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Author: Seung Yup Lee
Publisher:
ISBN:
Category : Health services administration
Languages : en
Pages : 105
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Book Description
The United States (U.S.) healthcare system is the most expensive in the world. To improve the quality and safety of care, health information technology (HIT) is broadly adopted in hospitals. While EHR systems form a critical data backbone for the facility, we need improved 'work-flow' coordination tools and platforms that can enhance real-time situational awareness and facilitate effective management of resources for enhanced and efficient care. Especially, these IT systems are mostly applied for reactive management of care services and are lacking when they come to improving the real-time "operational intelligence" of service networks that promote efficiency and quality of operations in a proactive manner. In particular, we leverage operations research and predictive analytics techniques to develop proactive coordination mechanisms and decision methods to improve the operational efficiency of bed management service in the network spanning the emergency department (ED) to inpatient units (IUs) in a hospital, a key component of healthcare in most hospitals. The purpose of this study is to deepen our knowledge on proactive coordination empowered by predictive analytics in dynamic healthcare environments populated by clinically heterogeneous patients with individual information changing throughout ED caregiving processes. To enable proactive coordination for improved resource allocation and patient flow in the ED-IU network, we address two components of modeling/analysis tasks, i.e., the design of coordination mechanisms and the generation of future state information for ED patients. First, we explore the benefits of early task initiation for the service network spanning the emergency department (ED) and inpatient units (IUs) within a hospital. In particular, we investigate the value of proactive inpatient bed request signals from the ED to reduce ED patient boarding.
Author: Seung Yup Lee
Publisher:
ISBN:
Category : Health services administration
Languages : en
Pages : 105
Get Book Here
Book Description
The United States (U.S.) healthcare system is the most expensive in the world. To improve the quality and safety of care, health information technology (HIT) is broadly adopted in hospitals. While EHR systems form a critical data backbone for the facility, we need improved 'work-flow' coordination tools and platforms that can enhance real-time situational awareness and facilitate effective management of resources for enhanced and efficient care. Especially, these IT systems are mostly applied for reactive management of care services and are lacking when they come to improving the real-time "operational intelligence" of service networks that promote efficiency and quality of operations in a proactive manner. In particular, we leverage operations research and predictive analytics techniques to develop proactive coordination mechanisms and decision methods to improve the operational efficiency of bed management service in the network spanning the emergency department (ED) to inpatient units (IUs) in a hospital, a key component of healthcare in most hospitals. The purpose of this study is to deepen our knowledge on proactive coordination empowered by predictive analytics in dynamic healthcare environments populated by clinically heterogeneous patients with individual information changing throughout ED caregiving processes. To enable proactive coordination for improved resource allocation and patient flow in the ED-IU network, we address two components of modeling/analysis tasks, i.e., the design of coordination mechanisms and the generation of future state information for ED patients. First, we explore the benefits of early task initiation for the service network spanning the emergency department (ED) and inpatient units (IUs) within a hospital. In particular, we investigate the value of proactive inpatient bed request signals from the ED to reduce ED patient boarding.
Author: Suleyman Yildirim
Publisher:
ISBN:
Category : Industrial engineering
Languages : en
Pages : 0
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Book Description
The healthcare system in the US is rapidly changing and reshaping to adopt continuously evolving demand for improved operational efficiency and treatment effectiveness from patients and providers in critical health services. Healthcare service systems and clinical treatment operations need to be more predictable to increase operational efficiency through proactive operations management. This research contributes to the literature by discovering clinical processes and calibrating discrete-event simulation models in healthcare service systems using data-driven and process-driven predictive models. Unlike the data-driven predictive approaches such as machine learning and statistical methods, the proposed methodologies in this thesis leverages and focuses on process-based methods and analysis in healthcare service systems. Our first contribution is an integrated framework for process-driven multi-variate change point detection by coupling change point detection models with machine learning and process-driven simulation modeling in healthcare service systems. Initial development and succeeding calibration of discrete-event simulation models for complex healthcare systems require precise identification of dynamically changing process characteristics. Existing data-driven change point methods assume that changes are extrinsic to the system and cannot utilize available process knowledge. Our framework leverages simulation models to generate system-level outputs that are then used to predict system characteristics and change points using neural networks. The framework’s optimization layer iterates the change points by repeating simulation and predictive model building steps until the simulated system characteristics conforms to that of the actual process data. Using an emergency department case study, we demonstrate that the developed approach significantly improves change point detection accuracy over data-driven methods’ estimates and is able to detect actual change points. Our second contribution is a time-to-event prediction approach for clinical care operations in intensive care units. By focusing on the sepsis treatment in intensive care units, we predict time-to-event for antibiotic administration at critical vital states of the sepsis-risk patients. Our approach’s most salient aspects are the feature engineering specific to sepsis care and timing and labeling of the predictions. Using a real dataset, MIMIC-III (Medical Information Mart for Intensive Care-III) dataset, we demonstrate that the approach is able to accurately predict a practical time-window for antibiotic administration. Through predicted antibiotics administration time interval, the providers can make informed decisions and the operations staff can proactively coordinate activities to ensure meeting service standards for quality of care.
