Healthcare Delivery

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Nilmini Wickramasinghe - One of the best experts on this subject based on the ideXlab platform.

  • M-health: a new paradigm for mobilizing Healthcare Delivery
    Unwired Business, 2020
    Co-Authors: Nilmini Wickramasinghe, Steven L. Goldberg
    Abstract:

    Medical science has made revolutionary changes in the past decades. Contemporaneously, however, Healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in Healthcare processes is leading to inefficient and ineffective Healthcare Delivery and one if not the significant contributor to the exponentially increasing costs plaguing Healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (1) access – caring for anyone, anytime, anywhere; (2) quality – offering world-class care and establishing integrated information repositories; and (3) value – providing effective and efficient Healthcare Delivery. These three components are interconnected such that they continually impact the other and all are necessary to meet the key challenges facing Healthcare organizations today. The application of mobile commerce to Healthcare, namely, m-health, appears to offer a way for Healthcare Delivery to revolutionize itself. This chapter serves to outline an example of adopting mobile commerce within the Healthcare industry, namely, in the area of a wireless medical record. In particular, itdiscusses an appropriate, feasible mobile solution to enable hospitals operate effectively and efficiently in today’s competitive and costly Healthcare environment as well as meet all the necessary regulatory requirements. The lessons learnt from these case study data should be of interest to both practitioners and researchers since they will outline realistic and feasible solutions to enable hospitals to incorporate a wireless/m-commerce solution as well as highlighting key areas for further research in this important area of high-quality, effective, and efficient Healthcare management.

  • Bled eConference - The Benefits of Adopting e-Performance Management to facilitate Superior Healthcare Delivery
    2012
    Co-Authors: Fatemeh Hoda Moghimi, Nilmini Wickramasinghe
    Abstract:

    Today most countries are implementing or planning to implement some type of e-health solution. This in turn leads to an exponential increase to the amount of data created, captured and stored. In order to maximise such a valuable data asset as well as create reliable and trustworthy e-health solutions, it is paramount to have a systematic strategy and robust organising framework which will in turn ensure that superior Healthcare Delivery can then ensue. The following proffers the Intelligent Performance Management (IPM) framework as such an Internet based model. Thus, this paper examines the technical & conceptual layers of the IPM framework and also defines some of the associated knowledge driven Healthcare services which are supported by the IPM model in order to facilitate superior Healthcare Delivery.

  • HICSS - The Role of Healthcare System of Systems and Collaborative Technologies in Providing Superior Healthcare Delivery to Native American Patients
    2012 45th Hawaii International Conference on System Sciences, 2012
    Co-Authors: Nilmini Wickramasinghe, Suresh Chalasani, Sridevi Koritala
    Abstract:

    Healthcare Delivery throughout the United States occurs at varying standards of quality. One segment of the community that continues to suffer from issues pertaining to poor access and low quality is the American Indians and Alaska Natives (AI/AN) population. Such a situation is clearly untenable, especially given the plethora of tools, techniques, technologies and tactics afforded by today's knowledge economy. In this paper, we proffer a model incorporating a system of systems approach in order to provide better Healthcare Delivery to native American patients. We first discuss the role of collaborative technologies in Healthcare system of systems. Then we describe the role of Healthcare system of systems and collaborative technologies in Healthcare Delivery to native American patients.

  • The Role of Healthcare System of Systems and Collaborative Technologies in Providing Superior Healthcare Delivery to Native American Patients
    2012 45th Hawaii International Conference on System Sciences, 2012
    Co-Authors: Nilmini Wickramasinghe, Suresh Chalasani, Sridevi Koritala
    Abstract:

    Healthcare Delivery throughout the United States occurs at varying standards of quality. One segment of the community that continues to suffer from issues pertaining to poor access and low quality is the American Indians and Alaska Natives (AI/AN) population. Such a situation is clearly untenable, especially given the plethora of tools, techniques, technologies and tactics afforded by today's knowledge economy. In this paper, we proffer a model incorporating a system of systems approach in order to provide better Healthcare Delivery to native American patients. We first discuss the role of collaborative technologies in Healthcare system of systems. Then we describe the role of Healthcare system of systems and collaborative technologies in Healthcare Delivery to native American patients.

