Healthcare Systems

Healthcare Systems
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This book is centered around the development of agile, high-performing healthcare institutions that are well integrated into their environment. The aim is to take advantage of artificial intelligence, optimization and simulation methods to provide solutions to prevent, anticipate, monitor and follow public health developments in order to intervene at the right time, using tools and resources that are both appropriate and effective.<br /><br />The focus is on the people involved – the patients, as well as medical, technical and administrative staff – in an effort to provide an efficient healthcare and working environment that meets safety, quality and productivity requirements.<br /><br /><i>Heathcare Systems</i> has been written by healthcare professionals, researchers in science and technology as well as in the social sciences and humanities from various French-speaking countries. It explores the challenges and opportunities presented by digital technology in our practices, organizations and management techniques.

Оглавление

Группа авторов. Healthcare Systems

Table of Contents

List of Illustrations

List of Tables

Guide

Pages

Healthcare Systems. Challenges and Opportunities

Foreword

Preface

Summary of Contributions – Part 1

1. Towards a Prototype for the Strategic Recomputing of Schedules in Home Care Services. 1.1. Introduction

1.2. Literature review

1.3. Description of the problem

1.3.1. Constraints

1.3.1.1. Continuity constraints

1.3.1.2. Legal constraints

1.3.1.3. Internal policies

1.3.2. Objective function

1.4. Resolution method

1.4.1. Route generation

1.4.2. Route selection

1.5. Presentation of the prototype

1.6. Tests and results

1.7. Conclusion and perspectives

1.8. References

2. Home Healthcare Scheduling Activities. 2.1. Introduction

2.2. State of the art

2.3. Description of the proposed approach

2.3.1. Home healthcare planning “offline phase”

2.3.2. Rescheduling in online mode

2.4. Experiments and results

2.5. Conclusions and perspectives

2.6. References

3. Optimal Sizing of an Automated Dispensing Cabinet Under Adjacency Constraints. 3.1. Introduction

3.2. Problem statement

3.2.1. Description of the assignment problem

3.2.2. Notations and definitions

3.3. Mathematical formulation

3.3.1. Determination of boundary conditions

3.3.2. Problem solving approach

3.4. Application example

3.5. Conclusion

3.6. References

4. Validation of an Automated and Targeted Pharmaceutical Analysis Tool at the CHU de Liège. 4.1. Introduction

4.2. Methods

4.3. Results. 4.3.1. Creation of algorithms

4.3.2. IT tool development

4.3.3. Tool validation

4.4. Discussion and conclusion

4.5. References

5. Simulation of Countermeasures in the Face of Covid-19 Using a Linear Compartmental Model. 5.1. Introduction

5.2. The compartmental model. 5.2.1. Model assumptions

5.2.2. Model parameters

5.3. A linear SIR model

5.3.1. Data

5.3.2. Variables

5.3.3. Objective function

5.3.4. Constraints

5.4. Results

5.5. Conclusion

5.6. References

Summary of Contributions – Part 2

6. Towards a New Classification of Medical Procedures in Belgium. 6.1. Introduction. 6.1.1. An essential but obsolete medical healthcare nomenclature

