Integration acceptability

The matter of integration acceptability differs among countries and even inside the same country. It depends more on how publics think about their government and municipalities. We can see that acceptability of change particularly in medical services easier and trustful by less corrupted governments while more difficult and heavily resisted when these changes applied by corrupted governments. We are going to explain in this post what features and keys used to motivate the public to shift and accept the changes if there are depending on solid base of work purposes. The real fact about public traditional behaviour is the final received values they used to get from the former medical systems. They used to move among different service providers and at the end go to get the prescription manually and all associated payments paid in cash with sometimes tea fees for administration staff. The situation with integrated system is completely different and moreover every transaction will have to be involved noticeable firmly by the whole systems and recorded with associated personal information lack of hidden or unnecessarily fees or expenditures. Accordingly; these values are much better in the tunnel of integration and moreover, percent of manipulations downgraded to the minimum and service provision pathway have full control points across the channels of processing.

Rules are different and tools required are different and of course the final results became more precisely accurate. But how the public communities and normal healthcare value receivers got the awareness and benefits from the system integration and that would push them as a result to deal with new and unknown sometimes especially at beginning. The core features acceptability dependable mainly in order on quality of end values, trust, loyalty and commitment. The matter of trust takes decades or may be generations between government and the society and could not easily be built in a hurry. People are smart regarding government promises and historical attainment made. No one could persuade the population and what they can’t see on the ground, facts always destruct allegations. After many years of work and the community individuals felt satisfied with received needs and requirements then the matter of trust already erupted uncontrolled among them. This explains actually why some countries easier to acclimatize their communities ever than others.

The loyalty is normal outcome as a result of society trust for decades and that appeared clearly among country populations when they are doing the same thing at the same time and almost similarly by the same way. It worth be mentioned that public loyalty acts a wave goes up and down according to current political situations and present achievements. Loyalty among individuals is crucial matter in society backbone building and also can be measured. Economically perspective; there are many corporations spend big funds just to understand and get community member loyalty interest and how far there is adhesion to certain services or products.

The commitment is considered the repeating of outcomes of received quality of value, trust and then loyalty. The society commitment is the peak of civilization and modernization curve and without future big improvement would not be on the accepted level.  People would like to trust and round in country orbit and the proper key for all is simply lies in service quality they going to get and medical welfare being reached. Full health J

Summarized whole medical integration systems

After many posts we talking about integration of medical systems, it time to do something special for all readers and how to summarize the whole integration network and sub-operating associated unites.  The point here to enclose all working unites in one blanket of working delivery network what is known in some countries as X-road or ghost road. Term blanket is not new and used to describe whole bundle of integrations in form of communicated network depending on database availability. Before we are going more in details about associated medical unites, would like to refer to two main pattern of integration; first stat integration among all unites below and second is aggregated integration in case of some unites are more needed than other at the present time. That open the big opportunity to the central government to decrease or in other meaning adapt the finance of systems according to their current needs and their public capacity what would be parallel with gradual system replacement to whole bundle. Actually many countries took the same work principles to minimize the change public habituation behaviour disability in order to make as much properly management budget performing.

Patient Master Index and Patient Registration; it is well known to all medical system designers and professional that primitive medical work of integration start with registries building up. The recorded medical database and digitalize most of past and current medial registries build a solid road of data and information source would not defeated easily with any future errors and systems setback. In other word that is the first backbone of integration and how would clear defined data with zero overlapped procedures. The database architecture tasks are huge to perform and attain precisely managed and well defined with highly indicator parameters regarding data processing, storage and retrievals in proper and acceptable readable forms.

 Integrated Patient Management System; that is the next network and most important of system acceptance phenomena toward daily patient; false or misleading information will easily build unique forms of patient complaints against the systems and spoils received awaited values. Patients are very sensitive regarding their personal data and medical history information. Building trust is indirect required task of the management system that will be favourable for patients and administrators on the same level. Some professional enumerated some proposals from access gates and patients data processing platforms could build trust and move the patient personal adaptation in near future.

Integrated Medical Records System; if the medical registries are the integration backbone of medical field, the medical record system (MRS) is considered the first and most important medical data resource for all community. All of next integrated unites depending on how far precisely medical records are.! Private perspective is considered as linchpin for all coming operation unites, without would be hard to manage, process and retrieval sound medical data depending on accurate resources.

