CHI Franciscan Health System’s eight hospitals are scattered across Western Washington but they are all tethered to a virtual hub located in a former bank building in Tacoma. In this clinical operations center, teams of technicians, nurses, and caregivers use technology to provide an extra set of eyes across its regional health system, from miles away, for busy physicians and nurses on the ground.
Cynthia Hayward
Key Ways Hospital Design May Affect C-Section Rates
According to a new report published by Ariadne Labs and MASS Design Group, the physical design of a hospital’s birthing unit may affect its Cesarean section rate. Based on previous research, the team knew C-section rates can vary from 7 percent to 70 percent simply depending on the facility. As many as half of these C-sections are unnecessary and add surgical complications and increase costs. To begin to determine how much the physical layout of a hospital may impact C-section rates, the team chose 12 diverse childbirth locations — three birth centers and nine hospitals. They conducted site visits and phone interviews to develop facility profiles and compare the childbirth locations as quantitatively as possible.
Shared Medical Appointments Are Becoming a New Outpatient Care Option
Most patients wait alone in a cramped exam room for a scheduled appointment as their physician rushes through back-to-back individual patient visits lasting an average of 22 minutes each. With the growing trend of shared medical appointments, a patient and his/her peers spend a full 90 minutes with their personal physician. Shared medical appointments are a small but growing part of primary care as well as for a variety of medical specialties. According to the American Academy of Family Physicians, the percentage of its members offering shared medical appointment more than doubled, to nearly 12 percent, between 2005 and 2012. At the Cleveland Clinic, nearly 10,000 group appointments were logged between 2002 and 2014. Promoted as the wave of the future in outpatient care, group appointments are changing the way physicians and patients view medical treatment.
Robotic Nurse Being Developed To Assist Infectious Patients
Trina — which stands for Tele-Robotic Intelligent Nursing Assistant — is a first-generation nursing robot that is being built by a collaboration of Duke University’s engineering and nursing students and staff. Since the Ebola outbreak in 2014, new technologies, including robots, are being tested as alternatives to human contact to diminish risks for providers as they care for patients with infectious diseases. Funded by a National Science Foundation grant, Duke officials started working on the $85,000 robot about a year-and-a-half ago.
Community Clinics, ACA Beneficiaries, Worry About Their Future
Community clinics are key providers of primary care services for the poor. Treating people for free or for very little money has been the role of community health centers — a type of community clinic — across the U.S. for decades. In 2015, 1 in 12 Americans sought care at one of these clinics; nearly 6 in 10 were women, and hundreds of thousands were veterans. With roughly 1,400 community clinics nationwide, they have also expanded in recent years to serve people who gained insurance under the Affordable Care Act (ACA) and these clinics have been the poster child of the positive impact of the landmark ACA.
Micro-Hospitals — A New Healthcare Model
Thinking small allows a healthcare system to test demand or grow its presence in a specific market without the expense of a traditional greenfield full-service campus. Although not all alike, most micro-hospitals focus on treating low-acuity patients and provide ambulatory and emergency services — leaving more complex clinical services and surgeries to the larger, full-service hospitals within their broader healthcare network. They also have a lot fewer beds, often only 8 to 12.