Industrial Systems Engineering Principles in Health Care

Barriers of integration

Culture of change and change management carries many setbacks and disadvantages same as positives and progress, that normal and accepted for all new in our life. Integration of healthcare systems make many medical services more convenient with public and their needs but also it is not deniable lies also some setback and barriers, we are going to discuss here from our viewpoint; for many decades humankind dream up to till now with convenient public services and actually that considered the core difference between many societies, how they provide the services to the public?. In order to change any public services for better and more convenience level you need three main base of work; firm infrastructure, clear will from state government and eventually educated flexible mindset from the community members helping to achieve the state goals for development.

Most of the system integration barriers underneath those main principle of development setbacks, therefore to fix one or all of them create and reach target atmosphere of change and demanded integration. In other word, I can’t do integration if there is no firm strong infrastructure!! And also could not happen if state does not care about public service platform integrity and conveniences. Last parameter may be seems important apparently but if the education level of certain community not on the optimum point it may be fixed through hard work of training and explanation.

From private viewpoint; the state will draw the whole picture and without could not ever happen any change and development, how?

Before my explanation how I would like to refer to there are many country they have and own big wealth in form of raw materials but the communities over there still ill developed according to our modern characters. Because of willpower from state devoid to change or achieve welfare toward their citizens not because they are poor as known by media. If any country wants can do any infrastructures they need and make as much as development strategies to reach high tech service provision but without; it is hard to perform any kind of integrations with medical delivery channels.

Healthcare integration has many good and useful sides that help to achieve medical welfare for many communities and still healthcare researchers keep looking for future development & improvement. They live on hope to supply good convenient medical services through one platform and much less technical steps or barriers and achieve highest demanded values public awaited from community. Full healthJ

Integrated care for dual eligible population

Formerly, we have discussed accountable care organization and pointed to that ACO is a delivery model of integration comes closely with medical providers and other stakeholders.  In this post we are going to take deeply other corner somehow touch indirect benefits of medical system integrations. Dual eligible is category of society (people) eligible to Medicare & Medicaid and they are nearly 9 million in US. Majority of this category are low income retired seniors above 65 years and may be older, 3.4 million from 1^st number younger with disabilities according to NCHS (the national center for health statistics). Dual eligible mostly lower than ten thousands USD and that cost the system additional costs particularly for them to overcome their urgently needs of medical services that widely differ from normal medical services routine.

This example of additional services needed for certain category of community is reflect the probing characters of integrations; probing mean you exactly know where and how to put additional services and positioning your costs and additional demands according to special community request. many think integration of medical system may running the same parameters overall and with the standards. Indeed that may be going with normal routine medical daily services but with certain categories as previous example we could not accomplish the same neglecting additional services in some cases. In order to continue the solution of dual eligible category as an evidence of modification of integrating system.

US government put special needs plans SNPs that serve their additional medical demands as follow:

Ø  Chronic Condition SNPs (C-SNPs)

Ø  Dual-Eligible SNPs (D-SNPs)

Ø  Institutional SNPs (I-SNPs)

Every plan program have some requirement for each category according to patient and diseases and that specify patient needs and determine the budget for each plans. Delivery of these services do not carry differences than other normal in state or government providing medical care but with clearly modification matching the different diseases and people special needs may normal received values would not give the best results.

medical system integration is acting properly in numerous country and control medical service provision in level surprised many but still from personal viewpoint considered the best to link, monitoring, management the medical system delivery channels on the state level. In coming posts; we are going to show other sides and forms of integrations and if there some barriers prevent integration medical system from maximizing the acclimatization with recent people and societies medical needs or not?, keep followJ