Decentralizing the database is indispensable in healthcare

13 min read

Yet, the centralization of the process stands the circumstance of the offset strategy.

Life is the embodiment of a lengthy and intricate task.

Realistically speaking, our lives are nothing but one big giant project. Day in and day out, we must carry out tasks through simplification, collaboration, or project management. Every job stands an activity an individual needs to attain within a defined period or by a deadline. Within that timeframe, the responsible individual for the task works towards bestowed objectives. The task is a tiny yet essential fraction of a chore that attends to as healthy to differentiate various components of a plan.

We can divide a task into duties with defined inception and expiration or completion time. One or more assignments on a task put the task under execution. Completion of all appointments on a particular task commonly makes the job complete. Tasks can be linked together to create dependencies. The routine undertaking of culmination compels the coordination of others. Harmonized human relations takes on the role of incorporating the integration of time, enthusiasm, struggle, skill. It utilizes the resources of multiple individuals to meet a broad goal.

Significance of coordination

Coordination is critical. It ties together the efforts on the single level to that of the immense task in action by manifold members. Coordination permits for the growing culmination of the otherwise larger tasks that one might encounter.

The fundamental notion of carrying out a task is the way of bartering with its circumstance or, in simple terms, define an Approach to a given responsibility.

To efficiently execute a task or a project, one must be able to keep work neat, simple throughout the entire process. In general terms, the latter is accomplished by way of profiling, categorizing, and stratifying the elements of the commission, so it is simple, transparent, and accessible. The larger the scope of any project or task more important to stay organized.

The organization is a virtue

No matter how big or small the team or person, projects, and irrespective of how skilled the soul is, the process can get out of control. Therefore, it’s crucial to make the most of every assignment to avoid precious time loss. Being disorganized is an inefficient way of conducting an operation, and it can harm in the long run. If one is struggling to control an unsystematic team or person, he or she might need to step back and try an alternative.

The process is a phenomenon by which skill is enacted or realized. Therefore, sundry of people not seldom find themselves facing a task that feels grown too immense and out of control.

An effective process or the set of recurrent activities designed to produce a result through interaction necessitates a well-organized system; otherwise, the process will be chaotic, thus will fail. Therefore, to overcome or avert process disarray, most entities or persons implement a set of documents written to support a “policy directive” called procedure. The designed system specifies who, what, where, when, and why utilizing and establishing liability in support of the corresponding written policy is of utmost importance. The “how” is further documented by every organizational entirety as it takes the form of a work directive, which aims to also support a procedure by providing a more transcendent aspect.

Standard operating procedure and simplification

Every standard operating procedure (SOP) is written stepwise instructions characterizing how to perform an everyday action. An SOP is primarily about those categories of chores completed in the same way every time so that the process remains consistent. In contrast to SOP Protocols, there are technical peers produced whenever desirable to standardize a technique to ensure successful replication of results. Additionally, and by extension, protocols have the advantage of facilitating the assessment of outcome through peer analysis. Similarly, a pact may pertain to the procedural schemes of health organizations.

Every process is a cycle

Every step of the way in the process of taking up a task or plan represents a stop with a cycle of simplification, reassessment, quality assurance, and risk management. We all go through this cycle day in and day out in our lifetime, be it conscious or unconscious.

By nature, we even acquire how to complete a task that is complementary to our needs the same way every single time. To make sure we also ask for effective “collaboration” from others or take the leadership of another skilled person or group in the form of “consolidation.” Until this point, every person shares a unique trait. However, the challenge ensues as the scope of tasks or projects expands beyond one’s capability. Further Overcoming of such limitations will rest at the junction of collaboration and unity.

It has been the standard choice powered by rhetoric that unity is the most ideal for addressing the most challenging tasks. Yet, frequently those supporting such ideology perpetually flop to delineate the difference between those two singularities. No doubt, both are neither the same nor perfect. Even so, both hold benefits and drawbacks. By considering the proper circumstances, one may choose one or another possibility. Yet, Before I can elaborate further, we must first understand their respective definitions barren of semantic shift that has been threatening the public perception of their essence.

