The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations
Background This case study describes and analyses an action research initiative undertaken by management, staff and World Health Organization (WHO) at the IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant’Orsola, Italy. The initiative utilised staff engagement approaches devel...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2023-12-01
|
| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4399_bf521424b5b1a163c4943c99030e42ac.pdf |
| _version_ | 1797206327595892736 |
|---|---|
| author | Francesca Gorla Anja Borojevic Chiara Gibertoni Lorena Landi Marco Storchi Luca Fontana Jetri Regmi Barbara Burmen Anna Silenzi |
| author_facet | Francesca Gorla Anja Borojevic Chiara Gibertoni Lorena Landi Marco Storchi Luca Fontana Jetri Regmi Barbara Burmen Anna Silenzi |
| author_sort | Francesca Gorla |
| collection | DOAJ |
| description | Background This case study describes and analyses an action research initiative undertaken by management, staff and World Health Organization (WHO) at the IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant’Orsola, Italy. The initiative utilised staff engagement approaches developed during the COVID-19 pandemic to rethink and reshape future development plans. The initiative provides a ‘how-to’ case study for complex health facilities on ways to create similar multisectoral, inclusive and holistic processes in planning structural, functional and organizational solutions for their ‘hospitals of tomorrow.’Methods The case study utilised an action research approach coordinated by a team of WHO facilitators in close collaboration with the Board of Hospital Directors. Heterogeneous and multidisciplinary working groups were created, with members from different levels of the hospital staff. In the context of facilitated group meetings held weekly over a one-year period, participants were asked to review topics of interest to future plans of the hospital and make recommendations on effective/innovative ways of addressing these in the short and long term. Working groups focused on different challenges.Results The initiative was successful in creating and sustaining broad staff engagement in the future planning processes. 80% groups maintained high staff participation throughout the entire project year. Participating staff reported enhanced communication and cooperation between departments represented in different groups. 87% of the proposed plans suggested by the working groups were approved by the Board for implementation.Conclusion Key factors contributing to the high approval rate of plans, strong engagement record of staff and enhanced cooperation between involved departments; included: multisectoral/cross hierarchal staff involvement, group attention to defining time-bound contextual goals, flexible implementation monitoring approaches, personnel skills and profiles of participants, direct and open communication at all levels and times, member commitment and clear exit strategy. The case study is presented as a model to stimulate similar actions in other complex healthcare facilities. |
| first_indexed | 2024-04-24T09:05:15Z |
| format | Article |
| id | doaj.art-8de3b3fbe1b64de88b1cc2dcb4897b06 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-24T09:05:15Z |
| publishDate | 2023-12-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-8de3b3fbe1b64de88b1cc2dcb4897b062024-04-15T19:04:25ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392023-12-0112Issue 111210.34172/ijhpm.2023.73304399The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex OrganizationsFrancesca Gorla0Anja Borojevic1Chiara Gibertoni2Lorena Landi3Marco Storchi4Luca Fontana5Jetri Regmi6Barbara Burmen7Anna Silenzi8World Health Organization, Headquarters, Geneva, SwitzerlandWorld Health Organization, Regional Office for Europe, Copenhagen, DenmarkIRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant’Orsola, Bologna, ItalyIRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant’Orsola, Bologna, ItalyIRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant’Orsola, Bologna, ItalyWorld Health Organization, Headquarters, Geneva, SwitzerlandWorld Health Organization, Regional Office for Europe, Copenhagen, DenmarkWorld Health Organization, Headquarters, Geneva, SwitzerlandWorld Health Organization, Headquarters, Geneva, SwitzerlandBackground This case study describes and analyses an action research initiative undertaken by management, staff and World Health Organization (WHO) at the IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant’Orsola, Italy. The initiative utilised staff engagement approaches developed during the COVID-19 pandemic to rethink and reshape future development plans. The initiative provides a ‘how-to’ case study for complex health facilities on ways to create similar multisectoral, inclusive and holistic processes in planning structural, functional and organizational solutions for their ‘hospitals of tomorrow.’Methods The case study utilised an action research approach coordinated by a team of WHO facilitators in close collaboration with the Board of Hospital Directors. Heterogeneous and multidisciplinary working groups were created, with members from different levels of the hospital staff. In the context of facilitated group meetings held weekly over a one-year period, participants were asked to review topics of interest to future plans of the hospital and make recommendations on effective/innovative ways of addressing these in the short and long term. Working groups focused on different challenges.Results The initiative was successful in creating and sustaining broad staff engagement in the future planning processes. 80% groups maintained high staff participation throughout the entire project year. Participating staff reported enhanced communication and cooperation between departments represented in different groups. 87% of the proposed plans suggested by the working groups were approved by the Board for implementation.Conclusion Key factors contributing to the high approval rate of plans, strong engagement record of staff and enhanced cooperation between involved departments; included: multisectoral/cross hierarchal staff involvement, group attention to defining time-bound contextual goals, flexible implementation monitoring approaches, personnel skills and profiles of participants, direct and open communication at all levels and times, member commitment and clear exit strategy. The case study is presented as a model to stimulate similar actions in other complex healthcare facilities.https://www.ijhpm.com/article_4399_bf521424b5b1a163c4943c99030e42ac.pdfproject managementparticipatory processgroups empowermenthospital managementhealth systemhospital organization |
| spellingShingle | Francesca Gorla Anja Borojevic Chiara Gibertoni Lorena Landi Marco Storchi Luca Fontana Jetri Regmi Barbara Burmen Anna Silenzi The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations International Journal of Health Policy and Management project management participatory process groups empowerment hospital management health system hospital organization |
| title | The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations |
| title_full | The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations |
| title_fullStr | The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations |
| title_full_unstemmed | The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations |
| title_short | The Hospital of Tomorrow Case Study: Multidisciplinarity, Inclusiveness and Holistic Approaches to Foster Innovation in Complex Organizations |
| title_sort | hospital of tomorrow case study multidisciplinarity inclusiveness and holistic approaches to foster innovation in complex organizations |
| topic | project management participatory process groups empowerment hospital management health system hospital organization |
| url | https://www.ijhpm.com/article_4399_bf521424b5b1a163c4943c99030e42ac.pdf |
| work_keys_str_mv | AT francescagorla thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT anjaborojevic thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT chiaragibertoni thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT lorenalandi thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT marcostorchi thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT lucafontana thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT jetriregmi thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT barbaraburmen thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT annasilenzi thehospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT francescagorla hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT anjaborojevic hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT chiaragibertoni hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT lorenalandi hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT marcostorchi hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT lucafontana hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT jetriregmi hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT barbaraburmen hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations AT annasilenzi hospitaloftomorrowcasestudymultidisciplinarityinclusivenessandholisticapproachestofosterinnovationincomplexorganizations |