Primary indicators of healthcare success

As been mentioned peripherally that appearance act as a reference for many who used to put judgement even in work issues depending only on appearance and external image. Whereas their pretext says that animals in nature are doing the same and they only make a judgment also on appearance and external feature. Actually; the animals are hundred percent right to do their judgment depending only on external features and apparently characters, why they are right?!. Because they have not any other measure to calibrate with other creatures so, they visually talk to themselves related to present moment and now appearance, nothing else. Human kind could not do the same due to our facilities to know and judge differently that make human on wide spectrum of analytical thinking. A lot of animal envy us for these abilities that enable humankind to put things on will and right ways, surprisingly some societies push indirectly their citizens to do the same exactly like animals- means present and now. Why they do so?!, because they would like to suppress their mindsets of creation and building strength they have, to be easy controlled and easy directed J. Our blog will not discuss politics, just was a introduction to know from that does not matter the appearance of the healthcare system seemed Wow than how far performance they achieve and what capacity they do daily with patients.

Patients are our priceless asset, if we succeed to do our tasks properly and give them best service ever, that will reflect on their health and care system wholly. In order not to go far from the post title and the purpose embedded, there are main indicators when the care system achieves them in appropriate way, then they represent good seeds for success and future performance flourish:

-Accessibility and availability of data

-Configurable presentation of data

-Active communication with other professionals and with patients

-Data aggregation

-Access to knowledge bases

-Decision making support systems

-Care quality improvement

We almost covered most of them in past and all needed just put them in front of you when any one faces healthcare system in life. There are no complications and sophistications about, any ordinary person can apply these parameters to judge and calibre performance with positive points inside the system they contact with. For specialists of care systems; they also apply the same by a bit deeply with little more branched purposes that service academic research and statistics. Frankly; the nice of these parameters that they are not depending only on the system appearance than the real actual performance it does which serves the country patients and future generations. Moreover, that give a hint about the working system to find faults and fast management corrections as fast as needed. Happy who can understand the game of success and happier who have ability to see people around him happy because of him/her. In care systems the results reflect your effort, time and thinking way with patients and children faces at once which put their welfare become main target and society health is endless pursues. Full health J

Managing services request

After patient got defined and identified by system then next step to order for getting the demanded services. Why I do not say needed services because demanded services forced by purchase power and ability to get it depending on private income or insurance funds. Managing modules of service orders widely common used as a term of service management policy of patient service request. Apparently; state healthcare system regularly own module of patient management orders that enable hospitals teams to manage and distribute care orders among physicians and specialists from different medical departments over the country care system to produce synergism in between and maximize the gained benefits from system itself. Frankly; distributing tasks among medical workers and pushing system resources including human related ones- to do and perform more. Then create and build sustainable revenues to the operation unites of system (hospitals) and also annual yield from whole other unites. Point of benefits maximization is confused issue for many readers, so in order to get better understanding to the point as mine, let me explain it by example. Actually; those who own very fast cars and paid a lot of money to buy them and later on to manage that maintenance and everything to keep them safe far from any scratch. But at the same time they rarely travel long distance by car because it exhausted for body, to sit long hours and for mind, to focus only on the frontal road. The same measure you can use here exactly; very solid infrastructure and well built healthcare system and easy defined delivery channels with near access platforms to everyone. After all, operation capacity of system does not reach to planned targets and patients numbers to serve correctly. Academically, It called poor managed operation lead to inferior to modest performance results with clear level of patient dissatisfaction.

Fortunately; there are resources to cover everyone needs on this earth but the choice is ours to maximize the gains or waste it for nothing. Every system must own some setbacks behind the scenes and that does not mean the work was done wrong but alternatively we figure some sources of development and future improvements for what is better. Believe me or may not managing the patients operations and issues which going on daily basis is much bigger than doing the best to make the system appear modern or in hi-tech mode. I know decades growing generations have learned and brought up to judge depending only on external appearance. May be that work with some matters but never with all of them particularly technical and performance grades of medical care. Performance is actually the key of any success within the medical system and care components whatever level of modernisation is. For sure if everything accepted in a good grade and decently works well, that is good.

Some protocols of patient services belong to WHO discussed some routes and processes to distribute and organise patient and service requests. On the same level; some staff is more creative than us to create and build private and adaptable circle of service distribution that service the system capacity and help them to be more and achieve better. Creation of human being is the endless process that would never die by years or ages, free to do, free to perform and also free to achieve. Life is open and our planet has a lot still to offer only with builders and reconstruct mindsets we can get more and be actually more, all the best and enjoy good time with next posts, full health J

After hospital operation system unite

Hospitals in healthcare system considered the building brick of the system and also operational and functional unites to serve and provide people and patient with different kind of services. So, after the matter of planning the hospital from inside and care about their securities in order to keep that system safe as long as possible and properly work in future. It is the time to define and draw baseline of introduced services that enable patient to be satisfied with their effort and time they are going to spend with medical care and system data gate. The term "services" refers to all actions that can be performed in relation to a patient, such as diagnostic tests, therapeutic procedures, visits with doctors, nurses or other groups, surgical interventions, interdepartmental consultation,…..etc.

Briefly; there are some measurable factor determines shape and frame of introduced service compiled together to form service package for certain category of patients or aimed treatable diseases. Service on demand needs to be scheduled by booking appointment in advance that help the provider to give proper and sufficient time to each patient that in need to such care or services. It does not mean that there is other kind of services do not need appointment making process. For instance; emergencies and urgent cases including accidents and sudden surgical operations, that kind of services ever needed to be planed because the time of occurrence is unknown. So, on the same measure there is a big difference between each service and belong category by through subsequently need some different regulations and procedures matches with patient needs and end value results. Nothing is constant regarding name or nature of services that can differ from country to another and also from area to other in the same state.   