Collaboration needs decentralized mediation

Collaboration is merely the function of two or more people. It may also refer to institutions that independently concede to work together towards completing a task or attain an objective. Like consolidative effort, collaboration expects leadership; nevertheless, the structure of such oversight is more of a coordination and maintaining organized structure as described earlier.

The core nature of the collaborative feat is decentralized, where there is no single authority that supports the final say. The system that functions collaboratively often has access to considerable resources, recognition, and reward when facing competition for limited resources. Collaboration encourages meditation of demeanor and communication, thus increasing the success of teams as they engage in combined problem-solving. Uncommonly collaboration is fictitiously used for opposing purposes, displaying the notion of antagonistic cooperation.

The essence of a collaborative effort

In its applied understanding, collaboration is a willful relationship in which all parties strategically and voluntarily choose to conspire to accomplish a shared outcome. Despite overwhelming ideals, collaboration comes with certain drawbacks. Few everyday encounters of said pitfalls include the incidence of Groupthink automatic assemblage within the collaborators fueling discrimination and prejudice by way of partial crumbling. It is not uncommon for people to make shortcuts by forming unity amid themselves. The latest serves precisely like the reason why current systems typically fall back on accord as opposed to collaboration.

Ambiguity in Roles and Responsibility

There is the possibility of ambiguity in Roles and Responsibility sandwiched between members of a collaborative network. One may utterly relate such a trend as one of the drawbacks of a collaborative endeavor. However, I must underline the significance of decentralized leadership or coordinator in establishing the shape of the environment that is devoid of profiling, bundling, and loss of sense of responsibility.

It is the prevailing discussion that the cost of collaboration may be high and

It potentially leads to longer decision times under conflicts within the group. Once again, the majority of downsides associated with collaboration share one denominator- that is, one leadership or team management, which may fail to create adequate transparency and accountability amongst team members.

Consolidation lacks flexibility

The consolidative association is a process of centralizing or unifying two or more persons or entities to function as one distinct unit. It requires a strong sense of commitment to a single inflexible mission by uniting its elements, i.e., the persons. Collaboration is convenient, motivating, and adequately considering the presence of authoritative leadership.

It is the primary function of the leadership in the consolidated system to maintain the team in one single piece — the milieu of unity individuals within the system who may hold extreme ideologies. Finding shared values amongst elements of a union is a hard task, especially when the unit size is vast. Larger the communion, more challenging is establishing commonality between them, hence stronger tendency for the authoritative leadership and dictatorship. Those who are pro-unity will justify the feat by balancing leadership authority and common ground between its constituents.

Authoritarianism is the by-product of the increased ideological diversity-to-size ratio of a given community or group. It offers the opportunity for the administration to enforce one standard operating procedure irrespective of its individual’s independent belief.

Democracy is a confined virtue

Historically The cruel trend of authoritarianism to shift from natural unification to full-fledged dictatorship gave birth to the concept of democracy.

Democracy, also called “rule by the people,” turns responsibility and authority from a person or administration to the members of the community or group. In a democratic system, the people have the collective sovereignty to choose their governing statute. Who people are; and how authority shared among them are core themes for democratic evolution and code. Some cornerstones of these issues are freedom of collective assembly and speech within, inclusiveness and equality, membership, consent, voting, right to life, and minority rights.

Despite the positive values embedded within the core of the democratic venture, the rights of people limited to those of the smaller group sharing common traits, meaning still ignore individual values. Therefore, to establish a successful process of carrying out a task, the collaboration is still the most ideal, primarily because it respects everyone’s opinion in the team or community. Collaboration is flexible and, most of all, none dictatorial.

