RESUMO
OBJECTIVE: An Automated Data Entry Process Technology tool was developed to free nurses from data entry tasks, thus creating time for patient care and other activities associated with improvements in performance and job satisfaction. BACKGROUND: Manually transferring data from patient measurement devices to electronic health records (EHRs) is an intensive, error-prone task that diverts nurses from patient care while adversely affecting job performance and employee satisfaction. METHODS: Performance improvement analytics were used to compare matched sets of manual and automated EHR data entries for 1933 consecutive vital signs records created by 49 RNs and certified nursing assistants in a 23-bed medical-surgical unit at a large tertiary hospital. Performance and quality effects were evaluated via nurses' responses to a postintervention survey. RESULTS: Data errors decreased from approximately 20% to 0; data transfer times were reduced by 5 minutes to 2 hours per measurement event; nurses had more time for direct patient care; and job satisfaction improved. CONCLUSION: Data entry automation eliminates data errors, substantially reduces delays in getting data into EHRs, and improves job satisfaction by giving nurses more time for direct patient care. Findings are associated with improvements in quality, work performance, and job satisfaction, key goals of nursing leaders.
Assuntos
Benchmarking , Registros Eletrônicos de Saúde , Satisfação no Emprego , Processo de Enfermagem/normas , Recursos Humanos de Enfermagem Hospitalar , California , Unidades Hospitalares , Humanos , Processo de Enfermagem/economiaRESUMO
Self-imposed cost containment is not part of providers' heritage. The payer business model and its problems are complicated; simplistic reforms won't help. Health reform needs to be refocused on policies that allow providers and payers to align their cultures so that all parties benefit from potential synergies to provide top-quality care as inexpensively as possible.
Assuntos
Reforma dos Serviços de Saúde , Pessoal de Saúde , Reembolso de Seguro de Saúde , Cultura Organizacional , Comportamento Cooperativo , Controle de Custos , Estados UnidosRESUMO
People look to medical tourism to save money and to get treatments that are not approved or that are not available at home due to political prohibitions. Medical tourism will be affected by the global economic downturn, concern about lower quality of care, and political instability. The international marketplace could be rewarding to American providers, payers, vendors, and other healthcare stakeholders that can efficiently and effectively respond to the current crisis.
Assuntos
Competição Econômica/economia , Internacionalidade , Aceitação pelo Paciente de Cuidados de Saúde , Viagem , Humanos , Estados UnidosRESUMO
Healthcare leaders need to reform the way health care is produced more than the way it is reimbursed. Reform efforts should be directed toward improving performance of the healthcare delivery system. A promising approach to reform would be to impose a formal performance improvement process as a criterion for provider accreditation.
Assuntos
Reforma dos Serviços de Saúde/métodos , Atenção à Saúde/organização & administração , Objetivos , Reforma dos Serviços de Saúde/economia , Estados UnidosRESUMO
Political candidates would like voters to believe they can and will reform the healthcare system if they are elected. Actually, the candidates' reform plans will have little impact on healthcare reform. Instead, payers and employers are already changing healthcare payment trends-and healthcare financial leaders should be at the table.
Assuntos
Reforma dos Serviços de Saúde , Política , Mecanismo de Reembolso , Estados UnidosRESUMO
PURPOSE: The traditional forces of change in health care are no longer working as they did in the past. Political gridlock has destroyed Washington's ability to create sensible policy for reforming the medical marketplace, creating chaos for providers. Fortunately, chaos creates opportunity. The idea of creating one's future has never been more relevant and necessary. MATERIALS AND METHODS: Predicting-the science of extrapolating future values from historical data-is not a valid method for looking ahead when causal relationships that explained change in the past are themselves being redefined (the current situation). Forecasting-the art of estimating probabilities of possibilities-is the appropriate method for anticipating futures when causality is being redefined. With its focus on identifying a range of possibilities, forecasting identifies many different outcomes that are simultaneously possible for radiology. RESULTS: Health care's new climate is being shaped by four defining trends: 1) revolution in biological science that is shifting caregivers' mission from acute care to disease management; 2) proliferation of information and communications technologies that are transforming the way care is delivered; 3) end of economic growth in the medical marketplace that is reshaping demand for care; and 4) political dysfunction that forces caregivers and their business partners to develop successful futures on their own. CONCLUSIONS: Radiology 3.0 is nicely aligned with the transformational trends. Staying focused on implementing Radiology 3.0 is supported as the optimal strategy for creating the profession's futures. Diagnostic convergence, establishing a unified diagnostic science with laboratory medicine, is proposed as a complementary initiative.
Assuntos
Política de Saúde/tendências , Radiologia/tendências , Previsões , Humanos , Política , Sociedades Médicas , Estados UnidosRESUMO
As consumer-directed health care grows, providers will need to develop competitive prices and make prices and payment options available to consumers. Providers should expect an increase in self-pay patients and be prepared to offer them financial counseling. Providers also will need to create a strategic plan and budget for CDHC.
Assuntos
Comportamento do Consumidor/economia , Administração Financeira de Hospitais/métodos , Planos de Assistência de Saúde para Empregados/tendências , Poupança para Cobertura de Despesas Médicas , Orçamentos , Tomada de Decisões Gerenciais , Competição Econômica , Administração Financeira de Hospitais/tendências , Preços Hospitalares , Humanos , Crédito e Cobrança de Pacientes , Técnicas de Planejamento , Estados UnidosRESUMO
Dramatic shifts in medical science, technology, demographics and economics will require that the health care labor force evolve along with changes in the delivery system.