Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care

Miranda, Rafael Cancel; Glenn, Sean W.; Leighton, Jonathan A.; Gurudu, Suryakanth R.; Teaford, Harry G.; Mertz, Lester E.; Lee, Howard R.; Mamby, Sylvia A.; Johnson, Margaret F.; Raghu, T. S.

doi:10.1097/00115514-201509000-00011

Cited by 2 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A clear governance structure 32 is needed to ensure redevelopment is successful. This is achieved through governance processes designed to bring together expertise and knowledge from subject matter experts including clinicians, informatics, design, urban planning and other related disciplines 33‐36 . Policies, theories and models are required to incentivise or drive redevelopment 35,37,38 .…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, patient involvement is seen as a critical component of redesign success 44,45 . Patients however are often excluded from the evaluation of the redevelopment studies 31,33,39,40 . Multi‐disciplinary and multi‐perspective involvement is critical to ensure there is acceptance and ownership of the redesign.…”

Section: Resultsmentioning

confidence: 99%

“…This is achieved through governance processes designed to bring together expertise and knowledge from subject matter experts including clinicians, informatics, design, urban planning and other related disciplines. [33][34][35][36] Policies, theories and models are required to incentivise or drive redevelopment. 35,37,38 The availability of both conceptual 31,35,39 and tangible 34 models, leads to better acceptance of the redevelopment by clinicians.…”

Section: Governance: Integrating Diverse Expertise and Evidence Basementioning

confidence: 99%

“…44,45 Patients however are often excluded from the evaluation of the redevelopment studies. 31,33,39,40 Multi-disciplinary and multi-perspective involvement is critical to ensure there is acceptance (2) The workforce is a vehicle for change.…”

Section: Philosophy Of Stakeholder Managementmentioning

confidence: 99%

“…44,45 Redevelopment of a physical workspace needs to be iterative, allowing staff and patients time to become involved in the process and adapt to incremental changes. 33 When redeveloping a project or system that has multiple end users, wider engagement is required even if they are not physically located in the space where the redesign is occurring. 42 A key component of this is consultation with clinicians to determine how a task can be delivered in the workspace to eliminate inefficiencies.…”

Section: Reimagining Workflowsmentioning

confidence: 99%

See 4 more Smart Citations

Large scale healthcare facility redevelopment: A scoping review

Eljiz

Greenfield

Vrklevski

et al. 2021

Health Planning & Management

View full text Add to dashboard Cite

Internationally, organisations are undertaking large scale facility redevelopment as a strategy for the transformation of care systems. Redeveloping facilities provides a once in a generation opportunity to transform health service delivery, typically, however, system level changes are poorly understood. To address this gap, our aim was to investigate the empirical knowledge base regarding large scale redevelopment of healthcare facilities. A scoping review was undertaken, guided by the redeveloped health service management (HSM) scoping review framework (HSM-SRF). Across 17 articles, five key concepts were identified, and they form the principles for successful redevelopment. First, establish a strong governance framework integrating diverse expertise and evidence base. Second, engage with internal and external stakeholders to build effectual relationships. Third, consult with end users, including clinicians and patients, to encourage the acceptance of the redevelopment and actively manage stakeholder dynamics, including politics and power undercurrents. Fourth, commit appropriate resources, including time, workforce, technology and finance to ensure redevelopment success. Finally, reimagine workflows through consultation with end users, including staff and consumers, allowing them to conceptualise how the space will be utilised. This scoping review is the first to synthesise the empirical knowledge base of the redevelopment of healthcare facilities.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Governance: Integrating Diverse Expertise and Evidence Basementioning

confidence: 99%

Section: Philosophy Of Stakeholder Managementmentioning

confidence: 99%

Section: Reimagining Workflowsmentioning

confidence: 99%

See 3 more Smart Citations

Large scale healthcare facility redevelopment: A scoping review

Eljiz

Greenfield

Vrklevski

et al. 2021

Health Planning & Management

View full text Add to dashboard Cite

show abstract

Priorities and challenges for health leadership and workforce management globally: a rapid review

Figueroa

Harrison

Chauhan

et al. 2019

BMC Health Serv Res

210

119

View full text Add to dashboard Cite

Background Health systems are complex and continually changing across a variety of contexts and health service levels. The capacities needed by health managers and leaders to respond to current and emerging issues are not yet well understood. Studies to date have been country-specific and have not integrated different international and multi-level insights. This review examines the current and emerging challenges for health leadership and workforce management in diverse contexts and health systems at three structural levels, from the overarching macro (international, national) context to the meso context of organisations through to the micro context of individual healthcare managers. Methods A rapid review of evidence was undertaken using a systematic search of a selected segment of the diverse literature related to health leadership and management. A range of text words, synonyms and subject headings were developed for the major concepts of global health, health service management and health leadership. An explorative review of three electronic databases (MEDLINE®, Pubmed and Scopus) was undertaken to identify the key publication outlets for relevant content between January 2010 to July 2018. A search strategy was then applied to the key journals identified, in addition to hand searching the journals and reference list of relevant papers identified. Inclusion criteria were independently applied to potentially relevant articles by three reviewers. Data were subject to a narrative synthesis to highlight key concepts identified. Results Sixty-three articles were included. A set of consistent challenges and emerging trends within healthcare sectors internationally for health leadership and management were represented at the three structural levels. At the macro level these included societal, demographic, historical and cultural factors; at the meso level, human resource management challenges, changing structures and performance measures and intensified management; and at the micro level shifting roles and expectations in the workplace for health care managers. Conclusion Contemporary challenges and emerging needs of the global health management workforce orient around efficiency-saving, change and human resource management. The role of health managers is evolving and expanding to meet these new priorities. Ensuring contemporary health leaders and managers have the capabilities to respond to the current landscape is critical.

show abstract

Using Hybrid Change Strategies to Improve the Patient Experience in Outpatient Specialty Care

Cited by 2 publications

References 5 publications

Large scale healthcare facility redevelopment: A scoping review

Large scale healthcare facility redevelopment: A scoping review

Priorities and challenges for health leadership and workforce management globally: a rapid review

Contact Info

Product

Resources

About