Process Centralization or Decentralization

Centralization of the process by Designating specific staff members to handle everyday tasks while making sure rest have access to all necessary data. In Process decentralization activities of an organization, particularly those regarding planning and decision making, are distributed away from a central, authoritative group to individual members, as is pertained to community dynamics and management science, political science, law and public administration, economics, money, and technology.

The use of the Decentralization of process is highly effective in handling a multitude of tasks with a variety of solutions. It requires the collaborative efforts of everyone.

The choice to centralize or decentralize a process

The choice of a centralized or decentralized approach for processing is the driver of efficiency and feasibility. Hence it should not be selected indiscriminately. It is one of the essential responsibilities of the leadership to choose one over another based on his or her knowledge of every member’s role and skillsets.

Upon selection of the category of process, dynamics, and how to carry out the given task or follow through a project to an end, it is vital to define the framework of the static system component; and data logistics. Simplistically speaking, data represents the building blocks of a task.

Pros and cons of centralization centralization

The centralized database scheme, in its core, serves the entire company information source. The latter definition frequently characterizes entirely centralized analytics. Still, it’s referred to as a shared knowledge database that is available to everyone in the team. Large Companies with single-business organizations have a desire for tools, data, analytics, and applications to be able to cross different thresholds.

Centralization strengthens communication within the group. It provides more practical leadership from the C-Suite as specific needs are accurately related to the particular individuals commissioned with a retort. However, selecting a centralized system is virtually sponsoring a path for a distinct strategy to have the most considerable influence.

According to a report from Deloitte, 42% of firms exercise a centralized procedure. There are nevertheless benefits and shortcomings of a centralized database one needs to consider before considering the latter approach.

The centralized approach allows for working on cross-functional projects. It helps speed up the communication within a group rather than having seams of organizational red tape in place to handle undertakings between Cross-functional teams or group members from various skill levels to come together whenever it is mandatory.

Centralized Data is convenient

The centrality of data renders sharing ideas across analysts easier; hence Analysts can be conveniently appointed to specific situations centrally. Concomitantly, it reduces conflict between stakeholders rendering organizations so they can act with huger speed and help the group stay near to a focused vision.

Centralization is prone to resistance

The centralized system of Data is likely to become unresponsive to the needs of the given project. because of the burdensome workload. Individuals and teams find that the time constraints placed on them may be unfair for the goals implored. Similarly, there are more inferior statutes of location-based adaptability, as borrowing a centralized database implies trading movement efficiencies for less flexibility at the local point.

Centralization kills enthusiasm

Centralization can give birth to an unfavorable consequence of homegrown passion. When there is a centralized database, the commitments of local administrators often becomes less. In return, the hierarchy of the organization may prohibit local leaders from employing their workers. A centralized database restricts Succession planning, merely because the information is central, therefore demanding little work towards the expansion of new supervisors.

Centralization curtails the amount of legitimate feedback from individual members of the team. A centralized database may well furnish transparency and may even steer to higher degrees of communication. But those are not invariably welcome windfalls because anyone can offer an opinion or feedback on the information they have received.

Team members often recognize a sense of responsibility to send a response. Many may have inadequate knowledge about policies or procedures by not having admission to the entire picture. It may also increase costs when the centralization of data demands the exactness of the data obtained.

One minor miscalculation will result in a grim consequence on the centralized database. Most of all, there is a risk of loss, be it accidental or malicious hacking. Since stored Data is central, thus if there are no other database locations, with the failure of the database, an organization can lose access instantly.


Pros and cons of Decentralization

The primary notion in support of Decentralization is the distribution of duty and decision sharing across various levels in an organization. The latter also invariably applies to the database as well as the network structure. In contrast to centralization, where a central authority structure uses a more domineering style of supervision. Both types of methods have their own sets of benefits and drawbacks, and here we will point to the pros and cons associated with Decentralization.

Decentralization can enhance an organization’s overall growth. The decentralized administration allocates duties and decision-making. Collaborators within the system can concentrate less on day-to-day unraveling struggle and more on seeking a long-term vision for the company.

