Developing Care Bundles for Complex Spine Surgery
Looking for a roadmap for creating successful complex spine surgery bundles.
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Delivering chronic care to patients while assuming 24/7 emergency care: the culture and structure challenges of mixing chronic and acute care missions
A division of primary care in the largest and only public university hospital of a State in Switzerland must assume two missions: delivering chronic care to their patients and offereing emergency care 24/7 to the population. Organisation and recuperation of the staff delivering night and WE shift has a direct impact of the organization of delivering chronic care; it is desorganizing the agenda of healthcare professional taking care of chronic patients leading to discontinuity of the physician-patient relationship because of recuperation. Also the culture of chronic vs acute care is not the same and lead to a misalignment between healthcare professionals principles and their missions. How these two missions can be reconciled culturally and structurally ?
Medication reconciliation
Medication lists – too many shades of gray for black and white
Addressing unnecessary emergency department (ED) use
Addressing unnecessary ED use
Developing a spine care IPU with different private practice groups
How can we engage different providers in private practice to participate in a spine care IPU.
Different Billings for Same Procedure.
Same procedure in same hospital but different billings for two different patients.
Effective retention program in a center of ophthalmology
Effective retention program needed to retain staff
Communicating Test results
Communicating results in a timely fashion and answering messages from our patients.
Price Transparency and Reference Pricing
Our patients have no clue about cost and pricing in healthcare. Imitating other industries by creating pricing reference for different tests and procedures and maybe even creating charts with fluctuating prices depending on demand day/time of the week.
Leadership issue, introduction of motivation (incentive) scheme in University hospital
Setting up new motivation (incentive) scheme for the senior executives in University hospital – 700 beds