...Change Management in Action Planning and implementing change in healthcare: a practical guide for managers and clinicians Nadia Gittins and Simon Standish HLSP Institute Why What hat If W How September 2010 Who About tHiS bookLet contentS This booklet is aimed at senior clinicians and healthcare managers who would like help in thinking through, planning and then implementing changes to their healthcare services locally. It provides practical assistance in a way that assumes no prior theoretical background to what is often called ‘change management’. Introduction The Why of change The What of change 3 5 8 10 14 16 17 the booklet is based on HLsP’s experience in supporting individuals and organisations in several countries including nigeria and Russia. Most recently, HLsP designed a successful change management programme conducted for over 400 Iraqi clinicians, administrators and policy makers during 2007-2009. the aim of this programme was to assist participants to become Agents of Change in re-establishing their healthcare system1. there is a wealth of tools and techniques to help with planning and achieving change. Based on HLsP’s experience, the team refined the approach and focused on the tools that really help clinicians to formulate, sell and negotiate their vision of change, and then to plan for successful implementation. the tools presented in this booklet are the ones that clinicians and managers participating in change management programmes...
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...Use of M.I.S. Packages in Health Projects in India A Suite of software packages (like to monitor the Prevention of Food Adulteration, software for Medical Certification of Cause of Death (MCCD), Software for Processing Bed Occupancy & Mortality Rate, DOTS (Directly Observed Treatment Short-term for eradication of TB disease). Medicine Inventory Monitoring System (MIMS), Doctors Leave Accounting System and Family Welfare MIS, Malaria Monitoring Software, Software for National School Health Programme and G2G e-Office packages has been implemented at Civil Surgeons offices under e-health Net Project. This has helped in greater availability of medicines to the patients in govt. health institutes and Doctor’s availability in rural dispensaries. E-Health Net received National Silver Icon Award along with Health Care Foundation at 8th national e-Governance conference. Website of Health department has been launched. Hospitals OPD MIS, Physically Handicapped Certificate Issuing systems introduced. GOI sponsored IDSP (integrated Disease Surveillance Project) initiated at all districts. Intermediate Technologies – IT Power India Pvt. Ltd. (ITPI) is the well known private limited company in the field of renewable energy and environment management consultancy with the object of promoting sustainable development. ITPI has the widest range of expertise in both the above sectors, covering strategic planning as well as functional areas of operations including funding and financial...
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...Rural Health Management in India Dec -2013 Contents Lists of Contents Page No 1. List of Abbreviations 3 2. Abstract 4 3. Introduction 6 3.1 Private Sector in India 7 3.2 THE ROLE OF THE PRIVATE SECTOR IN HEALTH CARE 8 3.3 Public/Private Partnership 8 3.4 OBJECTIVES OF PUBLIC PRIVATE PARTNERSHIPS 10 3.5 Classifying PPPs 10 3.6 Challenges in Partnership 11 3.7 Characteristics of Partnership 12 3.8 Scope and types of partnership 13 3.9 The Study for Research paper 15 3.10.1 Analysis and Discussion 16 3.10.2 Overview of the Case Studies 16 3.10.3 Enabling Conditions 17 3.10.4 Equity and Accessibility 19 3.10 Private partner selection and obligations of the Partners 19 3.11 Performance Specifications 20 3.12 Resource implications 20 3.13 Autonomy 21 3.14 Technical and managerial capacity 22 3.15 Quality of services 23 3.16 Stakeholder Perspectives 23 4. Summary and Conclusion 24 5. References 26 6. Annexure 29 1. List of Abbreviations PPP Public Private Partnership HSR Health Sector Reform ADBI Asian Development Bank Institute NRHM National Rural Health Mission FRU First Referral Unit MMVs Mobile Medical Unit CHC Community Health centre ...
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...Content 1. Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 4 1.1 Market Potential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 4 1.2 Business Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.3 Summary of Business Plan . . . . . . . . . . . . . . . . . . . . . . . . . . … . 5 2. Company Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.1 Business Features And Functionality . . . . . . . . . . . . . . . . . . . . . . 6 2.1.1 Product Differentiation – Close Proximity . . . . . . . . . . . . … 7 2.1.2 Product Differentiation – Mass Tuition For All Subject. . . . 7 2.2 Start-Up Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.3 Pricing Strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.4 Revenue Forecast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 3. Competitive Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 3.1 Demand Effect – Changes of Prices and Quantity . . . . . . . . . . . 11 3.1.1 Demand Effect - Income . . . . . . . . . . . . . . . . . . . . . . . . . . 11 3.1.2 Demand Effect – Preference . . . . . . . . . . . . . . . . . . . . . . . 12 3.2 Supply Effect – Changes on Price and Quantity. . . . . . . . . . . . . . 12 3.2...
