Transformative Quality: The Emerging Revolution in Health Care Performance

Table 2 Life expectancy comparison in and Life expectancy at birth World Health indicators Although maternal mortality ratios MMR are still extremely high in most developing countries, it should be noted that these rates decreased substantially in many countries between and Table 3 MMR comparison in and among a few developed countries. Table 4 MMR comparison in and among a few developing countries. Infant mortality rates IMR IMR correlates strongly with, and is the best predictors of the success or failure of a country.

Table 5 IMR comparison in and among different continents. Infant mortality rates World Health expenditure Across the globe, there is an enormous disparity in the money countries spend on health.

Achievements In the past 30 years [], world has witnessed many transitions in healthcare. The major achievements of the last three decades include: The prevalence of vaccine-preventable diseases was declining due to high and sustained immunization coverage;. Strict control of infectious diseases led to increased life spans and a greater number of older populations;. More in-depth and reliable knowledge of health systems, health indicators and their challenges;.

New discoveries in health and hospital care such as breakthroughs in human genome and stem cell researches;. Challenges Over the last 30 years, health systems around the world have faced multiple challenges. Some of them are listed below: Urbanization and changes in behaviors and diet contributed to an increased prevalence of chronic diseases such as hypertension, coronary artery disease, diabetes and cancer;.

Many less economically developed countries were faced with double burden, which was persistently high rates of infectious diseases combined with rapidly rising rates of chronic diseases;. Traumatic injuries, violence and road traffic accidents further strained health systems, resulting in a triple burden, high rates of trauma, infectious and chronic diseases;. People have experienced epidemiologic transitions at different rates, which triggered needs for new health services and delivery systems;.

Due to a large number of conflicts in different parts of the world over the last 30 years, implementing and sustaining health programs were serious challenges for the health community. Future of healthcare [] Healthcare systems today have to address a host of different challenges resulting from medical and scientific advancement. Future hospital sector In the future, hospitals will play a critical role in face of the challenges which the future healthcare will meet. To adapt and be flexible is the key The burgeoning cost of health care remains a major challenge for all countries.

Some lessons are summarized as follow: Provide flexibility and allow for changes at the same time. For example, we should pay attention to the impact of technology and demographic changes when building the facilities and building in phases is also important. Create as much as general purpose ORs, ICUs, and so on to allow for efficiency and flexibility rather than specific specialty needs. Private rooms are standard, though not mandated. Support facilities should be equipped in non-hospital grade space. With staffing shortages still looming in the hospital of the future, hospitals may need to accomplish more jobs with fewer health professionals.

Transformative Quality: The Emerging Revolution in Health Care Performance - CRC Press Book

Well-functioning teams can do more than any individual. At the same time, outpatient and ambulatory work are on the increase. Prosperous economy is driving this move along with advances in medicine. More surgical cases and more non-invasive procedures will continue to occur in outpatient settings and facilities have to be more attractive and appealing to meet the needs of both patients and providers.

Aligning hospitals, physicians and other providers across the care continuum;. Organizational core competencies Organizations on path to implement the above must-do strategies should achieve competency in several areas of care delivery and organizational management. Design and implementation of patient-centered, integrated care;. Focus for the next 30 years Some of the top driving factors for the global healthcare system in the next 30 years are discussed below. Top causes of death must remain our core focus. The leading causes of death are similar across the globe, and the new evidence further supports the need for persistent and unwavering attention to the leading causes of under-5 mortality.

Focus should be given to The number of newborn deaths is declining, but at a slower rate than under-5 deaths in the post-neonatal period. Thus, newborn deaths comprise an ever-increasing portion of total under-5 deaths. The funding to fight pneumonia is also uneven relative to its share of the burden: Reducing child mortality from , children estimated to have died of malaria in according to the latest World Malaria Report to fewer than , child deaths is within our reach.

There are some emerging issues in the global health community that also need attention if a healthier outcome is required. The Global Nutrition report estimated a new, remarkable return on investment in nutrition: Across these 40 countries, for every dollar investment in nutrition, a greater than 16 dollar return is seen, competitive with investments in roads, irrigation, and health more generally The latest malnutrition figures for specific countries are staggering, despite some progress in Afghanistan.

