College aantekeningen
Lectures Notes Innovation and Quality Management of Health Services
- Instelling
- Maastricht University (UM)
Lecture notes on all the lectures of the course HPI4002 Innovation and Quality Management of Health Services!
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Lectures Innovation and Quality Management of Health ServicesOpening Lecture
Lecture 1: Innovation and quality management in daily practice
Zuyderland hospital key challenges nowadays:
- Staff shortages
- Rising demand for care
- Affordability
Zuyderland as unique healthcare organisation
The group consists of:
- Zuyderland medisch centrum: hospital in five locations, mental health and
rehabilitation.
- Zuyderland care: Zuyderland Care Centers with seven main and several secondary
locations, two hospices, home care and domestic help.
Care models Zuyderland
Focus clinic: effective care, aimed at operational excellence, often monodisciplinary
1. Routine and standardization
2. Choice and focus
3. Concentration of care
4. High volume
5. Short waiting time
6. High quality and service
Patientgericht centrum:
….
Lecture 2: Challenges of innovation in healthcare
Challenges in healthcare
- Ageing of the population
- Growing incidence of chronic diseases
- Strong demand for high quality of care
- Rising expectations
- Unequal accessibility of healthcare
- Pressure on the labour force
- Rising health care costs
- Etc.
In summary, the main challenges we face in healthcare are:
- To provide the best possible care
- To as many people as possible
- As affordable as possible
,How do we cope with these challenges?
We have to make our system as sustainable as possible and we have to redesign.
Current trends in redesigning healthcare:
- Adopting new payment and reimbursement models to stimulate improvement of
performance
- Moving from sickness and treatment to wellness and prevention
- Integrating primary, secondary and social care (new organizational structures)
- Finding new ways to involve private and voluntary sectors
- Making individuals more responsible for their own care
- Shifting from expensive hospital care to community care
- Finding cheaper and simpler organizational and technological solutions
What is the role of innovation in this process?
Innovation can play an important role in facilitating the redesign of healthcare by:
- Improving the performance of healthcare systems
- Improving health outcomes for individuals
- Increasing efficiency of healthcare
But also, innovation has its challenges
What are challenges of innovation in healthcare?
- Innovation often needs large financial investments
- Not all the science and technology is implemented into everyday mainstream
healthcare practice (waste)
- There is often a considerable time lag between development and implementation
(waste)
- Innovation is not always adopted correctly and not everyone has equal access
- Innovation often increases costs because it allows us to provide more health care
“Innovation has the tendency to increase overall healthcare costs”
What are the challenges for the different sectors involved in innovation in healthcare?
Healthcare is supported by four major industrial sectors:
- Pharmaceuticals and biotechnology (“biopharma”)
- Medical devices
- Information technology
- The built environment (design, engineering and construction)
They are confronted with a changing landscape:
- An evolving market for their products
- A changing balance of power across the health care value chain
- Pressure on their business models
The built environment:
- Changes in the organization of healthcare also have their impact on the buildings
(integrated care, patient centred care)
- Rules and regulations
- Integrating (options for) the newest technologies in buildings
, Differences healthcare sector and other sectors
What are the differences between healthcare and other sectors?
- Healthcare is very complex
- Healthcare is always evolving
- Healthcare is heavily regulated
- Healthcare is highly politicized
Factors that influence the innovation processes in healthcare:
- The nature of healthcare technology and innovation
- Risk-averse culture and extensive regulation
- Economics and politics of healthcare
- Environment for adoption and implementation is often extremely complex
Technology and innovation
What is technology?
Many different definitions of technology exist, of which the broader definitions have been
critized because they are too broad.
- Technology is concerned with the application of knowledge to solve problems
- A distinction is made between:
o Hard technology (tangible artefacts products made by humans)
o Soft technology (the knowledge about how those artefacts work)
What is innovation?
Many different definitions of innovation exist. Key points of these definitions are:
- New ideas
o A new (or improved) product, process or service, or a whole new business or
business model
- Exploitation
o The idea must be implementable and potentially value generating
- Successful
o The innovation is adopted by the target audience
- New
o This is a relative term; it can mean ‘new to the world’, ‘new to the market’, or
‘new to the organisation’
According to Barlow (2017):
- Innovation can refer to an outcome and it can refer to the process by which these
outcomes are developed
- Innovation has both a creative dimension (invention) and a commercial or practical
dimension that involves the exploitation of the invention
- Only when both of these dimensions are managed does one have an innovation
(many ideas fail to make it beyond the invention stage).
Types of innovation
Barlow (2017) classifies innovations according to:
- Their scope:
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