Journal articles: 'Health service improvement'

1

HEWISON, ALISTAIR. "Service improvement in health care." Journal of Nursing Management 18, no. 7 (October 2010): 779–81. http://dx.doi.org/10.1111/j.1365-2834.2010.01177.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Shepherd, Nicole, Thomas J. Meehan, Fiona Davidson, and Terry Stedman. "An evaluation of a benchmarking initiative in extended treatment mental health services." Australian Health Review 34, no. 3 (2010): 328. http://dx.doi.org/10.1071/ah09698.

Full text

Abstract:

Aim.To evaluate the effectiveness of a benchmarking initiative in facilitating quality improvement and reform in extended care mental health services. Method.Individual interviews and focus group discussions were conducted with 84 staff in 22 extended care mental health services that had previously participated in a State-wide benchmarking exercise in Queensland, Australia. Results.Staff reported positive outcomes from participation in the benchmarking exercise. Information derived from benchmarking provided a different perspective on the strengths and weaknesses of individual services and an opportunity to learn from peer services. Staff in 86% of the services identified issues that needed to be addressed and 64% of services had implemented one or more service improvement projects in response to shortcomings identified through the benchmarking exercise. Conclusions.The collection and reporting of performance data through a process of benchmarking was successful in facilitating service improvement in most of the participating facilities. Engaging services in all stages of the process was considered useful in converting benchmarking data into knowledge that was able to be applied at the local service level. What is known about the topic?Implementing and maintaining service improvement initiatives in mental health services can be difficult, due to ongoing resource limitations in the sector. Although there is currently a drive to promote benchmarking for mental health services, to date, there has been limited evidence that it leads to sustained service improvements. What does this paper add?This paper reports on an evaluation of a benchmarking initiative in extended treatment mental health services in Queensland, Australia. Six months after implementation, staff reported positive outcomes from participation in the project, and 64% of services had implemented one or more service improvement projects. Engagement of service staff in the process of benchmarking is important to ensure success. What are the implications for practitioners?Benchmarking initiatives can lead to service improvement. It is important to involve staff in the process of benchmarking, from choosing performance indicators and collection of data, to interpretation of the results. Organising events where staff can present findings from the project to their peers provides the opportunity to reflect on the direction of their service and learn from others. In this way, information provided through benchmarking can be converted into knowledge that is applied at the service level.

APA, Harvard, Vancouver, ISO, and other styles

3

Russell, Nicholas C. C., Louise M. Wallace, and Diane Ketley. "Evaluation and measurement for improvement in service-level quality improvement initiatives." Health Services Management Research 24, no. 4 (November 2011): 182–89. http://dx.doi.org/10.1258/hsmr.2011.011010.

Full text

Abstract:

The National Health Service (NHS) in England, as with other health services worldwide, currently faces the need to reduce costs and to improve the quality of patient care. Evidence gathered through effective and appropriate measurement and evaluation, is essential to achieving this. Through interviews with service improvement managers and analysis of comments in a seminar of NHS staff involved in health service improvement, we found a lack of understanding regarding the definition and methodology of both measurement and evaluation, which decreases the likelihood that NHS staff will be competent to commission or provide these skills. In addition, we highlight the importance of managers assessing their organizations' ‘readiness’ to undergo change before embarking on a quality improvement (QI) initiative, to ensure that the initiative's impact can be adequately judged. We provide definitions of measurement for improvement and of evaluation, and propose a comparative framework from which to gauge an appropriate approach. Examples of two large-scale QI initiatives are also given, along with descriptions of some of their problems and solutions, to illustrate the use of the framework. We recommend that health service managers use the framework to determine the most appropriate approach to evaluation and measurement for improvement for their context, to ensure that their decisions are evidence based.

APA, Harvard, Vancouver, ISO, and other styles

4

Griffith, Clive, and Jill Turner. "United Kingdom National Health Service. Cancer Services Collaborative “Improvement Partnership”,." European Journal of Surgical Oncology (EJSO) 30 (September 2004): 1–86. http://dx.doi.org/10.1016/j.ejso.2004.07.010.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Holehouse, Kelly, Karen Oliver, Gillian Rawlinson, and Hazel Roddam. "Collaborative service delivery to address public health issues within a musculoskeletal setting: evaluation of the Healthy Mind, Healthy Body project." International Journal of Therapy and Rehabilitation 26, no. 11 (November 2, 2019): 1–15. http://dx.doi.org/10.12968/ijtr.2018.00196.

Full text

Abstract:

Background/Aims There is a need for greater focus on public health and its impact on musculoskeletal conditions within healthcare delivery. Physiotherapists are well positioned to support this. Outpatient physiotherapy musculoskeletal services traditionally focus on rehabilitation and physical exercise, yet many service users require support to improve both their mental and physical health. This innovative service improvement aimed to embed integrated health promotion within musculoskeletal physiotherapy service delivery. Methods A physiotherapy-led multidisciplinary team introduced patients to other community-based support services to address wider health needs. Results Service evaluation demonstrated a high uptake of self-referral to community services, validating the potential benefit for musculoskeletal condition management. Positive patient feedback indicates that patients valued the service and were well-supported to engage with health improvement. Conclusions Musculoskeletal physiotherapy services need to consider the wider aspects of health, putting public health at the heart of musculoskeletal service delivery.

APA, Harvard, Vancouver, ISO, and other styles

6

Heavens, David, Joanne Hodgekins, Rebecca Lower, Joanne Spauls, Benjamin Carroll, Brioney Gee, Timothy Clarke, and Jonathan Wilson. "Service user experience of the Norfolk youth service." Mental Health Review Journal 25, no. 1 (February 28, 2020): 85–98. http://dx.doi.org/10.1108/mhrj-03-2019-0008.

