Keys to Efficient and Effective Healthcare Delivery | healthcare

Worldwide, multiple factors cause the healthcare industry to be diverse and complicated. In the United States, the healthcare system is troubled by skyrocketing costs. In turn, the lack of affordability threatens the health, wellness and productivity for far too many. There are three keys to delivering an efficient and effective healthcare delivery process.Today, regulations, insurance restrictions and the interaction between clinician and patient drive treatment direction. The importance of “health
care” demands little margin for error. Achieving complete and accurate medical outcomes requires an efficient and effective healthcare delivery process.The accelerating growth of medical knowledge cultivates the emphasis to improve the efficiency and effectiveness in the healthcare delivery process. Reducing unnecessary costs can provide hospitals and medical practices with the additional cash flow needed to re-invest in their people and or obtain new tools like the latest diagnostic technology. With all of the cost demands resulting in time pressures, what can healthcare professionals do to facilitate efficient and effective healthcare delivery process?The first key to improving efficiency and effectiveness in healthcare delivery is defining and examining core, supporting and driving processes.
When a team comes together with the intention of documenting strategic direction and associated workflow processes, process consultants can assist the team with techniques on how to better align expectations, reduce unnecessary re-work and unnecessary wait time and make more effective use tools and technology. Clearly, this results in developing higher value for the clinicians and the patients because we focus our efforts on necessary and valuable activities.Another key is leveraging tools and technology. Each year millions of dollars are spent on Electronic Medical Record systems and Integrated Healthcare Management systems. These technologies offer tools to manage and share healthcare data with high-speed computer networks and mobile devices to ensure favorable treatment outcomes and improve care delivery on a case-by-case basis. More extensive instrumentation, interconnectivity, and intelligence in the management of medical data and information can improve the efficacy of examination, diagnosis, and treatment at the point of care. The fact that these tools and techniques are being used within the healthcare industry is great for the ultimate success of the industry; however, few businesses access these tools due to cost and resistance to change.The third and most important key is understanding the appetite of the current culture for change. Many tools exist to understand leadership styles, communication and learning preferences. Integrating human resource values such as involving folks in decisions that impact them requires clinical leadership to integrate the voice of the employees within leadership strategies. Other organizational driving and constraining forces must also be assessed. Cultural change tools lead us to apply the appropriate communication, coaching, training, and measurement techniques to lead and reinforce necessary change.Given the number and diversity of participants as well as the complexity of healthcare delivery process, implementing these keys uncovers the need for an objective party to initiate, facilitate, and integrate a sustainable efficient and effective healthcare delivery process. For the healthcare industry, the time to act is now. Healthcare organizations that move aggressively to implement the process improvements, appropriate tools and technologies and cultural change techniques will achieve cost-effective results and improve interactions with their staff and health outcomes for the care of their patients.

Japanese Tea Gardens – Create Your Own Japanese Sanctuary | gardening

What is the difference between a Japanese tea garden and a Japanese garden? A tea garden is often associated with residences and are essentially paths leading to a Japanese tea house. They are often much more secluded and private, reflecting the process of leaving our ordinary world and lifestyle and entering into a special a place.Many Japanese gardens are meant to be viewed from a certain perspective or observation spot, while tea gardens are often more geared toward the experience of walking through a garden and taking in the atmosphere. Of course there are strolling gardens (Kai-yu shiki), but again the process is different. The best view of a tea garden is after passing through the entrance gate and entering the tea house grounds. Machi-ai, or waiting benches, are also great places to sit and take in the experience before continuing on the tea house.In a tea garden, or Roji in Japanese, the detailed placement of stepping-stones is meant to keep your focus on the ground, not letting the mind wander to far from the path. On a practical level, these stepping-stones, which are raised above the soil line, are there to keep your feet from getting dirty after it rains.These Serene Gardens are meant to bring about the image of a mountain pass or a stroll up to a hermit’s house deep in the woods. It often conflicts with the more refined, elegant, and tightly pruned Japanese garden often seen from a temple porch, imperial palace, or art museum. It doesn’t mean that there is no pruning done, but the selected shrubs and trees are pruned a little more naturally.In general, I would suggest that Japanese gardens tend to be about 75% evergreen (plants that keep their leaves all year) and 25% deciduous (plants that loose their leaves in winter). Of the 25% deciduous materials the majority are probably Japanese maple trees. Bright, attention-grabbing flowers are rarely used. Especially in the tea garden, a rustic natural look is desired so flowering trees may be used but still kept to a minimal use. A white flowering Dogwood is a great example of an elegant tree that would fit well in this type of garden. Azaleas are often highly sculpted in the general Japanese garden, but are left a little rougher in a tea garden.Because the focus of a Roji path is on experience, the process of walking through often leads one to smaller outside rooms, creating a small journey for the person. There are often many curves, which intrigue and keep you guessing as to what is to come around the next corner.That being said, contemporary tea gardens sometimes push the limits of what is acceptable in a traditional tea garden. I believe that modern architecture of the Japanese home is also influencing the way many contemporary garden designers create their gardens. In Japan we are seeing more open style tea gardens with less shade. A more modern garden may very well compliment an avant-garde Japanese tea house.Authentic Japanese garden landscape companies such as Serene Gardens are great places to look for ideas on Japanese gardening. A good site will have Japanese garden tips, ideas, and products that will help you build the type of garden or interior space that fits your lifestyle.


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