HealthManagement, Volume 18 - Issue 4, 2018
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Editorial
Top killers
In healthcare, the tendency is more on managing events after they happen rather than adopting a proactive approach to prevention. This is a major reason why the number of CVD patients continues to increase each year and why cardiovascular disease continues to be one of the leading causes of death and disability. Approximately 17.7 million people die from CVD annually. Nearly a third of all deaths around...
Spotlight
Redefining the role of hospitals - innovating in population health
With the 27th European Association of Hospital Managers (EAHM) Congress being held in Cascais, Lisbon at the end of September, HealthManagement interviews Alexandre Lourenço, President of hosting organisation, the Portuguese Association of Hospital Managers, on the changing face of hospital management and the new era of ‘care.’ Why have you focused on the theme "Redefining the Role of Hospitals - I...
Point-of-View
The 360º seamless patient journey value. That’s VALUED
Improving experience and overall performance for patients receiving knee and hip replacements at Sultan Bin Abdulaziz Humanitarian City Hospital (SBAHC), Riyadh, Saudi Arabia. If you’ve ever been a patient or have had a loved one require care, you’ll know that what is valued as a patient – big or small – is unique for each person at every stage of their treatment. The concept of value-based he...
Aiming to heal 80 percent more hearts through the power of partnership
As a leading center in the treatment of cardiac arrhythmias, Oslo University Hospital, in Norway is acutely aware of the increasing number of lives that are being impacted by atrial fibrillation. Dr. Erik Kongsgård, Head of Electrophysiology at the hospital, shared, “we are the only public center in the south of Norway, with approximately 2.8 million citizens – a huge region. We’ve had to take on...
Management matters
A systems perspective on collaborative care delivery
For collaborative care delivery to be a driver of healthcare transformation, we need to think differently about how we design and manage healthcare delivery. Healthcare systems are undergoing transformation in order to meet the ever-changing needs of modern healthcare delivery. Our ageing population and increased prevalence of chronic disease have created complex patients defined by factors such as poly...
Risk and permission: The core of good leadership for the modern day
Roderick Millar shares his innovative approach to leadership, which balances devolved decision-making and retaining overall control. The world is awash with leadership advice, and research from countless business schools and consultants frequently lists out the key characteristics of good leaders. These tend to fall into two categories: the lead yourself, lead your team, lead your organisation approach,...
Are soft skills important?
Soft skills give a huge competitive advantage when it comes to convincing a prospective employer or a prospect that you are the man or woman for the job. Just how important are soft skills in helping you advance in life? A study by Harvard University noted that 80% of career achievements are determined by soft skills and only 20% by hard skills. The term ‘soft skills’ was coined in 1972 by the U.S...
Special Supplement
Foreword
Emilie Neukom Director of Marketing for EMEA, Abbott Diagnostics The global healthcare sector has been undergoing constant upheaval for over a decade. Aging populations, budget restrictions and a lack of skilled staff are making it harder than ever before to deliver high quality healthcare, and laboratory diagnostic services have suffered disproportionately in this environment. Budget cuts, recruitmen...
Changing the status quo – big data and disruptive technologies
Jan-Philipp Beck CEO, European institute of Technology (EIT) Health Ramiro Roman DVP Professional Services, Abbott Diagnostics 'Big data' is currently THE buzzword in healthcare, and there is growing recognition that the vast amounts of digitized data available could be harnessed to improve the delivery of healthcare services and a...
Elevating the clinical laboratory’s role in healthcare delivery
David Humphreys Global Head of Health Policy, The Economist Intelligence Unit (EIU) Abbott recently commissioned a study by the Economist Intelligence Unit – supported by research partners IPSOS and Acuity – to examine the laboratory’s current influence and perception, as well as to explore initiatives that could increase the impact of laboratory services in value-based healthcare. The resear...
The lab as the 'Uber' of medicine
Khosrow Shotorbani CEO and founder of the lab 2.0 Strategic Services Healthcare systems globally are undergoing a paradigm shift from ‘sick care’ to ‘well care’. With budgets becoming ever more stretched, cost avoidance through disease prevention and early intervention are the only viable option – we can no longer afford to simply care for the sick. Disease prevention is the holy grail of l...
