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Healthcare Quarterly

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https://www.readbyqxmd.com/read/29595431/a-technology-enabled-solution-to-manage-referrals-to-hospice-and-palliative-care-beds-the-ottawa-smart-system-as-a-case-study
#1
José Pereira, Kathy Greene, Lisa Sullivan, Samantha Zinkie Mendis, Nicole Rutkowski, Peter Lawlor, Pamela Grassau
Ottawa has a 31-bed palliative care unit (PCU) and two residential adult hospices (total 19 beds). In 2013, we initiated a project to improve the referral and triage processes to these beds. Previously, there were two separate paper-based systems with duplication, inefficiencies, delays and inappropriate patient placements. The multipronged approach included clarifying the respective roles of the PCU and hospices, creating a single referral and triage office and developing an e-platform. We leveraged technology that was available in the public-funded system...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595430/surveillance-software-and-prospective-audit-and-feedback-rounds-advance-antimicrobial-stewardship-at-an-acute-care-community-hospital
#2
Anna Lee, Susan John, Reena Lovinsky
Antimicrobial stewardship is a key strategy to facilitate judicious antimicrobial use. Software that can amalgamate prescribing and microbiology information in near real-time reporting and track antimicrobial resistance patterns aids timely interventions. This article examines the impact of a clinical surveillance software used to identify patients for prospective audit and feedback rounds by an antimicrobial stewardship team on antibiotic utilization, patient outcomes and workload efficiencies at an acute care community hospital...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595429/towards-a-responsive-sustainable-and-collaborative-model-of-care-at-toronto-s-michael-garron-hospital
#3
Irene Andress, Sharon Navarro, Stephanie Collier, Sarah Coppinger, Priya Herne
In 2008, Michael Garron Hospital, transformed its approach to care delivery. The rationale: to improve quality, increase safety and boost patient and staff engagement and satisfaction. The Coordinated Care Team (CCT) model has enabled nurses to not only work to their full scopes of practice within a team of interprofessional providers and unlicensed staff, but also helped create a culture of safety and patient-centredness in a value-driven context. Critics suggest a need for more evaluation and evidence of efficacy...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595428/using-the-time-driven-activity-based-costing-model-in-the-eye-clinic-at-the-hospital-for-sick-children-a-case-study-and-lessons-learned
#4
Sanchita Gulati, David During, Jeff Mainland, Agnes M F Wong
One of the key challenges to healthcare organizations is the development of relevant and accurate cost information. In this paper, we used time-driven activity-based costing (TDABC) method to calculate the costs of treating individual patients with specific medical conditions over their full cycle of care. We discussed how TDABC provides a critical, systematic and data-driven approach to estimate costs accurately and dynamically, as well as its potential to enable structural and rational cost reduction to bring about a sustainable healthcare system...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595427/bundling-care-for-cardiac-surgery-patients
#5
Patti Cochrane, Michelle DiEmanuele
Patients returning to the community after surgery often experience a disconnect when transitioning from hospital to community home care. Many receive little organized/planned care following discharge sometimes resulting in unplanned expensive care in hospital emergency departments and inpatient readmissions. Trillium Health Partners, a large community/teaching hospital, in partnership with community care provider Saint Elizabeth Health Care, designed and implemented a seamless "bundled care program" for cardiac surgery patients extending from hospitalization to 30 days after discharge...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595426/a-walk-in-my-shoes-a-mixed-method-study-of-the-role-of-interprofessional-job-shadowing-in-shaping-staff-attitudes-at-a-large-acute-care-hospital-in-canada
#6
Melinda Piechnik, Linda Dempster
Poor hospital unit culture and staff morale, and dysfunctional multidisciplinary cooperation leads to worse patient safety and satisfaction. The Walk in My Shoes research project aimed to understand how interprofessional job shadowing impacts the attitudes of colleagues. Thirty-three registered nurses at an acute care hospital observed the daily work of social workers. Nurses' attitudes towards social workers were measured by surveys and interviews. Quantitative data indicated a change in nurses' perception of social workers' communication, teamwork and autonomy...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595425/the-healthcare-environment-a-perfect-ecosystem-for-growing-shame
