Innovative Ways for Care Transformation
Nursing innovation at the bedside in driving care transformation (does not have to be this exact maybe…Innovative Ways to Transform Care In Healthcare Today
topics to consider:
2. innovative ways to make change: Divergent thinking, risk taking, failure tolerance,
3. innovative thinking Shared Governance by nurses to put new ideas into practice or using old ideas in new ways. Repurposing or repackaging a committee to be innovators is you already have shared governance at the hospital; team collaboration
5. employee feedback
6. employee engagement
7. role filling: make sure you have energetic people. high performing employees. Hire the right candidates.
8. role modeling:
Innovative Ways for Care Transformation
Innovation promotes the quality, safety, efficiency, and affordability of health care services contributing greatly towards patient satisfaction. Adopting and implementing innovative strategies and measures serves a key role in reducing medical and healthcare risks, and promoting efficacy in the provision of care. Innovative transformation includes the adoption of new and better ways of providing care, incorporating technologies, and adopting and implementing better and creative programs focused on value-based transformation (Epstein & Street, 2011). According to Blakeney, Carlton, McCarthy, and Coakley (2017), effective leadership and management is central to the innovative transformation of the healthcare system. Any facility that targets the achievement of innovative-based innovation requires effective leadership that guides the workforce through the change. Creating and establishing a framework for the transformation of care services through innovation is critical.
Driving Innovation and Transformation through Effective Leadership
The transformation of healthcare require effective leadership and management. The application of innovation for the transformation should focus on addressing existing healthcare issues and challenges that limit the provision of quality and safe services. According to Daly, Jackson, Mannix, Davidson, and Hutchinson (2014), the current healthcare system records numerous challenges including fiscal constraints, workforce challenges, a higher and an increasing demand for healthcare accessibility, the workforce challenge, quality, safety, and effectiveness concerns. Additionally, patient satisfaction and the improvement of the patient-centered care among others influence the impact of healthcare in the society. Critical components in ensuring that the healthcare system addresses the concerns and challenges are good governance, leadership, and management. Effective governance allows the maximization of care management in the healthcare setting. Promoting good leadership and governance focuses on the enhancement of the quality of the health care system by consistently providing safe and efficient care (Epstein & Street, 2011). The leadership/management plays an important role in promoting the achievement of sustainability of the health care system (Daly, Jackson, Mannix, Davidson, & Hutchinson, 2014).
The transformation of the healthcare system using innovation requires the implementation of effective leadership for the enhancement of system’s success in delivering quality services. The adoption of new strategies including the implementation of new technologies and the strategic application of other emerging technological advancements is an essential move in the promotion of efficacy in healthcare. The integration of new technologies into the health care system requires the management and leadership of healthcare facilities to have sufficient knowledge of concerns facing the system and implement measures for addressing the challenges. The enhancement of the effectiveness of the healthcare system would require the leadership/management to understand consumer needs and the changing trends in healthcare (Deloitte, 2017). The changing purchasing power and increasing need to access healthcare services are some of the issues affecting the decision-making, acceptability, and the purchase of health care services. The application of innovation to identify and address the needs of the patients is the only way of dealing with the concerns and the increasingly aware market that wants transparency, convenience, and value for money (Clavelle & Goodwin, 2016; Blakeney, Carlton, McCarthy, & Coakley, 2017).
Innovative Ways of Supporting Health Care Providers
The effectiveness of the leadership and management of facilities will outline strategies for supporting and empowering the physicians and health care providers, in general, to ascertain their effectiveness and proficiency in the performance of their duties. A motivated workforce that understands teamwork is fundamental for ensuring patient satisfaction (Weberg & Weberg, 2014). The adoption and implementation of the equitable approach to worker compensation, the availability of the necessary resources for the provision of quality healthcare services, and the consideration of their needs are some of the issues that boost employee-motivation, proficiency, efficiency, and quality care. As the leadership focuses on the achievement of an effective workforce, the strategies enhance collaboration and promise competitive advantage to the facility. The transformation of the healthcare system can only be achieved through continuous implementation of innovative strategies that meet the demands and needs of the market in offering quality care, promoting patient-satisfaction, and improving cost-effectiveness (Chia-Ling, Ya-Ni, & Hsiu-Min, 2013).
A Culture of Innovation
Creating an innovative culture in the health care sector is essential for the transformation of care through innovation. The management/leadership of every healthcare facility should focus on developing the culture by supporting and investing in innovative ideas and strategies. The organizational vision and mission must align and place emphasis on innovation. The achievement of the mission and vision would then be possible through the physical implementation of the ideas/strategies and integrating innovation into various aspects of the facility (Melnyk & Davidson, 2009). An innovative culture would enhance the quality of services offered in an institution by promoting the adoption and implementation of innovation that improves the quality of care and efficiency. Melnyk and Davidson (2009) state that the creation of the innovative culture in colleges of nursing and other institutions of learning allows the development of innovation and improves its effectiveness in triggering transformation. The development of the innovative cultures in colleges allows collaboration with interdisciplinary experts and professionals from different healthcare institutions (Melnyk & Davidson, 2009).
