Six challenges to delivering quality healthcare

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insights</a></li> <li class="ow-nav-level-2-list-item"><a href="/en-hk/expert-insights/5-ways-to-proactively-prepare-tax-processes-for-global-tax-reform" class="ow-nav-level-2-link">5 ways to proactively prepare tax processes for Global Tax Reform in 2024  </a></li> <li class="ow-nav-level-2-list-item"><a href="/en-hk/expert-insights/esg-software-checklist-reporting-software" class="ow-nav-level-2-link">ESG and sustainability reporting software checklist</a></li> <li class="ow-nav-level-2-list-item"><a href="/en-hk/expert-insights/wb-mastering-complex-consolidation" class="ow-nav-level-2-link">Mastering complex Consolidation</a></li> <li class="ow-nav-level-2-list-item"><a href="/en-hk/expert-insights/beps-regulation-pillar-two-software-checklist" class="ow-nav-level-2-link">The ultimate BEPS Pillar Two software checklist</a></li> <li class="ow-nav-level-2-list-item"><a href="/en-hk/expert-insights/wb-ey-navigating-global-minimum-tax" class="ow-nav-level-2-link">Navigating Global 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class="row"> <div class="row"><div class="component article-header col-12"> <div class="component-content"> <div class="image field-image"></div><div class="container no-padding"><div class="col-lg-10 offset-lg-1 no-padding"><div class="eyebrow"><span class="interest-area field-name">Health</span><span class="date field-editorial-publish-date">September 06, 2022</span></div><h1 class="title field-title">Six challenges to delivering quality healthcare</h1><div class="author-section"></div></div></div> </div> </div> <div class="row component column-splitter"> <div class="col-12 col-md-8 col-lg-1 sticky-wrapper"> <div class="row"> <div class="component social-share vertical col-12"> <div class="component-content"> <div class="share-sticky"><div class="share-wrapper"><div class="share-btn share-btn-linkedin" aria-label="Share on Linkedin"></div><div class="share-btn share-btn-twitter" aria-label=" Share on Twitter"></div><div class="share-btn share-btn-facebook" aria-label="Share on 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<div class="component-content"> <span class="abstract">More than two years into the COVID-19 pandemic, hospital leaders continue to face tremendous challenges as they strive to deliver quality healthcare. Some are unprecedented, while others are all too predictable. <br /> </span> <p>Underlying all these challenges is increasing pressure on the bottom line. The perennial problem of controlling <a href="/en-hk/know/healthcare-challenges/reducing-healthcare-costs" target="_self">healthcare costs</a> has taken on new urgency, and margins remain cumulatively negative for US hospitals as of <a href="https://www.kaufmanhall.com/insights/research-report/national-hospital-flash-report-june-2022" target="_blank">June 2022</a>. Staffing shortages, the end of COVID-19 relief funds, supply chain problems and rising inflation suggest that pandemic-era financial issues will linger for years. </p> <p>However, by meeting certain key challenges, hospitals executives around the globe can control and even reduce costs while improving quality.</p> <h2>1. Elevating and standardising quality</h2> <p>Globally, providing a quality, equitable standard of care continues to be a challenge for many countries, and can have deep financial impacts. A 2018 analysis of quality of care across low- and medium-income countries (LMICs), found that poor-quality care associated with 15% of overall deaths, impacting the countries’ long-term economic output. In high-income countries, a report by the World Health Organization states that around 15% of hospital expenditure is due to clinical mistakes or hospital acquired infections. </p> <p>Having access to the latest clinical decision support information can help elevate care decision making and improve safety across hospital systems and countries, and new advancements in telehealth and virtual learning can support clinicians – if the technological infrastructure is available. </p> <h2>2. Optimising clinical workflows</h2> <p>Clinicians and staff need access to actionable information at the point of care. But when <a href="/en-hk/know/healthcare-challenges/optimizing-clinical-workflows" target="_self">workflows aren’t optimized</a>, providers are forced to deal with incomplete information, alert fatigue and delays. For example, nearly half of clinicians responding to a <a href="https://klasresearch.com/archcollaborative/report/ehr-response-time-and-reliability/423" target="_blank">KLAS survey</a> said that their EHR system loads too slowly. EHR dissatisfaction is also a key factor associated with clinicians' likelihood of resigning. EHRs and integrated technologies need to make the best use of clinician time and efforts.