European diagnostics under the microscope
Leadership challenges for NHS consolidation Saghar Missaghian-Cully Managing Director, Northwest London Pathology, London, UK Dimitris Chatzidimitriou Founder & Lab Director, Labnet, Greece Alexander Hoffman(Abbott Diagnostics) on behalf of Peter Thorausch Head of Laboratory, Limbach Group, Cottbus, Germany Like many markets, the demand for healthcare services in the UK is constant...
Abbott – a trusted partner
Paul Jülicher Director International Health Economics & Outcomes Research, Abbott Diagnostics Matt Sawtell General Manager Nordics, Abbott Diagnostics The value of in vitro diagnostic services is like beauty – it's very much in the eye of the beholder. From a community perspective, we want to pay for better health, not better healthcare, but accomplishing this goal requires investment in...
Cover Story: Top killers
Medical errors: is prevention possible?
A patient death is distressing enough, but when the cause is a lack of hospital safety culture and it could have been prevented, healthcare needs to act. Now. A health crisis across the globe is claiming over 4.8 million lives every year. It’s devastating countless families and clinicians in every country and across every continent. But because we only hear of an incident happening once in a while i...
Rising multimorbidity in our ageing world
How can the spatial sciences contribute to streamlined healthcare by addressing multi-morbidity in ageing populations across the globe? The global population is ageing. This is not only a general demographic pattern but one with a variety of unique trajectories by country and region, and system-specific implications. A successful transition to the status of an aged society has implications for convent...
Chronic Inequities: The top killer of women in Europe?
Women are underrepresented throughout the health policy continuum from research to access and appropriate healthcare. How can this imbalance be addressed? What is killing women in Europe today? The list includes cardiovascular disease, cancer and respiratory disease, which account for nearly four-fifths of women's (and men’s) deaths on the continent (Eurostat 2017a; WHO 2012). However, data and eviden...
A moving target: the future of cardiology
In this issue of HealthManagement, we shine the spotlight on two leading figures in the field of cardiology—Prof. Dr. Hüseyin Ince and Dr. Giuseppe D'Ancona—to bring together their expert views on key developments in transcatheter aortic valve implantation (TAVI), percutaneous mitral valve repair and more. What do you believe to be the most important recent advancements in the field of intervention...
What is the future of breast cancer screening?
Αdvances in technology and the advent of precision medicine point to a move away from ‘one size fits all’ breast cancer screening. Breast cancer is the most frequently diagnosed cause of death from cancer in women worldwide and the second leading cause of death from cancer in women in developed countries (Ferlay et al. 2014a; 2014b). Breast cancer mortality rates have decreased due to mammographic...
From treatment to prevention in diabetes care
Diabeter has made strides in type 1 diabetes care with its VBHC model. Co-founder Henk-Jan Aanstoot shares its keys to success. At Diabeter, founded in 2006 by myself and Dr. Henk Veeze, our value-based care model specialises in providing comprehensive and personalised care for children and young adults with type 1 diabetes (T1D). We incorporate technological advancements and a transformed care system t...
Robotics and AI to answer healthcare challenges
With healthcare technology developing rapidly, how will it impact on the major conditions? Is complete takeover or a supporting role the best bet? As technology explodes in so many industry verticals, healthcare is, most of the time, a puzzle that needs more unveiling and continued experimenting. Healthcare, as opposed to other sectors, is not a straightforward cut. It is a truly multi-faceted discipl...
Top killers infographic
A snapshot of the top killer health conditions around the globe....
Winning Practices
Separate and concentrate― a sustainable business model for general hospitals?
Research shows how to optimise and streamline care in the hospital setting by separating patients into routine and complex groups. After years of medical progress, we are now facing the age of precision medicine in which new technologies allow for effective care tailored to the individual patient. Yet, why are the current business models in healthcare subject to inertia and still rely on intuitive med...