Innovation and Patient-Centered Care
The consideration of the needs, preferences, and concerns of the patients enables the healthcare providers to offer quality services that demonstrate respect, consider the rights of the patients, needs, and ensure all decisions align with the patient values. The elements of patient satisfaction, confidentiality, privacy, and patient rights among others are central to the provision of quality patient-centered care (Epstein & Street, 2011). The incorporation of innovation in care improves care quality and helps in transforming health care. According to Chia-Ling, Ya-Ni, and Hsiu-Min (2013), concentrating on the resolution of minor issues in healthcare allows the realization of continuous innovation in the provision of care. The implementation of innovation in patient-centered care improves its quality, offers superior outcomes, reduces the costs and manpower and gives patients satisfaction while motivating and satisfying the innovator (Chia-Ling, Ya-Ni, & Hsiu-Min, 2013; Epstein & Street, 2011). However, the implementation of innovative ideas may face resistance as people are susceptible to resisting change. The leadership of the healthcare institution should offer structural, financial, and managerial support to innovative ideas/strategies. The identification of areas that need improvement through the integration of innovation is essential for the transformation of care.
Team Learning, Role Filling and Innovation
Nursing teams experience a significant challenge in the implementation of innovations. Non-compliance is one of the key problems that require the application of an effective strategy (Timmermans, Van Linge, Van Petegem, Van Rompaey, & Denekens, 2013). Timmermans et al. suggest team learning as an important strategy for facilitating change and ensuring the effective implementation of innovations. Team learning improves the efficiency of teams and enhances critical aspects such as communication, ability to apply new skills, and accept change thus giving way for effective implementation of new ideas and strategies. The implementation of innovative ideas in healthcare facilities requires the establishment of effective nursing teams (Timmermans, Van Linge, Van Petegem, Van Rompaey, & Denekens, 2013). While team-building and training are good ways of creating an effective nursing team, team learning gives the nurses a chance to learn together, process information, and understand the importance of allowing the effective implementation of new strategies. The major focus is directed towards the improvement of care quality through the enhancement of efficiency, effectiveness, safety, and cost-effectiveness among other elements that contribute towards quality (Clavelle & Goodwin, 2016).
An effective team of employees serves a greater role in promoting transformation in care through innovation. The leadership and management of any health institution must focus on the effective recruitment, selection, hiring, and comprehensive training. The identification of motivated, talented, and energetic people in the selection of employees allows the creation of an effective team (Timmermans, Van Linge, Van Petegem, Van Rompaey, & Denekens, 2013). Most importantly, sufficient training of new employees and instilling the organizational culture at the early stages in the facility allows the acceptance and focus on implementing innovations. Employees are encouraged to think creatively, innovate, and implement innovations. The engagement of the employees and reception and consideration of their feedback creates an even effective environment for the implementation of the innovations (Pearl, 2015).
Integrating Technology for Better Care Delivery
The technological advancement experienced in the last few decades continues to revolutionize the health care sector. The improvement or transformation of the healthcare system today depends greatly on the adoption of new technologies for the improvement of efficiency and the quality of healthcare services delivered. The implementation of the value-based system, according to Pearl (2015), requires the incorporation of programs that promote patient/population health. The achievement of success in the process is only possible through the transformation of care by leveraging technology for the transformation of care delivery. Using technological advantage results in higher and better outcomes while guaranteeing a reduction in the cost of the care. For example, embracing communication technologies that promote effective communications in the healthcare setting is a critical move for the transformation of care. Communication between nurses and physicians, and between the healthcare providers and the patients is essential for enabling effective delivery of care, boosting the quality, and promoting safety, and patient satisfaction. The current consumers are conversant with mobile technologies and, therefore, the need for integrating the mobile technology in healthcare facilities (Deloitte, 2017).
