People at the Heart of the Healthcare Transformation

The digital revolution modifies our behavior and our experiences in many areas, including health. The way we deal with our well-being, our relationship with the medical staff and the sharing of personal data are increasingly central themes. The challenges of the so-called healthcare transformation are complex, but there is a key to addressing them without the fear of a Black Mirror future: starting from people and their needs.

The four pillars for addressing healthcare transformation

One often falls into the error of identifying healthcare transformation with technology alone. But this kind of vision ignores a fundamental detail: those who use digital tools are first of all human.

It reverses the techno-centric approach, starting from the end: to understand the aspirations of the beneficiaries fully and then to build solutions able to interpret them in the best possible way. But how can we get this result? We have devised a process that develops on four fundamental pillars:

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Designing human-centered

Let’s imagine that we have to do hospital management consultancy in India for a care facility for the elderly. Who better than the guests who live within it can give us a clear vision of what are the primary needs to be addressed? Confronting with them in a strongly empathetic way we identify their needs and aspirations, drawing solutions that reflect their point of view. In this way, you avoid wasting resources on projects that will not work because they are not very useful or ineffective. Continue reading

PACS system: differences between digital and conventional radiography

The X-ray scans are part of the routine of Health organizations, facilitating the diagnosis and monitoring of numerous diseases. The progress of digital radiography, through the PACS system  (Picture Archiving and Communication System), has changed the way Health professionals have access to the images, which are available at the moment in which the procedure is done, speeding up the preparation of the medical report and the routine of assistance. With the cloud computing allied to the model, the results are arranged where they are needed – in the office computer, in the operating room tablet or the doctor’s smartphone.

The digital radiography is based on the same principles of X-ray emission and its interaction with the human organism as conventional. The main difference between them is like the rays that pass through the matter that will be captured and processed to generate the image. In the traditional, radiographic plates are used that go through revelation. Already in direct digital radiography, X-rays are obtained by a circuit board sensitive to radiation, which generates a digital image and sends it to the computer in the form of electrical signals.

The test is accessed, processed and stored by PACS, which can be connected directly to the Patient Electronic Health Record (PEHP). In the indirect digital, the rays are captured by a phosphor plate that needs to be digitized for the image to be transmitted to the computer. Since then, it can be processed and destined for the most different premises, in the same way as direct radiography.

With this, one of the main disadvantages of conventional radiology is eliminated: the process of revealing the radiography. This stage generates toxic substances that pollute the environment. The proper radiography that was discarded over the years contributed to the generation of garbage. However, the disclosure process is done at least one hour, in the digital system the image is generated in seconds, optimizing the entire production process of the medical report. In addition to the advantages of top healthcare consulting firms in India, there is no need for extensive paper files to store conventionally printed exams.

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More details

Another difference between the two types of examination is in the quality of the images. In conventional radiography, the emission of the exact amount of radiation is necessary.  An error in the dose can generate a much or little-contrasted image, which will not allow the identification of injuries with security. Same with the perfect technique, considering that the sharpness and contrast of conventional radiography are naturally lower, the patient is exposed to a higher amount of radiation than in the case of digital radiography so that an image of the same quality is produced.

The image processed by PACS has more sharpness, contrast, details, and differentiation of densities than conventional radiography, which optimizes the diagnosis and monitoring of diseases. As it is immediately generated in the computer, it can be quickly sent to the radiologist. That professional then issues the medical report for a remote specialist or for the doctor responsible for the patient who can already diagnose and initiate the appropriate treatment, thus providing greater agility and efficiency throughout the care process.

The hospital consultancy services in India optimizes the processing of the image in the computer, which allows the adjustment of the contrast, the equalization by histogram and even the subtraction of images to favor the identification of injuries.