Obstacles to establishing competence in radiology
Competence in radiology: difficult to define, more difficult to establish. Since the publication of McClelland's 1973 work (McClelland 1973), it is assumed that knowledge does not always imply better performance in the profession, and that competence is a complex concept, in which many factors are involved (Mendiratta-Lala et al. 2011). For the definition and evaluation of the competence of a radiol...
If you can’t beat them…join them
Medical schools are including an ultrasound application and formal teaching in their curriculum; emergency medicine and critical care physicians have embraced the use of hand held ultrasound probes that offer the advantage to ‘see’ immediate information regarding the patient. At the beginning of each academic year, first-year medical students at U.S. medical schools participate in a medical school t...
Effects of smoking on carotid artery structures and haemodynamics
A study to assess and compare structural and haemodynamic parameters in carotid arteries in smokers and non-smokers using ultrasound. The goal of this research was to assess the effect of tobacco on structural and haemodynamic parameters in carotid arteries. 103 subjects (51 smokers and 52 non-smokers) were evaluated by a trained radiographer using ultrasound equipment. The smokers group was divided i...
EuroSafe Imaging: be a star for your patients: Quality and safety in radiology
Presentation of an initiative to aid imaging departments to approach quality and safety in radiology as a whole, to bring visibility to radiation protection and create positive impact on clinical practice. The EuroSafe Imaging Stars (EIS) is an initiative designed to identify and recognise imaging facilities that embody best practice in radiation protection and that are committed to putting the princ...
5G opens the future of telesurgery
A pilot project will use 5G cellular technology to enable remote assistance for surgical procedures in real time. Technology that enables telepresence has facilitated complex surgical procedures to be carried out in regions that lack expert surgeons, such as in small hospitals, developing countries, and also for militaries in combat. At the same time, robotics provide invaluable assistance, allowing pr...
Digitisation 4.0: the transmission of patient data
In the Mühldorf clinic, patients have been equipped with a ‘smart visit’ app in a pilot project to gain experience with a new instrument of data communication. Data TransmitionThere are numerous apps to assist people with a broad range of issues relating to health and illness, whether in the form of guides, assistance in illness situations or fitness trackers measuring data. Many people use the...
Shaping the future of dementia care
Re-examining approaches for dementia management. The potential of applying integrated pharmacological and non-pharmacological treatments for the care of people living with dementia. Dementia is a mental state used to denote severe cognitive impairment which impacts daily activities and life. Alzheimer’s disease is one of the most common forms of dementia, vascular dementia being the other. Contrary to...
I-I-I Blog
Paul Chang
Professor of Radiology Vice Chair, Radiology Informatics Medical Director, Enterprise Imaging University of Chicago, USA. TOP QUOTE FROM BLOG: Can we put true value back into radiology? “The reason we need technological help, whether it’s AI or something else, is because now simple image interpretation is not enough. We have a significant increase in dataset complexity, and we have to be truly impa...
Kai Zacharowski
Director - UNIVERSITY HOSPITAL FRANKFURT, Department of ANAESTHESIOLOGY, Intensive Care Medicine and Pain Therapy (KAIS), Germany TOP QUOTE FROM BLOG: Patient blood management before surgery “All too frequently, patients already have insufficient blood volume when presenting for surgery. Patient Blood Management and anaemia management have the potential to save thousands of lives each year.” See...
María Jesús Díaz Candamio
Radiologist - Servicio de Radiología, Complejo Hospitalario de A Coruña, A Coruña, Spain TOP QUOTE FROM BLOG: What does it mean to scan medicine and life with a radiologist gaze? “It will take a long time before robots replace the radiologists. Thanks to artifical intelligence (AI), radiologists will be more efficient and accurate, and we are looking forward to these changes.” See more at: htt...
Eugenio Mantovani
Researcher - Research Group on Law, Science, Technology & Society (LSTS), Vrije Universiteit Brussel, BELGIUM TOP QUOTE FROM BLOG: GDPR: Conducting “big data” research with European health data “Big data analysis upsets the paradigm “consent or anonymity”, according to which the processing of medical data for research purposes requires either individual informed consent or the previous an...