Innovations performed in Noora Health
The case study for this unit centers around the innovations performed in Noora Health which targeted decreased readmissions and less reluctance for release from hospital stays. The case describes challenges faced by the health system, given its location, elements of the start-up compnay involved, and the patient population being served. Using seed funds, Noora Health developed an intervention, which they later tested for efficacy and scaled for widespread adoption.
The identified solution and associated intervention does NOT leverage the EHR or MHealth. Please read, analyze, and respond to the following questions regarding your case study, supporting your claims with references.
How successful was the team in reaching their stated goals? How did their implementation and design approach(es) contribute to their success?
Human Centered Health-Care Design
The four co-founders of the Noora Health set out an obligation of a human-centered solution with the aim of improving patient’s flow to the Narayan Health hospital and other hospital facilities. As such, the co-founders resorted to a variety of solutions that included the improvement of the queuing system in the hospital for doctors to offer efficient examination of the patients. However, in consultation with doctors, nurses, and other health professionals, the main problem was the hospital patient’s stays that were longer than the medically recommended time. (Arpita & Sarah, 2020). For instance, the patients were not ready to go home as nurses and doctors also feared releasing them to go home due to unsuitable environments. Accordingly, Otani et al. (2018) argued that patients flow entails the movement of patients in a healthcare facility under the involvement of physical resources, medical care, and the internal systems that are required in the movement of patients from the admission to the discharge point while maintaining patient’s satisfaction.
The co-founders also noticed that upon discharging patients, their families had little information to undertake the post discharge care as required. As a result, they created the Care Companion Program (CCP) that gave patients’ families the skills and information required to take care of the patients and facilitated their healing after being discharged from the hospital. As such, CCP was designed ultimately to provide training for patients’ family members on the medical conditions such as; cardiology, child health and maternal, and cardiac surgery (Jakovljevic et al., 2016). Additionally, according to Pascale et al. (2014), human factors and ergonomics as a patients’ safety practice is a method and a tool that identifies factors that contributes to medical errors as per the researchers, data, and the system recommendations for the improvement of healthcare processes and systems.
Moreover, CCP provided patients families with printed materials and videos in a 24-hour period in order to practice certain skills such as dressing of the wound before discharging the patients. The implementation of the CCP enabled family members and their patients to take responsibility, making them better equipped and confident. As a result, nurses and the doctors were able to efficiently spend their time as well as hospitals that experienced cost shavings due to the decrease in the patients stay in the hospital with an aim of training the patients.
Arpita, A., & Sarah, B. (2020). Noorah Health: An Innovative Human Centered Health-Care Design
Jakovljevic, M., Vukovic, M., Chen, C. C., Antunovic, M., Dragojevic-Simic, V., Velickovic-Radovanovic, R., … & Yamada, T. (2016). Do health reforms impact cost consciousness of Health care professionals? Results from a nation-wide survey in the Balkans. Balkan Medical Journal, 33(1), 8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4767315/
Otani, T., Sawano, H., Natsukawa, T., Nakashima, T., Oku, H., Gon, C., … & Hayashi, Y. (2018). Low-flow time is associated with a favorable neurological outcome in out-of-hospital cardiac arrest patients resuscitated with extracorporeal cardiopulmonary resuscitation. Journal of critical care, 48, 15-20. https://www.sciencedirect.com/science/article/pii/S0883944118302156
Pascale, C., Anping, X., & Sarah, K. (2014). Human factors and ergonomics as a patient safety practice.