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Alharbi MF, Senitan M, Mominkhan D, Smith S, ALOtaibi M, Siwek M, Ohanlon T, Alqablan F, Alqahtani S, Alabdulaali MK. Digital innovative healthcare during a pandemic and beyond: a showcase of the large-scale and integrated Saudi smart national health command centre. BMJ LEADER 2024:leader-2023-000890. [PMID: 39025486 DOI: 10.1136/leader-2023-000890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 07/01/2024] [Indexed: 07/20/2024]
Abstract
INTRODUCTION The increasing frequency of pandemics, demand for healthcare and costs of healthcare services require efficient health systems with integrated care via a command centre that ensures a centralised and coordinated approach to exercise effective leadership. DESCRIPTION We present a case study using the conceptual framework of Franklin to describe the novel system-based engineering approach of the Saudi National Health Command Centre (NHCC) including its features and outcomes measured. DISCUSSION The NHCC is structured into four departments and four zones with real-time data integration and visualisation on 88 dashboards. To empower leadership, it harnesses artificial intelligence affordances such as machine learning algorithms to enhance functionality, decision-making processes and overall performance. This allows for the rapid assessment of available resources and to monitor healthcare system efficiency at diverse levels of clinical and system indicators. Enhanced proactive capacity management has contributed to reducing lengths of stay, average supply chain lead time and surgery waiting list; early bending of the COVID-19 curve resulting in a low mortality rate; increasing bed capacity; deploying medical staff and mechanical ventilators rapidly; rolling out the COVID-19 vaccination programme and improving patient satisfaction. CONCLUSION Integrating a healthcare system with a command centre provides healthcare leaders with the necessary infrastructure to create synergy between people, processes and technologies. This substantially improves both patient and service outcomes. It also allows for immediate care coordination and resource allocations and safeguards ease of access to care.
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Affiliation(s)
- Muaddi F Alharbi
- The Studies and Consulting Office at the Assistant Minister of Health, Saudi Arabia Ministry of Health, Riyadh, Saudi Arabia
| | - Mohammmed Senitan
- Public Health Department, Faculty of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia
| | - Dalia Mominkhan
- National Health Command Center, Saudi Arabia Ministry of Health, Riyadh, Saudi Arabia
| | - Sidney Smith
- Division of Cardiology, University of North Carolina, Wilmington, North Carolina, USA
| | - Maram ALOtaibi
- Health Support Services, Saudi Arabia Ministry of Health, Riyadh, Saudi Arabia
| | - Michal Siwek
- Ascend Advanced Healthcare Solutions, Riyadh, Saudi Arabia
| | - Tim Ohanlon
- Ascend Advanced Healthcare Solutions, Riyadh, Saudi Arabia
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Hyett N, Hutchinson M, Doyle D, Adem T, Coghill D, Harvey P, Lees C, O'Sullivan B. Rural community-centred co-planning for sustainable rural health systems. Aust J Rural Health 2024. [PMID: 38989766 DOI: 10.1111/ajr.13162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 06/14/2024] [Accepted: 06/22/2024] [Indexed: 07/12/2024] Open
Abstract
OBJECTIVE Sustaining rural healthcare services is challenging because of numerous systemic factors. Rural communities can inform the design of sustainable rural health models; however, further evidence of effective co-design is needed to guide implementation. The study aim was to co-design a series of place-based and evidence-informed rural health models, to improve local health system sustainability. SETTING A rural region (categorised as Modified Monash Model 5) defined by three adjoining Shires in Central and Northwest Victoria, Australia. PARTICIPANTS A health executive co-planning network led the co-design, with input and oversight from a broader cross-sector group. Healthcare professionals (n = 44) and consumers and carers (n = 21) participated in interviews, and an online survey was completed by healthcare professionals (n = 11) and consumers and carers (n = 7) to provide feedback on the preliminary results. DESIGN Community-based participatory action research was applied incorporating co-design methods and systems thinking. Data were collected through qualitative interviews followed by an online feedback survey. Mixed method data analysis (QUAL-quant) was conducted with qualitative directed content analysis of interview transcripts and quantitative descriptive analyses of survey responses to aid prioritisation. RESULTS Healthcare priorities, strengths and challenges, and proposed rural health models are described. A rural health system sustainability strategy was developed with three integrated pillars: 1. Workforce strengthening, 2. Integrated health services and 3. Innovative models of care. CONCLUSION Community-centred co-design with rural health stakeholders was effective for generating locally tailored ideas and potential health models that emulate community strengths and resources, and provide a foundation for further planning, implementation and evaluation.
