Online Collaborative Interactive Learning Among Hospitals in the Philippines

Online Collaborative and Interactive Learning
Among Hospitals in the Philippines
REYNALDO O. JOSON, MD, MHA, MHPEd, MSc Surg
Designer and Facilitator, Online Collaborative and
Interactive Learning in Hospital Services
Administration

31ST ANNUAL NATIONAL CONVENTION AND EXHIBITION
Private Hospitals Association of the Philippines
November 22, 2010
Manila Hotel

“Online”

Methodology

being done through Internet
(group emails and websites)

“Collaborative and
Interactive
Learning”

Objectives

group of people contributing
their abilities, experiences,
and insights and interacting
with each other for learning

“Among Hospitals
in the
Philippines”

Contents

implies problems, issues and
concerns in Philippine
hospitals being brought forth
for collaborative and
interactive learning

OCIL Project
(started in June, 2010)

Objectives of Talk:
• To share by describing my two ongoing OCIL projects on
hospital services administration, namely, OCIL on
Admitting Service and OCIL on Breast Wellness Center,
with focus on the mechanics.
• To send out an open invitation to members of PHAP and to
anybody in the audience who would find the OCIL
beneficial to their hospital services to join my current and
future OCILs.

Online Collaborative and Interactive Learning (OCIL)
Objective 1:
• To share with you by describing my two ongoing OCIL
projects on hospital services administration, namely, OCIL
on Admitting Service and OCIL on Breast Wellness Center,
with focus on the mechanics.

Two ongoing OCIL projects on hospital services
administration:
OCIL on Admitting Service (OCIL_AdmS)
OCIL on Breast Wellness Center (OCIL_BreastWC)
*Part of mother OCIL on Health Care Service
Administration, Hospital Service Administration, and
Hospital Administration (OCIL_HCSA_HSA_HA)
** Other OCILs to be put up:
OCIL on Operating Room, OCIL on Department of
Surgery; OCIL on Infection Management Center; etc.

Objectives and End-points
Development of:
Primer (Administrative Design
and Development Program)
Business and Operational Plan
Template
Operations Manual Template
Manager-leaders
Mentors

Admitting
Service

Breast Wellness
Center

√

√

√

√

√
√
√

√
√
√
Clinical Practice
Guidelines
Education on
Breast Wellness

“Who,” “How,” and “Fee” of Joining OCILs
*People with interest to improve the health care services
in the Philippines and in their health care organizations
through "administration"
are invited or can be referred to the OCILs
*Know how to use emails and open them at least once a
week!
NO FEE is charged for joining and participating in the
OCILs!

Categorization of Online Participants
Categorized by their declared and requested roles in
OCIL:
Facilitators
Mentees (with manifestation of desire to get a formal
certification of completion = actively participating)

Anecdotalists (intermittent commenters / sharers)
Bystanders (do not interact and collaborate = read
emails, observe online interactions)

Certification of Mentees:
Minimum Requirements for Certification:
• Active online collaboration and interaction (at least once a
week) for minimum of 48 weeks (out of 52 weeks in a year)
on all questions and issues posted by facilitator (guided by
contents of learning)
• Case study of an existing Admitting Service / Breast
Wellness Center of a hospital with at least a proposed
improvement design and development program or a design
and development plan for a new Service

Certification of Mentees:
Issuance of Certificate:
• Upon complete fulfillment of requirements for certification
• Issued by the facilitator

Learning Methods
using primarily emails and electronic discussion
group

Online Tools
Emails
Group Emails
Websites

Admitting Service

Breast Wellness Center

Individual emails of
participants

Individual emails of
participants

Yahoo Groups

Yahoo Groups

Yahoo Groups

Yahoo Groups

Wordpress.com

Wordpress.com

Google.com

Google.com

ocil_admitting_service@yahoogroups.com
http://health.groups.yahoo.com/group/ocil_admitting_service

ocil_breastwellnesscenter@yahoogroups.com
http://health.groups.yahoo.com/group/ocil_breastwellnesscenter

http://philhospitaladmittingservice.wordpress.com

http://breastwellnesscenter.wordpress.com

https://sites.google.com/site/admittingserviceprimer

Use of Online Tools for Collaboration and Interactions and
Archiving of Inputs and Learning Documents

Participants are asked to open their emails at least once a week.
They can interact with other learners either through individual emails of
participants or preferably, through the egroup.
They can see the interaction between and among the learners through the
egroup.

