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Tuesday, March 29, 2016

Patient Satisfaction and Health Care Outcomes: Our Journey into the Qual...




Patient Satisfaction and Health Care Outcomes: Our Journey into the Quality of Health Care.

Using Data to Measure and Improve Patients' Satisfaction with Hospital Care



In this video, explain how to use data to build and measure patient satisfaction and talking in details about procedures involved. 

Health of the Healthcare System



This short video describing the setbacks within healthcare systems in US and how many people healthcare budget exhaust most of people without any benefits in return. there are also some indirect positives enumerated here.

Wednesday, March 23, 2016

Satisfaction


 I am not going to say satisfaction most important than other factors or much more considered in medical professionals work being neglect other parameters.  Actually; talking about satisfaction as water surface of whole ocean, it means result of other people and workers start to appear and provide our customer ( patient ) with awaited services and play different role in their health regardless kind of complaints, conditions or demands that of course leading to satisfaction. Many articles and studies tell that satisfaction of medical services is more than necessary whether privately or publicly providers involved. as a fact; there is no link between how many services had been offered. Being touched the patient need and their status, you almost get the main target you are always looking for as a medical provider. 

Satisfaction is optional to politicians and owns different dimensions . From patient prospect ; I do not care with what system you use, only I care about my health and what difference I have got from your services but the opposite for politicians; work system number comes number one because they need to show country brilliant as possible. May be someone would ask, is that bad?, absolutely not. But any system should be more near and localized around people needs and demands otherwise, it was built to serve desert creatures. There are many sorts of satisfaction score grades and levels describing  the process of improvement but here we do highlighting on physiological or somatic and psychological one.

Satisfaction is core part of quality domain and defined outcome measures different sorts of medical services supply. the high score you get in your system, the more patients would be attract to deal directly with your system and the opposite is true.

Psychological satisfaction; some author called lips satisfaction because you get nice soft look but actually without any benefits in real. Many systems provide patient with the same kind of satisfactions and that very good for the beginning and reflect on the provider reputation as well but exceed the normal limits to focusing on the spiritual happiness and neglect the real improvement that make the system on fire practically, that destruct the whole system from the base and make them like who used to drink distilled water. Never get water minerals although they doing the same action. People pay a lot of money for their medicines and indeed got smiles rather than good medical service, and easily you can find my talk in many example worldwide, with people have years in contact with healthcare systems in their countries but with modest improvement. I prefer you make patient feels satisfied from your hard work trying to serve illness and give them good helping let them be capable of coverage the health weakness. In that time you will see how much they are happy and feel thankful for you and your work.

Somatic satisfaction; it simple and clear to describe, when i do not feel better than before with medical system which have been funding for years from my salary, there is something wrong with that system for sure. I am in the same distance from all systems but just would like to explain clearly that in simple way. Now many systems put digital barriers in front of people in order to supply accurate sufficient service in form of applications, monitoring, assessement for each applied steps scientifically and practically with admitting there are many services got more easier to reach and enjoyable but there is one question stills stand ? that kind of systems working pattern are capable of  some current permanent setbacks such as long waiting times, mis-diagnoses, high fees and high medical budget, ...etc. Somatic satisfaction carries corrective role and serve our job to build more professional system provide people with high quality values and services. I wish you all happiness and health. J


Performance management Domains


Today, management of performance is core burden inside any healthcare institution that, simply because you do not know where you should look and with whom talk should be. The performance of any system from privately opinion more valuable than the systems itself, it means I care to build system easily to manage. If you have checked all healthcare problems nowadays, from first glance easily going to find out that most of them result from modest or may be poor management to different aspect of performance variable according to used management model and pattern. Most of authorize politicians and healthcare professionals focusing more on the system construction and business model process and incoming revenues produced by this system; I mean finances but they neglect building the system from beginning is to achieve core of values could service and reflect our society welfare. For sure not all politicians work near people and society benefits, sometimes there are a lot of poison beneath honey. Anyway; the process of performance assessment branched and takes more time to be understandable even for professionals. In that post we enumerate certain terms describe sharply where the professional should look and handle

Care quality: it is measure of the receivable patient care and this is the first indicator for services determination coherent rate, would see through the level of regression and holes in services pattern. This domain actually highlights on clinical content and introduced care to certain group of patients. Care quality is heterogeneous measurement that means probably there are many lied measures within. As mentioned the quality process of care is considered branched improvement network; some of them as:
Structure; including structure of hospital, polyclinic and other infrastrudture and fit features for medical services. as known well more simplier structure leading to better management  and early mistakes detection.

Process;  describe the process of services provision and what the rganization does in order to give the patient good values as clinical staying, immunization, radiography, kind of surgery ...etc

Outcome; refer to measurable health status of person f group of people. Outcome quality is determined according to the level of improvement, patient (s) could be received

Underuse; it is common among health providers, and refer to lack of necessary services should be provided such as mammography for women over 50 years and lack of some flu strains vaccinations.

Overuse; that show poor management unites, including wasteful, ineffective test and expensive unproven medicines. Because of behind pharmaceutical business and millions spent for promotion and marketing, that for sure leading to overuse from medical prescribers.

Misuse; refer to most of medical errors and assessment mistakes, as inappropriate surgery, test wrong results, adverse drug interactions ..etc.

Utilization/Cost/Efficiency; actually all together in one longitudinal axis, if the efficiency of introduced service going well and much fit patient needs. Subsequently, cost would be more less and adaptable of society living standards. Utilization is the Maximum benefit unite got by the same cost of similar value, and that measured among different providers in different countries.

There are a number of utilization measures that are already in widespread use. They include:

Ø  Inpatient days per 1,000 or admissions per 1,000 for defined populations (e.g., managed care plan members);
Ø  Length of stay;
Ø  Cost or charge per admission (or adjusted admission);
Ø  Bed occupancy rate;
Ø  Cost per member per month;
Ø  ER visit rate.

In next post, we going to discuss the satisfaction and how it carry effect on the other operation unites. I wish you all healthJ