Full text

Abstract:

Purpose There is an international drive to improve mental health services for young people. This study aims to investigate service user experience of a youth mental health service in Norfolk, UK. In addition to suggesting improvements to this service, recommendations are made for the development of youth mental health services in general. Design/methodology/approach A mixed-methods approach was used. Quantitative data from satisfaction questionnaires were analysed using descriptive statistics and compared between two time points. A semi-structured interview was used to generate qualitative data. Thematic analysis was used to identify themes in the interview transcripts and triangulation was used to synthesise quantitative and qualitative data. Findings Service users appeared satisfied with the service. Significant improvements in satisfaction were found between two time points. Qualitative analysis identified three main themes that were important to service users, including support, information and personhood. Practical implications Recommendations for the development of youth mental health services are provided. Although these are based on findings from the Norfolk youth service, they are likely to apply to other mental health services for young people. Originality/value Mental health care for young people requires significant improvement. The Norfolk youth service is one of the first services of its kind in the UK. The findings from this study might be helpful to consider in the development of youth mental health services across the world.

APA, Harvard, Vancouver, ISO, and other styles

7

Oyebode, Femi, Giles Berrisford, and Liz Parry. "Commission for Health Improvement and mental health Services." Psychiatric Bulletin 28, no. 7 (July 2004): 238–40. http://dx.doi.org/10.1192/pb.28.7.238.

Full text

Abstract:

The Commission for Health Improvement (CHI) ceased to function at the end of March 2004. This provides the opportunity to review its contribution and achievements as a new body, the Commission for Healthcare Audit and Inspection (CHAI), takes over its functions∗. CHI recently published its assessment of mental health services (http://www.chi.nhs.uk/eng/news/2003/dec/11.shtml). The report is based on the 35 clinical governance reviews, in England and Wales, published between July 2001 and October 2003; two investigations into serious service failures; and a report on safeguarding arrangements for children in England and a self-audit of child protection arrangements. CHI concluded that mental health services lag behind acute health services in developing clinical governance systems and processes that promote high-quality care and continuous improvement. It specifically highlighted the shortages of psychiatrists and in-patient nurses, and the reliance on agency nurses and locum staff; the unsuitability of buildings and facilities; the pressures on in-patient beds; the lack of management capacity and poor information systems; and the low priority given to services for children and older people.

APA, Harvard, Vancouver, ISO, and other styles

8

Kaufman, Naomi, Claire Dewsnap, and Lauren Theaker. "P231 Service improvement review of sexual health service DNA rates." Sexually Transmitted Infections 92, Suppl 1 (June 2016): A97.1—A97. http://dx.doi.org/10.1136/sextrans-2016-052718.279.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Reay, Rebecca, Michael Robertson, and Cathy Owen. "Interpersonal psychotherapy for postnatal depression: a quality improvement approach." Australasian Psychiatry 10, no. 3 (September 2002): 211–13. http://dx.doi.org/10.1177/103985620201000302.

Full text

Abstract:

Objective: To outline the processes involved in establishing an integrated perinatal mental health service in a public mental health setting. Conclusions: The Australian Capital Territory (ACT) Mental Health Services established a perinatal mental health service based on coordinated, evidence-based treatments. One of the treatment approaches introduced into the service was Interpersonal Psychotherapy, a time-limited, empirically validated therapy for postnatal depression.

APA, Harvard, Vancouver, ISO, and other styles

10

Liang, Rizhong. "URBAN SPORTS SERVICE STRUCTURE FROM THE PUBLIC HEALTH CONTEXT." Revista Brasileira de Medicina do Esporte 27, spe (March 2021): 108–10. http://dx.doi.org/10.1590/1517-8692202127012020_0114.

Full text

Abstract:

ABSTRACT With the improvement of the quality of life, the residents’ requirements for the construction of urban public sports services have gradually improved. In order to improve the current urban public sports service system, this study analyzes the existing public sports service through the construction of public sports service model. The results show that the current construction of public sports service has some defects, such as single construction subject, unbalanced regional development of sports service, lack of perfect performance evaluation mechanism of sports public service, and so on. Therefore, in the process of public sports service construction, we need to pay attention to the diversification of construction subjects, the cultivation of residents’ awareness of physical exercise, the improvement of performance evaluation mechanisms of sports public services, and the broadening of investment channels. These measures can improve the urban public sports service system from the perspective of public health, and create better quality public sports services. This study analyzes the problems existing in the construction of public sports service by building a model, and puts forward some suggestions for improvement, hoping to provide ideas for scholars who study related experiments.

APA, Harvard, Vancouver, ISO, and other styles

11

Dachyar, M., Farizal, and Alicia Ti. "Improvement Priorities: Public Hospital Service Quality." MATEC Web of Conferences 248 (2018): 03007. http://dx.doi.org/10.1051/matecconf/201824803007.

Full text

Abstract:

Patients’ satisfaction in public hospitals in Jakarta is decreased due to the increase participant of outpatients using national health insurance. One of the principle influenced satisfaction is services. The purpose of this research is to get priority improvement of service quality dimension. ServQual method is used to obtain the patient’s perception and expectation gap on hospital services. Analytical Hierarchy Process (AHP) is used to obtain the dimension importance weight. Five experts were involved on choosing the appropriate service dimension. Questionnaires were given to 400 patients. Results showed that the largest gap on overall services dimension and sub-dimension are cleanliness, comfort of check room and bathroom. The weight of importance is included, results show the priority improvement of trust dimension and sub-dimension doctor is checking the patient’s condition correctly.

APA, Harvard, Vancouver, ISO, and other styles

12

Dent, Nicholas. "Appreciating collaborative service improvement – a case study on using appreciative inquiry methodology in co-production in mental health." Mental Health and Social Inclusion 23, no. 3 (August 2, 2019): 105–11. http://dx.doi.org/10.1108/mhsi-04-2019-0010.

