Introduction

Our previous book made the case for transformation and introduced structural approaches for getting started on the road to success. His new book provides detailed instructions for completing the journey. The Quality Journey Ahead: What Purchasers and Payers Want: Case Studies 1 to 3: Case Studies 4 to 6: Case Study 9 Tallahassee Memorial: Information Technology and the Pursuit of Quality Transformation.

TELEHEALTH: How New Technologies Are Transforming Health Care

The result is But it's beaten by the UK on the number of nurses. The UK has nurses per 10, people, only behind countries like Norway and Germany. Qatar has the lowest health spending in the world, 1. In the past 30 years [], world has witnessed many transitions in healthcare. The major achievements of the last three decades include:. Over the last 30 years, health systems around the world have faced multiple challenges. Some of them are listed below:. Healthcare systems today have to address a host of different challenges resulting from medical and scientific advancement. Developments in the field of genetics, information technologies, and nanotechnology are enforcing a more individualized healthcare—often outside the hospital setting.

And we have already seen the rise of user-centric healthcare and patient empowerment. A diverse group of health system leaders was asked to describe their ideal health system in Their visions are remarkable in their consistency. The preferred health system of the future is strikingly different from the national healthcare systems of today, with empowered patients, more diverse delivery models, new roles and stakeholders, incentives and norms Environmental forces will drive the transformation of health care delivery and finance over the next decade, leading to changes in hospital and health system.

Rapid, unplanned and unsustainable style of urban development will make developing cities the key focal points for emerging environmental and health hazards By , the median age of the population is projected to reach a remarkable level of 46 years in more developed regions.


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In less developed regions, the median age will increase more than 10 years reaching to 35 years in , a level approaching to that of more developed regions currently In the future, hospitals will play a critical role in face of the challenges which the future healthcare will meet. Currently, a hospital building boom can be seen and fueled by increasing demand for health care services and increasingly obsolete hospital plant.

The Emerging Revolution in Health Care Performance, 1st Edition

Though international economy is expected to slow its pace, the continuing investment in hospital construction offers an opportunity to remake the hospital in its design, culture and practices in order to better meet the needs of patients and families and the aspirations of providers. Medical technology will keep advancing. Tools will become smaller and more mobile, allowing people to use them in the home setting. But, unless there are principles to guide the future development of hospitals, progress may simply be frozen in the status quo.

During the past several years, hospitals in the US have witnessed a decline in inpatient volumes along with a corresponding rise in outpatient utilization. It is forecasted that this trend will continue. This ongoing shift to the outpatient setting has been driven largely by advances in minimally invasive surgical techniques and anesthesia that allow patients to recover more quickly. This prediction for inpatient beds may be specific to the US, but it will be same in developing countries due to a number of factors: The Advisory Board Researchers from Washington DC predicts that health care will face five forces over the next 5 to 10 years and beyond, population getting older, changes in lifestyle, information revolution, improvement in clinical technology and a new era of self-enabled healthcare consumer Some of the forces are more complex than they seem and the challenge is when and how to adapt to them.

The burgeoning cost of health care remains a major challenge for all countries. Given that the cost of hospitals is by far the largest component in most health systems, to rein in the cost of health care, we must improve hospital productivity. The research from Advisory Board shows that increasing investments in infrastructure aiming to improve clinical quality and best-in-class cost performance will provide a competitive advantage regardless of the nature of the future market.

Accordingly, their research showed 16 experience on building high quality, low-cost inpatient facilities and making critical implementation decisions associated with facility strategy, such as capacity needs, space planning, design choices, and the construction process. Some lessons are summarized as follow:. They recommended that core organizational competencies organizations should be established and remain successful in this time with sweeping change Organizations on path to implement the above must-do strategies should achieve competency in several areas of care delivery and organizational management.

Similar to the strategies, these competencies are intrinsically connected and aligned. Some of the top driving factors for the global healthcare system in the next 30 years are discussed below. The next 30 years will witness intense changes. There is no rocket science that patterns of previous 30 years will be repeated in exponential numbers. Providing and maintaining adequate clean water, good sanitation and nutritional food will take the center stage of humanities struggle.

One the one hand, medical science is hopeful to solve the mystery of common chronic diseases and improve life expectancies. On the other hand, new diseases will emerge. Medical science will continue to be reactive to social forces and social forces will continue to be major determinants of health and disease in return. The emergence of new infectious agents will be closely related to human activities such as travel, trade, antibiotic usage and ecological degradation. The human-related factors of emergence will increase over the next 30 years. Human population growth on the planet will exacerbate epidemic activity.

The breadth of transmission will continue to increase. The major threats to health will come from geopolitical, economic forces and individual behaviors. Care will not be similar as minimally invasive techniques that may overtake traditional approaches. The lines between secondary and tertiary care will be blurred.

Smaller and more manageable institutes and health centers will emerge, which will decrease health expenditures as providers will focus more on becoming self-sustainable. Medical care will be more self-directed as information is more accessible and user friendly with higher quality. These two capacities will become central to control disease spread. Ebola virus in recent times is a very good example, which gives humanity a scare and hope at the same time.

Practice Areas

In addition, ability to accurately map the planet and its ecosystem may allow people to predict the occurrence of diseases, like weather predictions. Healthcare workforce will use multidisciplinary approaches to fill the gap of health human resource. At global level, countries will try to curtail their expenses and be open to more involvement of private sectors in healthcare.

Transformative Quality

The author has no conflicts of interest to declare. National Center for Biotechnology Information , U. Journal List Mhealth v. Published online Feb 2. Hammad Durrani 1, 2. Author information Article notes Copyright and License information Disclaimer.

Authors/Contributors

Received Dec 15; Accepted Jan Abstract Background Healthcare systems globally have experienced intensive changes, reforms, developments, and improvement over the past 30 years. Methods A structured review of both peer-reviewed and gray literature on the topic was carried out. Results On the whole, people are healthier, doing better financially and live longer today than 30 years ago. Conclusions Evaluating the patterns of previous 30 years and predicting the progress and challenges of future health system are no rocket science.

Health systems, indicators, progress, achievements, challenges, future of healthcare, technology in healthcare. Introduction Health care and health systems all over the world are undergoing intensive reforms. Methods A structured review of both peer-reviewed and gray literature on the subject was conducted.

Transformative Quality: The Emerging Revolution in Health Care Performance - CRC Press Book

Results The result section was divided into two parts, including health systems progress over the last 30 years and health systems of future. Health system progress [] To move towards the future, it is extremely important that one must build on its past success and adapt to changing economic, demographic and epidemiological realities. Table 1 Population comparison in and Comparison areas 6 7 Total world population 4.


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Open in a separate window. Case Studies 1 to 3: Case Studies 4 to 6: Case Study 9 Tallahassee Memorial: Information Technology and the Pursuit of Quality Transformation. We provide complimentary e-inspection copies of primary textbooks to instructors considering our books for course adoption. Learn More about VitalSource Bookshelf. CPD consists of any educational activity which helps to maintain and develop knowledge, problem-solving, and technical skills with the aim to provide better health care through higher standards.


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