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Affiliation(s)
- Nerida Hyett
- Murray PHN, Monash University, La Trobe University, Bendigo, Victoria, Australia
| | | | - Donna Doyle
- Boort District Health, Boort, Victoria, Australia
| | - Trevor Adem
- East Wimmera Health Service, Saint Arnaud, Victoria, Australia
| | - Dallas Coghill
- Inglewood & Districts Health Service, Inglewood, Victoria, Australia
| | - Pamela Harvey
- Monash Rural Health, Monash University, Bendigo, Victoria, Australia
| | - Catherine Lees
- Murray PHN, La Trobe University, Monash University, University of Melbourne, Melbourne, Victoria, Australia
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While A. Spinning plates or perfect jigsaw? Br J Community Nurs 2024; 29:312-313. [PMID: 38963270 DOI: 10.12968/bjcn.2024.0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024]
Affiliation(s)
- Alison While
- Emeritus Professor of Community Nursing, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London and Fellow of the Queen's Nursing Institute
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Nekouei Marvi Langari M, Lindström J, Heponiemi T, Kaihlanen A, Hietapakka L, Heidarian Miri H, Turunen H. Integrated care competencies and their association with cross-cultural competence among registered nurses: A cross-sectional questionnaire survey. Nurs Open 2024; 11:e2062. [PMID: 38268264 PMCID: PMC10840592 DOI: 10.1002/nop2.2062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 08/25/2023] [Accepted: 11/19/2023] [Indexed: 01/26/2024] Open
Abstract
AIM To examine the association between the integrated care competencies and cross-cultural competence of registered nurses prior to the integration of social and healthcare services in Finland. DESIGN A descriptive correlational cross-sectional questionnaire survey was conducted. METHODS A simple random sample of 10,000 registered nurses was drawn from the Finnish Central Register of Valvira (National Supervisory Authority for Welfare and Health); 7000 of them were sent the online questionnaire, and a total of 1232 registered nurses participated in the study. We collected data using background questions, revised versions of the Competent Workforce for the Future tool in the four domains of client orientation, responsibility for personal or relative's welfare, fluency and clarity of services and access to the services and of the Cross-Cultural Competence of Healthcare Professional tool in the four domains of motivation/curiosity, attitude, skill and emotion/empathy. RESULTS Participants demonstrated a high level of integrated care competencies (mean = 4.00, SD ± 0.49). An association was observed between integrated care competencies and their domains of skills, motivation/curiosity, emotions/empathy, and cross-cultural competence (p < 0.001). Female sex, older age, more working experience, employment in the private sector, and higher self-rated competence for working in a multicultural environment were positively associated with higher integrated care competencies. CONCLUSION It is recommended that nurse managers and nurse educators emphasize the development of registered nurses' cross-cultural competence alongside integrated care competencies to meet the needs of different individuals and communities when providing integrated care. PATIENT OR PUBLIC CONTRIBUTION Finnish registered nurses including all types of nurses, midwives and paramedics working the public and private healthcare, were involved in this study by responding to the online survey.
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Affiliation(s)
| | - Jaana Lindström
- Population Health Unit, Department of Public Health and WelfareFinnish Institute for Health and WelfareHelsinkiFinland
| | | | | | | | | | - Hannele Turunen
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
- Kuopio University HospitalKuopioFinland
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Lindner-Rabl S, Singler K, Polidori MC, Herzog C, Antoniadou E, Seinost G, Roller-Wirnsberger R. Effectiveness of multi-professional educational interventions to train Comprehensive Geriatric Assessment (CGA) - a Systematic Review. Int J Integr Care 2023; 23:9. [PMID: 37601034 PMCID: PMC10437136 DOI: 10.5334/ijic.7549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 08/01/2023] [Indexed: 08/22/2023] Open
Abstract
Introduction As the world population ages, health and social care professionals are increasingly confronted with patients with chronic long-term conditions and multimorbidity, requiring an extensive assessment and integrated care management strategy. The aim of this paper was to systematically collect and assess evidence of interprofessional education and training strategies for Comprehensive Geriatric Assessment (CGA) to build a competent health workforce. Methods A systematic review was conducted according to PRISMA guidelines and the databases Medline, CINAHL, Cochrane and Embase were searched for studies illustrating effectiveness of educational interventions for teaching and training CGA in an interprofessional context. Results Based on 21 identified studies, a great variability and heterogeneity in duration, setting and design of the interventions was identified. Promising results were found in the domains analysed, ranging from knowledge and skills; practices and behaviour; patient health outcomes; attitudes and perceptions to collaboration and quality of care. Discussion Education and training of transversal skills within a continuous learning approach is key to equip the health care workforce for successful CGA performance in an interprofessional environment. Conclusion Further research in this field is recommended to strengthen the evidence-base towards development of a resilient and integrated health care workforce for an ageing population.
