No one enjoys being in the hospital. They want to go home as soon as possible. In fact, the hospital actually wants patients to go home too – or to whatever the next step in care is for their situation – as soon as possible. Leaving helps patient recoveries, and it also helps the hospital’s financial health to move patients through the system as efficiently as possible, from admission to discharge.

没有人喜欢住院。他们想尽快回家。事实上，医院实际上也希望患者尽快回家，或者针对他们的情况采取任何下一步护理措施。离开有助于患者康复，也有助于医院的财务健康，尽可能有效地让患者从入院到出院。

Collaboration among caregivers, administration and support staff is the only way for patients to move through that system efficiently..

护理人员、管理人员和支持人员之间的合作是患者有效通过该系统的唯一途径。。

Unfortunately, that smooth process seldom happens. Healthcare faces a critical bottleneck: “bed blocking.” This occurs when patients who are medically stable and ready for discharge remain hospitalized due to factors beyond their health situations. These discharge delays can be caused by issues such as incomplete discharge paperwork, a breakdown in communication with the receiving facility, a last-minute medication or test order, or other internal coordination challenges that prevent a bed from being turned.

不幸的是，这种顺利的过程很少发生。医疗保健面临着一个关键的瓶颈：“床位堵塞”。当身体稳定并准备出院的患者由于健康状况以外的因素而住院时，就会发生这种情况。这些出院延迟可能是由于出院文书工作不完整，与接收设施的沟通中断，最后一刻的药物或测试订单，或其他阻止床位翻转的内部协调挑战等问题引起的。

When communication relies on a patchwork of pages, phone calls, emails and other modalities, there exists a lack of transparency and accountability, making it easy for staff to stall with little urgency. This is often the case with nurses who are burnt out and overworked, as taking new patients adds to their burden.

当沟通依赖于页面、电话、电子邮件和其他方式的拼凑时，缺乏透明度和问责制，使得员工很容易在不太紧急的情况下拖延。对于那些筋疲力尽、工作过度的护士来说，这种情况经常发生，因为新病人的出现增加了他们的负担。

Transportation is also a consistent culprit in causing delays because it’s simply unavailable – even seemingly simple things like getting a wheelchair to the patient’s room. Unfortunately, the repercussions of bed blocking are far-reaching..

交通工具也是造成延误的始作俑者，因为它根本不可用-甚至看起来很简单的事情，例如把轮椅送到病人的房间。不幸的是，床堵的影响是深远的。。

The cost of congestion

拥挤的代价

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With the Rise of AI, What IP Disputes in Healthcare Are Likely to Emerge?

随着人工智能的兴起，医疗保健领域可能会出现哪些知识产权纠纷？

Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.

Munck Wilson Mandala合伙人格雷格·豪森（GregHowison）在回答电子邮件中提出的问题时，分享了他对人工智能、IP、连接设备及其产生的数据产生的一些法律后果的看法。

Bed blocking happens because of a host of delays, glitches and confusions that prevent effective collaboration among staff and departments. We have coined the term Collaboration Waste to describe these activities because even though they might seem disconnected – a glitch here, a delay there – they are part of the same operational fabric.

由于许多延误、故障和混乱，阻碍了员工和部门之间的有效合作，因此发生了床位阻塞。我们创造了“协作浪费”一词来描述这些活动，因为尽管它们可能看起来是不相连的（这里是一个小故障，那里是一个延迟），但它们是同一运作结构的一部分。

Time, money, staff abilities and more are wasted as patient throughput stalls..

由于患者吞吐量停滞，浪费了时间、金钱、员工能力等。。

Bed blocking can impact every part of the healthcare experience, from degrading patient care and pushing the needle on nurse and physician burnout to severe financial ramifications for the hospital. A recent Massachusetts Health and Hospital Association report paints a grim picture. Staffing shortages and the lingering aftershocks of the pandemic are creating intense logjams in transitioning patients to post-acute care facilities. .

床位堵塞会影响医疗保健体验的每一个方面，从降低患者护理质量，对护士和医生的职业倦怠推搡到对医院的严重财务影响。马萨诸塞州健康与医院协会最近的一份报告描绘了一幅严峻的画面。人员短缺和大流行余震不断，在将患者转移到急诊后护理设施方面造成了严重的僵局。。

Delayed hospital discharge can have an array of negative impacts on patient care. Prolonged hospitalization can expose patients to a higher risk of hospital-acquired infections, sleep deprivation, and other physical impacts, which can further extend their stay. A lack of available hospital beds also disrupts patient flow, overcrowding emergency rooms and straining staff, furthering the impact of clinician burnout and the possibility for medical errors.