Author: Li Tao
Publisher: Springer
ISBN: 3030153851
Category : Computers
Languages : en
Pages : 168
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Book Description
Healthcare service systems are of profound importance in promoting the public health and wellness of people. This book introduces a data-driven complex systems modeling approach (D2CSM) to systematically understand and improve the essence of healthcare service systems. In particular, this data-driven approach provides new perspectives on health service performance by unveiling the causes for service disparity, such as spatio-temporal variations in wait times across different hospitals. The approach integrates four methods -- Structural Equation Modeling (SEM)-based analysis; integrated projection; service management strategy design and evaluation; and behavior-based autonomy-oriented modeling -- to address respective challenges encountered in performing data analytics and modeling studies on healthcare services. The thrust and uniqueness of this approach lies in the following aspects: Ability to explore underlying complex relationships between observed or latent impact factors and service performance. Ability to predict the changes and demonstrate the corresponding dynamics of service utilization and service performance. Ability to strategically manage service resources with the adaptation of unpredictable patient arrivals. Ability to figure out the working mechanisms that account for certain spatio-temporal patterns of service utilization and performance. To show the practical effectiveness of the proposed systematic approach, this book provides a series of pilot studies within the context of cardiac care in Ontario, Canada. The exemplified studies have unveiled some novel findings, e.g., (1) service accessibility and education may relieve the pressure of population size on service utilization; (2) functionally coupled units may have a certain cross-unit wait-time relationship potentially because of a delay cascade phenomena; (3) strategically allocating time blocks in operating rooms (ORs) based on a feedback mechanism may benefit OR utilization; (4) patients’ and hospitals’ autonomous behavior, and their interactions via wait times may bear the responsible for the emergence of spatio-temporal patterns observed in the real-world cardiac care system. Furthermore, this book presents an intelligent healthcare decision support (iHDS) system, an integrated architecture for implementing the data-driven complex systems modeling approach to developing, analyzing, investigating, supporting and advising healthcare related decisions. In summary, this book provides a data-driven systematic approach for addressing practical decision-support problems confronted in healthcare service management. This approach will provide policy makers, researchers, and practitioners with a practically useful way for examining service utilization and service performance in various ``what-if" scenarios, inspiring the design of effectiveness resource-allocation strategies, and deepening the understanding of the nature of complex healthcare service systems.
Author: Krisa Tailor
Publisher: John Wiley & Sons
ISBN: 1119130174
Category : Computers
Languages : en
Pages : 224
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Book Description
In The Patient Revolution, author Krisa Tailor—a noted expert in health care innovation and management—explores, through the lens of design thinking, how information technology will take health care into the experience economy. In the experience economy, patients will shift to being empowered consumers who are active participants in their own care. Tailor explores this shift by creating a vision for a newly designed health care system that's focused on both sickness and wellness, and is driven by data and analytics. The new system seamlessly integrates health into our daily lives, and delivers care so uniquely personalized that no two people are provided identical treatments. Connected through data, everyone across the health care ecosystem, including clinicians, insurers, and researchers, will be able to meet individuals wherever they are in their health journey to reach the ultimate goal of keeping people healthy. The patient revolution has just begun and an exciting journey awaits us. Praise for the patient revolution "A full 50% of the US population has at least one chronic disease that requires ongoing monitoring and treatment. Our current health care system is woefully inadequate in providing these individuals with the treatment and support they need. This disparity can only be addressed through empowering patients to better care for themselves and giving providers better tools to care for their patients. Both of those solutions will require the development and application of novel technologies. In Krisa Tailor's book The Patient Revolution, a blueprint is articulated for how this could be achieved, culminating in a vision for a learning health system within 10 years." —Ricky Bloomfield, MD, Director, Mobile Technology Strategy; Assistant Professor, Duke Medicine "In The Patient Revolution, Krisa