Embracing technologies such as mobile and virtual technologies will transform the process of care delivery significantly. The mobile technology offers the messaging platform and includes the capacity to hold communication applications that would improve the provision of services significantly. According to Deloitte (2017), the provision of efficient communication technologies would boost the quality and efficiency of the services. The integration of innovative technologies such as the virtual technology would enable virtual visits or make it possible to monitor patients remotely and play an important role in improving health maintenance. The impact of the technologies on the quality and safety of the healthcare services would be significant. The revolution of the current care services would be possible with the integration of numerous other technologies that boost the quality of services and reduce the costs thus ensuring affordability. The technologies make it possible for practitioners to monitor patients effectively and respond to their needs without delay. The application of new technologies in healthcare provision allows the empowerment of the patients and improves patient-engagement (Epstein & Street, 2011; Deloitte, 2017). Additionally, it assists the providers to coordinate services, prepare sufficiently, and respond or intervene to the patients’ needs. The convenience, effectiveness, and affordability play a crucial part in enhancing value (Pearl, 2015; Epstein & Street, 2011).
The improvement of the information systems’ in healthcare settings is essential for the improvement of the quality of services and the improvement of efficiency in delivery. The implementation of the electronic medical record and the electronic health record in the healthcare system served a critical role in boosting the efficacy in the delivery of care. The technologies continue to improve convenience, cost-effectiveness, and organizational effectiveness. The EHR system, for instance, comes with multiple benefits that transform care. The implementation of the technology has proved effective in enhancing the coordination of care, improving patient care, efficiency and cost-effectiveness, patient engagement, safety, and promoting superior outcomes. Bushelle-Edghill, Brown, and Dong (2017) state that EHR allows effective storage and retrieval of information thus easing access to clinical data, reducing medical errors, and enhancing patient safety and decision-making. While the technology has influenced efficiency in the delivery of care, the transformation of the current healthcare system requires further use of technology (Hearta, Ben-Assulia, & Shabtai, 2017).
The integration of the EHR system into cloud is an important move for the transformation of care. As cloud computing continues to diversify its application, its incorporation into the healthcare sectors would be critical for the improvement of service delivery (Hearta, Ben-Assulia, & Shabtai, 2017). A cloud-integrated EHR would enable the storage and fast retrieval of patient information and health history, thus enabling effective diagnosis, prescription, and avoiding medical errors. The system would allow access of the information at any hospital where the patient seeks healthcare services. While concerns of confidentiality, privacy, and trust may arise, the cloud-integrated system can be created in a way that only authorized persons may use the information. The security of the system makes it difficult for unauthorized users to access or use the information (Coats & Acharya, 2014). The application of the technology will transform care by improving convenience, effectiveness, and the quality of the services. All in all, consumer satisfaction, improvement of consumer engagement, low costs, and acceptability and accessibility of care services are some most important impacts of the transformative process.
The integration of other technologies owing to the increasing expansionism of the internet shows the need for using the new technologies to promote quality care. Incorporating the technologies in healthcare works towards the improvement of the quality of the care services and benefits all groups. According to a report by Deloitte (2017), the application of mobile technologies and telehealth improves patient experience and satisfaction. Using the technologies gives the consumers a platform to acquire health information, enables remote monitoring, and improves health by promoting fitness and a healthy living. The internet are important for creating data-smart dashboards, reducing errors and facilitating data integrity, digitization of information allowing information sharing between professionals, and the management of population health. Additionally, new technologies have enabled the effective management of assets, billing, claims processing, and scheduling, and allow the enrollment for clinical trials among others (Deloitte, 2017). The effective implementation of the strategic improvement and transformation of care through innovative technologies is fundamental.
Reinvention of the Healthcare System through Consolidation
The transformation of the healthcare system requires the implementation of innovative strategies that consolidate services with a greater focus on the betterment of quality and enhancement of cost-effectiveness. The US must focus on enabling an environment that boosts quality in the provision of healthcare services while factoring in the aspect of cost and affordability. The integration of innovation in the healthcare requires the consideration of the declining revenues and income for the effective coordination of care and a shift from the risk-based systems of payment to the adoption of new and innovative strategies. The adoption and implementation of a value-based system is an essential step towards the achievement of success in improving the quality of healthcare services. According to Epstein and Street (2011), the value-based system demands the implementation of effective strategic decisions that involve innovative programs. The consolidation process may require healthcare organizations to integrate services through mergers and acquisitions. For instance, in some areas as is the case in Silicon Valley, numerous major healthcare institutions lie within a stretch of 50 miles and offer similar healthcare services including, for instance, heart surgeries (Pearl, 2015). The consolidation of the healthcare would consider the ineffectiveness, low income, and reducing revenues as key effects of unconsolidated healthcare system. There is therefore the need for integrating services through a consolidated approach that promotes a value-based system.