延迟出院可能会对患者护理产生一系列负面影响。长期住院会使患者面临更高的医院感染风险，睡眠剥夺和其他身体影响，这可能会进一步延长他们的住院时间。缺乏可用的医院病床也会扰乱患者流动，急诊室过度拥挤，工作人员紧张，进一步加剧临床医生职业倦怠的影响和医疗错误的可能性。

These delays cause discomfort for patients and families and significantly strain hospital resources and finances. .

这些延误会给患者和家属带来不适，并严重影响医院的资源和财务。。

Low staffing levels in hospitals exacerbate Collaboration Waste and create a vicious financial cycle. With fewer staff, hospitals can’t treat as many patients, leading to lost revenue. Additionally, discharge delays due to staffing limitations eat into profit margins even for patients they see. This rising cost of care and lower patient volume further strain already stressed hospital finances.

医院人员配备水平低加剧了协作浪费，并造成了恶性循环。由于员工较少，医院无法治疗尽可能多的患者，导致收入损失。此外，由于人员配备的限制而导致的出院延迟甚至会侵蚀他们看到的患者的利润率。护理成本的上升和患者数量的减少进一步加剧了医院的财务压力。

Data from New York State reveals a staggering cost: discharge delays resulted in a collective loss of $169 million for 52 hospitals in just three months. Peak seasons compound the situation with surges in hospitalizations witnessed, particularly amid the ongoing challenges posed by Covid-19, influenza, and respiratory syncytial virus (RSV) cases. .

来自纽约州的数据显示了惊人的成本：出院延误导致52家医院在短短三个月内集体损失1.69亿美元。旺季使情况更加复杂，住院人数激增，特别是在新型冠状病毒、流感和呼吸道合胞病毒（RSV）病例构成的持续挑战中。。

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A Personalized Approach to Medication Nonadherence

个性化的药物不依从性方法

At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.

在今年早些时候的Abarca Forward会议上，德勤董事总经理乔治·范安特卫普（GeorgevanAntwerp）讨论了健康的社会决定因素和个性化的会员体验如何改善药物依从性和健康结果。

Hospitals must adopt strategies to address Collaboration Waste and optimize care coordination processes amid this tumult. Thankfully, technology equipped with modern communication methods is ready to help break the bottleneck and mitigate the risks of bed blocking.

医院必须采取策略来解决协作浪费问题，并在这种混乱中优化护理协调流程。谢天谢地，配备了现代通信方法的技术已经准备好帮助打破瓶颈并减轻床位堵塞的风险。

The cure: Streamlining communication

治疗方法：简化沟通

One solution to enhancing care coordination is through effective clinical communication and collaboration (CC&C) platforms. These modern communication tools foster information exchange – via multi-modalities such as text, voice and video – between all stakeholders involved in a patient’s care journey, seamlessly integrating with existing electronic health records and clinical systems and allowing for faster collaboration and interventions.

加强护理协调的一个解决方案是通过有效的临床沟通与合作（CC＆C）平台。这些现代通信工具通过文本、语音和视频等多种方式促进参与患者护理过程的所有利益相关者之间的信息交流，与现有的电子健康记录和临床系统无缝集成，并允许更快的协作和干预。

Healthcare staff, external care facilities, and families can access real-time updates on patient status, discharge plans, and any logistical or care-related roadblocks. These secure platforms offer features like role-based messaging and smart routing, ensuring messages reach the right person or team.

医护人员、外部护理机构和家属可以访问患者状态、出院计划以及任何后勤或护理相关障碍的实时更新。这些安全平台提供基于角色的消息传递和智能路由等功能，确保消息传递给正确的人或团队。

Staff don’t need to know each team member’s name—identifying their role, like “hospitalist,” is enough to route your message to the on-call individual. Integration with scheduling systems further ensures the right person receives alerts. Beyond improved care, CC&C platforms boost a hospital’s financial health and unlock the full potential of existing investments in EHRs and scheduling systems by unifying these siloed tools into a cohesive environment for clinicians..

