HealthManagement, Volume 20 - Issue 8, 2020
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Editorial
New Care Delivery
The COVID-19 pandemic has been an accelerator for a profound paradigmatic shift that started several years ago, from a hospital-centred and centralised acute care system towards a patient-centred and distributed network of multiple actors playing new roles. Autonomy of patients is leveraged, telemedicine and telemonitoring is increasingly used by care professionals, assisting technologies and tech-driven i...
Upcoming Issue
Cover Story: Patient Transformers
Today’s patient is armed, informed and fully engaged in their care delivery. How does this abundance of knowledge change hospital systems and care delivery? How much is the patient already a care consumer with choices - and is there such a thing as too much choice? What innovative ideas is the market offering to face these challenges? This and much more is explored in our upcoming issue. https://...
Management Matters
Hospitals Go Green & Healthy
Following their unique healing mission to ‘first, do no harm,’ hospitals and health professionals should lead the transition to carbon neutrality, reduce their environmental footprint, and adopt effective strategies to respond to the impacts of climate change and pollution without compromising the quality of care. The healthcare sector consumes large amounts of single-use plastic and produces signifi...
Cover Story
Innovating in Healthcare: Hospital Admissions at Home
Today’s hospitals are not yet the hospitals of the future. Emerging societal challenges are demanding a shift towards hospital care at home. Although telemedicine, like telemonitoring and telerehabilitation, has been getting more popular in recent years, hospital admissions at home are still in their infancy. Current organisational and technological barriers prevent large-scale implementation of hospital...
New Health Care Delivery
New care-delivery models should include screening, preventive check-ups and follow-up of patients with chronic diseases. All specialties, including radiology, need to be involved. This will involve significant investment, practice reorganisation and systems that are high-value based and patient-centred. This will require coordination and organisation between primary care centres and referral hospitals. A...
New Era in High Value Care in Europe
High value care has been on the healthcare agenda for some time now, but for many, it is still a concept rather than a reality. As research from EIT Health shows, healthcare providers often lack the tools necessary for the successful transition. To address this gap, the organisation has launched a new initiative, the High Value Care Forum, that aims to facilitate the shift towards patient-oriented outcomes...
Pandemic Accelerating Uptake of New Care Models
Since the start of the COVID-19 pandemic, novel ways of care delivery, such as digital solutions or home-based care, have been shaping the ‘new normal’ in healthcare. An investor reflects on their potential benefits and risks, and explores the elements necessary for their smooth adoption.The COVID-19 pandemic is boosting the adoption of new care delivery modes, which hold great promise and present new...
Point-of-View
Continuous Improvement Through Peer Learning
Traditionally, the radiology community advocates peer review for quality assurance. The current trend is to focus more on peer learning, where learning from peers in a continuous improvement mode becomes more important than focusing on the (number of) diagnostic errors. Agfa HealthCare has developed a module that supports both peer review and peer learning in its Enterprise Imaging (EI) platform. HealthMan...
Workflow Optimization in Radiology: How AI is Helping Clear Waiting Rooms
An overview of the implementation of a GE Healthcare analytics platform at a radiology practice in the German RheinMain region and the Institute for Radiology, Kantonsspital Aarau, Switzerland. Business Intelligence (BI) and Artificial Intelligence (AI) allow medical practices and hospitals to achieve significant increases in efficiency. Implementation of a GE Healthcare analytics platform at a radio...
Setting New Standards in Syncope Management
Syncope is a heterogeneous syndrome with complex underlying mechanisms. The spectrum of patients presenting with syncope is broad, which requires appropriate, often individualized diagnosis paths. “Patients presenting with syncope, a sudden transient loss of consciousness, require appropriate, often individualized diagnosis and treatment.”1 Syncope is a heterogeneous syndrome with complex underly...
Cover Story
Artificial Intelligence and Cardiology: Reaching New Frontiers
Part of the new care delivery in cardiology is the use of artificial intelligence tools that are proving their utility in this evolving field. Electrocardiography has been considered an important diagnostic tool but also could have a role in the prediction of events. One important event to predict is atrial fibrillation due to its causal relationship with stroke, something that could be prevented in many ca...
Building a Hospital Without Walls
In the pursuit to achieve better population health, the Central Health Model of Care is designed to look beyond the hospital walls, and achieve the Five Population Health aims of Better Health and Better Value with Better People delivering Better Care to build a Better Community. A contextualised population health model is necessary to address the issues of Singapore’s changing healthcare needs.Four Pri...
It’s Time for Open MRI
Magnetic Resonance Imaging (MRI) is a powerful diagnostic tool in clinical medicine. However, MRI technology is evolving continuously. In a recent webinar organised by HealthManagement.org, Prof. Penny Gowland, Dr. Aaron Montgomery, Martyn Beckett and Marco Belardinelli looked into the strategies that could be used to maximise the value and the output of MRI by utilising advancing technology. They specific...
Winning Practices
Moscow Radiology: COVID-19 Preparedness and Action
Contributing Authors: Anna Andreychenko, Victor Gombolevskiy, Ekaterina Kuz’mina, Nataliya Ledikhova, Mihail Lobanov, Olesya Mokienko, Elena Panina, Nikita Polyshuk, Evgeniy Popov, Serey Ryzhov, Christina Sergunova, Igor’ Shul’kin, Irina Sokolina, Ilya Soldatov, Irina Trofimenko, Anton Vladzymyrskyy A systematic approach (CT as modality of choice, contactless workflow, staff restructuring, intensive...
New Care Delivery Paradigms
The added value of shifting traditional inpatient surgeries to outpatient ambulatory care centres In 2014-2015, under increasing financial pressure, the inpatient hospital beds at ‘Clinique de la Basilique’ (Basilique Clinic) were converted and adapted for outpatient care. Despite challenges, the clinic succeeded in creating a self-sustained, free-standing, outpatient ambulatory surgical centre. Employm...