Additionally, alignment arrangements and traditional acquisitions are important in the consolidation of healthcare. Reinventing the system through consolidation would require the application of acquisitions, joint ventures, collaborations, and affiliations. The consideration of the aspects of cost-effectiveness, the quality and safety of the healthcare services is critical for effective consolidation and the general transformation of the system. The implementation of new strategies targeting quality improvement and efficiency in healthcare provision would result in superior outcomes and revenue creation, improved patient satisfaction and sustainability (Deloitte, 2017; Pearl, 2015). Innovation in healthcare should ensure that there is maximum profit efficiency, superior quality and outcomes, patient satisfaction, safety and efficiency. The achievement of the mentioned impacts requires bringing other healthcare entities together to create a value-based system. Low-volume healthcare facilities record higher risk-adjusted deaths as compared to facilities with higher patient volumes. The creation of joint-ventures, affiliations, and collaborations allow higher volumes thus enhancing the quality, efficiency, safety, and cost-effectiveness of the healthcare system (Pearl, 2015). The transformation would stem from the increased possibility of sub-specialization, enhanced teamwork, improved communication, and better coordination (Weberg & Weberg, 2014).
addressing cost concerns and resource utilization is crucial for the transformation
of the healthcare system. An integrated-care system focusing on the reduction of
costs and the effective utilization of resources would serve a fundamental role
in transforming the healthcare system (Clavelle
& Goodwin, 2016). Applying a business perspective requires calls for
minimizing wastage by finding and eliminating any idle capacity. In the healthcare
system, the consolidation and coordination of care in a way that eliminates
wasteful use of resources is essential for enhancing cost-effectiveness and
improving care affordability. In areas where there a multiple healthcare facilities
offering the same services where some institutions have higher volumes as
compared to others, the possibility of idle or underused resources in some
facilities amounts to inefficiency in management. The adoption of a reinvention
program that consolidates services and implements joint ventures, acquisitions,
and collaborations or other agreements that ensure the effective use of
resources is important (Deloitte, 2017). For
example, closing programs in hospitals with lower volumes would increase income
in other facilities and ascertain higher quality, affordability, and cost-effectiveness.
Blakeney, B., Carlton, P., McCarthy, C., & Coakley, E. (2017). Unlocking the power of Innovation. OJIN: The Online Journal of Nursing, 14 (2), 1-12. doi:10.3912/OJIN.Vol14No02Man01
Bushelle-Edghill, J., Brown, J. L., & Dong, S. (2017). An examination of EHR implementation impacts on patient-flow. Health Policy and Technology, 6 (1), 114-120. doi.org/10.1016/j.hlpt.2016.11.005
Chia-Ling, L., Ya-Ni, W., & Hsiu-Min, T. (2013). Innovative Thinking in Nursing Practice. Journal of Nursing, 60 (2), 97-102. doi:10.6224/JN.60.2.97
Clavelle, J. T., & Goodwin, M. (2016). The Center for Nursing Excellence. Journal of Nursing Administration, 46 (11), 613-618. doi:10.1097/NNA.0000000000000413
Coats, B., & Acharya, S. (2014). Leveraging the Cloud for Electronic Health Record Access. Perspectives In Health Information Management, 1-19.
Daly, J., Jackson, D., Mannix, J., Davidson, P. M., & Hutchinson, M. (2014). The importance of clinical leadership in the hospital setting. Journal of Healthcare Leadership, 6, 75—83. doi.org/10.2147/JHL.S46161
Deloitte. (2017). Future Health: Transformation through innovation. Retrieved from Deloitte: https://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-lshc-future-health-transformation-through-innovation-051315.pdf
Epstein, R. M., & Street, R. L. (2011). The Values and Value of Patient-Centered Care. Annals of Family Medicine, 9 (2), 100-103. doi: 10.1370/afm.1239
Hearta, T., Ben-Assulia, O., & Shabtai, I. (2017). A review of PHR, EMR and EHR integration: A more personalized healthcare and public health policy. Health Policy and Technology, 6 (1), 20-25. doi.org/10.1016/j.hlpt.2016.08.002
Melnyk, B., & Davidson, S. (2009). Creating a culture of innovation in nursing education through shared vision, leadership, interdisciplinary partnerships, and positive deviance. Nursing Administration Quarterly, 33(4), 288-295. doi:10.1097/NAQ.0b013e
Pearl, R. M. (2015). Three Ways to Transform American Health Care. Retrieved from Stanford Business: https://www.gsb.stanford.edu/insights/three-ways-transform-american-healthcare
Timmermans, O., Van Linge, R., Van Petegem, P., Van Rompaey, B., & Denekens, J. (2013). A contingency perspective on team learning and innovation in nursing. Journal of Advanced Nursing, 69(2), 363-373. doi:10.1111/j.1365-2648.2012.06014.x
Weberg, D., & Weberg, K. (2014). Seven behaviors to advance teamwork: findings from a study of innovation leadership in a simulation center. Nursing Administration Quarterly, 38 (3), 230-237. doi:10.1097/NAQ.0000000000000041