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...Impacts of using day care facility on children due to maternal employment Methods of Business Research Submitted by Sumbal Syed MBA 14 14-1220 Research Title: Impacts of using day care facility on children due to maternal employment. Introduction In the past few years there has been an increase in trend for women to be pursuing a career, and hence, working mothers are bound to use daycare facilities to assist them in managing their children along with other responsibilities. These children therefore get a divided share of family/home atmosphere as being part of bringing up. As part of this research project, I shall study the impact of day care facility on the children of working mothers. Keywords: Maternal employment, Working mothers, impacts of external child care, daycare facility, child care, career oriented mothers, physiological health factors, personality development. Problem statement Our problem statement shall primarily be “The effect of using day care facility on child care due to maternal employment.” In simpler words, we shall study the impact of the use of day care facilities by working mothers and its effects upon the upbringing of children. Objectives There is a need to identify if this increasing trend is beneficial for the children in the long run or not. Thus, basic objective of the research shall be to conduct a study and conclude the following: 1. Identify their mental and physiological health factors affecting the children ...
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...179 International Journal of Collaborative Research on Internal Medicine & Public Health Specifics of the Activity-Based Applications in Hospital Management Boris Popesko * Tomas Bata University in Zlin, Czech Republic * Corresponding Author; Email: popesko@fame.utb.cz Abstract Paper analyses the specifics of the application of Activity-Based Costing method in hospital management. Primary objective of the paper is to outline the methodology of the ABC application in hospitals. First part of the paper analyzes the ways of ABC implementation in published foreign studies. Second part describes the individual steps in ABC application and discusses the differences in the application procedures between the manufacturing and hospital organization. Key words: Healthcare Management, Cost Management, Activity-based costing, Introduction In the last decade, many non-profit and hospital organizations started to face difficulties and challenges in balancing limited resources and costs to provide their demand for services. Due to the introduction of modern medical techniques and medicines and consequent increase of consumed costs, many hospitals are under pressure to adopt more advanced cost management techniques usually utilized only in profit organization sector. Hospital managers frequently seek the advanced techniques, for better understanding of relations between the cost and provided services. One of the key factors of effective company management is ability of accurate...
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...Analysis of Factors Influencing Adequate Funding of Social Health Care in the Tower Hamlets, London DECLARATION I declare that this is my original work and has not been submitted in any other university or institution for examination. Signature Date Student no: Stud - This is to confirm that the work this proposal was done by the student under our supervision. SignatureDate Supervisor 1: For and behalf of (Name of institution) Signature Date Chairperson, Department of ( ) DEDICATION This work is dedicated to my family members for their enduring support they gave for the whole time I was pursuing this project. ACKNOWLEDGEMENT First, I would like to thank my supervisor .................... who has guided me in writing this project. More particularly my special thanks go to my lecturers for taking me through the whole course. I am also greatly indebted to my fellow students who were with me throughout the course work. OPERATIONAL DEFINITION OF TERMS Class A drugs- drugs deemed by the government to cause the most lethal harm when consumed. They attract heavy jail terms including life in prison. Community care- a term used in healthcare policies to mean looking after people with particular needs in the community. Local strategic partnership- a single non-statutory body, aligned with local authority boundaries that bring together at a local level the different parts of the public sector as well as the...
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...countering socio-economic disadvantage Research paper for Ofsted’s ‘Access and achievement in education 2013 review’ Professor Chris Pascal and Professor Tony Bertram UK Research Team: Sean Delaney, Selma Manjee, Marjory Perkins and Manja Plehn International Research Team: Alice Bennett, Carol Nelson, Sarina Razzak and Maureen Saunders Centre for Research in Early Childhood (CREC) © Centre for Research in Early Childhood (CREC) 2013 The views expressed in this report are the authors’ and do not necessarily reflect those of Ofsted. Any enquiries regarding this publication should be sent to Elizabeth Boulton at publishing@ofsted.gov.uk or Aviation House, 125 Kingsway, London WC2 6SE This publication is available at www.ofsted.gov.uk/accessandachievement. No. 130155-RR-005 In June 2012, Sir Michael Wilshaw, HMCI, stated his determination to address the issue of narrowing the gap of educational achievement between disadvantaged pupils and others. To support this intention, The Centre for Research in Early Childhood has been commissioned by OfSTED to conduct a review looking at the impact of Early Childhood Education (ECE) initiatives to combat social and economic disadvantage, both in the UK and internationally. This paper: Examines the impact of national and international initiatives in ECE over the last 10 years on the ...
