quicker, more robust response to future pandemics and enhance the overall performance of the U.S. health care system.

scholarly journals Adaptive reuse of former hospital sites in Ontario: lessons learned from the planning process

2021 ◽  
Author(s):  
Samantha Zandvliet
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Case Studies ◽  
Health Care System ◽  
Planning Process ◽  
Adaptive Reuse ◽  
Lessons Learned ◽  
Municipal Planning ◽  
Care System

Since the 1990s, Ontario’s health care system has faced a number of changes with respect to increasing expenses not reflected in the allotted funding for hospitals. The restructuring of Ontario’s hospital landscape has resulted in amalgamations, takeovers and closures leaving behind viable surplus hospital sites. This paper focuses on the municipal planning process of adaptive reuse through the lens of former hospitals sites in Ontario. The opportunities and challenges that currently exist in the planning process are examined through four case studies of former hospital sites: Sault Area Hospital in Sault Ste. Marie, St. Catharines General Hospital in St. Catharines, St. Joseph's Hospital in Sudbury and St. Joseph’s Hospital in Peterborough. The findings are summarized in to a set of lessons learned from the planning process. These lessons can be used by municipalities to enhance the overall planning process for these former institutional buildings

scholarly journals Hta In The Brazilian Health Care System and Potential Lessons Learned For Other Brics States

2014 ◽  
Vol 17 (7) ◽  
pp. A444
Author(s):  
L.T. Stuwe ◽  
M.M. Bellanger ◽  
PD. Picon
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Lessons Learned ◽  
Care System

Building Personalized Cancer Follow-up Care Pathways in the United States: Lessons Learned From Implementation in England, Northern Ireland, and Australia

2019 ◽  
pp. 625-639 ◽  
Author(s):  
Catherine M. Alfano ◽  
Michael Jefford ◽  
Jane Maher ◽  
Sarah A. Birken ◽  
Deborah K. Mayer
Keyword(s):  
United States ◽  
Health Care ◽  
Northern Ireland ◽  
Health Care System ◽  
The United States ◽  
Lessons Learned ◽  
Care Pathways ◽  
Follow Up Care ◽  
Care System

There is a global need to transform cancer follow-up care to address the needs of cancer survivors while efficiently using the health care system to limit the effects of provider shortages, gaps in provider knowledge, and already overburdened clinics; improve the mental health of clinicians; and limit costs to health care systems and patients. England, Northern Ireland, and Australia are implementing an approach that triages patients to personalized follow-up care pathways depending on the types and levels of resources needed for patients’ long-term care that has been shown to meet patients’ needs, more efficiently use the health care system, and reduce costs. This article discusses lessons learned from these implementation efforts, identifying the necessary components of these care models and barriers and facilitators to implementation of this care. Specifically, the United States and other countries looking to transform follow-up care should consider how to develop six key principles of this care: algorithms to triage patients to pathways; methods to assess patient issues to guide care; remote monitoring systems; methods to support patients in self-management; ways to coordinate care and information exchange between oncology, primary care, specialists, and patients; and methods to engage all stakeholders and secure their ongoing buy-in. Next steps to advance this work in the United States are discussed.

scholarly journals Impact of a Physician Clinical Support Supervisor in Supporting Patients and Families, Staff, and the Health-Care System During the COVID-19 Pandemic

2020 ◽  
pp. 1-5
Author(s):  
Sarah E. Tevis ◽  
Hemali Patel ◽  
Sarguni Singh ◽  
Cathy Ehrenfeucht ◽  
Charlie Little ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Rapid Change ◽  
Lessons Learned ◽  
Frontline Staff ◽  
Incident Command ◽  
Hospital Leadership ◽  
Clinical Support ◽  
Care System

ABSTRACT As coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV2), became a pandemic, hospitals activated Hospital Incident Command Systems (HICS). At our institution, we included a role of Physician Clinical Support Supervisor (PCSS) in the HICS structure. The PCSS role was filled by physicians who served hospital leadership positions, such as Physician Advisor, Medical Staff leadership, Chief Quality Officer, and Chief Medical Informatics Officer. In an effort to summarize the lessons learned by implementation of the PCSS role during the COVID-19 pandemic, we evaluated a PCSS working Microsoft Teams™ spreadsheet and the experience of physicians in the PCSS role. Through efficient daily 2-way communication between frontline providers, HICS, and hospital leadership, the PCSS role facilitated rapid change and improved support for frontline staff, patients and families, and the health-care system. We recommend including the role of PCSS in HICS structure in the event of future pandemics or other crises.

scholarly journals An Automated Patient Self-Monitoring System to Reduce Health Care System Burden During the COVID-19 Pandemic in Malaysia: Development and Implementation Study (Preprint)

2020 ◽  
Author(s):  
Hooi Min Lim ◽  
Chin Hai Teo ◽  
Chirk Jenn Ng ◽  
Thiam Kian Chiew ◽  
Wei Leik Ng ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Monitoring System ◽  
Health Care System ◽  
Development Process ◽  
Lessons Learned ◽  
Self Monitoring ◽  
Symptom Monitoring ◽  
Development Method ◽  
Care System

BACKGROUND During the COVID-19 pandemic, there was an urgent need to develop an automated COVID-19 symptom monitoring system to reduce the burden on the health care system and to provide better self-monitoring at home. OBJECTIVE This paper aimed to describe the development process of the COVID-19 Symptom Monitoring System (CoSMoS), which consists of a self-monitoring, algorithm-based Telegram bot and a teleconsultation system. We describe all the essential steps from the clinical perspective and our technical approach in designing, developing, and integrating the system into clinical practice during the COVID-19 pandemic as well as lessons learned from this development process. METHODS CoSMoS was developed in three phases: (1) requirement formation to identify clinical problems and to draft the clinical algorithm, (2) development testing iteration using the agile software development method, and (3) integration into clinical practice to design an effective clinical workflow using repeated simulations and role-playing. RESULTS We completed the development of CoSMoS in 19 days. In Phase 1 (ie, requirement formation), we identified three main functions: a daily automated reminder system for patients to self-check their symptoms, a safe patient risk assessment to guide patients in clinical decision making, and an active telemonitoring system with real-time phone consultations. The system architecture of CoSMoS involved five components: Telegram instant messaging, a clinician dashboard, system administration (ie, back end), a database, and development and operations infrastructure. The integration of CoSMoS into clinical practice involved the consideration of COVID-19 infectivity and patient safety. CONCLUSIONS This study demonstrated that developing a COVID-19 symptom monitoring system within a short time during a pandemic is feasible using the agile development method. Time factors and communication between the technical and clinical teams were the main challenges in the development process. The development process and lessons learned from this study can guide the future development of digital monitoring systems during the next pandemic, especially in developing countries.

scholarly journals Lessons Learned From Casualty Statistics in Health Care System Development: Afghanistan 2008–2009

2011 ◽  
Vol 176 (1) ◽  
pp. 94-98
Author(s):  
Sayed H. Zahoor ◽  
Juan I. Ubiera ◽  
Gary D. Davis ◽  
Joseph B. Anderson ◽  
Richard R. Welch ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
System Development ◽  
Lessons Learned ◽  
Care System
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