Scalability, Transparency, and Accountability

In addition to scalability, the decentralized system motivates accountability and transparency. Within such a system, the regional administrators and workers require to take extra holding of their endeavor. Merely, because they realize they are making an additional commitment. As a result, it creates more forerunners by cultivating other resources to coach leaders and bring out the potential of its members in this type of arrangement.

Flexibility and innovation invites decentralization

The decentralized method spawn’s innovation and flexibility. By merit of lesser bureaucracy and blockages to the free trade of beliefs, as an outcome, more competent individuals can give their recommendations. Meanwhile, collaborators will enjoy the given opportunity to innovate and come up with out-of-the-box remedies.

Decentralization is liberating

A decentralized system is a great strategy and incredibly liberating. It is more so satisfying to individuals as it brings out the best of everyone, everywhere and every time. But by itself, it is not without limitations. It is very challenging for new organizations, or groups like startups to gain footing in the competitive realm; Often, they need a reliable and capable leadership to navigate them towards the right path.

If overlooked, it can also cultivate toxic competition between local managers from various groups who have same-level influence. Because they know they have independent decision-making roles, resolving interdepartmental conflicts may become more problematic. Aside from that, same-level leaders who are competing may refuse to coordinate and cooperate.

A decentralized approach without proper coordination tends to give rise to duplicate tasks potentially. Some organizations hire support groups (IT, HR, etc.) to avoid conflict. The latter support group is usually specialized divisions, activities, processes, and outcomes that may also be replicated, stemming from additional costs.

Decentralization makes the enactment of consistent group policies more challenging. It helps various managers to perceive organization regulations and standards independently. But, Decentralization creates the implementation of uniform and compatible programs more problematic.

Related Article: The concept of collaboration and Consolidation: Exploiting our differences to unify on a common ground

Centralization and Decentralization: A closer look

The centralized organization takes up a position at the center of control and dominance. Thus the faith of the centralized system is merely in the hands of very few individuals. Though it is said to come with many benefits, it strategically furthermore invites many obstacles. It employs standardization of work, ensures fair work allocation, confirms assigning a particular amount of work, is honest and just between different units and responsible individual employees, and will increase progress within the company. It does not allow replication of action and offers an area of specialization. But also encourages dictatorship, brings out the negatives in an administrative system, is inflexible. Furthermore, it confines communication and creativity.

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In reality, centralization would fail to work for groups that expect a high degree of creativity from their lineage. Hence, this structure does not allow workers to function within a more standard configuration, which means that they cannot share ideas to improve processes.

Decentralization, on the other hand, potentially creates trustees’ banking, eliminates middle persons, opens the path to energy independence, secure privacy, and maintains independence.

Process centralization towards strengthening collaboration

In many systems, especially large organizations, document analyses are quite challenging. Because within such a network, everyone has a different plan, schedule, and preference to markup documents.

A virtual team member does not benefit from the luxury of a corridor discussion. They are not able to ask if others had an opportunity to look at a document or drop in a friendly reminder of the upcoming due date. Failure to address would potentially lead to delay of project deliverables and to jeopardize the essence of the projects. But a well-implemented collaboration solution mitigates these challenges.

Collaboration technology maximizes system appropriation

Launching a Collaboration Platform help Maximize adoption, yet it must be something people want to use. In many organizations, people have their secret stash of corporate documents. They may hold record versions that vary, and they don’t want to give them up. Hence, they have to be beneficial to themselves as well as the organization. It must also organize everyone in one central environment that contains all the group’s shared documents and communications.

The key is to implement the platform in a phased manner. Such a platform must bring individuals on board slowly; start small, with one particular team or project at a time. The solution must focus on asking where previous pain points were and show participants how the new platform assists. For instance, unifying manuscripts online implies no more version control issues, fewer corrupt docs, and better able to track comments.