Full text

Abstract:

Purpose The purpose of this paper is to examine the value of appreciative inquiry (AI) methodology in enabling co-productive work within mental health service development. Design/methodology/approach The methodology of AI is described and observations on its use in mental health service improvement are considered. Findings AI is a really helpful tool in supporting service improvement and is particularly applicable in mental health discussions involving service users and carers. Many service users and carers engaging with service development discussions have had adverse past experiences which can inhibit their successful contribution to planning discussions. AI allows a more positive reflection on how services can be improved which can help achieve positive results. Research limitations/implications AI methodology is a really useful tool in supporting improvement discussions across health, and other public, services, and is particularly valuable in engaging mental health service users and carers in such activity. Practical implications The method is useful across service development needs and could be developed to support mental health service improvement locally, regionally and nationally. Developing the use of this method could make a real contribution to improving relations between service users, carers and health staff and support meaningful and positive change in the delivery of mental health services. Social implications Helping to overcome dissonance between service users and carers, and health staff and commissioners; and developing the use of appreciative enquiry could enhance the value of co-production as a key driver for service improvement. Originality/value The author is aware of little discussion of the value of appreciative enquiry in the growing literature around co-production in mental health.

APA, Harvard, Vancouver, ISO, and other styles

13

Miatello, Ashleigh, Gillian Mulvale, Christina Hackett, Alison Mulvale, Ashwin Kutty, and Faten Alshazly. "Data Elicited Through Apps for Health Systems Improvement." International Journal of Qualitative Methods 17, no. 1 (October 1, 2018): 160940691879843. http://dx.doi.org/10.1177/1609406918798433.

Full text

Abstract:

A promising approach to meeting the need in many jurisdictions for timely, in-depth qualitative health systems experience data, is to elicit feedback through smartphone and web applications (apps). Apps offer an appealing tool to elicit data from patients and family members who may feel stigma when receiving some services and a power imbalance when providing feedback to health-care providers. In this article, we examine the effectiveness of a suite of smartphone and web apps called myExperience ( myEXP) that were created to gather care experiences of youth, family members, and service providers as part of an experience-based co-design (EBCD) study in Ontario involving youth with mental disorders. We analyzed data from 12 triads of youth (aged 16–24), family members, and service providers gathered between August 2015 and December 2016. We used qualitative content analysis to understand participant feedback on the myEXP apps and identify thematic categories that emerged from experience data elicited through the myEXP apps. We found overall that the myEXP apps were more effective at eliciting experience data from youth compared with family members and service providers. Rich experience data were gathered from youth about treatment plans in real time through the apps. The apps also showed important promise as reflective tools for all participants. They may offer advantages in research that seeks to improve responsiveness in service delivery and build mutual understanding. The apps also offer choice in how data are elicited, encourage more candid feedback and help to overcome stigma, which are important considerations for some vulnerable populations. For service redesign research using approaches such as EBCD, apps offer real-time data gathering that can complement and enhance traditional approaches such as retrospective interviews and observation.

APA, Harvard, Vancouver, ISO, and other styles

14

Burgess, Nicola, and Zoe Radnor. "Service improvement in the English National health service: Complexities and tensions." Journal of Management & Organization 18, no. 5 (September 2012): 594–607. http://dx.doi.org/10.1017/s1833367200000559.

Full text

Abstract:

AbstractThe English National Health Service (NHS) is a public sector organisation with a longstanding objective to deliver high quality healthcare that is free at the point of use. In order to achieve this, the NHS has endured an evocative and controversial theme of reform across many decades. Despite such high levels of reform, the recent Operating Efficiency Framework declared that the NHS is about to enter its toughest ever financial climate. This paper will illustrate the complexities and tensions of implementing service improvement in the NHS in a climate of persistent policy reform, reduced budgets and tough regulation. The paper reports findings of three case studies of hospital trusts in the UK in relation to the implementation of Lean improvement methodologies, highlighting key complexities of a hospital context and the corresponding tension with service improvement activity.

APA, Harvard, Vancouver, ISO, and other styles

15

Burgess, Nicola, and Zoe Radnor. "Service improvement in the English National health service: Complexities and tensions." Journal of Management & Organization 18, no. 5 (September 2012): 594–607. http://dx.doi.org/10.5172/jmo.2012.18.5.594.

Full text

Abstract:

AbstractThe English National Health Service (NHS) is a public sector organisation with a longstanding objective to deliver high quality healthcare that is free at the point of use. In order to achieve this, the NHS has endured an evocative and controversial theme of reform across many decades. Despite such high levels of reform, the recent Operating Efficiency Framework declared that the NHS is about to enter its toughest ever financial climate. This paper will illustrate the complexities and tensions of implementing service improvement in the NHS in a climate of persistent policy reform, reduced budgets and tough regulation. The paper reports findings of three case studies of hospital trusts in the UK in relation to the implementation of Lean improvement methodologies, highlighting key complexities of a hospital context and the corresponding tension with service improvement activity.

APA, Harvard, Vancouver, ISO, and other styles

16

Craig, Lynn. "Service improvement in health care: a literature review." British Journal of Nursing 27, no. 15 (August 9, 2018): 893–96. http://dx.doi.org/10.12968/bjon.2018.27.15.893.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Lodge, Amy, and David Bamford. "Health service improvement through diagnostic waiting list management." Leadership in Health Services 20, no. 4 (October 9, 2007): 254–65. http://dx.doi.org/10.1108/17511870710829364.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

O'connor, Nick, Denise Ward, Liz Newton, and Monica Warby. "Enabling Clinicians to Become the Quality Leaders in Amental Health Service." Australasian Psychiatry 13, no. 4 (December 2005): 357–61. http://dx.doi.org/10.1080/j.1440-1665.2005.02214.x.

Full text

Abstract:

Objective: To show how clinicians can become the leaders of ‘quality’ in a mental health services, using the example of developments within Northern Sydney Health (NSH) Area Mental Health Services (AMHS). Method: In the absence of an existing integrated area quality programme, NSH AMHS implemented a quality improvement programme whereby staff at the coalface would become the leaders in ‘quality’ guided and supported by the newly established Quality Unit. This innovative approach is consistent with evidence that suggests that clinicians need to ‘own’ quality improvement initiatives and embed them into everyday practice, rather than see them as the role of a designated ‘quality’ person/s. Results: Within 12 months the service trained over 100 clinicians in Clinical Practice Improvement (CPI) methodology and currently has over 20 CPI projects with an identified measurable outcome. As well, it has provided over 200 staff with in-services on quality improvement approaches and trained 45 staff in root cause analysis. Training of eight clinicians in the use of the Minitab statistical package has allowed data analysis and charting to identify opportunities for improvement. Conclusion: The handing of ‘quality’ back to clinicians of the AMHS has provided a framework for improved outcomes for patients and carers. This approach to service improvement is transferable to other mental health services.