#7
Diane Aubin, Sharla King
The expression "shame and blame" has often been used to describe the culture within healthcare when a mistake is made. There has been little exploration, however, on the shame healthcare professionals experience after a mistake. Based on an original grounded theory study on the psychological impact of mistakes on health professionals, this article explores why the healthcare environment is a perfect ecosystem for growing shame, how individuals are coping or not coping with the negative effects of this powerful emotion and what might be done at the system, organizational and team level to mitigate these negative effects...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595424/success-strategies-for-linguistically-competent-healthcare-the-magic-bullets-and-cautionary-tales-of-the-active-offer-of-french-language-health-services-in-ontario
#8
Elina Farmanova, Louise Bouchard, Luc Bonneville
An active offer of French-language health services (FLHS) was introduced in several Canadian provinces to help create an environment that will anticipate the needs of Francophones in their community and will stimulate the demand for services in French. For the active offer to be implemented, changes in how health services are organized and managed at both organizational and system levels must be introduced. In this perspective paper, we identify several success strategies and potential pitfalls with regards to the implementation of the active offer of FLHS primarily at the level of healthcare organization...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595423/cancer-care-ontario-s-systematic-symptom-screening-strategy-a-human-centred-design-approach-to-exploring-system-gaps-and-defining-strategies-for-the-future
#9
Sean Molloy, Tom McHugh, Heidi Amernic, Wenonah Mahase, Serena Kurkjian, Robert Grossi, Patricia Pottie, Gillian Hurwitz, Esther Green
Cancer patients experience a high symptom burden throughout their illness. Quality cancer symptom management has been shown to improve patient quality of life and prevent emergency department use. Cancer Care Ontario introduced standardized symptom screening in Ontario, using the Edmonton Symptom Assessment System (ESAS) to facilitate patient reporting and management of symptoms. However, patient symptom information is not always sufficiently addressed. To address these gaps, patient and family advisors collaborated with clinicians, administrators and health system leaders from across the Province in a Symptom Management Summit to share perspectives and co-design context-specific solutions to improve care in their region...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595422/open-family-presence-adoption-role-of-patient-and-family-advisors
#10
Malori Keller, Jennifer Wright, Serese Selanders, Darlene Dyck
The philosophy of patient- and family-centred care is widely being adopted in Canada. Critical to this philosophy is the engagement of patients and families as full partners in healthcare. Saskatchewan has successfully adopted a provincial policy that eliminates restrictive visiting hours in hospitals and other healthcare facilities that support partnership with patients and families. This article explains the key role that patient and family advisors played in identifying the need for change and co-creating the implemented Open Family Presence Policy in Saskatchewan...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595421/opioid-related-harms-in-canada
#11
Vera Grywacheski, Shannon O'Connor, Krista Louie
The rise in harms associated with opioids is an issue of increasing public health importance in Canada. The Government of Canada recently reported 2,816 apparent opioid-related deaths across the country in 2016. Recent 2017 data show that deaths involving fentanyl-related opioids have doubled from January to March as compared to the same time period in 2016 (Government of Canada 2017). Additional measures that provide a better understanding of opioid-related harms, such as hospitalizations and emergency department (ED) visits, are a high priority...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595420/walking-the-path-together-indigenous-health-data-at-ices
#12
Evelyn Pyper, David Henry, Erika A Yates, Graham Mecredy, Sujitha Ratnasingham, Brian Slegers, Jennifer D Walker
Indigenous data governance principles assert that Indigenous communities have a right to data that identifies their people or communities, and a right to determine the use of that data in ways that support Indigenous health and self-determination. Indigenous-driven use of the databases held at the Institute for Clinical Evaluative Sciences (ICES) has resulted in ongoing partnerships between ICES and diverse Indigenous organizations and communities. To respond to this emerging and complex landscape, ICES has established a team whose goal is to support the infrastructure for responding to community-initiated research priorities...