Hospital cost accounting

To overcome cost management, we must first pay attention to Health Management, that is, plan actions before directing resources and effort, which will avoid wasting energy, time and, mainly, money.  You can check the lack of planning through details, such as the lack of sustainability in the collection and storage of data, with each sector using different systems and without integration. This hinders the integral vision of the processes related to assistance and, consequently, widens the risk of rejection, which generates prejudice.

To avoid this unforeseen, it is necessary to invest in health IT solutions aimed at the optimization of cost management.

A management system (Enterprise Resource Planning – ERP), for example, unites all areas of the hospital, which automates and integrates processes. The technology reduces the mechanical tasks of the financial and accounting professionals, arranging them to reinforce the planning and the audit process of the accounts. Also, the tool integrates the information, which will avoid misinterpretations, errors of accounting records and divergences in billing that will lead to rejection.

But, for the management system to present these results, each process executed in the institution must be mapped and administered.

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Balance

The excellent management of hospital consultancy services in Delhi requires that attention is paid to the costs and supply of supplies, medicines and other essential items for the system. Thus, it is necessary to know the demand to make purchases intelligently. This will avoid two situations that can cause damage to the patient’s care:

  1. The absence of a first item for the provision of the service.
  2. The loss of materials due to expiration. These cause damage and compromise the operation of the hospital.

The ERP that controls the costs also acts in the intelligent management of the hospital warehouse, adding the processes of the pharmacy to those of the purchasing sector. The tool is supplied daily with the data that was generated in the patient’s care and visualizes, automatically, when, what is needed to buy and the quantity – what creates immediate reactions.

With this systemic and integrated vision, it becomes simpler to identify the errors that must be corrected to avoid financial problems. In this way, the institution guarantees long-term sustainability and remains far from the list of hospitals that need to wax their insolvency activities.

Expenses and revenues recognized in cost accounting are based on general accounting. Hospital cost accounting is, therefore, based on the principles of accounting standards, to produce regular and honest information.

Know the costs

The first objective is to know the costs and revenues of the various functions involved in the production of care, whether clinical, medical-technical or administrative functions.

Optimize management control

The cost accounting must allow management control to provide forward-looking information with the results of the cost accounting.

Facilitate management

Cost Accounting hospital consultancy in India provides information to management in order to facilitate appropriate decision-making.

 

7 strategies to reduce the average stay in the hospital

When the subject is the number of days of hospitalization, not always “more” means “better. Thinking about strategies to manage the average permanence is essential to maintain the financial balance of the hospital and the quality of care, which guarantees patient safety.

Managing rooms efficiently and quickly are a direct indicator of hospital performance. It reflects a reduction in costs, optimization of processes and a reduction in the rate of infections and other adverse events. In a connected system, the doctor has online access to the results of exams and additional information and, thus, expedites the discharge. At the same time, the cleaning team receives the availability information of the room and organizes it much faster for the next hospitalization.

Know seven strategies to reduce the average permanence:

1- Control of the flow of the patient in the period of hospitalization- Decreases the unnecessary time of substantial assets of an institution, such as surgical center, hospital beds and Intensive Care Unit (ICU). The management depends on the healthcare consulting firms in India– doctors, nurses and administrative leaders- for more collaborative action, storage, and analysis of patient data from their entry into the emergency room to post-surgery, for example. It is also related to the use of devices that facilitate the routing of exams, prescription of medications and other stages necessary for health support.

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2- De-capitalization- Patients in treatment and recovery or those who need to undergo simple surgical procedures can be sent to a day hospital or be treated in the home care system, which avoids unnecessary hospitalization and provides space for critical care and emergencies

3- Online access to test results- With the implementation of internal collaboration and communication platforms, the doctor enjoys a consultation tool to access patient information and initiate the discharge process with more ease and agility.

4- Prescription and electronic clinical record-The report makes up an essential part of the Electronic Patient Clinical Record, a system that stores the individual’s history, including treatments, exams and prescriptions already made; that facilitates medical attention and the correct diagnosis.

