Healthcare provider gives service or product

Days ago, one of my friends went to polyclinic for checking up some blood analysis. We met after and perfectly he is now. We were discussing about the form of services have been got there on different work unites. Moreover; the clear modification process in modern healthcare system has been carried out to figure of services to got closely more to commercial products. For sure; on one feels glad to get unnecessary service or afford more cost devoid of need. Actually, if we going to analyze the service figures of current healthcare systems, we will find out that most of them keen somehow to reach financial resources directly from the patient pocket. Even with private insurance enterprises should be paid some little fees at the access point of the provider. 

On the other side; there are a lot of useful services implemented with most innovative ways in order to offering efficient, effective, more responsiveness values.  Although productize everything in HC cycle is not proper idea of work and improvement especially with medical domain but core strategy to get some additional resources for future tangible improvement of introduced service fit more to give low quality or inappropriate medical intervention. In this point would like to remember Batstone words about medical intervention:

The application of interventions which have been shown to be efficacious to appropriate patients in a timely fashion to improve patients' outcomes and value for the use of resources (Batstone, 1996).

Mean of word product carries some sort of financial benefits to the providers and will be optimum if that reflect on the patient welfare and quality of received values. Therefore, the cycle going in positive way and grow more and more in the patient side integrated deeply to create higher health status records in the society. 

If the additional services or additional fees were not using to develop the current system and avoid humankind mistakes and possible errors, that seriously put the whole medical process in the first of down chart pattern. To prove that, easily you should look at many of public funded systems; the volume of movable money is bigger than private ones and also the state announces always that 90% of the medical services are free of charge but what is the reality?

The reality says that all medical services have behind fees plus the private clinics business which compete the public state medical system by sending cases to the private hospitals and clinics what generate huge revenue to the medical workers. The behind fees go to the individual pockets to enable the patients getting more quality of certain service. So, that money is dead out from the state cycle and loss any opportunity for development.  

 

In the opposite; using little more fees with contract of insurance registered and announced to the state finance cycle undoubtedly; doing enhancement of quality level of service and labor skills as well. The matter of resources allocation still crucial burden for being optimum and reaching acceptable level of satisfaction with numerous grades, by which optimism of the system would be achieved with lowest errors.

Overview of healthcare system setbacks

Most of modern countries healthcare business model, they are looking for better meaningful achievements for health concepts in order to exaggerate the society health welfare. They always are looking for healthcare efficiency, equity, effectiveness & responsiveness of aimed care. We are going to discuss all of them later separately. Previously; we discussed design drawbacks and how it affects the working process and implementation of the whole system. Today highlighting on the other set of setbacks would be necessary in order to explaining all possible clear or hidden errors for any HC system as follow:

Ill developed implementation: designing is important but the process of implementation more than important while linkage of the numerous unites and operators together in one articulation still considered the main burden for many of implementers the project. For sure the process of implementation is the key for the successful healthcare one and as well as how much that execution complying to the theoretical project design already prepared. It is hard but not impossible even the most modern implemented systems suffered the same problem during time of making project going to be real. The process of articulation is a mutual working between designers and IT teams to get proper efficient implementation. Only by that way; we can get unexpected stunning results from the healthcare projects and giving highly valuable services to our people.

Ill developed management from labour force: post development stage is successively come to the HC success journey, and could not be neglected on the base of integration to the system. For instance, if we have got well designed and implemented system. But on the other way, still suffered from delaying intervention of operation errors and/ labour or equipment mistakes. You can imagine the picture of this system how going to be in future. You can imagine all be done well with poor errors management, undoubtedly that form additional obstacle in front of any working tasks preventing the system to fulfil the aimed results awaited by professionals and public. Running post implementation system is the crucial for any system, and if the IT team succeed to put redirection platform scheme properly would give all perfect results and lowest ever percent of operation mistakes.

Poor development process for future quality &auditing: this stage is continuously running with all working schedule, of course it is far from daily work but following the steps of regular auditing keep the system young and in highest level of efficiency. Auditing is normal organization work to get following the daily errors and assure soundness of the normal pathway of tasks results. On other direction, planning for development is going parallel to the process of auditing, how?!!!

In order to developing any working system, problems and drawbacks should be firstly identified, at the same thinking of finding different unique methods for solutions more useful and necessary. In context; that why monitoring, assessment, correction and intervention are more valuable in this stage. While absence of the future planning for development is considered big step in adverse road with unwanted results. J

Systemic approach of Healthcare operating unites

 As a truth; ideal healthcare system is not existed practically in real life. That means practically there are operation errors appeared on the surface from each system, labor force & unfit design of whole involved unites. It is seriously not hidden for everyone the setbacks of HC systems especially with those who used to travel a lot to see different medical services portfolios. But what is the optimistic here, with modern IT auditing and new technologies recent appeared that making the process of identification declared better. In order to understanding the efficiency degree of any HC system, the definition of system should be highlighted first; international council of systems engineering (INCOSE) declared sound definition of system.

‘’ A system is a construct or collection of different elements that together produce results not obtainable by the ele­ments alone. The elements, or parts, can include people, hardware, software, facilities, policies, and documents; that is, all things required to produce systems-level results. The results include system level qualities, properties, char­acteristics, functions, behaviour and performance. The value added by the system as a whole, beyond that con­tributed independently by the parts, is primarily created by the relationship among the parts; that is, how they are interconnected’’

Firstly; this definition gives a brief idea about what HC system should be. There are many working systems all over the world with numerous business models supposed to aim whole society categories whether privately or publicly funded but the level of harmony between each of them and other working component within the same system reflect the professionalism in the process of design. One other highly significant core would mention here, that professionalism of designing means not only theoretically but also never going far from the need of public health welfare demands. In other way, as much as the system more flexible with each community members, as much as this system going more to be succeed with society and state policy. But there are no other benefits with good designed working HC system. Actually there are huge especially with hierarchical management model and how much the process of management going to be much easier.