APA, Harvard, Vancouver, ISO, and other styles

19

Patwardhan, Anjali, and Prakash Patwardhan. "Are consumer surveys valuable as a service improvement tool in health services?" International Journal of Health Care Quality Assurance 22, no. 7 (October 2, 2009): 670–85. http://dx.doi.org/10.1108/09526860910995010.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Rachmawati, Andini, and Sri Umiyati. "PROSES IMPROVEMENT PELAYANAN KESEHATAN LANJUT USIA ( LANSIA ) DI PUSKESMAS KLAMPIS NGASEM KOTA SURABAYA." Aplikasi Administrasi: Media Analisa Masalah Administrasi 22, no. 1 (September 11, 2019): 1. http://dx.doi.org/10.30649/aamama.v22i1.110.

Full text

Abstract:

The purpose of this study was to describe and analyze the Improvement Process in the Elderly Health Service at the KlampisNgasem Health Center in Surabaya City using the Donabedian Theory. The research approach used is Descriptive. With the Qualitative method, as well as data collection techniques through Observation and Interview to elderly patients directly to get an idea of how the quality of health services at the KlampisNgasem Health Center in Surabaya, especially for the care of elderly patients.The results of the research conducted by the researchers can be concluded that the research on the Improvement Process of Elderly Health Services at the KlampisNgasem Health Center in Surabaya City using the Donabedian Theory through three approaches, namely the structural approach (input), the process approach, the outcome approach (output ) found two indicator that become service priority that is Service Statement or statement of ability and obligation of organizer to perform service in accordance with service standard and Service Time that is the time period needed to finish all service process from each service type. Keywords:Health Service, Donabedian Theory, Continuous Improvement Process

APA, Harvard, Vancouver, ISO, and other styles

21

Gray, J. "A Lean towards service improvement." International Journal of Care Pathways 11, no. 1 (April 1, 2007): 1–10. http://dx.doi.org/10.1258/j.jicp.2007.154.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Brown, Sophie, Zaffer Iqbal, Frances Burbidge, Aamer Sajjad, Mike Reeve, Victoria Ayres, Richard Melling, and David Jobes. "Embedding an Evidence-Based Model for Suicide Prevention in the National Health Service: A Service Improvement Initiative." International Journal of Environmental Research and Public Health 17, no. 14 (July 8, 2020): 4920. http://dx.doi.org/10.3390/ijerph17144920.

Full text

Abstract:

Despite the improved understanding of the determinants of suicide over recent decades, the mean suicide rate within the United Kingdom (UK) has remained at 10 per 100,000 per annum, with about 28% accessing mental health services in the 12 months prior to death. In this paper, we outlined a novel systems-level approach to tackling this problem through objectively differentiating the level of severity for each suicide risk presentation and providing fast-track pathways to care for all, including life-threatening cases. An additional operational challenge addressed within the proposed model was the saturation of local crisis mental health services with approximately 150 suicidality referrals per month, including non-mental health cases. This paper discussed a service improvement initiative undertaken within a National Health Service (NHS) secondary care mental health provider’s open-access 24/7 crisis and home treatment service. An organisation-wide bespoke “suicide risk triage” system utilising the Collaborative Assessment and Management of Suicidality (CAMS) was implemented across all services. The preliminary impacts on suicidality, suicide rates and service user outcomes were described.

APA, Harvard, Vancouver, ISO, and other styles

23

Boland, Billy. "Quality improvement in mental health services." BJPsych Bulletin 44, no. 1 (October 4, 2019): 30–35. http://dx.doi.org/10.1192/bjb.2019.65.

Full text

Abstract:

Quality improvement (QI) approaches are becoming increasingly important in the delivery of mental healthcare internationally. They were originally developed in the manufacturing industry, but the principle of having a systematic approach to improvement has spread to many other industries, not least to healthcare. Quality improvement approaches in healthcare were pioneered in the USA at organisations such as Virginia Mason and the Institute for Healthcare Improvement. In recent years, they have become firmly established in mental health services in the UK's National Health Service (NHS). There are a number of different approaches to quality improvement, but two leading models have taken root: ‘lean thinking’ (also known as ‘lean methodology’ or simply ‘lean’), which arose out of Virginia Mason, and the ‘Model for Improvement’, which came out of the Institute of Healthcare Improvement. This article describes these two quality improvement approaches, critiques their philosophy and explores how they can apply in the provision of mental healthcare, particularly with reference to the use of data, evidence and metrics.

APA, Harvard, Vancouver, ISO, and other styles

24

Burbach, Frank R., and Sarah K. Amani. "Appreciative enquiry peer review improving quality of services." International Journal of Health Care Quality Assurance 32, no. 5 (June 10, 2019): 857–66. http://dx.doi.org/10.1108/ijhcqa-01-2018-0015.

Full text

Abstract:

Purpose Mental health service improvement initiatives often involve the setting of targets and monitoring of performance. The purpose of this paper is to describe the application of appreciative enquiry (AE), a radically different but complementary approach to quality assurance and improvement, to specialist mental health services across a health region. Design/methodology/approach This case study describes a regional quality improvement (QI) project involving 12 early intervention in psychosis (EIP) services in South West England. In total, 40 people were trained in AE interviewing skills and in non-reciprocal peer review visits 59 interviews were conducted involving 103 interviewees including service users, carers, clinicians, managers and commissioners. Immediate verbal feedback was provided and main themes summarised in individual reports to host teams using the following headings: team values, strengths, dreams and development plans. A thematic analysis was conducted on team reports and a project report produced which summarised the stages and results of this regional initiative. Findings All participants rated the experience as positive; it enhanced staff motivation and led to service development and improvement. Research limitations/implications The experiences of these 12 EIP teams may not necessarily be generalisable to other services/regions but this positive approach to service improvement could be widely applied. Practical implications AE is applicable in large-scale QI initiatives. Originality/value To the authors knowledge this is the first time that AE has been applied to large-scale mental health service improvement and innovation.

