Improving Access to Health Through Collaboration: Lessons Learned from The Colorado Trust's Partnerships for Health Initiative Evaluation

This report presents findings from the evaluation of four Partnerships in Health Initiative grantees that were addressing access to health in their communities through the formation of collaboratives. Outcomes achieved by the grantees as well as lessons learned for others embarking on collaborative processes are described

ARIES WP3 – Needs and Requirements Analyses

Information and communication technologies have increasingly influenced and changed our daily life. They allow global connectivity and easy access to distributed applications and digital services over the Internet. This report analysis security requirements on trust establishment and trust evaluation based on two different use case scenarios: "Trusted Communication using COTS" and "Trust Establishment for Cross-organizational Crises Management". A systematic needs analysis is performed on both scenarios which haver resulted in a large and well documented set of requirements. This is the first step in a large effort to define a security architecture for the two use case scenarios.

Improving access to health services – Challenges in Lean application

Purpose: Healthcare organisations face significant productivity pressures and are undergoing major service transformation. This paper serves to disseminate findings from a Lean healthcare project using a NHS Single Point of Access environment as the case study. It demonstrates the relevance and extent that Lean can be applied to this type of healthcare service setting. Design/methodology/approach: Action research was applied and Lean tools used to establish current state processes, identify wastes and develop service improvement opportunities based upon defined customer values. Findings: The quality of referral information was found to be the root cause of a number of process wastes and causes of failure for the service. Understanding the relationship and the nature of interaction between the service‟s customer/supplier led to more effective and sustainable service improvement opportunities and the co-creation of value. It was also recognised that not all the Lean principles could be applied to this type of healthcare setting. Practical implications: The study is useful to organisations using Lean to undertake service improvement activities. The paper outlines how extending the value stream beyond the organisation to include suppliers can lead to improved co-production and generation of service value. Originality/value: The study contributes to service productivity research by demonstrating the relevance and limitations of Lean application in a new healthcare service setting. The case study demonstrates the practical challenges of implementing Lean in reciprocal service design models and adds validity to existing contextual models

Trust-Building through Social Media Communications in Disaster Management

open4Social media provides a digital space – a meeting place, for different people, often representing one or more groups in a society. The use of this space during a disaster, especially where information needs are high and the availability of factually accurate and ethically sourced data is scarce, has increased substantially over the last 5-10 years. This paper attempts to address communication in social media and trust between the public and figures of authority during a natural disaster in order to suggest communication strategies that can enhance or reinforce trust between these bodies before, during and after a natural disaster.openM. G. Busà; M. T. Musacchio; S. Finan; C. FennelBusa', MARIA GRAZIA; Musacchio, MARIA TERESA; S., Finan; C., Fenne

Stakeholder perspectives on new ways of delivering unscheduled health care: the role of ownership and organisational identity

<b>Rationale, aims and objectives</b>: To explore stakeholder perspectives of the implementation of a new, national integrated nurse-led telephone advice and consultation service (NHS 24), comparing the views of stakeholders from different health care organisations. <b>Methods</b>: Semi-structured interviews with 26 stakeholders including partner organisations located in primary and secondary unscheduled care settings (general practitioner (GP) out-of-hours co-operative; accident and emergency department; national ambulance service), members of NHS 24 and national policymakers. Attendance at key meetings, documentary review and email implementation diaries provided a contextual history of events with which interview data could be compared. <b>Results</b>: The contextual history of events highlighted a fast-paced implementation process, with little time for reflection. Key areas of partner concern were increasing workload, the clinical safety of nurse triage and the lack of communication across the organisations. Concerns were most apparent within the GP out-of-hours co-operative, leading to calls for the dissolution of the partnership. Accident and emergency and ambulance service responses were more conciliatory, suggesting that such problems were to be expected within the developmental phase of a new organisation. Further exploration of these responses highlighted the sense of ownership within the GP co-operative, with GPs having both financial and philosophical ownership of the co-operative. This was not apparent within the other two partner organisations, in particular the ambulance service, which operated on a regional model very similar to that of NHS 24. <b>Conclusions</b>: As the delivery of unscheduled primary health care crosses professional boundaries and locations, different organisations and professional groups must develop new ways of partnership working, developing trust and confidence in each other. The results of this study highlight, for the first time, the key importance of understanding the professional ownership and identity of individual organisations, in order to facilitate the most effective mechanisms to enable that partnership working

Smoke and Mirrors: The National Lottery and the Non-Profit Sector

In a context of massive reductions in government consumption spending, the National Lottery is intended to provide a sustainable source of funding for non-profit organisations providing much needed sporting, arts, cultural, social and environmental services to the South African public. This funding, it is hoped, will help secure a better life for all citizens