6.1.2. Decision to initiate a structural reform of the Belgian healthcare nomenclature

6.1.3. The NPS V0 nomenclature in a few figures

6.1.4. Purpose of the presentation

6.2. Methodology

6.2.1. Term analysis and standardization (NPS ATMC V1-1)

6.2.2. Medical pre-validation (NPS ATMC V1-2)

6.2.3. Matching the WHO International Classification of Health Interventions (NPS ATMC V1-3)

6.2.4. Provisional classification of new terms (NPS ATMC V1-3')

6.2.5. INAMI administrative work

6.2.6. Validation of proposals by expert groups (NPS ATMC V1-4)

6.3. Results. 6.3.1. Planning

6.3.2. A summary of the modifications between NPS V0 and NSS V1-3

6.3.3. Validation of proposals by experts (NPS ATMC V1-5)

6.4. Discussion

6.4.1. From the standardization of medical procedures to a common descriptive classification

6.4.2. Evaluate the quality for the standardization of medical procedures

6.4.3. An estimate of the resources mobilized to arrive at a common descriptive classification

6.4.4. Participation of medical experts

6.4.5. The implementation of common descriptive classification (CC ATMC V1)

6.5. Conclusion

6.6. References

7. Digital Toolkit for the Ergonomic Evaluation of Workstations. 7.1. Introduction

7.2. ProcSim and ergonomics. 7.2.1. Origin

7.2.2. Our product

7.2.3. Examples of applications in different sectors

7.2.4. Benefits and value addition

7.3. Ergonomic assessment process. 7.3.1. Data collection

7.3.2. Data analysis

7.3.3. Workstation modeling

7.3.4. Virtual reality testing of possible activities

7.3.5. Improvement proposals and recommendations

7.4. Conclusion

7.5. References

8. Simulation on an RFID Interactive Tabletop with Tangible Objects of Future Working Conditions: Prospects for Implementation in the Hospital Sector. 8.1. Introduction

8.2. State-of-the-art on the simulation of future working conditions

8.3. Proposal for a simulator on an interactive tabletop

8.4. Development of a first version of a simulator on an interactive tabletop

8.5. Application opportunities in the healthcare industry

8.6. Conclusion and perspectives in the healthcare industry

8.7. Acknowledgments

8.8. References

9. Robotic Geriatric Assistant: A Pilot Assessment in a Real-world Hospital. 9.1. Introduction

9.2. Geriatric assessment: from needs to the proposed solution

9.2.1. Data management and the proposed robotic solution

9.2.2. The Clara robotic geriatric assistant – research

9.2.3. Hypotheses and research objectives

9.3. Methodological approach: living lab approach

9.3.1. Empowerment in and through interaction

9.3.2. Contribution: new analytical framework

9.3.3. Mixed methodological approach

9.4. Pilot assessment

9.4.1. Procedure and test protocol

9.4.2. Results

9.5. Conclusion

9.6. Acknowledgments

9.7. References

10. Perspectives on the Patient Experience (PX) of People with Disabilities in the Digital Age: From UX to PX. 10.1. Introduction

10.2. State-of-the-art on Patient eXperience (PX)

10.3. Research methodology and proposal

10.4. Illustrations relating to the “user research” phase of the methodological framework

10.5. Case study: digital care journey of a patient with a disability

10.6. Conclusion

10.7. References

Summary of Contributions – Part 3

11. Jointly Improving the Experience of All Stakeholders in Hospital 4.0: The ICSSURP Initiative. 11.1. Introduction

11.2. Digital transformation to Hospital 4.0

11.3. Essential qualities of information systems of Hospital 4.0

11.3.1. Security in information systems of Hospital 4.0

11.3.2. Usability of information systems of Hospital 4.0

11.3.3. Resilience of information systems of Hospital 4.0

11.3.4. Performance of information systems of Hospital 4.0

11.4. Towards a joint security, safety, usability, resilience and performance engineering initiative (ICSSURP)

11.4.1. Advanced conceptual model of ICSSURP

11.4.2. System of homogeneous metrics

11.4.3. Summary of the ICSSURP initiative

11.5. Conclusion and perspectives

11.6. References

12. A Tool-based Approach to Analyze Operating Room Schedule Execution: Application to Online Management. 12.1. Introduction

12.2. Methodology used to generate our approach

12.2.1. Preliminary phase: from observation to the approach outline

12.2.2. Phase 1: design

12.2.3. Phase 2: build

12.2.4. Phase 3: test

12.3. Current version of the proposed tool-based approach

12.3.1. Presentation of the first tool: the dashboard conceptual model. 12.3.1.1. Presentation of our basic dashboard indicators

