Transformational Performance Improvement: Why Is Progress so Slow?

Hung, Dorothy; Lee, Justin; Rundall, Thomas G.

doi:10.1108/s1474-823120220000021002

Cited by 1 publication

(1 citation statement)

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“…25 Hung et al analyzed three distinct transformational performance improvement approaches, which are commonly used to redesign work processes in medical organizations. 26 Ozkaynak et al introduced relevant theories, principles, and techniques to guide analysis of clinical workflows, methods and processes for workflows improvements, and organizational interventions aimed at workflow redesign. 27 The second group of studies focus on the quality of care and effectiveness associated with the reviewed organizational changes.…”

Section: Introduction Motivationmentioning

confidence: 99%

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Jakovljevic,

Timofeyev,

Zhuravleva

2024

RMHP

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This study aims to identify medical care transformations during the COVID-19 pandemic and to assess the economic efficiency of these care transformations. Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. The databases used in the search protocol included PubMed, RSCI, and Google Scholar. Results: Ten eligible studies in English and one publication in Russian were identified. In general, the following changes in organization of health care processes since 2020 are observed: hospital at home, telemedicine (physician-to-patient), and the adoption of new information communication technologies within physician-to-physician and physician-to-nurse communication. Earlier trends, such as (a) wider use of electronic devices, (b) adoption of Lean techniques, (c) the incorporation of patient and other customer experience feedback, and (d) the implementation of clinical decision support systems and automation of workflow, tend to be preserved. Conclusion:The most common changes in hospital care organization and the respective impacts of workflow changes (ie, workflow interventions, redesign, and transformations) on the efficiency of hospital care were summarized and avenues for future research and policy implications were discussed. The pandemic demonstrated a need for building more resilient and adaptive healthcare systems, enhancing crisis preparedness along with rapid and effective responses.

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Section: Introduction Motivationmentioning

confidence: 99%