</p> <h2>3. Personnel shortages and burnout</h2> <p>Staffing shortages continue to plague health systems. Shortages were US hospital CEOs’ top concern in 2021, according to the <a href="https://www.ache.org/learning-center/research/about-the-field/top-issues-confronting-hospitals/top-issues-confronting-hospitals-in-2021" target="_blank">American College of Healthcare Executives’ annual survey</a>, bumping financial challenges to second place for the first year since 2004. </p> <p>Recruiting and retaining employees — <a href="/en-hk/expert-insights/the-nursing-shortage-demands-boldness-and-creativity-now" target="_self">especially registered nurses</a> — is top of mind for many. A 2022 national nursing workforce <a href="/en-hk/events/nursing-wake-up-call" target="_self">report</a> predicts that the nursing shortage will intensify through at least 2023 and a report from the International Council of Nurses estimates a global shortage of 13 million nurses by 2030. Burnout plays a major role, especially as the pandemic continues, but an aging workforce is also a major factor.</p> <h2>4. Keeping up with advances in medical science and information</h2> <p>As Deloitte notes, breakthroughs in digital medicine, gene therapy, nanomedicine, mRNA research and other emerging areas are happening at an “<a href="https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-future-of-medical-science.pdf" target="_blank">unprecedented and exponential</a>” rate. Clinicians also need clarity on the latest evidence-based information in <a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000959" target="_blank">the rise of preprints from the COVID-19 pandemic</a>. The challenge for health system leaders is that these innovations are outpacing hospitals’ ability to keep up. </p> <p>The <a href="https://www.bcg.com/publications/2021/dynamic-and-digital-new-reality-for-health-care" target="_blank">Boston Consulting Group</a> warns that “as the available therapeutic arsenal rapidly expands,” healthcare leaders and clinicians “must adjust their practices to keep pace with the advances.” Hospital leadership must stay abreast of the <a href="/sitecore/service/notfound.aspx?item=web%3a%7b3B6EEF9F-CFB9-4D5E-A911-9DAB40EAD887%7d%40en-HK" target="_self">latest findings and information</a>, and ultimately perform cost-benefit analyses of emerging options to determine how these innovations can best help their clinicians deliver care.</p> <h2>5. Advancing health equity</h2> <p>Healthcare inequities account for nearly $320 billion in annual spending. That number could rise to over $1 trillion by 2040, according a 2022 report from <a href="https://www2.deloitte.com/us/en/insights/industry/health-care/economic-cost-of-health-disparities.html.html/#endnote-5" target="_blank">Deloitte</a>.</p> <p>Hospital executives are turning their full attention to <a href="/en-hk/know/best-care-everywhere" target="_self">care disparities faced by marginalized patient populations</a> — including socioeconomic, racial and gender-based inequities — and finding that these problems are difficult to unpack. Biases can be <a href="/en-hk/expert-insights/guiding-healthcare-language-towards-inclusivity-and-equity" target="_self">deeply embedded in the language</a> of clinical content such as patient education materials. They can also ripple outward between members of a care team. For instance, Black patients are 2.5 times as likely to have their patient behavior and history <a href="https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2021.01423" target="_blank">characterized negatively in EHR notes</a> compared to White patients. </p> <h2>6. Patient safety</h2> <p>From medication and diagnostic errors to surgical mistakes, <a href="/en-hk/know/healthcare-challenges/improving-patient-safety" target="_self">patient safety</a> has always been a formidable challenge for health systems and their leadership. Hospital acquired infections (HAIs), for example, <a href="https://www.who.int/news/item/06-05-2022-who-launches-first-ever-global-report-on-infection-prevention-and-control" target="_blank">remain a significant burden</a> for healthcare systems. After years of decline, US hospitals saw <a href="https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/impact-of-coronavirus-disease-2019-covid19-on-healthcareassociated-infections-in-2020-a-summary-of-data-reported-to-the-national-healthcare-safety-network/8197F323F4840D233A0C62F4726287E1" target="_blank">significant increases in HAIs</a> in 2020, largely as a result of the pandemic.</p> <p>Hospital executives and leaders face a number of challenges in while seeking to deliver the best possible patient care. Access to trusted clinical technology and evidence-based solutions can drive effective decision-making, improve quality and enhance financial and patient outcomes across the care continuum.</p> <p><em>Learn how Wolters Kluwer addresses a <a href="/en-hk/know/healthcare-challenges" target="_self">range of healthcare challenges</a> with through integrated clinical solutions and evidence-based information.</em></p> </div> </div> </div> </div> </div> <div class="container-fluid"> <div > <div class="row"><div class="component wkbutton primary col-12 reverse indent-bottom"> <div class="component-content"> <div class="wkbutton-link field-link"><a data-variantfieldname="Link" aria-label="Explore Healthcare Challenges" title="Explore How We Address Healthcare Challenges" href="/en-hk/know/healthcare-challenges" data-variantitemid="{03EF33AA-0AF6-4F33-A2C6-BB1118234307}">Explore How We Address Healthcare Challenges</a></div><div class="wkbutton-wrapper"><span title="wk-icon-arrow-right" 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