Die Qualität der Qualität: Anspruch und Wirklichkeit des Qualitätsmanagements im Gesundheitswesen

Iseringhausen O. Die Qualität der Qualität: Anspruch und Wirklichkeit des Qualitätsmanagements im Gesundheitswesen. Gesundheitspolitik; 3. Stuttgart: Ibidem-Verl.; 2007

Das Krankenhaus als Organisation

Iseringhausen O, Staender J. Das Krankenhaus als Organisation. In: Apelt M, Tacke V, eds. Handbuch Organisationstypen. 2012: 185-203

Stärkung der Nutzerposition im Gesundheitswesen - gesundheitspolitische Herausforderung und Notwendigkeit

Bauer U, Rosenbrock R, Schaeffer D. Stärkung der Nutzerposition im Gesundheitswesen - gesundheitspolitische Herausforderung und Notwendigkeit. In: Badura B, Iseringhausen O, eds. Wege aus der Krise der Versorgungsorganisation. Bern: Huber; 2005: 187-201

Regional geriatric care concept in the District of Lippe

Sahin C, Iseringhausen O, Hower K, Liebe C, Rethmeier-Hanke A, Wedmann B. Regionales Versorgungskonzept Geriatrie im Kreis Lippe. ZEITSCHRIFT FUER GERONTOLOGIE UND GERIATRIE. 2018;51(3):322-328.Regional planning of healthcare requires special consideration for the complex needs of elderly, multimorbid people living in a domestic environment. In the District of Lippe, a hospital (Klinikum Lippe) and network of ambulatory care physicians (A"rztenetz Lippe) developed and tested a geriatric care network based on case management for geriatric patients living in a domestic environment. The establishment of the geriatric care network (e.g. promoting networking acceptance and implementation) was formatively evaluated, e. g. with qualitative methods. Data were acquired by guideline-based interviews with experts and analyzed by qualitative content analysis according to Mayring. Structural effects included forming a cross-sectoral and interdisciplinary network for a functioning care network and a geriatric care pathway. The practical work of case managers (CM) is essential for communication with patients, family members and care providers as well as integrating providers into the network. A critical factor was working together with general practitioners and the close cooperation with the hospital's department of geriatric. The quality of care is improved because of exchange of information between sectors and continuity in the course of care. In the District of Lippe the quality of care was improved and structures of care were integrated by the network according to the needs of the target group. The integrative perspective was achieved in particular by the geriatric care pathway and integration of providers into the communication and care process; however, the scope of this care model could not be extended into routine care due to the rigid and subdivided health care system

Geriatric case management at the kitchen table. Patient outcome of the pilot project for a regional geriatric care concept in the District of Lippe

Sahin C, Rethmeier-Hanke A, Iseringhausen O, Liebe C, Wedmann B, Hower K. Geriatrisches Case Management am Küchentisch Patienten-Outcomes im Modellprojekt Regionales Versorgungskonzept Geriatrie im Kreis Lippe. ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE. 2018;51(7):785-790.BackgroundThe interdisciplinary healthcare treatment of the elderly needs to consider their complex needs. There is a need for new structures of care to be tested, as in the model project regional geriatric care (RVG) concept. The aim is to qualitatively improve the treatment of elderly, multimorbid people by the implementation of case management and therefore to promote living in their own home and avoidance of the necessity for care.ObjectiveHow can the quality of care of ageriatric care concept be measured and the benefits for the target group be evaluated?Materials and methodsThe explorative evaluation study reports patient outcomes for n= 380 participants who underwent geriatric assessment at the beginning of the intervention and again 12months later. Descriptive and bivariate data analyses are reported.ResultsParticipants of the RVG often had a greater need of support because of functional limitations. They rated their physical abilities, limitations and health mostly as being stable. The subjective mental well-being was significantly improved and satisfaction and acceptance by participants and their family members was high.ConclusionThe RVG care model enables a qualitatively improved geriatric care in the District of Lippe and considers the high potential for prevention. For organizing care and supporting independent living at home, it is more important to focus on the functional limitations of the elderly than on individual diseases. The tested concept for evaluation has limitations but serves as abasis for future clinical studies

Comparison of scalable fast methods for long-range interactions

Based on a parallel scalable library for Coulomb interactions in particle systems, a comparison between the fast multipole method (FMM), multigrid-based methods, fast Fourier transform (FFT)-based methods, and a Maxwell solver is provided for the case of three-dimensional periodic boundary conditions. These methods are directly compared with respect to complexity, scalability, performance, and accuracy. To ensure comparable conditions for all methods and to cover typical applications, we tested all methods on the same set of computers using identical benchmark systems. Our findings suggest that, depending on system size and desired accuracy, the FMM- and FFT-based methods are most efficient in performance and stability