Tailor astutely points out that 80% of health is impacted by factors outside of the health care system. Amazon unfortunately knows more about our patients than we do. The prescriptive analytics she describes will allow health care providers to use big data to optimize interventions at the level of the individual patient. The use of analytics will allow providers to improve quality, shape care coordination, and contain costs. Advanced analytics will lead to personalized care and ultimately empowered patients!" —Linda Butler, MD, Vice President of Medical Affairs/Chief Medical Officer/Chief Medical Information Officer, Rex Healthcare "The Patient Revolution provides a practical roadmap on how the industry can capture value by making health and care more personalized, anticipatory, and intuitive to patient needs." —Ash Damle, CEO, Lumiata "Excellent read. For me, health care represents a unique economy—one focused on technology, but requiring a deep understanding of humanity. Ms. Tailor begins the exploration of how we provide care via the concepts of design thinking, asking how we might redesign care with an eye toward changing the experience. She does an excellent job deconstructing this from the patient experience. I look forward to a hopeful follow-up directed at changing the provider culture." —Alan Pitt, MD, Chief Medical Officer, Avizia "Whether you're a health care provider looking to gain an understanding of the health care landscape, a health data scientist, or a seasoned business pro, you'll come away with a deeper, nuanced understanding of today's evolving health care system with this book. Krisa Tailor ties together—in a comprehensive, unique way—the worlds of health care administration, clinical practice, design thinking, and business strategy and innovation." —Steven Chan, MD, MBA, University of California, Davis
Author: Karen A. Wager
Publisher: John Wiley & Sons
ISBN: 1119853869
Category : Medical
Languages : en
Pages : 418
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Book Description
The most up-to-date edition of the gold standard in health care information system references In the newly revised Fifth Edition of Health Care Information Systems, veteran healthcare information management experts and educators Karen A. Wager and Frances Wickham Lee, along with nationally-recognized leader in health information technology, John P. Glaser, deliver a one-stop resource for graduate and upper-level undergraduate students to gain the knowledge and develop the skills they need to manage information and information systems technology in the new healthcare environment. The latest edition sees its focus shift from the adoption of health care information systems and electronic health records to making effective use of health care data, information, and systems and optimizing their impact. New additions to this celebrated text include: Explorations of how health care information systems and information technology can be used to support national quality initiatives, value-based payment, population health management, and precision health and quality reporting Discussions of how issues like interoperability, electronic health record usability, and health IT safety are being (or not being) addressed Treatments of the roles played by data governance and analytics in clinical decision making and healthcare operations. Filled with case studies, supplemental resources, and engaging examinations of critical areas in health care information system use, management, implementation, and support, Health Care Information Systems is an ideal reference for students taking courses in business administration, public health, health administration, medicine, health informatics and health care management.
Author: Ouaissa, Mariyam
Publisher: IGI Global
ISBN:
Category : Computers
Languages : en
Pages : 317
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Book Description
In our rapidly evolving digital landscape, the threat of natural disasters looms large, necessitating innovative solutions for effective disaster management. Integrating Artificial Intelligence (AI) and the Internet of Things (IoT) presents a transformative approach to addressing these challenges. However, despite the potential benefits, the field needs more comprehensive resources that explore the full extent of AI and IoT applications in disaster management. AI and IoT for Proactive Disaster Management fills that gap by examining how AI and IoT can revolutionize disaster preparedness, response, and recovery. It offers a deep dive into AI frameworks, IoT infrastructures, and the synergy of these technologies in predicting and managing natural disasters. Ideal for undergraduate and postgraduate students, academicians, research scholars, industry professionals, and technology enthusiasts, this book serves as a comprehensive guide to understanding the intersection of AI, IoT, and disaster management. By showcasing cutting-edge research and practical applications, this book equips readers with the knowledge and tools to harness AI and IoT for more efficient and effective disaster management strategies.