APA, Harvard, Vancouver, ISO, and other styles

25

Boak, George. "Team learning and service improvements in health care." Team Performance Management 20, no. 5/6 (August 5, 2014): 242–61. http://dx.doi.org/10.1108/tpm-04-2013-0010.

Full text

Abstract:

Purpose – This study aims to propose a typology of team learning processes, based on a study of teams of health care therapists across England who were engaged in improving their services. Design/methodology/approach – Information was gathered from 35 teams of health care therapists, through analysis of reports produced by the teams and by interviews with team leaders. The actions taken to achieve service improvements were analysed through a lens of team learning. Findings – Team learning is an appropriate frame of reference for analysing actions designed to bring about change and improvement. Seven distinct team learning activities are defined. Research limitations/implications – The implication of the study is that it is useful to apply a theoretical framework of organisational learning to service improvements undertaken by work teams. The study indicates learning processes that were important elements in these changes. The study limitation was that information was gathered mainly from the leaders of each team; other team members may have contributed different perceptions. Practical implications – Leaders of organisations and of teams should adopt team learning as a useful perspective for improving services and should consider how to encourage and support team learning. Originality/value – This is one of a small number of empirical studies of team learning processes in work organisations.

APA, Harvard, Vancouver, ISO, and other styles

26

Kalb, Luther G., Joan Beasley, Andrea Caoili, and Ann Klein. "Improvement in Mental Health Outcomes and Caregiver Service Experiences Associated With the START Program." American Journal on Intellectual and Developmental Disabilities 124, no. 1 (January 1, 2019): 25–34. http://dx.doi.org/10.1352/1944-7558-124.1.25.

Full text

Abstract:

Abstract This study examined outcomes from the Systemic, Therapeutic, Assessment, Resources, and Treatment (START) program, a community-based tertiary care model for individuals with intellectual and developmental disabilities and mental health needs. The sample included 111 START service users and their family caregivers, who were receiving START Clinical Team services, located in the Northeast and Southwest regions of the United States. Results from the analyses found a significant 1-year pre-post improvement in caregiver service experiences and mental health symptoms of the service user. A significant decrease in psychiatric hospitalizations and emergency department visits was also found (all p < .01). These data suggest that START holds promise in improving outcomes, for both the caregiver and service user, while reducing dependence on costly and restrictive hospital-based services.

APA, Harvard, Vancouver, ISO, and other styles

27

Pheakdey, Sambo, Narith Chan, Robert John Kolesar, and Chantha Chak. "Improving Health Service Quality in the Kingdom of Cambodia: A Policy Perspective." Asia Pacific Journal of Public Health 32, no. 8 (September 15, 2020): 426–29. http://dx.doi.org/10.1177/1010539520957841.

Full text

Abstract:

The achievement of Universal Health Coverage, including quality services, is high on the international agenda. Cambodia aims to expand social health protection and is committed to improving the healthcare service quality. We review the country context and propose five policy approaches to accelerate progress on healthcare quality improvement in Cambodia. These approaches aim to augment the profile and continued focus on quality while leveraging and optimizing existing systems to incentivize improvements and increase value for money.

APA, Harvard, Vancouver, ISO, and other styles

28

Micallef, Jason, and Brodene Straw. "Developing junior doctors as leaders of service improvement." Leadership in Health Services 27, no. 4 (October 6, 2014): 316–29. http://dx.doi.org/10.1108/lhs-04-2014-0037.

Full text

Abstract:

Purpose – This paper aims to provide an overview of the design and initial outcomes of a leadership and service improvement program for junior medical staff. Design/methodology/approach – This paper describes the rationale, initial set-up, structure, program outcomes and future directions of the Medical Service Improvement Program for junior doctors. This program is a recent initiative of the Western Australian public healthcare system. Findings – The Medical Service Improvement Program illustrates a successful approach to developing junior doctors to lead improvements in health service delivery. The program has resulted in tangible personal outcomes for participants, in addition to important organisational outcomes. Practical implications – This paper provides an evidence-based structured approach to developing the leadership abilities of junior medical staff. It provides practical information on the design of the leadership program that aligns the participant learning outcomes to postgraduate medical competencies. The program has demonstrated clear service outcomes, confirming that junior medical staff is both capable and committed to leading service improvement and reform. Originality/value – This paper provides clear evidence for the benefits of providing dedicated non-clinical time for junior medical staff to lead quality and improvement initiatives. This case study will assist hospital administrators, postgraduate education units and those involved in designing and administering clinical leadership development programs.

APA, Harvard, Vancouver, ISO, and other styles

29

Mutch, Carolyn, Margaret Tobin, Ian Hickie, Carolyn Mutch, Margaret Tobin, Ian Hickie, Tracey Davenport, and David Burke. "Improving Community-Based Services for Older Patients with Depression: The Benefits of an Educational and Service Initiative." Australian & New Zealand Journal of Psychiatry 35, no. 4 (August 2001): 449–54. http://dx.doi.org/10.1046/j.1440-1614.2001.00921.x.

Full text

Abstract:

Objective: The objective of this study was to report a quality improvement project for older patients with depression. The initiative focused on both clinical practice changes (improvement of medical, neurocognitive and behavioural assessment) and service development (greater continuity of care). Method: After initial identification of key deficits, implementation of a service and educational initiative took place within a district mental health service. The service consisted of an inpatient unit, a specialized psychogeriatric service and two adult community mental health services. Mental health staff received education regarding the specific needs of older patients with depression and were provided with assessment materials, patient education and treatment aids. General practitioners participated in shared long-term management. Results: Following graded implementation, the management of 44 subjects (mean age = 65.4 years, 91% female) recruited over an 8-month period was reviewed. Compared with 99 subjects (mean age = 68.9 years, 69% female) from the earlier 12-month assessment phase, there were significant improvements in medical (43% to 92%), neurocognitive (37% to 84%) and behavioural (e.g. suicidal ideation: 78% to 100%) assessments. Similarly, relevant laboratory investigations (neuroimaging: 21% to 67%) and communication with general practitioners (73% to 97%) improved. The most change occurred in the adult community-based treatment services. Conclusions: A coordinated management and educational initiative resulted in marked improvement in basic medical and psychiatric assessment and more integrated care. These changes did not require expansion of specialist services.

