Work

Innovation in public delivery systems: How one safety net hospital implemented new heart monitoring technology

Year: 2024

Type: article

Abstract: This case study examines how a public delivery system hospital implemented a heart monitoring patch in place of existing electrocardiogram (ECG) monitoring by pursuing a holistic value proposition. For example, leaders identified opportunity costs embedded in the existing ECG monitoring staffing. Stakeholders also rallied around values such as patient safety, patient experience, and quality of care. Implementation also benefited from external philanthropic and industry partnerships, which facilitated a pilot period to implement new workflows, demonstrate proof-of-concept, and evaluate process improvements. Despite implementation success, ongoing procurement and reimbursement challenges demonstrate the messiness of innovation, even after reaching a "maintenance" phase. Availability of patient-facing material in multiple languages is one example of an implementation gap in safety net settings. New policies by health systems, payers, and others are needed to establish pathways for future high-value innovations.

Source: Healthcare

DOI: 10.1016/j.hjdsi.2023.100732

Authors: Margae Knox, Beatrice Huang, Rachel Willard-Grace, George Su

Institutions: University of California, Berkeley, University of California, San Francisco, San Francisco General Hospital, University of California San Francisco Medical Center

Language: English

Topic: Healthcare Technology and Patient Monitoring

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Industry, innovation and infrastructure

Open Access status: hybrid

Estimated APC paid: $3,570