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...CONCEPT ANALYSIS Safeguarding Vulnerable Adults: Concept Analysis Abstract Aim. This study is to analyse the concept of safeguarding the vulnerable adults and the role of registered nurse. Background. Registered nurse has major responsibilities in caring and safeguarding the vulnerable adult population. Reduction of health inequalities among vulnerable adults are top international healthcare priorities. Vulnerable adults are among most vulnerable of the populations, many people associate vulnerability with old age only, resulting in negative stereotypical views. Understanding the concepts of vulnerability as relates to adults population, examines how and why adults could be vulnerable will help nurse to educates the vulnerable adults about the rights and choices available to them, enabling nurse to safeguarding the vulnerable adults and empower the vulnerable adults to participate fully in the society. Data Sources. Data source include the Nursing Standard, The PubMed, Health & Social Care information Centre (hscic), Department of Health, Action on Elder Abuse, Offices of National Statistics (ONS), electronic databases were used to search for research papers, articles published between 2000-2013. The searching keywords used are ‘Vulnerable’, ‘Abuse’, ‘vulnerability’, ‘safeguarding’. Seventeen papers from variety of disciplines, including nursing, public health, social-care and medicine were reviewed. Method. The concept analysis was done using Rodgers’ evolutionary...
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...Analysis of Organizational Culture HAD 5731 Fitzpatrick, Harris, Kerr, Malhotra, Perkins, Salisbury, Topping Introduction Organizational culture encompasses the fundamental values, assumptions and beliefs that are held in common by members of an organization (Helfrich et al, 2007). Culture can be characterized as a basic implicit theory of mutual assumptions, invented, discovered, or developed by a group that determine how they think, feel and behave as they assimilate internally and adapt to the external environments of an organization (Schein, 1996). Culture is an important variable that defines an organization and has significant implications on its ability to be effective and efficient. Culture can be a critical barrier to leveraging new knowledge and implementing technical innovation (Helfrich et al, 2007). This paper will first provide an overview and analysis of the cultures and subcultures of two Ontario healthcare organizations - Trillium Health Centre (THC) and Credit Valley Hospital (CVH) in the context of a recent voluntary merger of the two organizations. The paper will then examine the impact of the dominant and sub- organizational cultures on the capability of the two organizations to be more effective, efficient and patient focused, as will the ways in which these cultures create barriers to current change efforts. Finally, the paper will identify recommendations for the merged leadership of the organizations to consider in order mitigate the identified...
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...Address of author Institute for the Study of Children, Families & Social Issues 7 Bedford Square London WC1B 3RA Email: e.melhuish@bbk.ac.uk Table of Contents Executive Summary 3 1. Introduction 1.1. The context of childcare research 1.2 Types of childcare and pre-school provision 1.3 Evidence on developmental effects 1.4 Structure of report 7 7 8 10 10 2. Childcare as intervention 2.1 Research methodology 2.2 Randomised Control Trials (RCTs) 2.2.1 Ypsilanti/High Scope/Perry Pre-school Study 2.2.2 Abecedarian Project 2.2.3 Project CARE 2.2.4 Milwaukee Project 2.2.5 Infant Health and Development Program (IHDP) 2.2.6 Early Head Start (EHS) 2.2.7 Hackney study Table 1: Summary of Randomised Control Trials of Interventions 2.3 Quasi-experimental Studies 2.3.1 Head Start 2.3.2 Chicago Child – Parent Center Program 2.3.3 Syracuse Study 2.3.4 Brookline Early Education Project 2.3.5 Diverse State-based programmes in the US 2.3.6 Meta-analyses and reviews Table 2: Summary of Quasi-experimental Evaluations of Interventions 2.3.7 Summary of childcare as intervention 12 12 12 12 13 14 15 16 16 18 20 21 21 24 25 25 26 27 29 30 3. Research of General Populations 3.1 Childcare (0-3 years) 3.1.1 Socio-emotional development 3.1.1.1 Attachment 3.1.1.2 Beyond Infant Attachment 3.1.2 Cognitive development 3.1.3 Language development 3.2 Pre-school for 3+ year old children 31 31 31 31 38 46...