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29595419/from-the-editors
#13
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132455/going-beyond-the-9-1-1-call-what-bc-emergency-health-services-is-doing-to-improve-timely-access-to-emergency-care
#14
Kerry Campbell, Jessica Jaiven, Kimberly Banfield, Corinne Begg, Janice Butler, Leanne Thain
British Columbia Emergency Health Services (BCEHS) uses an internationally recognized Medical Priority Dispatch System to assign appropriate responses to 9-1-1 calls based on patients' clinical acuity. In 2015, 71% of Omega calls (classified as calls involving low acuity injuries) were assigned an ambulance. To better meet patients' needs, BCEHS collaborated with HealthLink BC's Nursing Services (HLBC NS) to audit over 2,000 calls. Based on the results, three Plan, Do, Study, Act (PDSA) cycles were implemented, yielding a 35% decrease in ambulances assigned and a 173% increase in referrals to HLBC NS to provide more suitable support...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132454/coding-accuracy-for-outpatient-ophthalmic-surgery-st-joseph-s-healthcare-hamilton
#15
Nina Ahuja
Coding accuracy is an important factor in ensuring hospitals receive adequate reimbursement from the government for healthcare services rendered. A retrospective review of 100 charts, the purpose of this study was to determine the degree of coding accuracy from the surgeon perspective, for outpatient procedures performed for ophthalmic services at St. Joseph's Healthcare Hamilton from July to December 2016. Using ICD-10-CA, Canadian Classification of Health Interventions, Quality-Based Procedures criteria where applicable, and the 3M Coding and Reimbursement system, this paper reveals three primary sources of coding errors and presents recommendations to increase accuracy of reimbursement for the benefit of both the Ministry of Health and hospital organizations...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132453/code-grey-stained-surgical-instruments-and-their-impact-on-one-canadian-health-authority
#16
Rob Kean, Ron Johnson, Michael Doyle
In 2016, NL's largest RHA was faced with serious challenges stemming from the discovery of stained surgical instruments at its two largest hospitals. This discovery prompted a series of postponed surgeries, an extensive internal mobilization of labour and the purchase of millions of dollars of new equipment. In tackling these challenges, the organization not only acquired a better understanding of its surgical tools, but it also gained renewed appreciation for the resilience of its human resources. By describing this incident and the lessons learned, we hope to offer insight to providers in similar circumstances...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132452/improving-care-experiences-efficiencies-and-quality-of-care-for-seniors-in-alberta
#17
Marjan Abbasi, Sheny Khera, Julia Dabravolskaj, Linda Xia
Improving Care Experiences, Efficiencies and Quality of Care for Seniors in Alberta Forum was held to explore the current challenges and opportunities in seniors' care. A diverse group of 53 attendees, representing a cross section of healthcare organizations, front-line healthcare providers, researchers and patients, participated in facilitative, small group discussions to share and propose solutions to barriers to coordinating and integrating care for the senior population across the continuum within the Edmonton zone, to comment on a standardized assessment that may inform integrated care and support planning and to outline steps towards health information continuity...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132451/interprofessional-education-for-internationally-educated-health-professionals-pathways-to-licensure
#18
Ruby Emily Grymonpre, Mubashir Aslam Arain, Lesley Ann Bainbridge, Siegrid Deutschlander, Elizabeth Louise Harrison, Ruth A Koenig, Máire McAdams, Grace Maureen Mickelson, Esther Suter
In response to the shortage of healthcare professionals, the Canadian government has supported two innovative health workforce planning strategies: interprofessional education for interprofessional collaboration and recruiting internationally educated health professionals (IEHPs). Interprofessional collaboration is increasingly expected by Canadian-educated healthcare professionals; IEHPs must also be oriented to this practice model. An environmental scan and iterative assessments and evaluations informed the development of an online interprofessional competency toolkit aimed at training and assessing interprofessional collaboration for IEHPs...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132450/monitoring-receptivity-to-online-health-messages-by-tracking-daily-web-traffic-engagement-patterns-a-review-of-more-than-13-million-us-web-exposures-over-1-235-days
#19
Neil Seeman, Bob Seeman
Reaching the recipient of online health messages is necessary to Web-based health promotion applications. To measure willingness to adhere to a health-related Web message, we explored the frequency with which more than 13 million Web users ignored or opted to receive a random inbound message. The findings suggest declining curiosity among Web users about online messages, and that certain days may be more propitious than others for communicating with users. This approach can be modified to gather more granular insights into how messages, including timing and design features, can be tailored to promote improved public health messaging...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29132449/using-mobile-apps-to-communicate-vaccination-records-a-city-wide-evaluation-with-a-national-immunization-app-maternal-child-registry-and-public-health-authorities
#20
Katherine M Atkinson, Ziad El-Khatib, Geoffery Barnum, Cameron Bell, Marie-Claude Turcotte, Malia S Q Murphy, Mari Teitelbaum, Pranesh Chakraborty, Lucie Laflamme, Kumanan Wilson
Medicine is experiencing a paradigm shift, where patients are increasingly involved in the management of their health data. We created a mobile app which permitted parental reporting of immunization status to public health authorities. We describe app use as a proxy for feasibility and acceptability as well as data utility for public health surveillance. The evaluation period ran from April 27, 2015, to April 18, 2017, during which time 2,653 unique children's records were transmitted, containing 36,105 vaccinations...
2017: Healthcare Quarterly
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