Decomposition versus the Grassroots attitude to healthcare problems

Sharing documents wants synchrony

There is a need to Look even for minor successes and convey them to the users. For most institutions, one of the primary advantages of executing a centralized online collaboration outlet is enhancing document versioning and tracking document examination procedures. Sharing documents via email, or as a file on a shared folder, is never synchronous. One user’s mistake can steer to a versioning issue that can take hours or even days to fix. But, once the document is part of an online workflow, it will be transparent and straightforward to roll back to a previous edition if a documented problem arises. Being able to centralize and share team members’ remarks so everyone can glimpse is always helpful.

Online collaboration platforms optimize document security. Managing all documents and their review within the confines of the collaboration outlet reduces the probability of in-progress document editions or accidentally getting sensitive material out to the public.

Healthcare demands security, flexibility, and must be collaborative.

Healthcare is personal; hence any process, information, and policies to enhance it necessitate to be flexible, secure, and efficient. Medicine is the science of vast discrepancy. Historically, unbendingly consolidating data and across the board amalgamating the process is far from resourceful.

Collaboration creates a friendly environment

According to a case study published by, the Collaborative supply chain management aligning various interests, abilities, and competencies can be a strenuous task for most administrators. Meaning, creating a synergistic task climate is, at times, hard. Especially when stakeholders expected to toil jointly towards the enhancement of supply chain procedures and processes is challenging in a diversified task milieu. Nevertheless, Collaborating creates an environment of appreciating separate cultures, integration, and interdependencies of corporate governance vision, integrity, and business objectives, something that healthcare fundamentally demands day-in-and-day out.

We should not bypass interdependencies among multifaceted supply chain supporters. Instead, we should adapt to creating efficient collaborations. Synergy will be optimal when many groups work concurrently to generate an impact. What collaboration can achieve is greater than the sum of individual efforts. The actions, when performed together, boost the cogency of each personalized tribute. Healthcare is a collaborative system, yet after the advent of population health and takeover of public health by the world administrations, it has become ever more centralized, consolidative, and thus authoritative.

Health Information Privacy

The building blocks of the healthcare system are private and protected by law. The concept of Protected health information (PHI) under US legislation refers to any data about health status. It invariably refers to the phenomenon of health care or reimbursement for health care. It pertains to any created or collected data by an entity linked to a specific someone. In general, this broadly relates to and includes any part of a patient’s medical record.

Key to a successful organization is about realization of the dynamic

The key to the successful management of any organization is maintaining a balance of centralized and decentralized structures at a given point of time and locale. It also has to distinctly define what kind of verdicts shall remain under high management; and how much to provide independence to local subdivisions.

It is vital to recognize the definitions, deference among all. To avoid semantic shift, as what is central, decentral, collaboration, or consolidation is additionally essential. Every person or entity must distinctly envision its team’s requirements, pitfalls, potentials as well as a dynamic interaction. That requires excellent skill on behalf of its leadership. Upon incorporating the necessary prerequisites- the executives of systems must decide as to what proportion they need to centralize and at what stage of the process to decentralize.

Additionally, when to transition and at what pace to decentralized. Ideally, at some point in time down the path of entity establishment, irrespective of the choice and ultimate decision, the Decentralization of data- process and administrative undertaking must also be maintained decentralized. Because it is unbureaucratic, flexible, innovative, scalable, and, most of all, liberating to everyone in our ecosphere.

Adam Tabriz, MD Dr. Adam Tabriz is an Executive level physician, writer, personalized healthcare system advocate, and entrepreneur with 15+ years of success performing surgery, treating patients, and creating innovative solutions for independent healthcare providers. He provides critically needed remote care access to underserved populations in the Healthcare Beyond Borders initiative. His mission is to create a highly effective business model that alleviates the economic and legislative burden of independent practitioners, empowers patients, and creates ease of access to medical services for everyone. He believes in Achieving performance excellence by leveraging medical expertise and modern-day technology.

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