Author: Sushruta Mishra
Publisher: Springer Nature
ISBN: 3030979296
Category : Technology & Engineering
Languages : en
Pages : 487
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Book Description
With rise of smart medical sensors, cloud computing and the health care technologies, “connected health” is getting remarkable consideration everywhere. Recently, the Internet of Things (IoT) has brought the vision of a smarter world into reality. Cloud computing fits well in this scenario as it can provide high quality of clinical experience. Thus an IoT-cloud convergence can play a vital role in healthcare by offering better insight of heterogeneous healthcare content supporting quality care. It can also support powerful processing and storage facilities of huge data to provide automated decision making. This book aims to report quality research on recent advances towards IoT-Cloud convergence for smart healthcare, more specifically to the state-of-the-art approaches, design, development and innovative use of those convergence methods for providing insights into healthcare service demands. Students, researchers, and medical experts in the field of information technology, medicine, cloud computing, soft computing technologies, IoT and the related fields can benefit from this handbook in handling real-time challenges in healthcare. Current books are limited to focus either on soft computing algorithms or smart healthcare. Integration of smart and cloud computing models in healthcare resulting in connected health is explored in detail in this book.
Author: Brian Dixon
Publisher: Academic Press
ISBN: 0323908039
Category : Health & Fitness
Languages : en
Pages : 733
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Book Description
Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understand, manage and make use of a health information exchange infrastructure, which moves patient-centered information within the health care system. The book informs and guides the development of new infrastructures as well as the management of existing and expanding infrastructures across the globe. Sections explore the reasons for the health information exchange (HIE) infrastructures, how to manage them, examines the key drivers of HIE, and barriers to their widespread use. In addition, the book explains the underlying technologies and methods for conducting HIE across communities as well as nations. Finally, the book explains the principles of governing an organization that chiefly moves protected health information around. The text unravels the complexities of HIE and provides guidance for those who need to access HIE data and support operations. Encompasses comprehensive knowledge on the technology and governance of health information exchanges (HIEs) Presents business school style case studies that explore why a given HIE has or hasn't been successful Discusses the kinds of data and practical examples of the infrastructure required to exchange clinical data to support modern medicine in a world of disparate EHR systems
Author: Tom Lawry
Publisher: CRC Press
ISBN: 1000036324
Category : Business & Economics
Languages : en
Pages : 198
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Book Description
We are in the early stages of the next big platform shift in healthcare computing. Fueled by Artificial Intelligence (AI) and the Cloud, this shift is already transforming the way health and medical services are provided. As the industry transitions from static digital repositories to intelligent systems, there will be winners and losers in the race to innovate and automate the provision of services. Critical to success will be the role leaders play in shaping the use of AI to be less "artificial" and more "intelligent" in support of improving processes to deliver care and keep people healthy and productive across all care settings. This book defines key technical, process, people, and ethical issues that need to be understood and addressed in successfully planning and executing an enterprise-wide AI plan. It provides clinical and business leaders with a framework for moving organizations from the aspiration to execution of intelligent systems to improve clinical, operational, and financial performance.
Author: MedStar Mobile Healthcare
Publisher: Jones & Bartlett Publishers
ISBN: 1449690165
Category : Medical
Languages : en
Pages : 164
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Book Description
The healthcare landscape in the United States is evolving rapidly but has largely ignored EMS, until recently. As the country focuses on cost containment and more appropriate methods to deliver services as a result of healthcare reform, EMS will need to undergo dramatic change to fill a new role in the healthcare system. The current traditional delivery method for EMS is financially unsustainable and will soon not be a viable option for care. EMS has a choice to make--adapt to the new environment or be left behind. A viable alternative to the current structure of EMS is Mobile Integrated Healthcare (MIH)--community-based health management that is fully integrated with the overall health system. Various programs like this have appeared across the United States, but a definitive resource that describes how to successfully implement such a program has not been available. Mobile Integrated Healthcare: Approach to Implementation fills this void by serving as a reference not only to the EMS community, but also to other medical professionals working toward implementation of a successful MIH program. Mobile Integrated Healthcare: Approach to Implementation provides a step-by-step approach for the identification of community needs, forming the appropriate partnerships, selection of staff, acquiring resources, patient identification, and overcoming hurdles to a successful program. Examples from successful programs across the country are included. The author team of Mobile Integrated Healthcare: Approach to Implementation has developed and implemented a functioning, successful program. Their experiences with community partners and other healthcare specialists provide a broad-based view of the future of EMS in the healthcare industry. Mobile Integrated Healthcare: Approach to Implementation is written by leaders in the field of EMS who are committed to guiding the successful evolution of EMS. Their approach to integration should be considered by EMS management, hospital-based social workers, and community partners such as county health authorities, homeless coalitions, and psychiatric services. The type of care EMS providers give needs to evolve with the changing landscape of healthcare. This text describes how healthcare professionals and community partners can work together to facilitate that change and define a successful MIH program.