Integrated Pharmacy; this is the integrated unites of working pharmacies depending on national pharmacies supplying chains available. In some high density populations where private retails of medicines widely distributed among public chains, the normal integration would be slightly difficult and need untraditional procedures of integration according to their needs and capacity of patients daily.

Order Management System (OMS); it refer to the internal enterprise orders including the orders involved during process of therapy management and associated accessories and how medical tools and equipments going to move among different therapeutic departments. This network is much useful among surgical departments and also orthopaedics that usually in need to different sorts of medical equipments matching different patient cases.

Integrated Scheduling Information System (ISIS); it is also internal bundle of networks close to the nature and medical staff and their schedule tabulation of their tasks.

Integrated Radiology Information System (IRIS); it is include all scanning and medical screening processes and also known as A picture archiving and communication system (PACS) and differ according to work nature, capacity within one community or even inside each of enterprise (hospitals)

Integrated Laboratory Management System (ILMS); it is the system include all laboratory work and associated lab. Diagnostic processes and procedures and would be open access from medical workers and professionals.  

LabTalk; it is laboratory forum or communicating channel among lab. Workers and nurses in order to keep updated with needed information and tests and that differ according to needs each of medical provider.

Blood Bank; clearly from the name that it serves blood processing and associated work and also would be integrated with the primary provider services network.

Integrated Patient Billing System; Although it is the last system but carries significant economic impact on the medical process and deals with final results of medical value received by the patients. As much billing system clear convenient works favourably to patient side as you are going to get fast economic results whether by individuals or organizations. Full health J

Illusion of medical knowledge

If we went far about integration of medical systems and associated delivery networks and would be better and fit more with qualified administrators; qualifications of human when do with systems differ according to required skills for the system to run. For those who want to understand the difference between administration and associated medical knowledge. There is a big wide gap between being good administrator or user of certain system and medical professional to do your analysis and diagnosis in order to collect the gives for proper decision in the future. Majority of new generations thought when I am good user for any system, it means I got to be medical professional can translate and analyze similarly as who studied along his life and graduated from medical faculty or college. It is absolutely incorrect but why?!, may be the administrators could be properly identify and defined all technical associated details run by the system while the medical significant impact and associated risks not known well as should be. The example here; who knows better about radiology and its applications, ‘’the surgeon or the radiologist’’, the answer sure radiologist but in order to get the full understanding of post idea, why the radiologist could not able to do surgical operation if they can do different kind of medical screening films such as X-ray, CT, MRI, ….etc.

Although they got the full data within each of them but they could not still do the surgical operations by themselves. Moreover, many medical workers could use most recent and modern technologies in illness diagnosis and after couple of months they found the misunderstood diagnosis or in worse cases might be wrong surgical operation!.  The modern technologies and new system integration does not ever delete personal medical skills and data retention mindset; when you found PhD holder radiologist open his computer to enumerate the uses of X-Ray in front of his students, on the time you will be aware what exactly mean data retentive memory.

Technologies never delete our mind and abilities to use our natural thinking way, this explaining why traditional physicians and surgeons are the most successful medical professional in our life than new generation although they do not use all modern technologies whether in diagnosis or in analysis.  The answer of question mentioned above is simple and may be many of you got it that the radiologist could not do the surgery even if he knew all details in radiography because he does not know the medical significant and life threatens impact on the body physiology and future associated medical complications.

Technologies created to save time and effort in and make the possibility to deal with huge amount of data and processed information easier and in real not as a replacement of our mind and thinking way. Our generous readers feel free to disagree with me but it was a fact that technologies overlapped with our private thinking style and majority became so proud of technologies ownership than innovative thinking styles. Actually our patients need our heads and thoughtful mindset to create innovative solutions more close to their needs and values they are much in need and looking for. If we can’t keep the knowledge in our head, at least try do not replace it with digitalize computational systems. Full heath J

Fairness, equity versus equality in medical integrated system

The equality and equity discussed formerly from one other prospective but in this post we are going to discuss them again with system integration management. The main difference between equality and equity is not big in letters while in meaning actually yes. There are many of available explanation tried to enumerate the differences but at the end that figured out was there missed or difficult to remember exactly where the differences settled in. Moreover, working with integrated medical systems that put you on burden to know by heart what are the differences between equity and equality?!. In order to answer this question, firstly we should understand the core difference for both; meaning without full understanding to the core would be hard to distinguished the proper identification of them. Why I saying that because one of the main reasons pushed medical researcher to create integrated networks was to minimize as possible the gap between end value receivers or in other meaning achieve equity among most of patients. I guess clearly now why we should not underestimate the meaning of core difference.

