The metastructure concepts of data, information, knowledge, and wisdom (DIKW) can be transformed in many areas of healthcare. Using all 4 concepts, provide an example of application in your clinical practice
Data: It is presented as discrete facts, described objectively without interpretation.
Information: It is interpreted data which has been given meaning. It answers questions such as “who”, “what” and “where”. It is data which is organized and structured.
Knowledge: It is information that has been synthesized so that relations and interactions are defined and formalized; Knowledge answers questions of “why” or “how”. It explores options.
Wisdom: Appropriate knowledge application. It implies a form of ethics, or knowing why certain things
…show more content…
These patients are usually scheduled in our post discharge clinic.
One of the performance measure that we are working on is decreasing the number of patients that no show for appointments. We decided to look at our discharge clinic where we noted that 50% of the patients in this particular clinic do not come for appointment-Data.
We then looked at the individual patients characteristics to see who no shows for these appointment after they are discharged from the hospital, and determined that the bulk of the patients that are not showing for appointment were homeless patients- Information.
Then, we explored how can we get the patients to come for their visits, and looked at several options including not scheduling follow up, but having them come in whenever as a walk in visit, seeing them on the unit on the day of discharge to determine need for follow up, just scheduling them with their providers as regular follow visit, or negotiating a telephone scheduled call time a week after discharge which will meet this measure-
| |the patient may have been seen at. And the |information from different providers and |
The current process leaves a large gap in service by delaying the transfer of the patient due to the above contributing factors. Patient safety is a number one priority of our facility, each missed opportunity for a referral from a regional facility affects patient safety by delaying the necessary treatment. Alleviating the contributing factors increases the likelihood of further referrals. Each patient that enters our door generates an estimated revenue of 5000- 25,000 dollars, so each missed opportunity for transfer affects the bottom line which in turn affects each department and the level of care we can provide to patients.
One provision that could be improved through Public Policy and Congress is the Hospital Readmission Reduction Program. According to Center for Medicare and Medicaid (CMS), about one in five Medicare patient who discharged from a hospital are readmitted within 30 days. There are many reasons for readmission such as severity of one’s illness, person’s physical or mental ability to understand and follow discharge instruction or
Lastly, we must not forget the no show patients which just makes it even harder for them since most offices are pretty busy and are trying to squeeze people in. Those that don’t show up will receive letters letting them know about their missed appointment and to be honest this is the best way to handle most patients. Most patients or any one in particular don’t like paying for services not being rendered so therefore once they receive a letter being threatened then they would eventually show up to their next appointment without any notice at all.
Knowledge is what our society is based on and it can be obtained through numerous ways, including the three ways of knowing: emotions, reasons and sense perception. ‘An emotion is an affective state of consciousness in which joy, sorrow, fear, hate, or the like, is experienced, as distinguished from cognitive and volitional states of consciousness’. ‘Reasons are statements presented in justification or explanation of a belief or action’. Last but not least is the sense of perception: ‘the understanding gained
If we just treats patients temporarily without the much needed follow up the care we provided is not complete. Most of the patients do not have the means to follow-up with their care or they are not well informed about the resource available after they get treated in the emergency room or do not have the means to take care of themselves. Brenner noted multiple emergency room visit for the frequent flyers and showed where the failure in the health care system exists. This made me realize patient care is not only treating disease condition but also to follow through the entire process of healing. The entire health system relies on the assumption that most patients have clear understanding of complexity of their condition. Patients are expected to navigate and follow through the entire health system. However, patients do not have a complete understanding of their health issues, which hinder them from being compliant with their care. Unfortunately this leads to multiple hospital readmission and increase cost.
Patients not attending to clinic appointments (no-show) significantly affects delivery and resource planning. The aim was to detect possible causes of the increased number of no-shows in August 2017.
For unknown reasons, patients were eligible for treatment in the current week, but would be out of coverage for the following three weeks for the month. This circumstance created several serious issues, firstly, it delayed the distribution of payments to treatments centers and transportation providers. Secondly, transportation providers were not receiving their full amount for which they billed, and also depending on the size of the transportation provider, ambulatory drivers were sometimes not paid for weeks. Factoring other major company expenses such as insurance, vehicle maintenance, and safety; other prominent reasons for the change was because there were no automated recording of patient eligibility, and the lack of a computerized recording system that would record the days of treatment of a patient on the part of transportation providers. Henceforth, a change needed to be made speedily to rectify the the impending issue.
Patients 10 min late or later should be considered for rescheduling after touching base with the clinic coordinator
Several factors influence the application of knowledge management in healthcare. Attitudes, as well as technical aspects, greatly impact knowledge management applications. One of the greatest determinants for successful development and implementation of knowledge management in healthcare is motivating employees to share data. Broadly speaking; knowledge management aspects may be further classified to include the people aspect and the approach to manage communication and information. Knowledge management strategies may be broadly divided into codification and personalisation approaches. The codification strategy entails codifying, storing and reusing knowledge. The personalisation approach entails in establishing successful dialogue between individuals.
It is difficult to define knowledge as every person has different views of knowledge. For me knowledge is skill, fact and information, which we obtain from experiences or understanding. Having knowledge is extremely essential in practical and personal life, it is important in the sense of everyday. Only attempt and interest can help us to get enough knowledge, but only working hard and gaining knowledge can only help us sometimes. Knowledge always depends on people’s perception about it.
Philosophy and science get into a deep interaction when people try to provide answer to fundamental questions. Socrates, Plato and Aristoteles were the first struggling to answer questions like “What is knowledge?” For Socrates, it was important to know what knowledge is per se, and he rejected definitions based on the knowledge acquired by specific activities. I will go through several proposed answers, and the problems of each of them, trying to make my own idea about which one could be the best possible definition of knowledge.
The first question regarding this case study is what features of the appointment scheduling system were crucial in capturing “many grateful patients.” As I read the case, some of the features that strike out to me are as follows: (1) a careful allotment of proper time to each patient according to the individual’s needs; (2) giving each patient a specific time such as 10:30; (3) keeping openings in the time slot for emergency patients, (4) punctuality and strict rules against no-shows, and (5) having adequate amount of examining rooms and assistants. The second question for this case is what procedures were followed to keep the appointment system flexible enough to accommodate the emergency cases, and yet be able to keep up with the other patients’ appointments. The assistants are instructed beforehand to keep openings in the time slot for emergency cases. The number of openings is dependent on what times of the week that is available and possibly different seasons. Most of these emergency cases are taken care of after initial patient visits are completed. However, if there is an interruption due to a short notice emergency case, the doctor would still be able to catch up without having to reschedule. If that emergency case happens to be longer, patients are given the option to reschedule for a new appointment or wait. If the patient chooses to wait, the assistants would try and fit them into one of the emergency cases slots.
The theory of knowledge has been reflected upon for many years now; assessing how certain we can truly be about what we know, and what we do not know. The question, “What does it mean to know something?” is a difficult question to answer because we must look at the various forms of knowledge that are activated when we think about something. I think we commonly associated knowledge with objective truth and having concrete facts. When I think about knowledge and certainty it reminds me of when I was a toddler and questioned everything and anything that was said to me. When my mom would say to put on my seatbelt, for example, I would quickly ask, “why?” And she would retort, “So that you can be safe if we get into an accident,” and I would respond with another question, “Well, why do I have to be safe?” She would respond again to me, and I would ask again and again until she would utter, “Because I said so.” This curiosity at a young age was sparked from my eagerness to discover the truth behind things, even the most miniscule of things; this phenomenon is actually common among most toddlers.