Sridevi Koritala - One of the best experts on this subject based on the ideXlab platform.

Amro M Farid - One of the best experts on this subject based on the ideXlab platform.

  • A Dynamic System Model for Personalized Healthcare Delivery and Managed Individual Health Outcomes.
    2019
    Co-Authors: Inas S Khayal, Amro M Farid
    Abstract:

    The current Healthcare system is facing an unprecedented chronic disease burden. This paper develops a Healthcare dynamic model for personalized Healthcare Delivery and managed individual health outcomes. It utilizes a hetero-functional graph theory rooted in Axiomatic Design for Large Flexible Engineering Systems and Petri nets. The dynamics of the model builds upon a recently developed systems architecture for Healthcare Delivery which bears several analogies to the architecture of mass-customized production systems. At its essence, the model consists of two synchronized Petri nets; one for the Healthcare Delivery system and another for individuals' health state evolution. The model is demonstrated on two clinical case studies; one acute and another chronic. Together, the case studies show that the model applies equally to the care of both acute and chronic conditions, transparently describes health outcomes and links them to the evolution of the Healthcare Delivery system and its associated costs.

  • architecting a system model for personalized Healthcare Delivery and managed individual health outcomes
    Complexity, 2018
    Co-Authors: Inas S Khayal, Amro M Farid
    Abstract:

    In recent years, Healthcare needs have shifted from treating acute conditions to meeting an unprecedented chronic disease burden. The Healthcare Delivery system has structurally evolved to address two primary features of acute care: the relatively short time period, on the order of a patient encounter, and the siloed focus on organs or organ systems, thereby operationally fragmenting and providing care by organ specialty. Much more so than acute conditions, chronic disease involves multiple health factors with complex interactions between them over a prolonged period of time necessitating a Healthcare Delivery model that is personalized to achieve individual health outcomes. Using the current acute-based Healthcare Delivery system to address and provide care to patients with chronic disease has led to significant complexity in the Healthcare Delivery system. This presents a formidable systems’ challenge where the state of the Healthcare Delivery system must be coordinated over many years or decades with the health state of each individual that seeks care for their chronic conditions. This paper architects a system model for personalized Healthcare Delivery and managed individual health outcomes. To ground the discussion, the work builds upon recent structural analysis of mass-customized production systems as an analogous system and then highlights the stochastic evolution of an individual’s health state as a key distinguishing feature.

  • SMC - A dynamic model for a cyber-physical Healthcare Delivery system with human agents
    2017 IEEE International Conference on Systems Man and Cybernetics (SMC), 2017
    Co-Authors: Inas S Khayal, Amro M Farid
    Abstract:

    The traditional monolithic hospital focused Healthcare system organically developed to address acute conditions. In recent years, Healthcare needs have shifted from treating acute conditions to meeting an unprecedented chronic disease burden. Chronic disease Healthcare is based on continued Delivery outside Healthcare facilities, deep understanding of individual health state, managing individualized health needs and coordination between many medical specialities. Classic Healthcare dynamic models based on production systems and applicable to acute Healthcare inadequately address chronic disease. A new dynamic model paradigm is needed to capture the dynamics of providing Healthcare for individuals with chronic disease based on clinical need rather than patient throughput. This paper develops a Healthcare dynamic model for personalized Healthcare Delivery and managed individual health outcomes. It utilizes a hetero-functional graph theory rooted in Axiomatic Design for Large Flexible Engineering Systems and Petri nets. The dynamics of the model builds upon a recently developed systems architecture for Healthcare Delivery which bears several analogies to the architecture of mass-customized production systems. At its essence, the model consists of two synchronized Petri nets; one for the Healthcare Delivery system and another for individuals' health state evolution. Such a model allows for the transparent description of health outcomes and links them to the evolution of the Healthcare Delivery system and its associated costs.