Validation period of results; this informs the person request the appointment that there was already a valid result for the same action, and it is therefore not necessary to request it again. This avoids unnecessary expense, further inconvenience for the patient. The service category of specialist visits on demands and those also in need to get appointment making process. 

Service resources; it means all resources associated nurses, doctors and tools or medical equipments that related to service process of patient service provision. Actually many of resources will not be available just because not all needed resources not existed usually at the same time. Matter of operation resources is seriously due to critical significance toward daily routine work, might everything is well done and operated perfectly in the system but regular situation of daily work does not find always resources to do sustainably and to offer the same quality of service. Moreover; in some situations due to lack of resources-also including human resources and physicians, the whole services stop depending on the availability of such resources for every service. Some services need medical surgical operations and associated devices and trained surgeons while others need in site medications and solutions might not there at all. All of these problems are not something new, medical workers and nurses aware well with this point of service resources deprivation and regular shortage that give them availabilities to provide the service properly. Privately opinion of mine, operation of enterprise is much more than anything else, many people own businesses and more wanted to create one but few who in real know how to operate and lead to success. If we consider the hospital or medical provider as a business enterprise it means rules of management and operation of resources maximisation almost the same with little difference to fit with medical care and nature of work tasks. Full health J

Master patient index

How hospital runs patients data and case information is differ from provider to another according to work policy and available tools. For many years in past hospital used to document patient data and medication manually by hand written papers. After digital era invaded everything so, matter of big amount of papers and documents got easier to handle and be processed. Moreover; software developers created and built a lot of helpful system and applied protocols to organize everything related to data mining, storage and even retrieving them. Nowadays; every patient granted clinical record number by provider, through hospitals and care providers can indentify the patient case history and tracking the process in service and result at time in mutual pathways. HIS of hospital have sub-systems within in form of integration informative layers make the patient service index easy to monitor and easier to be judged. Mastering patient index take time and effort with synergism to reach feasible standards and get appropriate results. May you found in life many hospitals have good appearance of PC and digital infrastructure but still they are on the favourable threshold to get good score in master patient index. That mean appearance does not mean always strength or improvement as many thought. Psychiatry textbooks mention that appearance form only ten percent from the actual reality and what really people insist eagerly to broadcast deny the truth in vast of situations.

From other side; in order to do exchange patient data over regional and national levels through those sub-systems of hospitals also need to master patient index and reach reasonable standards of service make out patients and their information stay in safe and security side of work. Some countries like Spain make TIS of patient identifier but there is wide orbit of possibilities to open new routes for identification. I hearing some voices still ask about meaning of master patient index literally; index is indicator for something may be improved in future or not while master patient is being mange and form data productive frames could help in quality standards and end result service levels to the intended patient.

Here, honestly I would like to get your attention more that implementation of hospital information system properly with good security standards can translated directly to reflect the quality of healthcare operation that represented in prestigious qualified medical care providers. Then, building brick of care system already done and issue of where medical providers are located would be discussed internally with authorized country institutions for each of them. Private providers should not be different, all get the same level of digital care portfolios and services lists with accepted significance face if they want to integrate with national care system. No difference or discrimination. It means level of the same standards applied to all without any biass or hidden agenda and authorized operation licence strictly applied such obligations to direct entire society toward health welfare to get the optimum point and keep the care market far from unkown inferior products managed by poor developed providers. Full health J

 

Security configuration of HIS

Security configuration has carried out in order to do some sort of hospital information system adaptation with the same system users and their level of access. System availability and accessibility differ according to shape of medical care unites and running processes. Also there are variables among level of services in compliance with funding current which nourish the primary providers to properly give the services in a good degree of acceptance. Meanwhile; those who refuse to join the state network of medical care would not get that advantage to have the same service standards. Though, medical institutions embraced what is called ‘security document’ which draw up the shape of security features regarding dealing of files processing, documents, equipments, and system programs. The primary and also primitive way to protect HIS from future misuse that briefly summarized in two steps; Identification and Authentication…

The person identifies himself/herself to confirm the person identity through certain system steps prepared and constructed to easily understandable with minimum steps of processing to get into hospital access gates. The second step is authentication; a) System might apply this step depending on some well known by users ex: password and user name. b) System might apply this step in form of user ID card or personal care provided by care providers or even state. c) Last one through biometric methods based on finger print analysis and iris. Most of these methods of authentications already applied and run presently in considerable number of country and critical service sites for some security reasons. A point here that level of system access of ordinary users like patients is completely differ in functionality from the access level of medical workers which applied on system inside tracks. That for sure, drawn in form of grape like network data construction. It means the apex of grape is the end user unites or value receiver persons who deal with the system on beneficiary base where every upgrade level related mainly to system management itself and security obligations. It is not necessary to regular service receivers to know about hidden security system figures should not be ever announced publicly.

Moreover; the process of identifications and authentications should undergo to be in compliance with data protection laws. Users directed only to the demanded functionality with total control of next level of authentication step to allow and give the necessary permission far from solid core of the hospital system which might be affected from big user numbers. The last point about HIS here is the matter of tracking the users and defined any existence of errors probably been happened or awaited due to misuse of the system. Also continuous in mind that the permission was granted to some users and guests who entitled to do and receive some work or technical issues touch the core of system. Soundness and intactness of the hospital information security is on the highest level of significance and first object to keep it far from any threatens that affect directly or even indirectly with time. Tracking users by whom authorized to check, delete and modify the entered data make the system safe for long decades and virgin land for next progress and development. Full health J

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