Use of Online Tools for Collaboration and Interactions and
Archiving of Inputs and Learning Documents

Two websites created for archiving purposes and take-off points for
interactions.
Late-comer learners or those who miss some online interactions for one
reason or another can visit the two websites to catch-up.


OCIL Processes:
1. Brainstorming and discussion on questions and
issues
2. Collation, analysis, and recommendations
3. Synthesis of outputs - Primer on Administrative
Design and Development Program


OCIL Processes:
• Facilitator sends weekly set of questions and
issues for brainstorming and discussion
• Participants email their responses to the
questions and issues
• Facilitator collates, analyzes, and makes
recommendations
• Facilitator synthesizes outputs into Primer on
Administrative Design and Development Program

A Department Design and Development Framework
Architectural Design / Engineering / Construction
Whole
Hospital
Concepts
and Design
Whole
Hospital
Governance
Policies
Procedures

Determinants of
Functions / services
requirements

Functions
(authorized)

Whole
Hospital
Operations
Policies
Procedures
Interfacing
Units
Operations
Policies
Procedures

Leadership

Services
(authorized)

DOH
Licensing
& Structural
Requirements
Policies &
Procedures /
Clinical
Practice
Guidelines/
Clinical
Pathways
Risk
Management
Program

Physical
Structure
(Location,
space)
Human
Resource
Program
Equipment
/ Material
Program
Data /
Documents
Records
Program
Business
Development
Program

Services
Costefficient
/ valuebased

Budget
Program

IT-enabled System
Regular Performance Evaluation and Continual Improvement Program

Questions and Issues for Brainstorming and Discussion
Brainstorming and Discussion on
Obtaining an Informed Consent at the Admitting Service in a
Hospital
Duration of BD: One week (August 19 to 25, 2010)
Questions and Issues (QI):
QI.7.1 What is the concept of an informed consent of patients
to be obtained by the staff of an Admitting Service in a
hospital?
QI.7.2 What should be the contents of an informed consent of
patients to be obtained by the staff of an Admitting Service
in a hospital?

Hospital
QI.7. 3 How should an informed consent of patients be
obtained by the staff of an Admitting Service in a medical
center or hospital? Is signing a proforma informed
consent form the same as obtaining an informed consent?
Is signing a proforma contract of admission the same as
obtaining an informed consent?

Hospital
QI.7.4 Who should sign an informed consent for the hospital
admission of a patient for it to be legally binding?
QI.7.5 What is a Patient’s Bill of Rights?
QI.7.6 How does the Patient’s Bill of Rights relate to the
informed consent to be obtained by the staff of an
Admitting Service in a medical center or hospital?

Hospital
QI.7.7 Present and share scanned copies of proforma
informed consent form and/or proforma contract of
admission and a patient’s bill of right of a selected hospital
in the spirit of collaborative learning.


Sample
Questions and Issues for Brainstorming and
Discussion
Breast Wellness Center

Concept of Breast Wellness, Breast Wellness Program,
Breast Wellness Center, and Breast Clinic / Center
Duration of BD: One week (August 16, 2010 to August 22, 2010)
QI.1.1 What is /are the usual and recommended concepts of
BREAST WELLNESS?
BREAST WELLNESS PROGRAM?

Concept of Breast Wellness, Breast Wellness Program,
Breast Wellness Center, and Breast Clinic / Center
Duration of BD: One week (August 16, 2010 to August 22, 2010)
BREAST WELLNESS CENTER?
QI.1.4 What is /are the usual concepts of the BREAST
CLINICS / CENTERS that have been established in the
Philippines (that you know of)?

Collation and Recommendations
ROJOSON’S INPUTS (Collation and Recommendations)
Concept of Informed Consent for Admission
The concept of an informed consent of patients to be
obtained by the staff of an Admitting Service in a hospital
means that the staff of an Admitting Service should secure
an informed consent for admission to the hospital.
It is different from the informed consent for medical
procedures to be done to the patient in the inpatient
services.

Collation and Recommendations
ROJOSON’S INPUTS (Collation and Recommendations)
Breast Wellness for a Person (Concept)
• Usual: Absence of breast abnormality or disease
• Recommended:
A state wherein there is NO breast issue (in the domain of
symptoms, diseases, and fear and anxiety even in the
absence of disease) that affects the physical,
psychosocial, and spiritual well-being and / or the
socioeconomic productivity of a person.
This concept is deduced from the World Health
Organization’s definition of HEALTH and the common
definitions of WELLNESS.