5 – Extension of surgical procedures by robotics and arthroscopy- Accompanies the development of less invasive and more precise surgical techniques and methods, which allows rapid recovery to the patient.

6 – Reduction of the time of permanence- With the adoption of various process improvements, automation, and use of less invasive options and training of the medical and nursing team, the patient stays less time in the hospital. There is also the possibility of carrying out the transfer of chronic and long-term patients for home care.

7 – Implementation of clinical protocols- These instruments help professionals in decision making – be they simple or complex – that demand clinical paradigms and reliable theoretical subsidies, and streamline the entire assistance process.

With strategies that align management and hospital consultancy services, the time of hospitalizations is reduced, but there is more intelligence in the use of resources and less risk to the patient.

Internet of Things in Health: Internet of the Patient?

What are the forecasts for the Internet of Things in the health sector? To get an idea, we pointed out two aspects: on the one hand, the use of the term IoHT – Internet of Healthcare Things, in its acronym in English – has already been extended to refer to the practical utilities of the IoT in health. On the other hand, healthcare is already the second activity associated with interconnected devices, behind manufacturing, distribution, and logistics. Can we then talk about the Patient’s Internet?

The Internet of Things, allied to the healthcare professional

Many devices and objects, now interconnected, can provide a significant amount of data and medical information – documentation and medical records – in real time, data stored in the cloud for later analysis and management by healthcare equipment planners that offer significant savings of space and costs. A set of information that helps the health professional to manage and monitor the status of patients and, also, makes it possible to speed up emergency actions since the doctor will count with a click of the patient’s clinical history and needs.

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In this sense, the IoT is already being used for the remote monitoring of patients through the wearable devices to know in real time different health variables and to be able to act in case of emergency. Also, this remote control allows establishing medical visits when the device detects that consultation is necessary, thus saving time and costs to patients and improving recovery rates. On the other hand, it encourages the self-care of the sick, capable of managing and controlling their health from their home.

However, it is useless to have large amounts of information if you do not carry out an analysis and interpretation of the information obtained. The IoT opens the doors to an analysis of  behaviors and habits on a larger scale and allows to cross the information with other epidemiological variables, for the implementation of public health policies that help improve the quality of care based on the analyzes and predictions obtained.

The sensors, more than a trend

The use and implementation of sensors go far beyond the control of healthy variables by the patient since there are numerous tools to be applied within the health center, with the objective of monitoring medical and health equipment and helping the patient in their recovery -like the smart beds. It allows you to adjust positions depending on the movements of patient- or for remote control of parameters such as temperature or noise of hospital rooms, to help ensure compliance at all times the highest quality of healthcare service. The role of sensors in health management will become increasingly important.

The dares of the Internet of Things in health

Some challenges of this technology implementation involve the initial investment for the integration of the data in the different systems of the health centers, ensuring interchangeability, as well as the implementation of supervision systems by hospital equipment planners that provide continued preventive maintenance. On the other hand, training health professionals on the management of innovative devices and software on the network, and providing maximum security and privacy of patient data should also be a priority to incorporate the health sector to these latest technological advances.

Beware of Errors in Hospital Management

With the advance of evidence-based medicine, there is a growing concern to avoid errors in medical practice and inpatient care, but there is still much to be developed and improved regarding management errors and how they also affect the performance of the hospital and the patient’s health. Although its consequences are not necessarily as immediate as that of a medical error, the management error can end up having a more significant impact, affecting several patients for an extended period.

Now that you are familiar with the peculiarities of hospital management, it is time to examine how they can become traps and generate errors as shown below: Not planning changes well

Changes are necessary, but it is essential to prepare before initiating any action. You should assess the current situation of the hospital and the situation in which you want the hospital to be in a few years, establish the objectives and goals, define the equipment and resources available for the change, verify which market movement and only then begin to Act.

The change of hospital management system, for example, can impact the hospital for decades, positively or not, then it must be done with excellent security. For all this, it is necessary to reflect on what is the best software, what is the best equipment, what are the advantages presented by each option, how long should you wait for the return of the investment.