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...1981). Studies have also shown that patients’ various psychosocial diagnoses are indicators of missed appointments (Goldman et al., 1982). Patients diagnosed with at least one psychological diagnosis, including mood disorders, such as depression and bipolar disease, anxiety disorders, such as panic attacks and posttraumatic stress disorder, and thought disorders, such as schizophrenia and personality disorders, were more likely to miss appointments compared to patients without psychological diagnoses (Savageau et al., 2004). Finally, Perron et al. showed that patients with substance abuse disorders are more likely to miss appointments (Perron et al., 2010). In order to reduce no-show rates in a hospital gastrointestinal (GI) clinic this project analyzed potential indicators of missed appointments. Based on a conceptual model grouping various barriers that lead to missed appointments (Figure 1, Appendix A), patient level factors were the main focus. The patient-level factors analyzed are colonoscopy procedure, previous GI appointment absenteeism, mood disorder, personality disorder and other substance abuse disorder among patients at the GI clinic. Variables were selected based on information presented in lecture by...
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...reports published by the Centers for Disease Control and Prevention Injury Centre (2007), falls are the third most common cause of unintentional injury death across all age groups and the first leading cause among people 65 years and older (Tzeng, H., & Yin, C. (2008). A hospital can be a dangerous and erratic place for inpatients because of its unfamiliar physical environment (different from their home settings) and because of changes in patients’ medical conditions as related to their physical and psychological health and sensory systems (Tzeng, H., & Yin, C. (2008). The following research articles focus on the nurses’ role in preventing and managing patient falls in the hospitals. As part of the assignment abstract from the articles are included. Literature Search 1: Nurses’ Solutions to Prevent Inpatient Fall in Hospital Rooms. Abstract Patient fall rates are perceived as the indicator that could be most improved through nurse-led safety strategies or interventions. A safety-driven design with a goal to prevent inpatient fall-related injuries should be a hospital design principle. In this qualitative study, researchers used inductive and deductive methods to understand the clinically accessible solutions to minimize the extrinsic risk factors of inpatient falls. The findings from the nurse interviews were compared with the intervention strategies toward the five primary root causes of fatal falls as suggested by the Joint Commission (2005b). Twenty-four...
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...doctors will come together on a regular basis in a teaching environment to work alongside each other to gain the following skills: • Patient safety in relation to drug administration • Patient safety in relation to drug prescribing • A clearer understanding of each others role • Practical experience in drug administration and drug prescribing in a non –threatening environment • Insight into pharmacology and pharmokinetics and it’s importance in prescribing and administration of drugs. This three-year study we propose to write up and evaluate and hope to publish with the intention to produce learning materials and educational packs to be marketed at later date Rationale for Change Project Medications Errors within any health care setting can have severe consequences not only for the patient but financially for the organisation if litigation comes about. Medication errors can be defined as “any incorrect or wrongful administration of a medication, such as a mistake in dosage or route of administration, failure to prescribe or administer the correct drug or formulation for a particular disease or condition, use of outdated drugs, failure to observe the correct time for administration of the drug, or lack of awareness of adverse effects of certain drug combinations.” Mosby Medical Dictionary (2009). Causes of medication error may...
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...Health Insurance Needs, Awareness and Assessment in the Bahraich District, Uttar Pradesh JANUARY 2008 This publication was produced for review by the United States Agency for International Development. It was prepared by Constella Futures, New Delhi ITAP is a three-year project funded by United States Agency for International Development under Contract No. GPO-1-01-0400015-00 beginning April 1, 2005_ The project is being implemented by Constella Futures in partnership with Bearing Point, Sibley International, Johns Hopkins University, QED, Urban Institute and Association of Reproductive Health Professionals (ARHP). For further information contact: Constella Futures 1 D-11, Parkwood Estates Rao Tula RamMarg New Delhi 1100 022 Health Insurance Needs, Awareness and Assessment in the Bahraich District, Uttar Pradesh JANUARY 2008 The authors' views expreseed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government Contents List of Tables List of Figures List of Abbreviations Executive Summary Chapter 1: Background and Methodology .......................................................... 1.1 Introduction... 1.2 Objectives of the Study ................................. 1.3 Study Design and Methodology ....................................................................... 1.3.1 Sampling and Sample 1.3.2 Study techniques ..............................................
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