Topics for BD -AdmS (21 Sessions from June to October, 2010)
Topics for Brainstorming and Discussion

Schedule

Concept of an Admitting Service in a Hospital

June 1 to 7, 2010

Functions of an Admitting Service in a Hospital

June 8 to 15, 2010

Bed Assignment Function / Service of an Admitting
Service

June 24 to July 1, 2010

Physician-associated Issues on Bed Assignment
Function / Service of an Admitting Service

July 3 to 10, 2010

Making-Beds-Available Issues on Bed Assignment
Function / Service of an Admitting Service

July 21 to 28, 2010

Inpatient Record Establishment of an Admitting
Service

August 5 to 11, 2010

Topics for BD - AdmS (21 Sessions from June to October, 2010)
Obtaining Informed Consent at the Admitting Service

Schedule
August 19 to 25, 2010

Orientation of Patients for Admission by the Admitting August 26 to September
Service
1, 2010
Account Arrangement

September 2 to 9, 2010

Transport of Patients from Admitting Service to
Inpatient Service


Human Resource Requirements of an Admitting
Service


Risk Management Program of an Admitting Service

September 27 to October
3, 2010

Topics for BD - AdmS (21 Sessions from June to October, 2010)

Schedule

IT-enabled System of an Admitting Service

October 5 to 11, 2010

Physical Structure, Equipment and Materials,
Business Development and Budget of an Admitting
Service


Regular Performance Evaluation, Continual
Improvement Program, and Leadership of an
Admitting Service


Case Study

October 27 to November
30, 2010

Admitting Service Design and Development Framework
Architectural Design / Engineering / Construction
Whole
Hospital
Concepts
and Design
Whole
Hospital
Governance
Policies
Procedures

Determinants of
Functions / services
requirements

Functions
(authorized)

Whole
Hospital
Operations
Policies
Procedures
Interfacing
Units
Operations
Policies
Procedures

Leadership

Services
(authorized)

DOH
Licensing
& Structural
Requirements
Policies &
Procedures /
Clinical
Practice
Guidelines/
Clinical
Pathways
Risk
Management
Program

Physical
Structure
(Location,
space)
Human
Resource
Program
Equipment
/ Material
Program
Data /
Documents
Records
Program
Business
Development
Program

Services
Costefficient
/ valuebased

Budget
Program

IT-enabled System
Regular Performance Evaluation and Continual Improvement Program

Topics for BD – Breast WC (13 Sessions from August to November, 2010)

Schedule

Concept of Breast Wellness, Breast Wellness
Program, and Breast Wellness Center

August 16 to 22, 2010

Functions and Services

August 23 to 30, 2010

Drafting a Breast Wellness Program

August 31 to
September 7, 2010

Magnitude of the Breast Wellness Problems in
the Philippines, Catchment Community, and
Focal Hospital

September 8 to 14,
2010

Presenting Chief Complaints of Patients with a
Breast Wellness Concern and List of Breast
Disorders and Diseases

September 15 to 21,
2010


Schedule

Recognition (Clinical Diagnosis) of More
Common Breast Conditions, Changes,
Disorders, and Diseases

September 22 to 28,
2010

Application of Pattern Recognition and
Validation of Essential Clinical Diagnostic
Criteria on More Common Breast Conditions,
Changes, Disorders, and Diseases

September 29 to
October 5, 2010

Diagnostic Procedures of the Breast


Inflammatory Disorders of the Breast


Physiologic Conditions and Changes of the
Breast



Schedule

Nipple Discharge

October 29 to
November 4, 2010

Breast Pain

November 4 to 10, 2010

Breast Mass

November 11 to 18,
2010


Current Situation / Status


Date officially
started
(To end)
Number of
participants

OCIL on Admitting
Service
June 1, 2010
(May 31, 2011)

OCIL on Breast
Wellness Center
August 16, 2010
(August 15, 2011)

74 (Admitting Service 74 (physicians,
staff; nurses; staff
nurses, hospital
from finance,
administrators)
business
development, human
resource units;
hospital
administrators;
others)

OCIL on
Admitting
Service
Number of
facilitators
Number of mentees
Number of
anecdotalists
Number of
bystanders

OCIL on Breast
Wellness Center

4

1

9
22

27
5

39

41

OCIL on
Admitting
Service
Geographical
distribution of
participants

NCR = 60
Outside NCR = 14
(Zamboanga;
Samar; Bicol;
Batangas; Sta.
Rosa, Laguna;
Biñan, Laguna;
Cavite; Bulacan;
Pampanga;
Tarlac;
Bataan; Isabela;
Quezon)