The indicators in hospital management to be attentive

When it comes to management, there is no way not to address the indicators, and in hospital management, it could not be otherwise. Only through hospital management consultancy in India it is possible to evaluate the progress of the hospital and verify that the changes are generating positive results or if there are failures in any sector.

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The indicator, therefore, should serve for the continuous improvement of the hospital processes, helping in the mapping of risks, in the identification of occurrences and their causes-origins, in the simultaneous management of multiple projects and the linkage of these to the strategic plan of the hospital. With the indicator, it is also possible to predict crises and plan ways to solve or minimize them.

It is worth noting that the performance indicators, which are associated with patient satisfaction with the assistance provided. The signs are, therefore, essential management tools for the evaluation of the quality of the two services provided and for the control of resources and costs.

Every indicator must exist for a specific reason, giving the manager valuable information about the hospital in the areas of organization, resources and work methodology and helping in making decisions.

It is essential that the manager takes into account that the indicators try to represent merely a complicated situation, indirectly impacting reality and evaluating the hospital through necessary mathematical reports. The index gains strength, not in the meantime when compared with other indicators, whether from other areas or the same locality over time.

In this way, the calculation of an indicator is only the beginning of the process. It is necessary that this information is constantly updated, made available for the hospital team, for patients and for other hospitals, compared with other indicators and only then used in management.

It should be regarded that the quality of an indicator depends directly on the accuracy of the data used and from the calculations. Therefore, it is recommended that the hospital management consultancy services are always automated and does not rely directly on manual operations.

Advantages of Adopting Hospital Management Software

The management procedure of a hospital is hectic, concluding related activities from the financial side, through the administrative sector and human resources, to nutrition and diagnostic medicine. It is not difficult to visualize, therefore, that the administration of this amount of different tasks and information consumes a lot of time and generates a lot of work for the managers. In the meantime, the software developed explicitly for hospital management emerged as facilitators of that routine, upgrading the quality of the services provided and the safety of the patients served. Do you want to know other benefits?

Agility for day to day

Hospital consultancy services in India provides the automation of the activities involved in the routine of administration, from the scheduling of examinations to the classification of risks of patients in triage. In this way, the tasks are accomplished in a more natural and agiler way, which optimizes the tempo of the managers and the officers, decreasing the weight of the patients for the due attention.

Construction of electronic information bases

Hospital management software has its platforms to receive the different types of information, allowing the creation of varying information bases (financial, administrative or medical records of patients). In this way, the management and control of hospital data are facilitated.

Use of electronic clinical records

Another significant advantage of hospital management software is the possibility of generating electronic clinical records for health experts and patients treated by the hospital. With the use of these records, it is possible to store your registration, medical information, and exams in one place. In this way, this clinical information may be available to all professionals involved in their care, facilitating diagnosis and expediting the routine of the medical team.

Reduction in the rate of human errors

The adoption of electronic medical records improves patient safety, once the prescriptions of medicines and therapies become more readable. Also, this computerization of the medical information registry enables the realization of proactive validations of clinical data, such as pharmacological versus allergic relationships and the different interactions between drugs, diagnoses, and examinations.

Optimization of hospital costs

The main benefits of hospital management consulting company is the modification of the prices of the organization. Specific platforms for financial control allow, for example, the organization of cash flow enabling a rigid control of all hospital expenses. In this method, it is possible to identify and eliminate unnecessary costs, relocate resources for the most productive activities and increase the profits of the health institution, without neglecting the safety of patients.

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Online scheduling of consultations and exams

Nothing more comfortable for a patient than the possibility of scheduling appointments and reviews online, without having to leave the house or listen to automatic messages from the call center. Hospital management software offers specific platforms for this scheduling, increasing comfort for patients and decreasing costs with call center systems.

