ORCID Profile
0000-0001-5135-4771
Current Organisations
University of Tasmania
,
Griffith University Griffith Business School
,
Queensland University of Technology
,
Cumberland College of Health Sciences
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Publications
The Transmogrification of Surgical Telehealth: a PRISMA Review
Publisher: Australasian College of Health Service Management
Date: 20-12-2022
Abstract: Telehealth has been used to care for patients at a distance in specific clinical and demographic situations, but the demand for physical isolation during the COVID-19 pandemic has expanded its application to the broader community. This systematic literature review, of very recent publications, elucidates the new ways telehealth has been implemented, confirms it’s acceptability, accessibility and safety by collating reviews, trial and cohort studies from peer reviewed journals meeting defined risk of bias criteria. Five literature reviews, three qualitative studies and 22 quantitative studies were included, which confirmed that telehealth is a safe medium for delivery of surgical health care, is accessible and efficient for the majority of patients and clinicians across the age and socioeconomic spectrum. It is time and resource efficient for providers and recipients and improves the delivery of patient-centred care. Many providers have published innovative solutions to the difficulties of telehealth, such as conducting a physical examination or technological limitations at the remote site. Health care can now be delivered directly to the home or the workplace. Routine in-person postoperative review of patients should be replaced by patient-led telehealth unless there is a specific reason for face-to-face review. Assessment and management of new cases could be managed more efficiently if a carefully planned digital referral process is developed and adopted.
What ‘Sparks’ Innovation in Rural Health Settings: A case study
Publisher: Australasian College of Health Service Management
Date: 20-12-2022
DOI: 10.24083/APJHM.V17I3.1609
Abstract: Objective: To determine how innovation occurs and identify the factors that support innovation in a rural hospital in New South Wales, Australia. Design: Situated within a larger case study, this research collected qualitative data using semi-structured interviews. Setting: Inner regional hospital, located in a city, providing a broad range of acute and primary health services to a rural community. Participants: Hospital executives, department managers, consultant and staff specialist surgeons, physicians, nursing, nursing managers and allied health staff were recruited after a phone, personal or email approach. Main Outcome measure: Qualitative interviews (n=25) conducted in a rural hospital. Results: Fourteen innovations were identified. Factors supporting innovation were when in iduals who were valued by team members had the ability to make within team innovations with ease clinicians with ideas for improvement led innovation external agencies- the Clinical Excellence Commission and the Agency for Clinical Innovation provided expertise, ideas, and motivation for innovation. Limiting factors included time for innovation, creative thinking, planning, and implementation. Funding, the bureaucracy and multiple points of consultation to make changes were also identified. Conclusions: Innovation occurred despite the absence of factors theory suggests are required. In rural settings, there are limited staff and resources leading to scarcity with no additional capacity in the system and innovation is a necessity. Further innovation could be unleashed if small amounts of resourcing and time were provided to staff with innovative ideas to improve services, change processes or introduce new ways of working.
GRADUATE EMPLOYMENT OUTCOMES OF HEALTH SERVICE MANAGEMENT WORK INTEGRATED LEARNING PLACEMENTS
Publisher: Australasian College of Health Service Management
Date: 08-04-2023
DOI: 10.24083/APJHM.V18I1.1639
Abstract: Introduction: Australian universities are increasingly focused on graduate employability outcomes. Industry and government are also seeking job-ready graduates. Employment outcomes for degree programs are measured by national surveys. Understanding employment outcomes for health service management university programs however are not able to be determined by these surveys as the data are not sufficiently granular. Universities embed a range of employability activities into their degrees to promote and support job-ready graduates such as work-integrated learning placements. Study design: This study employed a novel approach to measuring employability outcomes for graduates who had completed a health service management work integrated learning placement. Findings and research outcomes: Our study shows that graduates of a health service management program who complete a work-integrated learning placement have good employability outcomes and are gaining employment in roles related to their degree. Further research is needed to understand the impact of the placement and other embedded approaches in health service management degree programs to determine the role of each of the possible contributing factors
Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis
Publisher: SAGE Publications
Date: 03-03-2023
DOI: 10.1177/18333583231154624
Abstract: Electronic medical records (EMRs) have been widely implemented in Australian hospitals. Their usability and design to support clinicians to effectively deliver and document care is essential, as is their impact on clinical workflow, safety and quality, communication, and collaboration across health systems. Perceptions of, and data about, usability of EMRs implemented in Australian hospitals are key to successful adoption. To explore perspectives of medical and nursing clinicians on EMR usability utilising free-text data collected in a survey. Qualitative analysis of one free-text optional question included in a web-based survey. Respondents included medical and nursing/midwifery professionals in Australian hospitals (85 doctors and 27 nurses), who commented on the usability of the main EMR used. Themes identified related to the status of EMR implementation, system design, human factors, safety and risk, system response time, and stability, alerts, and supporting the collaboration between healthcare sectors. Positive factors included ability to view information from any location ease of medication documentation and capacity to access diagnostic test results. Usability concerns included lack of intuitiveness complexity difficulties communicating with primary and other care sectors and time taken to perform clinical tasks. If the benefits of EMRs are to be realised, there are good reasons to address the usability challenges identified by clinicians. Easy solutions that could improve the usability experience of hospital-based clinicians include resolving sign-on issues, use of templates, and more intelligent alerts and warnings to avoid errors. These essential improvements to the usability of the EMR, which are the foundation of the digital health system, will enable hospital clinicians to deliver safer and more effective health care.
Can publicly reported data be used to understand performance in an Australian rural hospital?
Publisher: SAGE Publications
Date: 16-09-2020
Abstract: Despite agreement among policymakers, funders, consumers and researchers about the value of public reporting of health information, limited attention has been paid to how it can be used to understand the performance of rural hospitals. To determine whether publicly available information can be used to measure health service performance in a rural hospital. The study used performance data routinely reported for public consumption in Australia. Data across four domains, multiple measures and time periods were collected to examine access and equity efficiency and sustainability quality, safety and patient orientation and employee engagement. Performance of the rural hospital was examined using a visualisation tool. Visualisation of multiple measures of performance over time was achievable but required a high degree of health information management skills. Publicly reported data can be used to represent performance for a rural hospital. Timeliness, level of detail available and peer groupings of data limits optimal utility. Consumers, clinicians and health service managers wanting to understand the performance of rural hospitals will need to use significant health information management skills to gain a picture of performance. Further research in the applied use of publicly available performance data and relevant dashboards for rural hospitals is suggested.
A National Survey of EMR Usability: Comparisons between medical and nursing professions in the hospital and primary care sectors in Australia and Finland
Publisher: Elsevier BV
Date: 10-2021
Related Organisations
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No related grants have been discovered for Sheree Lloyd.