APA, Harvard, Vancouver, ISO, and other styles

30

Gray, Jenny. "A Lean towards Service Improvement." Journal of integrated Care Pathways 11, no. 1 (April 2007): 1–10. http://dx.doi.org/10.1177/205343450701100101.

Full text

APA, Harvard, Vancouver, ISO, and other styles

31

Sánchez, E. J. Pérez, J. M. Ginés Miranda, V. Chavarría Romero, J. Moreno, A. Palma, L. Alba Pale, J. Leon, A. Bulbena, and V. Perez. "Describing the assistance, the basis for improvement." European Psychiatry 41, S1 (April 2017): s505. http://dx.doi.org/10.1016/j.eurpsy.2017.01.641.

Full text

Abstract:

IntroductionConsultation-liaison (CL) psychiatry is a branch of psychiatry that study and treat mental health of patients with other medical or surgical conditions. The assistance between hospitals and health services is heterogeneous.Aims and objectivesFor this reason, the objective of our research is to define the clinical characteristics from our CL service and check out the quality relationship with the applicant service, for improving future assistance.MethodsWe made a descriptive analysis of clinical variables from the patients who received assistance during 2 months by the CL service from the hospital del Mar, Barcelona. We got the frequencies and we used the Chi2 test for the comparison between variables: Diagnosis, appearance in the report and treatment in the report.ResultsTotal of the sample: 42 patients, 61.9% women. Mean age: 55.1 years. Psychiatric diagnosis was present before the assistance on 57.1% of the patients. The most frequent diagnosis was Adjustment Disorder (47.6%) and more than one diagnosis was made in the 14.3%. Near the half of the patients required only primary care assistance after the discharge from the hospital. In the 68.3% of the reports appeared information about CL assistance and the indicated treatment didn’t appear in all the reports. Statistically significant differences weren’t found in the comparisons.ConclusionsAdjustment Disorder is supposed to be the most common psychiatric diagnosis in our CL psychiatry service, as we found in the reviewed literature. The results reveal that relationships between services can be improved. More studies must be done for completing information in this issue.Disclosure of interestThe authors have not supplied their declaration of competing interest.

APA, Harvard, Vancouver, ISO, and other styles

32

Riew, Moon Charn, and Ji Yeon Shin. "Health-care Service Quality Improvement Using Walk-through Audit." Journal of the Korean society for quality management 41, no. 4 (December 31, 2013): 527–39. http://dx.doi.org/10.7469/jksqm.2013.41.4.527.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Mok, Hiram. "Evaluation and quality improvement in mental health service delivery." Asia-Pacific Psychiatry 3, no. 1 (March 2011): 3–4. http://dx.doi.org/10.1111/j.1758-5872.2011.00112.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Whiteford, Harvey, Meredith Harris, and Sandra Diminic. "Mental health service system improvement: Translating evidence into policy." Australian & New Zealand Journal of Psychiatry 47, no. 8 (June 28, 2013): 703–6. http://dx.doi.org/10.1177/0004867413494867.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Litherland, Kay. "Lessons Learned While Implementing Service Quality Improvement." Journal For Healthcare Quality 17, no. 5 (September 1995): 14–17. http://dx.doi.org/10.1111/j.1945-1474.1995.tb00797.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

36

Vrtodušić Hrgović, Ana-Marija, Kristina Črnjar, and Ivana Škarica. "Employee engagement and improvement as important principles of TQM in public health institutes." Zbornik Veleučilišta u Rijeci 8, no. 1 (2020): 189–201. http://dx.doi.org/10.31784/zvr.8.1.18.

Full text

Abstract:

Quality assurance in public health presents one of the key factors in the quality of health service. Accordingly, there is increasing awareness of the need to integrate quality systems and their principles into the healthcare system. Their role is important in the context of quality assurance in accordance with patient requirements as well as in the process of improving the quality of health care service. They are essential for the successful implementation of a quality management system and refer to customer focus, leadership, engagement of people, process approach, improvement, evidence–based decision making, and relationship management. This paper presents the results of a study among Croatian Institutes of Public Health with regard to the level of implementation of quality principles related to employee engagement, improvement and internal customer focus. Analysis focused on the relationship between focus on internal customer (employees) and improvements as well as the employee engagement and improvement respectively. Results show there is a strong positive relationship between employee engagement and improvements, while between internal customer focus and improvement the relationship has not been verified. In the context of standardization of quality of public health services, the paper aims to expand theoretical knowledge about TQM principles, with the emphasis on the employee engagement, internal customer focus (employees) and process improvement. The results can serve as a basis for improving the existing practice of quality management system implementation in the public health sector, with emphasis on employees.

APA, Harvard, Vancouver, ISO, and other styles

37

Kotarski, Beth. "Improvement of Specialist Referral Follow-up: One University Health Service Improvement Success Story." American Journal of Medical Quality 34, no. 3 (February 13, 2019): 311. http://dx.doi.org/10.1177/1062860619830353.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Winter, Vera, Mette Kjærgaard Thomsen, Jonas Schreyögg, Katharina Blankart, Lize Duminy, Lukas Schoenenberger, John P. Ansah, et al. "Improving Service Provision - The Health Care Services' Perspective." Journal of Service Management Research 3, no. 4 (2019): 163–83. http://dx.doi.org/10.15358/2511-8676-2019-4-163.