Equality core meaning works with availability of equipments and tools of medical unites or accessories. For instance; we have hospital and this hospital has clinics for patients; those clinics are considered tools available in the same schedule. This availability of the facility is called equality. The hospital already gave the patient all rights to use these clinics and without any constraints or obstacles.

Equity core meaning is different and we have to take the tail of previous paragraphs to get the point in the proper site. When you got the availability to visit the hospital clinics according to their schedule and get all benefits over there, that is good, is not it?.  But if some people could not arrive at the same schedule or they live very far from the hospital clinics and for any reasons. They are not be able to get there to visit their family doctor or specialist on due because of distance, senility, lack of vehicle…..etc. when we create a way working special for them and matching close their health circumstances, only in that case we got to attain the equity among  patients.

Depending on the former core meaning and explanation we easily can differentiate between Equity and Equality; Equality is dealing with the level of tools and equipment availability for each of community utilizing unites, whether this unite human kind or other integrated machine while Equity is dealing with the level of the same end results and individual utilizations even with different availability levels or modified delivery pathways.

Fairness is related to medical financial modules and associated procedures working better with money management and other economic parameters; would be discussed in details in coming posts.

Accordingly; patients who could be able to get the same services from the working unites, will receive the same value and availability through different gate of service matching more with their special requirements regardless site, age or degree of needs, in other meaning full access of the medical services and get the same services but with different or modified methodologies of delivery. The difference between Equity and Equality was the main and still the important motivator of medical systems improvement and innovative delivery methods. Ultimately; I would like to remind me and our generous reader that medical integration is not welfare of technologies, it considered the necessary concept of work operation more fit and acclimatized to our health life. Full health J

Wider review of labour force measurement indicators

Many questions asked about other kind of indicators in the process of labour measurements whether in medical field or in wider view related to other careers. The process of labour force and achievements measurement become more needed than ever before because modern technology completely covered the whole role of human in work hours. Moreover, became more apparently difficult to get proper identification about the degree or level of achievements and what skills been used particularly for each. The failure to do proper identification of labour force and sort of work yield summation carries hazard on the work process and availability to get work done. The key not to have good employees and that well known for HR professionals but how they work and for what percent the demanded work going according to wanted schedules.

 Many of organizations neglect this small factor, because that would be focusing on how much work going to be done not labour appearance and general organization look. For sure appearance of organization employees are important but what the most important is the ability to perform and achieve career responsibilities in very good schedules with minimum human error and setbacks. The way we going to measure the productivity among labour force is differ mainly according to nature of work and what skills required within the same working done unite.

Productivity sharply differ among youth and mid age workers or elder members who used to do the same tasks with same routes and does not pay much attention to the new applicable modern methodologies. There is simple and most applicable productivity measurement among economists and financial analysts; the total volume of output represented the core economic labour force vehicle among numerous sectors. It is measured in term of GDP and applied to each unite of labour divided by number of employed persons and in some states which own accurate employment registries could be measured in easy than paper administration work. Growth of GDP of any nation related to the growth or declined curve of labour force give meaningful value for researchers in order to identify the proper correction solutions and what exactly the society needs to reach optimum productivity levels.

ILOSTAT’s indicator is the famous indicator was used in measurement of the productivity unite output in related to the purchase power parity. The indicator is a state work indicator; means does not work for working unites or with certain work field but on the level of country could be used efficiently. The indicator describe the whole productivity unite associated parameters such as age of employees and paid employment whether at work or with job but actually not at work in case of they were working in other working sites than the core work process, and also measures self-employment labour force integrity.

In order to calculate this indicator; there is the computational equation enumerated needed parameters to reach the final required values as follows:

Labour productivity =  GDP at constant prices/ number of employed persons

The resulted values help to reorganize decision maker policies and strategies of the labour market in order to get maximum yield of the society labour force. As well known the tax revenues for any state is considered indirectly on source of liquidity, it means not permanent and mainly depend on direct investment rat which offers jobs therefore, the success of investment also depending on the staff productivity involved for the investors themselves so, the vicious cycle easily would be broken for positive results if we put more care in the panel of professional productivity management than caring only with appearance. Full health J