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Lecture notes of topic 4 of Collab. in SCM & Adv. Topics $8.12   Add to cart

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Lecture notes of topic 4 of Collab. in SCM & Adv. Topics

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Lecture notes of topic 4 of Collab. in SCM & Adv. Topics

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  • July 6, 2024
  • 20
  • 2023/2024
  • Class notes
  • Vincent peters
  • Lecture 7 & 8
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- COLLABORATION IN SCM AND ADVANCED TOPICS LECTURE 7 AND 8 -

Patient chain management

SCM in manufacturing:
- Usually, SCM is associated with the handling of the entire production
flow of a good or service  starting from the raw components all the
way to delivering the final product to the customer.
- For example, the amazing supply chain of your morning coffee:
multiple organizations are required for growing, harvesting, hulling,
drying and packing, bulking, blending, and roasting of your coffee.




- Heineken beer:

International supply chains:




-

Traditional SCM: managing physical flows:




-
Flows in Dutch healthcare: the cut-off between GP and hospital:




-

, · Primary care: general practitioner, speech therapist,
physiotherapist  all care outside of the hospital.
· Secondary care: all takes place within the hospital context 
more expensive.
- How a patient moves (flows) from A to B in order to receive the
required care.
- In the Netherlands, the general practitioner is the ‘gatekeeper’ –
decides where/by whom you should be treated.
- So, without a referral from the general practitioner, no access to the
specialist or hospital.




-




-
- Challenge: although patients are in need of coherent care, we are
often not able to supply coherent/consistent care.
· Planning issues, communication issues, waiting times.

For each patient, coherence in care provision is a ‘must’ – what are major
roadblocks here?
- Doctors, medical specialists
- Nursing professionals
- Cost containment
- Communication/information tools

, - Demand in terms of fluctuations in terms of patients or healthcare
professionals

Demand-based care provision: building an integrated chain – integrated
care:
- Beside clinical also organizational challenges:
· Specialization in health care:
… Multidisciplinary collaboration
… Multiple health care providers
· Increasing emphasis on demand-based care e.g.:
… Client/patient involvement – more attention (e.g., want
treatment Y instead of X)
… Joint delivery
- Moreover, there is an ever-increasing pressure to cut costs while still
being able to deliver the same quality of care.
Often a broken chain yielding problems in the areas of:
- Communication:
· Lack of well-developed, flexible, and timely information systems
– systems do not communicate …
… Patients’ needs to repeat everything again when in a new
hospital for example.
· Improvements needed for those patients who require treatment
from more than one care provider.
- Patient safety:
· Number of errors reported per patient also increased with the
number of professionals assigned toa patient.
· Often at key interfaces: between primary and secondary care,
between curative and public health services.
- Waiting times:
· Negatively influence the patient’s quality of life.
· Long waiting times complicate smooth patient flows.
… E.g., waiting times between flows.
… Additional time before being treated.
- Integration:
· Professional inward-directedness: they often perform related but
different tasks, have different professional backgrounds, and
have never met.
· Traditional governance arrangements hamper implementation of
effective collaboration fir patients that require treatment from
more than one care provider.
 Reduced integration and in the end reduced quality of life for the
patient or their safety.

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