Full text

Abstract:

How to improve service provision in the health care sector is a question of high economic and social relevance, as the health service industry represents a major part of developed nations’ economy and health care is a service virtually everyone is touched by in their life. The topic embraces different perspectives or levers, including the (re)organization of service provision, a stronger focus on the patient in the service delivery process, and the crucial role of employees in health service provision. We invited a group of well-renown scholars from different academic fields to share with us personal observations, empirical evidence, and interpretations of how to improve service provision in health care in the form of individual commentaries that cover the different perspectives. The resulting special research article includes motivations on why changes in the health care sector make service management research (smr) more relevant, it depicts implications (of smr) for health care organizations, and it outlines suggestions for future research. This article is designed to offer avenues for further service research on different perspectives for the improvement and professionalization of health care – a discipline in which joint efforts of service and health care researchers can have great societal impact.

APA, Harvard, Vancouver, ISO, and other styles

39

McGeorge, Maureen, and Malcolm Rae. "Acute in-patient psychiatry: service improvement – the time is now." Psychiatric Bulletin 31, no. 7 (July 2007): 259–61. http://dx.doi.org/10.1192/pb.bp.106.014365.

Full text

Abstract:

Psychiatric in-patient care is perhaps the component of mental health services that service users are most critical about. This, coupled with a growing awareness of the close association between quality and safety in this setting, has led to a recent flurry of national initiatives. These can be broadly grouped into those that have described the problems facing in-patient services and suggested some of the underlying causes, and those that are attempting to address these.

APA, Harvard, Vancouver, ISO, and other styles

40

Dadich, Ann, Liz Fulop, Mary Ditton, Steven Campbell, Joanne Curry, Kathy Eljiz, Anneke Fitzgerald, et al. "Finding brilliance using positive organizational scholarship in healthcare." Journal of Health Organization and Management 29, no. 6 (September 21, 2015): 750–77. http://dx.doi.org/10.1108/jhom-11-2013-0256.

Full text

Abstract:

Purpose – Positive organizational scholarship in healthcare (POSH) suggests that, to promote widespread improvement within health services, focusing on the good, the excellent, and the brilliant is as important as conventional approaches that focus on the negative, the problems, and the failures. POSH offers different opportunities to learn from and build resilient cultures of safety, innovation, and change. It is not separate from tried and tested approaches to health service improvement – but rather, it approaches this improvement differently. The paper aims to discuss these issues. Design/methodology/approach – POSH, appreciative inquiry (AI) and reflective practice were used to inform an exploratory investigation of what is good, excellent, or brilliant health service management. Findings – The researchers identified new characteristics of good healthcare and what it might take to have brilliant health service management, elucidated and refined POSH, and identified research opportunities that hold potential value for consumers, practitioners, and policymakers. Research limitations/implications – The secondary data used in this study offered limited contextual information. Practical implications – This approach is a platform from which to: identify, investigate, and learn about brilliant health service management; and inform theory and practice. Social implications – POSH can help to reveal what consumers and practitioners value about health services and how they prefer to engage with these services. Originality/value – Using POSH, this paper examines what consumers and practitioners value about health services; it also illustrates how brilliance can be theorized into health service management research and practice.

APA, Harvard, Vancouver, ISO, and other styles

41

Silvestro, Rhian. "Applying gap analysis in the health service to inform the service improvement agenda." International Journal of Quality & Reliability Management 22, no. 3 (April 2005): 215–33. http://dx.doi.org/10.1108/02656710510582462.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Moretto, Nicole, Michelle Stute, Sonia Sam, Marita Bhagwat, Maree Raymer, Peter Buttrum, Merrilyn Banks, and Tracy A. Comans. "A uniform data set for determining outcomes in allied health primary contact services in Australia." Australian Journal of Primary Health 26, no. 1 (2020): 58. http://dx.doi.org/10.1071/py18104.

Full text

Abstract:

The project aim was to develop and implement a set of metrics to capture and demonstrate the performance of newly established allied health primary contact services. Selection of the metrics and performance indicators was guided by an existing state-wide data collection system and from a review of the published literature. The metrics were refined after consultation with a working group of health service managers and clinicians. The data collection and reporting framework were developed for use in allied health primary contact services and implemented at public health facilities in Queensland, Australia. The set of metrics consists of 18 process and outcome measures. Patient-reported metrics include the global rating of change scale and patient satisfaction. Service metrics include wait times; referral source; triage category; diagnosis; occasions of service; referrals and investigations initiated; effects; care duration; discharge status; waitlist reinstatement reasons; treatment non-completion reasons; and expedited care. Safety, patient demographics and service improvement metrics were included. The metrics will enable analysis of the effectiveness of allied health primary contact services and will facilitate reporting, advocacy, service improvement, service continuity and research. The metrics are suitable for use by all providers of allied health primary contact services in hospital and primary care settings.

APA, Harvard, Vancouver, ISO, and other styles

43

Li, Shur, and Thomas T. H. Wan. "Hospital Service Scope Expansion and Market Share Improvement: A Dynamic Modeling and Multivariate Approach." Health Services Management Research 8, no. 3 (August 1995): 162–71. http://dx.doi.org/10.1177/095148489500800302.

Full text

Abstract:

In a national trend, large, acute-care hospitals located in urban areas of the nation were continuously broadening their service scope, adding services at the rate of one each year, from 1982 to 1987. This study proposes that the underlying rationale of hospital service-scope expansion is status-gap minimization. This perspective was quantitatively interpreted and tested by a dynamic modeling analysis. Findings support status-gap minimization as the rationale for service-scope expansion. Using multivariate regression and dynamic modeling analysis, the study demonstrates that the cross-sectional relationship between two steady states – the relationship between service scope and market share – is positive and statistically significant. However, the market share change is not related to hospital service scope. The interpretation offered is that hospitals expand the scope of services looking not so much to increase their market share benefit in the short run as to raise their organizational status. In the long run, higher organizational status such as broader service scope then benefits market share.

