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The powerful benefits of clinical ‘design thinking’

Amitha Kalaichandran, M.D., a hospital resident physician and journalist based in Toronto, writes in The New York Times about the growing attraction of “design thinking” by clinical teams. (Cambridge Management Group has done a lot of work in such design thinking.)

Dr. Kalaichandran  writes: “In recent years, a growing number of healthcare workers have been stepping up to create innovations by applying ‘design thinking’ – a human-centered approach to innovation that was originally developed in the business world to create new products. Traditionally, hospitals were designed with input from administrators. With design thinking, the innovations come from those who actually work there, providing feedback to designers to improve the final product.

“A 2016 report that looked at ways in which a health system can implement design thinking identified three principles behind the approach: empathy for the user, in this case a patient, doctor or other health care provider; the involvement of an interdisciplinary team; and rapid prototyping of the idea. To develop a truly useful product, a comprehensive understanding of the problem the innovation aims to solve is paramount.”

As an example of what can come out of design thinking by clinical teams, Dr. Kalaichandran writes that:

“The leader of our trauma team  now wears an orange vest.

“The easy-to-spot garment, called the trauma team leader identification vest, clearly identifies who’s in charge. It’s a simple yet effective innovation created by a nurse after a hectic gunshot trauma simulation, in which a huddle of highly stressed emergency room staff members spoke over one another and there were no clear roles. In particular, no one knew who was leading the trauma code. The orange vest became routine part of emergency care at our hospital earlier this year, and the trauma team reports it has helped clarify who’s in charge and strengthened communication among members.”

To read more, please hit this link.


Hospitals should use their histories

Dan Beckham writes in Hospitals & Health Networks:

Every hospital and health system has a history. Each underwent significant developments that occurred at critical junctures extending back to the organization’s beginning. Taken together, these developments lead to an array of institutional distinctions including core capabilities and points of differentiation. It is also out of that history that the values that constitute organizational culture emerge. Yet many, perhaps most, health care organizations remain ahistorical — they ignore a strategic asset of considerable importance.Every hospital and health system has a history. Each underwent significant developments that occurred at critical junctures extending back to the organization’s beginning. Taken together, these developments lead to an array of institutional distinctions including core capabilities and points of differentiation. It is also out of that history that the values that constitute organizational culture emerge. Yet many, perhaps most, health care organizations remain ahistorical — they ignore a strategic asset of considerable importance.”

“It behooves every hospital and health system to capture and consider its history. One way to do this is to hire a historian. A good historian can dig through documents, conduct interviews and write the organization’s story. Within many hospitals and health systems, there are often individuals with a strong sense of the past who may be willing to volunteer as historians.”

To read all of  Mr. Beckham’s piece, please hit this link.


A look at AI’s future impact on healthcare

Kapila Ratnam, a partner at NewSpring Capital, speculates in a Med City News piece about the possible impacts of artificial intelligence on healthcare.

Among her observations:

 

“In the short term, AI has immediate applicability within the administration and operation of a hospital or healthcare system. Think in terms of supply chain and inventory management within a hospital. For example, AI can be used to ensure a surgical room is correctly stocked with appropriate inventory based on the series of surgeries scheduled to be performed in the room that day. Additionally, inventory could be automatically tracked with an algorithm that is able to assess a surgeon’s needs and send instructions to a robot that can pick up and deliver appropriate supplies to the surgical room at the beginning of a day….”

“From a clinical care delivery perspective, AI is already presenting itself, albeit in the early stages, with the ability to provide clinical decision support (CDS) to physicians. With the amount of data, research and literature published on a daily basis, it’s humanly impossible for a specialist to digest it all. However, a sophisticated AI system can be designed to scan the latest and greatest data, combine research with known medical information on a patient, and provide the overseeing physician with options on optimum care for this patient – creating a truly personalized experience….”

”Additionally, we are now in a phase where technology has surpassed the ability of a human to diagnose disease accurately, so it’s very possible we will see the impact of AI in patient diagnoses within the next several years. ”

To read more, please hit this link.


Compliance amidst complication

 

FierceHealthcare looks at the new and more complicated duties of hospital compliance officers resulting from the regulatory and fiscal changes from the Affordable Care Act. Pushing quality initiatives is a major part of their revised jobs.

 


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