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Hospital and Health System STORY OF THE WEEK
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Hospital of the Future Report Identifies Five Areas for Change
A new report from The Joint Commission offers guiding principles and actions for the hospital of the future to meet the daunting challenges of older and sicker patients, patient safety and quality of care, economics and the work force. As these challenges escalate, hospitals can lead the effort to meet these demands.
Health Care at the Crossroads: Guiding Principles for the Development of the Hospital of the Future contends that hospitals must respond in new ways as escalating healthcare costs are hitting record highs and the conditions and care needs of hospitalized patients are growing more complex. The report is the work of an expert panel comprising hospital executives and clinical leaders, as well as experts in technology, healthcare economics, hospital design and patient safety. The roundtable analyzed how socio-economic trends, technology, the physical environment of care, patient-centered care values and ongoing staffing challenges will impact the hospital of the future.
The report recommends action in five core areas:
Economic Viability
- Align performance and payment systems to meet quality and efficiency-related goals
- Use process improvement tools to increase efficiency and reduce costs
- Pursue coverage options to ensure patient access to, and affordability of, healthcare services
- Address how general acute hospitals and specialty hospitals can both fulfill the social mission for healthcare delivery
Technology Adoption
- Make the business case and sustainable funding to support the widespread adoption of health IT
- Redesign business and care processes in tandem with health IT adoption
- Use digital technology to support patient-centered hospital care and extend that care beyond the hospital walls
- Establish reliable authorities to provide technology assessment and technology investment guidance for hospitals
- Adopt technologies that are labor-saving and integrative across the hospital
Patient-Centered Care
- Make adoption of patient-centered care values a priority for improving patient safety and patient and staff satisfaction
- Incorporate patient-centered care principles into the activities of hospital oversight bodies and transparency initiatives
- Address barriers to patient and family engagement, such as low health literacy and personal and cultural preferences
- Eliminate disparities in the quality of care for minorities, the poor, the aged and the mentally ill
- Improve the quality of care for the chronically ill through coordinated, multi-disciplinary care
- Use robust process improvement tools to improve quality and safety
Staffing
- Establish fair migration and compensation policies for countries facing shortages of healthcare workers
- Expand health professional education and training capacity to accommodate the growing demand for healthcare workers
- Create workplace cultures that can attract and retain healthcare workers
- Develop professional knowledge and skills necessary in a more complex healthcare environment
- Educate health professionals to deliver team-based care
- Develop the competence of health professionals to care for geriatric patients
Hospital Design
- Improve safety with evidence-based design principles such as single rooms, decentralized nursing stations and noise-reducing materials
- Address high-level priorities, such as infection control and emergency preparedness, in hospital design and construction
- Include clinicians and other staff, patients and families in the design process to improve staff work flow and patient safety, and create patient-centered environments
- Design flexibility into the building to accommodate advances in medicine and technology
- Incorporate “green” principles in hospital design and construction
Click here to view the entire report.
Source: The Joint Commission, November 20, 2008
Putting Patients First: Best Practices in Patient-Centered Care, 2nd Edition
The second edition of Putting Patients First: Best Practices in Patient-Centered Care showcases what Planetree facilities and the Planetree organization have learned about the commitments, conditions, practices, and policies that are needed to do more than give lip service to being — patient-centered.
Putting Patients First: Best Practices in Patient-Centered Care, 2nd Edition is available from the Healthcare Intelligence Network for $69.95 by visiting our
Online Bookstore or by calling toll-free (888) 446-3530.
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IMPORTANT NOTICE: This information is designed to provide accurate and authoritative information on the business of healthcare. It is distributed with the understanding that Healthcare Intelligence Network is not engaged in rendering legal advice. If legal advice is required, the services of a competent professional should be retained.
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