  • A dynamic model for a cyber-physical Healthcare Delivery system with human agents
    2017 IEEE International Conference on Systems Man and Cybernetics (SMC), 2017
    Co-Authors: Inas S Khayal, Amro M Farid
    Abstract:

    The traditional monolithic hospital focused Healthcare system organically developed to address acute conditions. In recent years, Healthcare needs have shifted from treating acute conditions to meeting an unprecedented chronic disease burden. Chronic disease Healthcare is based on continued Delivery outside Healthcare facilities, deep understanding of individual health state, managing individualized health needs and coordination between many medical specialities. Classic Healthcare dynamic models based on production systems and applicable to acute Healthcare inadequately address chronic disease. A new dynamic model paradigm is needed to capture the dynamics of providing Healthcare for individuals with chronic disease based on clinical need rather than patient throughput. This paper develops a Healthcare dynamic model for personalized Healthcare Delivery and managed individual health outcomes. It utilizes a hetero-functional graph theory rooted in Axiomatic Design for Large Flexible Engineering Systems and Petri nets. The dynamics of the model builds upon a recently developed systems architecture for Healthcare Delivery which bears several analogies to the architecture of mass-customized production systems. At its essence, the model consists of two synchronized Petri nets; one for the Healthcare Delivery system and another for individuals' health state evolution. Such a model allows for the transparent description of health outcomes and links them to the evolution of the Healthcare Delivery system and its associated costs.

Aaditeshwar Seth - One of the best experts on this subject based on the ideXlab platform.

Laura E. Happe - One of the best experts on this subject based on the ideXlab platform.

  • INSTRUCTIONAL DESIGN AND ASSESSMENT Using Grey Literature to Prepare Pharmacy Students for an Evolving Healthcare Delivery System
    2020
    Co-Authors: Laura E. Happe
    Abstract:

    Objectives. To assess the impact of using “grey literature” (information internally produced in print or electronic format by agencies such as hospitals, government, businesses, etc) rather than a textbook in a course on Healthcare Delivery systems on students’ perception of the relevance of Healthcare Delivery system topics and their ability to identify credible sources of this information. Design. A reading from the grey literature was identified and assigned to the students for each topic in the course. Assessment. Preand post-course survey instruments were used for the assessment. Students reported Healthcare Delivery systems topics to be moderately relevant to the profession of pharmacy on both the preand post-course survey instruments. Students’ knowledge of current and credible sources of information on Healthcare Delivery system topics significantly improved based on self-reports and scores on objective assessments (p,0.05). Conclusions. Assignment of grey literature in a course on Healthcare Delivery systems can be used to ensure that information in the pharmacy school curriculum is the most current and credible information available.

  • Using grey literature to prepare pharmacy students for an evolving Healthcare Delivery system.
    The American Journal of Pharmaceutical Education, 2013
    Co-Authors: Laura E. Happe, Desiree’ Walker
    Abstract:

    Objectives. To assess the impact of using “grey literature” (information internally produced in print or electronic format by agencies such as hospitals, government, businesses, etc) rather than a textbook in a course on Healthcare Delivery systems on students’ perception of the relevance of Healthcare Delivery system topics and their ability to identify credible sources of this information. Design. A reading from the grey literature was identified and assigned to the students for each topic in the course. Assessment. Pre- and post-course survey instruments were used for the assessment. Students reported Healthcare Delivery systems topics to be moderately relevant to the profession of pharmacy on both the pre- and post-course survey instruments. Students’ knowledge of current and credible sources of information on Healthcare Delivery system topics significantly improved based on self-reports and scores on objective assessments (p

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