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Affiliation(s)
- Sonja Lindner-Rabl
- Medical University of Graz, Department of Internal Medicine, Graz, Austria
| | - Katrin Singler
- Institute for Biomedicine of Ageing, Friedrich-Alexander University Erlangen-Nürnberg, Nuremberg, Germany
- Department of Geriatric Medicine, Klinikum Nürnberg, Paracelsus Private Medical University, Nürnberg, Nuremberg, Germany
| | - M. Cristina Polidori
- Faculty of Medicine and University Hospital Cologne, Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine Cologne, Cologne, Germany
- Cologne Excellence Cluster on Cellular Stress-Responses in Aging-Associated Diseases (CECAD), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Carolin Herzog
- Medical University of Graz, Department of Internal Medicine, Graz, Austria
| | | | - Gerald Seinost
- Medical University of Graz, Department of Internal Medicine, Division of Angiology, Graz, Austria
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Akselrod S, Collins TE, Hoe C, Seyer J, Tulenko K, Ortenzi F, Berlina D, Sobel H. Building an interdisciplinary workforce for prevention and control of non-communicable diseases: the role of e-learning. BMJ 2023; 381:e071071. [PMID: 37220940 PMCID: PMC10203826 DOI: 10.1136/bmj-2022-071071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
| | - Téa E Collins
- Global NCD Platform, World Health Organization, Geneva, Switzerland
| | - Connie Hoe
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Julia Seyer
- World Medical Association, Ferney-Voltaire, France
| | - Kate Tulenko
- Global NCD Platform, World Health Organization, Geneva, Switzerland
| | - Flaminia Ortenzi
- Global NCD Platform, World Health Organization, Geneva, Switzerland
| | - Daria Berlina
- Global NCD Platform, World Health Organization, Geneva, Switzerland
| | - Howard Sobel
- Maternal Child Health and Quality Safety, World Health Organization Regional Office for the Western Pacific, Manila, Philippines
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Moss P, Nixon P, Baggio S, Newcomb D. Turning Strategy into Action - Using the ECHO Model to Empower the Australian Workforce to Integrate Care. Int J Integr Care 2023; 23:16. [PMID: 37215958 PMCID: PMC10198227 DOI: 10.5334/ijic.7036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 05/09/2023] [Indexed: 05/24/2023] Open
Abstract
Introduction Children's Health Queensland (CHQ) established a telementoring hub in Queensland, using the Project ECHO® model, to pilot and scale a range of virtual communities of practice (CoP) to empower the Australian workforce to integrate care. Description The establishment of the first Project ECHO hub in Queensland facilitated the implementation of a variety of child and youth health CoP that strategically aligned to the organisation's approach to integrate care through workforce development. Subsequently, other organisations nationally have also been trained to implement and replicate the ECHO model to effect more integrated care through CoPs in other priority areas. Discussion Findings from a database audit and desktop analysis of project documentation highlighted that using the ECHO model was effective in establishing co-designed and interprofessional CoP to support a cross-sector workforce to deliver more integrated care. Conclusion CHQ's use of Project ECHO highlights an intentional approach to establishing virtual CoP to build workforce capability to integrate care. The approach explored in this paper highlights the value of workforce collaboration amongst non-traditional partners to foster more integrated care.
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Affiliation(s)
- Perrin Moss
- Bachelor of Business, Bachelor of Creative Industries, ECHO Program Manager, Children’s Health Queensland, and Doctor of Philosophy candidate, The University of Queensland, PO Box 3474 South Brisbane 4101, Queensland, Australia
| | - Phil Nixon
- Bachelor of Physiotherapy, Master of Development Practice, Graduate Certificate in Clinical Education, ECHO Network Coordinator, Children’s Health Queensland, PO Box 3474 South Brisbane 4101, Queensland, Australia
| | - Sarah Baggio
- Bachelor of Health Sciences (Physiotherapy), Honours Bachelor of Kinesiology (minor Gerontology), ECHO Network Coordinator, Children’s Health Queensland, PO Box 3474 South Brisbane 4101, Queensland, Australia
| | - Dana Newcomb
- Bachelor of Medicine, Bachelor of Surgery, Diploma of Child Health, Fellow of the Royal Australian College of General Practitioners, Medical Director Integrated Care, Children’s Health Queensland, and Senior Lecturer, Primary Care Clinical Unit, The University of Queensland, PO Box 3474 South Brisbane 4101, Queensland, Australia
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Dharmarajah K, Macaulay C. Integrated care: putting principles into practice and becoming the paediatrician of the future. Arch Dis Child 2023; 108:174-175. [PMID: 35045968 DOI: 10.1136/archdischild-2021-322930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 12/23/2021] [Indexed: 11/03/2022]
Affiliation(s)
- Kate Dharmarajah
- General Paediatrics, Evelina London Children's Hospital, London, UK
| | - Chloe Macaulay
- General Paediatrics, Evelina London Children's Hospital, London, UK
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