Alarmingly, almost half of both stunting and wasting figures for children younger than 5 years in Afghanistan are severe.

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New research on malnutrition in India, suggests that a root cause may be poor sanitation, rather than a scarcity of food, and those underlying driving factors of poor nutrition Investment in health workforce will be one of the best buys in healthcare for future. For instance, investing in midwifery education, with deployment to community-based services, can yield a fold return on investment in terms of life saving and avoid unnecessary costs of caesarean sections. Health services should be organized, comprehensive, integrated and people-centered to increase access to health care in rural and remote areas.

A greater focus is required on putting incentives in place and ensuring good working conditions that can enhance health workforce productivity, quality and responsiveness Medical Tourism-growth in future healthcare scenario. Globalization and advances in technology have transformed health care in the past decade, making procedures such as remote diagnoses a more common practice. As part of that trend, cheaper travel has led to increasing numbers of people crossing the globe for medical care. Healthcare is the largest sector in the world and people spend huge amount to get the benefits of medical procedures to stay healthy and fit.

It has become a major contributor in the GDP of destination countries, which offer quality medical procedures to people across the globe. Increasingly, insurers especially self-insured firms are providing medical tourism options in their plans as a way to cut their own costs, at least where permitted to do so by existing law Conclusions The next 30 years will witness intense changes.

The Emerging Revolution in Health Care Performance, 1st Edition

Footnotes Conflicts of Interest: World Health Report World Health Statistics Global, regional, and national causes of child mortality in , with projections to inform post priorities: Population dynamics in the post development agenda: Population dynamics in the context of the post development agenda beyond Our common future, chapter 4: Trends in maternal mortality: The determinants of health expenditure, a country level panel data analysis. Healthcare spending around the world, country by country.

The future of healthcare: Sustainable health systems visions, strategies, critical uncertainties and scenarios. Environment and health in developing countries: World Population Ageing It could be through conference attendance, group discussion or directed reading to name just a few examples. We provide a free online form to document your learning and a certificate for your records. Already read this title?

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Exclusive web offer for individuals. Add to Wish List. Toggle navigation Additional Book Information. Description Table of Contents Reviews. Summary Always interesting and informed, national award-winning journalist Mark Hagland demonstrates how pioneering organizations are combining new tools with a new way of thinking to reinvent the way we deliver health care services in this country. Through exceptionally well-documented case studies, this insightful volume — Puts the current journey towards industry-wide quality transformation into an understandable context for executive, board, and policymaking audiences Explores how performance improvement methodologies borrowed from other industries, including Six Sigma, Lean management, and the Toyota Production System are transforming care delivery processes and administrative operations nationwide Examines the strategic role that information technology will play in the transformation of clinical care quality and patient safety The case studies contained in this book document the surprising strides being made by pioneering hospitals and health systems, advances that have the potential to transform the delivery of health care in the United States.

Table of Contents Introduction. Reviews Mark Hagland provides the how-to details for health care executives who are ready to lead meaningful supply-side responses to the growing demand for safe and error-free medical services. Our previous book made the case for transformation and introduced structural approaches for getting started on the road to success.

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For Instructors Request Inspection Copy. Always interesting and informed, national award-winning journalist Mark Hagland demonstrates how pioneering organizations are combining new tools with a new way of thinking to reinvent the way we deliver health care services in this country. Through exceptionally well-documented case studies, this insightful volume —. Puts the current journey towards industry-wide quality transformation into an understandable context for executive, board, and policymaking audiences Explores how performance improvement methodologies borrowed from other industries, including Six Sigma, Lean management, and the Toyota Production System are transforming care delivery processes and administrative operations nationwide Examines the strategic role that information technology will play in the transformation of clinical care quality and patient safety.

The case studies contained in this book document the surprising strides being made by pioneering hospitals and health systems, advances that have the potential to transform the delivery of health care in the United States. Offered in a context that frames the current state of health care quality in this country, they are indispensable reading for anyone working in the trenches to improve that quality.

The Quality Journey Ahead: What Purchasers and Payers Want: Case Studies 1 to 3: Case Studies 4 to 6: Case Study 9 Tallahassee Memorial: Information Technology and the Pursuit of Quality Transformation.

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