We are going to start our approach with system by:

Identify system goals, targets & objects.

Establishing the interdependencies implementation processes of the system

Clarification of the working system unites able to attain the objectives.

Identify work abilities and system soundness level.

Measure the level of performance expectation versus current system received values.

Auditing, analysis and regularly assessment of the system uncover setbacks fast and open the door for development.

Formerly; referring to systemic approach process with main depending on system objects which caring to reach optimism that from side. From other side; level of system accessibility and distribution access point forms additional value to the Health service cycle and also study working steps. Thereby; once you start to deal with HC system, clearly figured out how level of system quality is. We are asking HC professionals pay more effort to innovate high valuable services and benefits J

Ten essential health benefits you must take

Healthcare systems are different in their composition and structure moreover, there wide range of working procedures according to their aims and target sector. Many government experiments proved that the whole process of design and implementation in one side while in other side remain the direct/indirect impact is greatly significant value. The end receiver never care about how much simple or complicated  the providing working is, but they always looking for the values they got after all involved effort paid. Providers of healthcare services have a direct link with state to achieve the general policy technically and insurance and finance agencies including public ones to receive the enough funds for development and regular improvements.

 Demographic distribution of the society draw main frame about the possible awaited services; it means society individual sector such as percent of infants, women, school children, senile etc. All of them help to put proper and effective services that by role improve community welfare. For this reason; may you found many different working healthcare systems and associated stakeholders who provide widely numerous services for each sector.  The impact analysis of the services on each of them including redirected and fast correction to mistakes determines the operation management scope. In order to talking about healthcare services and differences characterized each, that could take more than blogger post but we herewith at least provide the reader with services should be available in any working healthcare systems. They as below:

   Ambulatory patient services

   Emergency services

   Hospitalization

   Maternal and newborn care

   Mental health and substance use disorder services including behavioural health treatment 

   Prescription drugs

   Rehabilitation services & devices

   Laboratory services

    Preventive and wellness services & chronic diseases management

   Pediatric services including oral and vision care

‘’Source:affordable care act of 2010, sec.1302(b)’’

As briefly, these almost the main services you could get from healthcare providing system. However there is poor reforming pattern to the availability of service offered what leading to gaps may affect whole provision process. The shape and diversity of medical services completely differ from state to another but still have aggregated in above categories. I privately had a lot of experiences with all of them, may be that is hard to make all operative working systems with the same balance and also quality but from personal perspective, we can say the as quickly you correct the problems and mistakes as you do more improvement and better strategic management figure.  Optimism is not easy to reach but at least you try to overcome the current work setback and avoid or bypassing the prospective ones J

Forms of health policy conflicts

Previously, we were talking about policy main points briefly, and also framework identity for EU working policies, today we show different face of coin and how it affects the working objects. Actually there is a problem from using any of policy achieve society and public object unless service the state goals for welfare and improvement. But would be near to optimum if this policy going to attain the targets and also does not make conflicts with society individuals, but still there point was always been neglected for long; how we can adapt the theoretical working policy to match more our needs and demands regardless tough theoretical rules and do more matching with future development plan. The distance between the policy and objects is not far and in many situations the key of policy implementation laid in level of flexibility between them. The importance resulted from be aware of policy implementation and associated procedures till end received values are drawing main picture about how integrity should be involved with policy embedded with innovative ideas.

There are many forms of policy conflicts depending on working procedures, end results, implementation plan and eventually social impact on community.

Modality conflicts: how the implementation of any policy is crucial for execution. However roadmaps are most important practically. As well known before never got gold by planning for gold, actions and moving is more significant ever, planning and road map should not exceed thirty percent from any strategy procedure framework. Precisely; as simple effective your working model is as more achievable end results might ne got with high degree of satisfaction from community and individuals.

Road map (procedures) conflicts: after drawing the main goals or targets related to the state policy should be more fragmented according to society available tools and facilities and governors should bear in mind the flexible strategic substitutional pathways for coming risks and obstacles. Road map is considered the action plan would show setbacks, strong sides, weakness points and useful tool for auditing and forward checking up.

End achievable conflicts: clearly; many governments spent billions of Dollars for poor end result strategies and what is really worth; they fighting for its existence with public particularly. Meanwhile; admitting with mistakes officially is not declared anyhow. Community is more sensitive for any change and easier to lead via old believes than new ones but if that happened with improper way or in unsuitable site, going to cost the society a lot. Examples for that are numerous, clearly appeared around everyday related to political and economical issues prove the gap between policy makers and aimed receivers.

Systems are created to make people more organized and prepared and carry in between many advantages to improve our life and societies, but exceeding normal limits putting new heavy barriers for public and society moreover; a way of implementing that kind systems and strategies reflect the caring attitude of the state toward community and individuals. Privately, I found always people who create societies not systems, it means without real community acceptance there is no improvement or implementation could be succeeded. Right now there is question aroused; is it the correct way for improvement and development or we need more innovative modified methodology adaptable more our new lifestyle?! J