OCIL on Breast
Wellness Center
NCR = 67
Outside NCR = 7
(Zamboanga;
Cagayan de Oro;
Cebu; Batangas;
Cavite; Sta. Rosa,
Laguna; Biñan,
Laguna)

AdmS Mentees’ Home Bases

Ciudad Medical Zamboanga

Sta. Rosa Hospital and Medical
Center


Daniel Mercado Medical Center


Manila Doctors Hospital


National Children’s Hospital


Tarlac Provincial Hospital

Email Interactions as registered in Yahoo Egroups:

OCIL_AdmS
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2010

29 129 105 121 78 61 41

Total
567

OCIL_BreastWC
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
457
2010
83 161 127 86

Visits on
146 posts with 46 categories of topics

Jan

2
0
1
0

Feb

Mar

Apr

May

9

Jun

54

Jul

1

Aug

51

Sep

62

Oct

56

Nov

Dec Total

17

250


Feedback from Members of the OCIL_AdmS:
• This project gives us information on how admission is
being done in other institutions and helps us a lot in
improving our own.
• I find the primer very very useful in my unit. I can share
this with my staff and together work to have an efficient
Admitting Service.


• I learned so much in such a short period of time.
• Thank you very much for the OCIL, it is one great learning
experience for us! Thus, we can make improvements
in this particular hospital unit of ours.


• I am very thankful for the formulation of this virtual
discussion – OCIL. Though the topic is beyond OR set up
but by inputs of every member it expands my idea on how
admitting section is and for this, it can also be applied to
some extent in my department. Hoping that someday OR
will have OCIL.


• I believe this is one of a kind course being
undertaken presently. This may be the start of a
bigger endeavor between hospitals to improve our
services while being present in our hospitals and
working. This is a new mode of communications
that we should take advantage of.
Jose Rene de Grano, MD, MHA
Chairman
PHAP 2010 National Convention Organizing Committee


Why OCIL from me?
With OCIL, I envision to
facilitate collaborative learning among different
hospitals and various hospital managers and
multidisciplinary professionals
and
develop handy comprehensive and integrated
primers and design and development programs on
different hospital services in the Philippine setting.


Why OCIL from me?
Realization that there is so much to learn in health
care services administration, hospital services
administration, and hospital administration that
collaboration is needed among different hospitals
and among various hospital managers and
multidisciplinary professionals in searching for
best practices.


Why OCIL from me?
Lack of handy comprehensive and integrated
primers and design and development programs on
different hospital services in the Philippine setting
makes learning difficult.


Why OCIL from me?
Part of my advocacy, Education for Health
Development in the Philippines, started since
1989.


Future plans for OCIL on Admitting Service
Presently, conducting a formative evaluation
and in the future, a summative evaluation.


For the online primer:
• Continue to develop it to include samples of
case studies, business and operational
plan, and operations manual for Admitting
Service.


Another OCIL _Admitting Service:
• Will conduct another course with a new
batch of mentees


For the mentees:
• After certification,
– it will be up to them to choose any one or combination
of the following career pathways:


For the mentees:
• To serve as a facilitator / mentor of the colleagues – staff in
his currently affiliated Admitting Service who were NOT
able to join the first OCIL on Admitting Service.


For the mentees:
• To pursue further learning on Admitting Service to achieve
excellence in the administrative design and development
of his Admitting Service, particularly, in mastering the
development of business and operational plan and
operations manual.


For the mentees:
• To become a resource person for the next batch of
mentees of OCIL on Admitting Service.
• To pursue further learning on Admitting Service until
mastery and, therefore, be qualified to be a facilitator for
the next batch of mentees of OCIL on Admitting Service.

Objective 2:
• To send out an open invitation to members of
PHAP and to anybody in the audience who would
find the OCIL beneficial to their hospital services
to join my current and future OCILs.

Email: rjoson2001@yahoo.com
https://sites.google.com/site/admittingserviceprimer
http://breastwellnesscenter.wordpress.com


Thank you
for your attention!

Online Collaborative Interactive Learning Among Hospitals in the Philippines

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (10)

Ähnlich wie Online Collaborative Interactive Learning Among Hospitals in the Philippines

Ähnlich wie Online Collaborative Interactive Learning Among Hospitals in the Philippines (20)

Mehr von Reynaldo Joson

Mehr von Reynaldo Joson (20)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

Online Collaborative Interactive Learning Among Hospitals in the Philippines