员工不需要知道每个团队成员的名字来识别他们的角色，如“住院医生”，就足以将您的信息传递给待命人员。与调度系统的集成进一步确保正确的人员接收警报。除了改善护理之外，CC＆C平台还通过将这些孤立的工具统一到临床医生的凝聚力环境中，促进了医院的财务健康，并释放了EHR和调度系统现有投资的全部潜力。。

Technology plays a significant role in helping improve healthcare communication, both externally by facilitating coordinated patient transfers between facilities and internally by streamlining communication between staff in the ER, main hospital floor, and other departments. Many people are involved in the internal transfer of a patient from the ER to the main hospital floors – bed control, head nurses, transport, the receiving physician, etc.

技术在帮助改善医疗保健沟通方面发挥着重要作用，外部通过促进设施之间协调的患者转移，内部通过简化急诊室，主要医院楼层和其他部门员工之间的沟通。许多人都参与了将患者从急诊室内部转移到主要医院楼层的过程-床位控制、护士长、交通、接诊医生等。

That means there are opportunities for miscommunication and resulting delays. This is where technology becomes a critical ally. .

这意味着存在沟通错误和由此产生的延误的机会。这就是技术成为关键盟友的地方。。

In this case, the right clinical communication system can help locate the proper professional or patient quickly rather than relying on phone calls. Additionally, the person sending the initial communication can see what messages have been viewed and received, making it easier to communicate with all constituents and providing more transparent communication, ultimately driving better accountability and reducing patient transfer delays..

在这种情况下，正确的临床沟通系统可以帮助快速找到合适的专业人员或患者，而不是依靠电话。此外，发送初始通信的人可以看到已查看和接收的消息，从而更容易与所有组成部分进行通信，并提供更透明的通信，最终推动更好的问责制并减少患者转移延迟。。

The path forward: A proactive approach to healthcare

前进的道路：积极主动的医疗保健方法

The current healthcare landscape demands proactive solutions. As patient volumes rise and resources remain strained, effective communication strategies are no longer optional; they’re essential. Collaboration Waste takes its toll on patient, staff and hospital financials.

当前的医疗保健形势需要积极主动的解决方案。随着患者数量的增加和资源的紧张，有效的沟通策略不再是可选的；它们是必不可少的。协作浪费对患者、员工和医院财务造成了损失。

Modern CC&C platforms empower hospitals to break through bed-blocking gridlock, fostering a more streamlined and cost-conscious healthcare system. By harnessing technology’s potential, these systems dismantle communication silos, eliminate delays, and pave the way for efficiency. Ending Communication Waste can unlock the full potential of our healthcare ecosystem, ensuring timely interventions and a smoother path to patient recovery..

现代CC＆C平台使医院能够打破床位堵塞的僵局，从而建立一个更加精简且成本意识更强的医疗保健系统。通过利用技术的潜力，这些系统拆除了通信竖井，消除了延迟，并为提高效率铺平了道路。结束通信浪费可以释放我们医疗保健生态系统的全部潜力，确保及时干预，为患者康复提供更顺畅的途径。。

Photo: FS Productions, Getty Images

照片：FS Productions，Getty Images

Will O’Connor

威尔·奥康纳

Will O’Connor, M.D. is TigerConnect’s chief medical information officer. He’s an industry-known physician executive with more than 20 years of healthcare experience focused on operations, strategic planning, consulting, client delivery, and thought leadership across the healthcare industry.As an orthopedic surgeon, Dr.

医学博士威尔·奥康纳（WillO'Connor）是TigerConnect的首席医疗信息官。他是一位业内知名的医生高管，拥有20多年的医疗保健经验，专注于整个医疗保健行业的运营、战略规划、咨询、客户交付和思想领导。作为一名整形外科医生。

O’Connor has significant provider experience as well as deep commercial experience, having worked for multiple companies, including McKesson, Allscripts/Eclipsys, and PriceWaterhouseCoopers. He specializes in assisting large health systems, academic medical centers, community hospitals, and payers leverage healthcare information technology and operational improvements to advance their clinical and financial outcomes.Additional experience includes EHR and HIE implementations, clinical communication and collaboration, clinician adoption, analytics, clinical decision support, provider operational analysis, and clinical process redesign..

奥康纳拥有丰富的供应商经验和丰富的商业经验，曾为多家公司工作，包括麦凯森（McKesson）、Allscripts/Eclipsys和普华永道（PriceWaterhouseCoopers）。他专门协助大型卫生系统、学术医疗中心、社区医院和付款人利用医疗保健信息技术和运营改进来提高其临床和财务成果。其他经验包括EHR和HIE实施，临床沟通和协作，临床医生采用，分析，临床决策支持，提供者运营分析和临床流程重新设计。。

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