Untethered Collaboration in C#

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Untethered Collaboration
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Collaboration well and truly impacts the primary focal points of quality healthcare: responsiveness and patient safety Consider, for example, an emergency procedure that is about to take place in an operating room All the personnel but the anesthesiologist are present and ready to go The treatment requires anesthesia and minutes are essential The ability for the medical team to reach the anesthesiologist is very much enhanced through wireless links, especially considering that 75 percent of the healthcare workforce is constantly on the move, and the odds are slight that the anesthesiologist is sitting at a desk A call is placed to the anesthesiologist, who is currently working on a critical case and can t leave for ten minutes The anesthesiologist forwards the call to the secondary anesthesiologist, who is contacted in real time Within seconds, the backup anesthesiologist is moving toward the operating room (OR) with the patient ready for the emergency procedure With literally only minutes to spare, a life is saved Similar scenarios occur around the clock in thousands of emergency departments
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Value Propositions and Success Metrics in Education and Healthcare
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Collaboration is not always a matter of life and death, but in healthcare, it s nearly always connected to quality of care for the patient and reduced operating expense for the institution Consider another scenario, which, though not as critical as the first, could become serious if not dealt with early and correctly A patient with an unusual series of symptoms visits a doctor His smart handheld device includes a database of symptoms and conditions, so she checks the information to narrow down the possible diagnoses and treatments for the patient This scenario is far from unusual; quite to the contrary is true, in fact A 2005 study, for example, published by the Journal of the Medical Library Association, discovered that 87 percent of physicians use a smartphone or PDA for patient encounters Of the frequent PDA or smartphone users, 85 percent said that the device influenced their overall clinical decision-making and 73 percent altered treatments because of information received from or via the device Given that the study occurred in 2005, we can expect that even more doctors are using these types of devices today The current generation of handheld medical devices is powerful ePocrates (wwwepocratescom) provides the following application for nearly every smartphone available: n n n n n n n n n n Health plan formularies Drug interaction checker, medical calculators Pill identifier, pill pictures Medical news updates Hundreds of brand-name over-the-counter drug products Infectious disease treatment guide More than 600 alternative (herbal) medicines IV compatibility checker High-resolution disease images Diagnostic and laboratory tests
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Another collaborative scenario involves the same doctor, but this time with another patient with a more serious condition The patient is new to this doctor, and before prescribing treatment, the doctor consults in real time with the former doctor, who is in transit between his private practice and a large local hospital Within minutes, the two physicians collaborate and concur on the best treatment regimen for the patient Another collaborative scenario involves the concept of training new medical personnel Approximately 3 million new healthcare workers are forecast to arrive in an industry where mistakes can be fatal and, less important, can incur lost revenue to major facilities through errors highlighted by the news media It s clear that in any industry, much less a vital one like healthcare, collaboration and communication between newer personnel and more experienced and full-credentialed
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personnel is important Adding to the complexity of the scenario is the workforce agility element Being able to collaborate in real time as the newer worker gains experience is essential for scaling both the experienced person and the new hire Smart handheld devices, such as Motion Computing s C5 medical tablet, which incorporates imaging, radio-frequency identification (RFID), and 80211 connectivity, enable physicians and medical technicians in remote locations to monitor and assist in patient point-of-care scenarios Not only do devices like the C5 allow for barcode reading (shown in the next illustration) and patient ailment photography, but they also offer high-resolution video abilities, handwriting recognition, and voice technology The voice technology is a tremendous staff multiplier, because it allows the care professional to discuss patient conditions and treatments to a single remote support person or to a conference room with support staff, greatly increasing patient safety, treatment outcome, and reduction in healthcare operating expenses
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Another less documented, but highly valuable, element of effective collaboration tooling is employee satisfaction Healthcare workers, understanding firsthand the shortage of qualified personnel, are exercising increasing amounts of discretion with regard to where, how, and on what they ll dedicate their professional time As indicated earlier in the chapter, large facility healthcare workers may begin an employment shift from large hospitals to small urgent care or specialty practice facilities Part of this future shift may result from job satisfaction as tight teaming through collaboration is generally far better with smaller teams at the smaller urgent care facilities These teams also tend to experience a lot less turnover than at large hospitals, which can vary greatly by shift and by day Effective teamwork with colleagues one enjoys and respects definitely has an impact on employee turnover Few layers of administration lie between the employee and the owner or general manager of a smaller facility Flatter organizational hierarchies also tend to have less employee turnover This is in part because the scope of collaboration goes well beyond daily task loads to include, importantly, career management, compensation, grievance
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