Ease of access to information

As we have told, the electronic hospital management soft ware’s allow the combination of the data of the various sectors of the hospital (such as the pharmacy, the workshop, and the image clinics), so that the information is remotely obtainable by the officials. In this way, it is possible to avoid that the professionals involved are lost in the health units, optimizing the time of dedication to the patient.

Quality Management: Guarantee of Hospital Accreditation

The success of a hospital that holds quality certifications, such as accreditation, is fundamentally related to its ability to provide continuity to the best practices in care and administrative management. Manage using quality management tools is what prepares the organization to conquer accreditations. Therefore, we are going to discuss the challenges of hospital administration when we seek to implement a management model aimed at certification.

But first, we require knowing a little about what are the main factors involved in improving the quality of care and how the criteria for hospital accreditation are capable of guiding quality management. Therefore, do not stop reading.

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Focus on quality management

The demands for health services are growing sharply, and prospects are continuously expanding. Consequently, the costs of the institutions for their efficient maintenance and investments also increase. But those costs almost never evolve in the same proportion of the available resources. With this scenario, the real challenge of hospital management is to achieve quality standards that are necessary for the adequate care and to provide better competitive conditions and differentiated remuneration for the institution.

It is necessary to emphasize that the methodologies that will be applied so that the hospital is thriving in the implementation of new standards and the improvement of the processes must attend to the particular needs of the institution. The objective should be quality management so that the value is highlighted not only by patients but by the professionals who act in the hospital.

The role of these methodologies is to change habits, promoting the revision of operational processes and reducing vulnerabilities. In this way, it is possible to transform the positions and expectations so that the entire context can effectively contribute to raising the quality of the care services offered by the hospital.

Hospital accreditation process

An accreditation program aims to standardize processes that promote the improvement of the quality of care perceived by the patient and demonstrated through objective evidence. We emphasize that indicators measure the development and the perception of progress. In practice, it is the hospital certifications and accreditations that show for patients and hospital management consulting company that the hospital operates with methods previously defined by international or national bodies aimed at guaranteeing patient safety and care outcomes. In Brazil, instruments and quality standards for certification are established by NAO – National Accreditation Organization.

Accreditation is an evaluation method of management whose realization is motivated by the initiative of the institution itself. It is not about auditing or licensing; it is a way to check the quality of the organization attributing credibility.

The accreditation process requires the institution to comply with hospital and health infrastructure standards that have a high level of standardization of care processes, guided by best practices and clinical protocols, and that have process indicators, continuously monitored and improved cyclically.

It is necessary, therefore, that an organizational culture of improvement be implemented through training programs and continuing education, anchored in technological solutions to guarantee the efficiency of hospital management.

Hospital management consultancy services helps the hospital to conquer and maintain high levels of quality, and the patient will be the primary beneficiary in that process through the increase in safety and efficiency in the execution of the assistance procedures. As an example, we mentioned the implementation of a pre-surgical checklist so that the name of the patient, the preparation of the surgery, is carefully verified, avoiding any failure.

Importance of Effective Management of Hospitals

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Most large entrepreneurs are likely to agree that in private sector companies the results of work are directly dependent on the effectiveness of management methods. At the same time, the relationship between hospital management methods and the effects of clinical treatment is still a matter for discussion.

And, in the end, the main decisions for the care of patients are taken by the attending physicians, and not the heads of the hospitals. Also, many people are convinced that the effectiveness of medical institutions depends primarily on the availability of the necessary financial means and that increasing funding automatically improves the quality of medical care. Thus, there is still no consensus on what practical application of effective management methods can bring.

In a thorough analysis of the data, we identified five factors that affect the effectiveness of management practices in the hospital and the results of its work. These factors are mostly similar to the parameters that determine the efficiency of production companies. In this regard, we believe that when developing reforms in the healthcare industry, these factors must necessarily be taken into account.