12.3.1.2. Calculation of indicators with different scales

12.3.2. Presentation of the second tool: the Logbook

12.3.3. Description of the current version of the approach

12.3.3.1. Step 1 – collect and process qualitative and quantitative data

12.3.3.2. Step 2 – assess the feasibility and optimality of the initial schedule

12.3.3.3. Step 3 – study the indicators and their deviations at the scale of the operating suite

12.3.3.4. Step 4 – study the indicators and their deviations at the scale of the operating room

12.3.3.5. Step 5 – study the indicators and their deviations at the scale of the cases

12.3.3.6. Step 6 – determine the root causes, the responsibility and the impact on the schedule

12.3.3.7. Step 7 – assess the quality of the actions implemented

12.4. Applied example of our tool-based approach at the Centre Hospitalier de Narbonne. 12.4.1. Step 1 – collect and process the data

12.4.2. Step 2 – evaluate the feasibility and optimality of the initial schedule

12.4.3. Steps 3 and 4 – study the indicators and their deviations for the operating suite and the operating rooms

12.4.4. Step 5 – study the indicators and their deviations at the level of the interventions

12.4.5. Step 6 – determine root causes, impact on the performed schedule and responsibility for deviations

12.4.6. Step 7 – evaluate the quality of the actions implemented

12.4.7. Summation

12.5. Conclusion and perspectives

12.6. References

13. Planning Patient Journeys in Outpatient Hospitals to Support the Ambulatory Shift. 13.1. Introduction

13.2. Background and state-of-the-art methods. 13.2.1. Planning patient journeys at the hospital

13.2.2. 4.0 transforming the operational management of hospital flows

13.2.3. Research problem

13.3. State-of-the-art and field of application. 13.3.1. Field of application: patient flows in outpatient hospitals

13.3.2. Little tactical planning for the state of the art

13.3.3. Choosing a planning and workflow management method

13.4. Contribution. 13.4.1. Macro-planning for groups of pathways: an S&Op for ambulatory medicine

13.4.2. Feedback

13.5. Discussion and perspectives. 13.5.1. Repeatability and accessibility of the macro-planning approach

13.5.2. Beyond the macro-planning for groups of pathways: towards integrated planning

13.6. Conclusion

13.7. References

14. Treatment Protocols Generated by Machine Learning: Putting a Case Study of Hospitalization at Home into Perspective. 14.1. Introduction

14.2. Context and perspective. 14.2.1. France’s healthcare restructuring and the impact for HaH

14.2.2. Hospitalization at home and target patients

14.2.3. The positioning of hospitalization at home versus traditional medicine

14.2.4. The problems facing hospitalization at home

14.3. The contribution of protocolization. 14.3.1. A quality tool for the patient and the healthcare provider

14.3.2. The interface protocol between healthcare facilities

14.3.3. Protocol facing its limitations

14.4. Study and proposed methodology

14.4.1. Case study of the cost drivers of a hospitalization at home

14.4.2. Patient trajectory forecasting and protocol generation

14.5. Conclusion

14.6. References

15. Resilience of Healthcare Teams: Case Study of Two Cardiology Intensive Care Units. 15.1. Introduction

15.2. Theoretical framework. 15.2.1. Defining the concept of resilience within the framework of the study

15.2.2. Nature of events and situations studied

15.2.3. The conceptual framework of the study

15.3. Research methodology

15.3.1. The narrative of the event

15.3.2. The data collection

15.4. Research results. 15.4.1. Identification of stressors

15.4.1.1. “Internal” stressors

15.4.1.2. “External” stressors

15.4.2. The resilience process

Phase 1: Detection

Phase 2: Adaptation process

Phase 3: Results of the collective action

15.5. Discussion

15.6. Conclusion

15.7. References

Conclusion and Perspectives

Glossary

List of Authors

Index. A, B, C

D, E, G

H, I, L

M, N, O

P, Q, R

S, T, U, W

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Series Editor

Jean-Charles Pomerol

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Note also that waiting times greater than 90 minutes are not counted. Therefore, it is possible that the routes produced are fragmented, which implies a long amplitude. While a long break in the day is not disruptive, it is not desirable, and as such having a compact route is also a criterion of staff satisfaction.

Table 1.1. Numerical results

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