SKIMS: Direction is important than motion

besides carrying out more than 200,000 investigations each month even as no new infrastructure has been added to SKIMS during the last two decades.
More than 5 lakh patients attended outpatient and emergency departments (OPDs) in the last one year. Though SKIMS has a proven record of excellence in patient care, teaching, research and technology assessment, but advocacy for the health care needs and other emerging health concerns of the Valley is also a significant part of this tertiary care Institutes ‘mandate.
The proactive wellness outreach campaign “AASH” launched by SKIMS is a novel idea, although we need a comprehensive system of wellness-planning. We also demand an investigation of the ways in which society’s structure shortens life and creates the illnesses that the medical system “fixes.”
Nowadays, citizens are assuming more responsibility for their day-to-day fitness and at the same time demanding unlimited access to increasingly expensive and sophisticated medical technology. Greater public interest in medicine and health is advantageous in one sense. Nevertheless, rising expectations may create a philosophical as well as a management crisis for the medical profession.
The practice of medicine was first mechanized and then computerized.  This massive shift has occurred in medical treatment and health practices since the turn of the century, and the changes of the last few years have been even more radical.
With the new emphasis on advanced technical equipment, the relationship of the doctor to the patient has already altered.
Previously sifting and evaluating information in the context of a one-to-one relationship — hearing symptoms and skillfully using a trusty stethoscope now the doctor turns instead to a CAT scan, computer printout or monitor to review the visual data.
Increased accuracy of diagnosis and ability to fine tune treatments are often unquestioned. But there are increasing complaints that the humanity of the two-way relationship sometimes gets lost in the process. This is a global phenomenon.
Our healthcare system here grapples with the challenge of sharing information, the referral communications tools, can connect clinicians with peers who have a deeper understanding of the ailment or just as important, know the patient better. Our caregivers need to increasingly work as part of a team, with general practitioners at primary health centre, specialists at sub district or district or state hospital, specialist or super specialist at tertiary care Institute, pharmacists, community care nurses all caring for the same patient.
This integrated referral system or step care can improve communications efficiency across the healthcare spectrum by helping SKIMS staff to reach the right person directly, on the first try. SKIMS leadership needs to stay close to their own instinctive sense of connectedness. The fraternity that can work on the interwoven web of the freeway artery and the microchip should be able to remember the impact of these connections with the stakeholders. We need an access between clinicians and genuine coordination of care. Usually a quite small referral network of each clinician needs an expansion.
To overcome the communications barriers with all the visitors and not the properly referred patients the integration of disparate communications systems – offers an effective solution. Let SKIMS give access to its target consumers/patients through primary and secondary level healthcare practitioners and hospitals in a secure, comprehensive, and resilient manner.
One of the accomplishments of the engagement in optimizing patient flow will be the development of a Discharge Instruction Sheet. It should fully satisfy the needs of communicating with attending physicians in the community and catchment area regarding the status and plans for patients who have been hospitalized at the SKIMS. Such communication will serve as an integral part of ensuring continuity of care when a patient leaves hospital.
SKIMS has to be committed to being recognized by our patients as caring, compassionate and attentive about their care. All patient complaints need to be acknowledged and responded to in a timely, professional, and appropriate manner.

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