Effective healtchare

Challenges overview

The healthcare system is in a crisis around the globe:

Patients’ Perspective

The price of health care services is increasing every year. The quality of service is less than desirable, and the response to emergency or urgent care is poor. Patients waste a lot of time in queues waiting to get comprehensive care, being passed from one healthcare stakeholder to another.

Doctors’ Perspective.

Doctors are under pressure to justly proportion medical resources . They live in the conflict of either treating every patient within the constrained budget that is not sufficient to heal any of them or treating only some patients to assure their full treatment while leaving others without treatment.

Insurers’ Perspective.

As medical costs rise, most large insurance companies and regional HMOs are forced to focus on cost containment. They make it hard for doctors to get approval for diagnostic tests.

Hospitals’ Perspective.

Cost-cutting initiatives are hurting hospitals. While clinicians are striving to master the advances in their respective fields and deliver the best possible care for their patients, hospital managers are coming under everincreasing pressure to reduce costs.

Governments’ Perspective.

All levels of government are under a lot of pressure from different stakeholders. The cost of care is continually rising and overall stakeholder satisfaction with the health care services is very low.

Some challenges above noted in accordance to Gary Wadhwa’s insights.

Necessity for a change

The human race has an insatiable appetite for healthcare. The expectations being placed on the medical profession are the highest they have ever experienced and will be unlikely to decelerate in the near future. The healthcare industry is under tremendous pressure to treat patients better to achieve more effective results than in the past.

No matter what the size, shape, location, mission, or orientation of healthcare organization, they are all facing all or a mix of the same problems:

  • Growing and aging populations — this translates to more patients and a growing demand from the same population.
  • Less money — as demands for better value, quality, and quantity increase for the same or lesser amount of healthcare spending.
  • More technology — to keep pace with advances in the field of medicine and its administration.
  • Higher expectations — of a continuingly better-educated consumer in most part due to access to medical information via the Internet.
  • Increasing competition — especially in more developed societies.
  • A need to provide new medical services to currently underserved populations.
  • An insufficient supply of clinicians — both physicians and nurses are in short supply globally.
  • A more mobile population capable of spreading disease faster than ever before.

As the cost of medical treatment increases rapidly in comparison to growth of the available budget the risk to providing quality and timely access to care increases. Healthcare systems should be able to treat more patients, better, sooner, now and in the future. How can we reach it?

Some problems above noted in accordance to Julie Wright’s insights.

Solutions to be exposed during event

Speakers with a huge experience in improving healthcare organisations will share how they have addressed these issues to achieve incredible results.

  • They will expose strategies on a robust and trustworthy patient-centred priority system to reduce patients waiting times.
  • They will outline solutions that helped significantly decrease of the average length of stay.
  • They will share tools on how to decrease queues and to prevent a full-house situation during normal market demand solutions that helped significantly decrease of the average length of stay.
  • In addition speakers will disclose how to offer improved services while implementing a sustained breakthrough in performance.
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Problems faced by healthcare organisations world-wide

NHS net expenditure has increased from £49.021 billion in 2001/02 to £104.333bn in 2011/12. The 2013 Budget indicated that expenditure for 2012/13 amounted to around £106.6bn (£102.9bn resources and £3.7bn capital).

Statistics by UK National Healthcare System Confideration.

New research by the Patients Association also shows that fewer patients are undergoing planned operations such as joint replacements, cataract removal and hernia repairs, as the NHS tries to make £20bn of efficiency savings at a time when demand for healthcare is growing.

The Guardian, 2012.

Severely ill patients suffered the largest increases in ED waits. Between 1997 and 2004, waits increased 36% for all patients (from 22 minutes to 30 minutes, on average). However, for those whom a triage nurse classified as needing immediate attention, waits increased by 40% (from 10 to 14 minutes). Waits increased the most for emergency patients suffering heart attacks, who waited only 8 minutes in 1997, but 20 minutes in 2004, a 150% increase.

Report by Harvard Medical School researchers at Cambridge Health Alliance, 2008

According to a 2009 report from the Government Accountability Office, emergency department wait times continue to increase. The report says the average wait time to see a physician is more than double the recommended time in some cases.
Research from Press Ganey Associates, a group that works with health care organizations to improve clinical outcomes, finds that in 2009, patients admitted to hospitals waited on average six hours in emergency rooms. Nearly 400,000 patients waited 24 hours or more.

CNN, 2011.

Doctors have are exhausted beyond limits and cannot take it any more,” the council said in a statement. It warned that the new fee envisaged by the government for next year, obliging patients to pay for part of their medical services, will hit the most vulnerable people: pensioners and chronic patients.

EU Observer on Healthcare crisis in Slovakia and Romania, 2011.

The budget cuts have taken different forms in different countries: Ireland has cut wages and staffing levels, as well as fees paid to professionals and pharmaceutical companies, while other countries have put a halt to infrastructure investment, or found efficiency gains by merging hospitals or placing a greater concentration on outpatient care. (…)
In some countries, cuts in public sector healthcare financing has led to increases in out-of-pocket private funding. In Iceland, out-of-pocket spending increased by 2.2% between 2008 and 2010, and in Ireland, the figure has increased by 1.7% in the same period.

Bariatric News, 2012.

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