• Adam Tabriz, MD

The Modern Scheme of Clinic Operations Is A Must-Have Yet Resource-Intensive

The Modern Medical Practice Mandates Robust Digital Logistic Infrastructure And An Efficient Workflow System Of Operations.

Illumination initially published this article on Medium!

"A Global Imperative for Universal Health Coverage" is an article published in 2018 through a joint consensus of the World Health Organization, OECD, and the International Bank for Reconstruction and Development/The World Bank. The publication outlines a comprehensive vision of how the quality of care is still suboptimal in most countries. The report places particular emphasis on poor to middle-income countries. Nevertheless, More developed countries are facing their share of challenges. In other words, countries with high incomes with a surplus of aid are still not out of the woods of inefficiency, fiscal, and resource wastefulness.

Operational and workflow inefficiencies, be it clinical or administrative, will all eventually reflect on the quality of patient care. According to the report, those were deliberated upon by the Series of delivery Indicators suggesting variations in factors such as provider absenteeism, diagnostic accuracy, daily productivity, and adherence to guidelines.

The analysis illustrated how private and public primary healthcare entities that operate clinically today are equally suboptimal and are similarly shared mainly in low to middle-income countries.

Better Patient Care Requires Quality Operation In Its Entirety.

High-quality medical care in the 21st century doesn't merely start with the patient making an appointment and ends after their encounter with a doctor!

Today patient care entails taking into account all aspects of patients' physical, emotional, and socioeconomic variances. That is not only during the patient's encounter but throughout the continuum of care that they receive while at home, virtually, and in person. Only then will patients get the proper care, at the right time, by reacting to the service they need and preferences they have while alleviating harm and resource waste.

Building Quality Agents For The Benefit Of The Patients Requires Robust Infrastructure And An Efficient Workflow System Of Operations.

Indeed, robust healthcare delivery infrastructure and logistics must be able also to hire, engage and sustain a high-quality workforce. Likewise, it must strive to provide excellent service across all establishments.

The modern medical practice must hold the combination of necessary human support, technologies, and virtual space to guarantee the safe and effective use of medicines, procedures, devices, and other technologies.

The healthcare logistics of today employ health information systems that are secure, trusted, transparent, decentralized, interactive, and user-friendly. Such a trusted system must also engage financing mechanisms that continually sustain quality improvement.

We must ensure that all health systems have an information technology infrastructure capable of measuring and reporting the quality of care. Thus, we can close the gap between actual and achievable performance in quality. It should be able to reinforce the collaborations between physicians, patients, and everyone who backs high-quality care. Such reinforcement must relish the utility of executing evidence-based interventions through benchmarks against other systems; by fostering a framework for learning, technical assistance, and knowledge management for improvement.

The 21st Century Healthcare Delivery Infrastructure Also Needs A Clear Call To Action By The Healthcare Leaders.

Physician practices need to realize the significance of the necessity to change at various levels within the communities. That is from Government entities, Healthcare systems to all patients, healthcare workers, and stakeholders. For instance, an across-the-board quality policy and strategy with demonstratable transparency and accountability for delivering a safe, high-quality service is a must.

We should be able to empower patients and enable physicians by actively engaging them in medical care operations and workflow to optimize their health status without overburdening clinic operations.

The new healthcare infrastructure must continually include medical staff participation in quality measurement and refinement with patients. It must adopt a practice dogma of collaboration, see patients as allies in delivering medical care to them, and commit itself to providing and employing data to verify the effectiveness and safety of the medical care plan.

The Contemporary Infrastructure Improves Workflow, Recognizes Fruitless Redundancies, And Eliminates Waste.

The medical practice of our times must be ready for continual changes and thus be adaptable. They should prepare themselves to recognize the operation bottlenecks, eliminate them and remove intermediaries at all times. New practice management solutions attempt to address these issues. But often do so through pure automation; one hundred percent reliance on automation retains the potential risk of overwhelming physicians and medical staff by indiscriminately subjecting them to take action too much for too long.

One can haul all steps in the system closer together by standardizing procedures, patient flow, information flow, and synchronizing human efforts with machine automation. That will, in turn, render the operations to occur just in time, completing the tasks in parallel and synchronizing patient experience, physician clinical judgment, and information.

Finally, The Utility Of Proper Logistic Healthcare Infrastructure Operates On Continuous Flow To Avoid Bundling Of The Tasks.

A Cyber-Human-Physical System (CPHS) is a decentralized, hybrid healthcare operations solution of the century. The latter will offset clinic operations day-in-and-day-out irrespective of the location, time, and nature of patient clinic encounters. It helps continually balance supply and demand; it will create contingency plans, balances demand appointments, and helps oversee the physician's patient panel size and scope of the medical practice. An open, decentralized, interactive, transparent, and collaborative system serves as the cornerstone of a medical practice that rectifies the medical staff's performance, expects and foresees patient needs and expectations, and recalibrates the entire system based on those determinations.

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