Size of hospital

There is a clear connection between the size of hospitals (based on the number of employees) and the effectiveness of healthcare management consulting in India. In particular, in medical institutions with a large number of staff, the management effectiveness indicators were higher than those of others. Hospitals with less than 100 employees generally demonstrated the lowest results.

Level of competition

The effectiveness of management also depended on the number of competing institutions located near the hospital. The rates of hospitals that did not face competition were significantly lower than those of institutions that had several competitors. At the same time, linear growth of standard performance indicators was noted as the number of competing establishments increased.

There are several reasons why competition can increase the effectiveness of hospital management. In all healthcare systems, managers of health facilities are ready to work more actively with strong competitors, because they can achieve more significant advantages in their environment.

Ownership structure

In all countries covered by our study, private clinics (both commercial and non-profit) in general demonstrate higher management effectiveness than state hospitals.

As a result of careful analysis, it became clear that private hospitals use much more effective methods of personnel management. A possible reason is that such hospitals, unlike public medical institutions, are not required to comply with certain personnel restrictions. For example, private hospitals have greater freedom in hiring professionals and working with staff, as well as in choosing incentives to encourage the most effective employees.

The degree of independence of managers

Is the efficiency of some hospitals because the supervisory authorities carefully monitor their activities? Or have they been successful because their leaders are given the freedom to make independent decisions?

Hospital management consultancy services can help hospitals improve the quality of care and improve financial performance. Thus, the introduction of these methods should be the central element of any programs aimed at controlling overall costs in the healthcare system.

What are the Specific Challenges Faced By Healthcare Companies, and How Can Business Advice Help Them?

The market faces several challenges at the same time. Three key points for hospital management consultancy in India are the improvement of cost-effectiveness, the leadership quality and the integration of the various service providers into the processing responsibility.

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Firstly, the hospital market is underfunded. The DRG system is designed to distribute the scarce resources to the various service providers as efficiently as possible. But it can no longer be distributed as is made available, and the mere provision of medical care is neither compensated nor regulated. Economically speaking, the cost of acute care is regulated by patients. The demand for medical care is growing; the personnel costs are rising steadily. On-site service providers need a basic understanding of remuneration and transparency about their cost and income situation to be able to bear their economic responsibility properly.

Secondly, the hierarchical management system, which has been set up for decades in the hospital sector, is increasingly reaching its limits. The young generation Y is no longer involved and withdraws from the grown system. For decades to work beyond the agreed working week, is a model that no longer works. The incentive of an overly attractive reward in the future, when “one has once managed it,” has been eliminated and thus a large part of the competitive pressure.

Today good organizational structures, training and development concepts are being promoted. But the question remains unanswered, which is opposed to the hierarchical leadership system. Many clinics are at the beginning, to deal with questions of the management qualification of their medical staff. Different management cultures in hospitals contribute differently to achieve sustainable organizational development in times of change.

From our point of view, central leadership competence is the empathy. Emphatic leadership and cultural change towards a team-oriented approach to leadership are the key factors for hospital management consulting company sustainable successful change projects. Promoting this requires the necessary fingertip feeling of the consultant.

Thirdly, integrated process management and the elimination of thinking in departmental and professional boundaries is a challenge. Within the scope of the medical care of a patient, countless people work hand-in-hand. The risk management systems of hospitals show that even small incidents or inconsistencies can accumulate to errors with an enormous scope.

Where people work, create errors. To reduce this systematically by clarifying responsibilities and through structured communication processes has a decisive impact on the quality of medical care. Where people are oriented and communicate with each other regardless of their hierarchical position, mistakes are reduced. But there is still a long way to go in hospitals.

What kind of training and know-how do applicants need to make a career in the clinic?

There is a long way to accompany clinics in the organizational development from the strategic concept to the process-oriented implementation. This calls for a constant curiosity and willingness to learn from the consultant, especially in the systemic context. First, a good armor is necessary. There is no way around for a sound training in the management of organizations. But the classic business management instruments should not be blindly familiar in terms of effectiveness.