APA, Harvard, Vancouver, ISO, and other styles

44

Quamruzzaman, Amm. "Infrastructure Provisioning and Health Service Utilization in Africa." Sociology of Development 3, no. 1 (2017): 47–69. http://dx.doi.org/10.1525/sod.2017.3.1.47.

Full text

Abstract:

Although the positive developmental effects of infrastructure provisioning are well documented, research on the potential role of governance in the improvement of infrastructure performance and individual-level service utilization is lacking. I explore the effect of infrastructure provisioning on individual-level health service utilization, paying close attention to whether governance at different levels shapes people's access to health care. The different geographical levels of infrastructure provisioning, governance, and health service utilization require a multilevel analysis, which I perform using Afrobarometer Round 5 survey data on 34 African countries in a three-stage mixed-effects modeling. Results show that the presence of health infrastructure is crucial for enhancing people's health service utilization. However, people encounter certain problems when receiving services at their local health clinics or hospitals, and these problems are directly linked with governance in the health sector as well as overall governance at the country level. Improvements in people's health service utilization therefore require both better infrastructure provisioning and better governance at different levels, as the former does not guarantee the latter. Development scholars need to widen their focus beyond national-level governance and help policy makers identify at which level state interventions are most needed for removing barriers to development.

APA, Harvard, Vancouver, ISO, and other styles

45

Gray, J. "Venture Care Pathway Service Improvement Methodology." International Journal of Care Pathways 11, no. 1 (April 1, 2007): 35–43. http://dx.doi.org/10.1258/j.jicp.2007.168.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

Cook, Laura D., Katie E. Nichol, and Jeremy D. Isaacs. "The London memory service audit and quality improvement programme." BJPsych Bulletin 43, no. 5 (March 22, 2019): 215–20. http://dx.doi.org/10.1192/bjb.2019.18.

Full text

Abstract:

Aims and methodMemory services have expanded significantly in the UK, but limited performance data have been published. The aim of this programme was to determine variation in London memory services and address this through service improvement projects. In 2016 London memory services were invited to participate in an audit consisting of case note reviews of at least 50 consecutively seen patients.ResultsTen services participated in the audit, totalling 590 patients. Variation was noted in neuroimaging practice, neuropsychology referrals, diagnosis subtype, non-dementia diagnoses, waiting times and post-diagnostic support. Findings from the audit were used to initiate four service improvement projects.Clinical ImplicationsMemory services should consider streamlining pathways to reduce waiting times, implementing pathways for patients who do not have dementia, monitoring appropriateness of neuroimaging, and working with commissioners and primary care to ensure that access to post-diagnostic interventions is consistent with the updated National Institute for Health and Care Excellence (NICE) dementia guideline.

APA, Harvard, Vancouver, ISO, and other styles

47

Jaribu, Jennie, Suzanne Penfold, Cathy Green, Fatuma Manzi, and Joanna Schellenberg. "Improving Tanzanian childbirth service quality." International Journal of Health Care Quality Assurance 31, no. 3 (April 16, 2018): 190–202. http://dx.doi.org/10.1108/ijhcqa-10-2015-0122.

Full text

Abstract:

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

APA, Harvard, Vancouver, ISO, and other styles

48

Lee, Ju Yul, Hyun Sook Lee, Kwang wook Koh, and Kang Ju Son. "Improvement direction of health promotion program of Korea National Health Insurance Service." Korean Journal of Health Education and Promotion 35, no. 2 (June 30, 2018): 123–31. http://dx.doi.org/10.14367/kjhep.2018.35.2.123.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Chikwature, Whatmore, and Chikwature E. "Health Service Delivery Complexities in Mutare Urban, Manicaland Zimbabwe." JOURNAL OF SOCIAL SCIENCE RESEARCH 14 (January 31, 2019): 2861–76. http://dx.doi.org/10.24297/jssr.v14i0.8050.

Full text

Abstract:

This research study sought to identify the health service delivery challenges in urban areas using Mutare as a point of reference. Interviews, focus group discussions and observations were used to collect data from selected residents of Mutare city. Mutare city is experiencing poor service provisions and serious health service delivery challenges. This is witnessed by high doctor to patient ratio, high infant and maternal mortality rates as well as high incidences of malaria and other infectious diseases. The challenges are not limited to drugs and medical facilities, medical staff, transport, distance and referral mechanism, costs and financing of services culture and attitudes, corruption and bribery. Recommendations were made regarding the possible adjustment to existing health strategies and policies used in Zimbabwe, for the improvement of the health service delivery system of the city of Mutare. New strategies were also recommended for the improvement of the health system of the city. Lastly, some proposals were made for further research on the health service delivery challenges in rural areas so that comparisons are made to see whether the challenges are the same.

APA, Harvard, Vancouver, ISO, and other styles

50

Smith, Sophie, Maria Abbas, and Ariane Zegarra. "Overcoming challenges in service user involvement in an older people’s mental health service." Mental Health and Social Inclusion 24, no. 3 (May 14, 2020): 151–55. http://dx.doi.org/10.1108/mhsi-04-2020-0016.

Full text

Abstract:

Purpose The purpose of this paper is to describe how an older people’s mental health service involves service users in research and service improvement projects, the value of this work and the ways in which barriers to user-led research have been approached and handled. Design/methodology/approach The authors conducted a reflective review of their experiences of running “ResearchNet”, a group aimed at putting service users’ perspectives at the heart of service improvement projects, which benefits from and develops its members’ related skills. The authors explore overcoming barriers to service user involvement in research. Findings This paper identified the following key elements that enabled ResearchNet to overcome barriers which might be found in service user–led research: recruitment processes; identifying research projects; building confidence, sustaining motivation and overcoming setbacks; developing service user’s research skills; keeping multiple views in mind; involving people with dementia; being responsive to group members’ needs; and keeping the group safe. Practical implications Oxleas National Health Service is currently looking at integrating with the quality improvement team to provide further structure and training to group members. Originality/value This paper explores an under-represented area of research – service user inclusion in older adult mental health research and service improvement. It provides much needed clinical implications for clinicians seeking to increase clients’ involvement in research and service development projects.

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Health service improvement'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles