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Health Professions Education

Author: Committee on the Health Professions Education Summit
Publisher: National Academies Press
ISBN: 0309087236
Size: 30.62 MB
Format: PDF
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The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Crossing The Quality Chasm

Author: Committee on Quality of Health Care in America
Publisher: National Academies Press
ISBN: 0309072808
Size: 50.95 MB
Format: PDF, Kindle
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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Improving The Quality Of Health Care For Mental And Substance Use Conditions

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309133661
Size: 14.11 MB
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Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation’s economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Best Care At Lower Cost

Author: Committee on the Learning Health Care System in America
Publisher: National Academies Press
ISBN: 0309260744
Size: 30.63 MB
Format: PDF, Mobi
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America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009--roughly $750 billion--was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Leading And Managing In Nursing

Author: Patricia S. Yoder-Wise
Publisher: Elsevier Health Sciences
ISBN: 0323294227
Size: 72.42 MB
Format: PDF, Kindle
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Leading and Managing in Nursing, 6th Edition offers an innovative approach to leading and managing by merging theory, research, and practical application to better prepare you for the NCLEX® exam and the transition to the practice environment. This cutting-edge text is organized around the issues that are central to the success of professional nurses in today's constantly changing healthcare environment, including consumer relationships, cultural diversity, resource management, delegation, and communication. UNIQUE! Each chapter opens with The Challenge, where practicing nurse leaders/managers offer their real-world views of a concern related in the chapter, encouraging you to think about how you would handle the situation. UNIQUE! The Solution closes each chapter with an effective method to handle the real-life situation presented in The Challenge, and demonstrates the ins and outs of problem solving in practice. The Evidence boxes in each chapter summarize relevant concepts and research from nursing/business/medicine literature. Theory boxes highlight and summarize pertinent theoretical concepts related to chapter content. Research and Literature Perspective boxes summarize timely articles of interest and point out their relevance and applicability to practice. Separate chapters on key topic areas such as cultural diversity, consumer relationships, delegation, managing information and technology, legal and ethical issues, and many more. End-of-chapter Tips offer guidelines for applying information presented in the chapter. Numbered exercises challenge you to think critically about concepts in the text and apply them to real-life situations. Eye-catching full-color design helps engage and guide you through each chapter. Glossary alphabetically lists and defines all the boldfaced key terms from the chapters. Chapter Checklists provide a quick summary of key points and serve as a handy study tool. NEW! QSEN competencies incorporated throughout the text emphasize the importance of providing safe, high-quality nursing care. NEW! What New Graduates Say section at the end of each chapter provides you with a real-world perspective on the transition to clinical practice. NEW! Expanded content on legal and ethical issues, care delivery strategies, staffing, quality, and consumer relationships. NEW! Updated photos throughout the book maintain a contemporary and visually appealing look and feel.

The Learning Healthcare System

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309133937
Size: 64.91 MB
Format: PDF, Kindle
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As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence--from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement--and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.

Assuring The Quality Of Health Care In The European Union

Author: Helena Legido-Quigley
Publisher: World Health Organization
ISBN: 9289071931
Size: 11.14 MB
Format: PDF, Kindle
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People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?". This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.

Quality Health Care

Author: Robert C. Lloyd
Publisher: Jones & Bartlett Learning
ISBN: 9780763748050
Size: 67.40 MB
Format: PDF, ePub
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Written By An Internationally-Recognized Expert In The Field Of Quality Management, This Book Will Serve As Your Guide For Planning And Implementing A Successful Quality Measurement Program In Your Healthcare Facility. It Begins By Presenting An Overview Of The Context For Quality Measurement, The Forces Influencing The Demand For Quality Reform, How To Listen To The Voice Of The Customer, And The Characteristics Of Quality That Customers Value Most. You’Ll Also Learn How To Select And Define Indicators To Collect Data And How To Organize Data Into A Dashboard That Can Provide Feedback On Your Progress Toward Quality Measurement. Finally, This Book Shows You How To Analyze Your Data By Detailing How Variation Lives In Your Data, And Whether This Variation Is Acceptable. Case Studies Are Provided To Demonstrate How Quality Measurement Can Be Applied To Clinical As Well As Operational Aspects Of Healthcare Delivery.

Better Doctors Better Patients Better Decisions

Author: Gerd Gigerenzer
Publisher: MIT Press
ISBN: 9780262298087
Size: 29.71 MB
Format: PDF
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Contrary to popular opinion, one of the main problems in providing uniformly excellent health care is not lack of money but lack of knowledge -- on the part of both doctors and patients. The studies in this book show that many doctors and most patients do not understand the available medical evidence. Both patients and doctors are "risk illiterate" -- frequently unable to tell the difference between actual risk and relative risk. Further, unwarranted disparity in treatment decisions is the rule rather than the exception in the United States and Europe. All of this contributes to much wasted spending in health care. The contributors to Better Doctors, Better Patients, Better Decisions investigate the roots of the problem, from the emphasis in medical research on technology and blockbuster drugs to the lack of education for both doctors and patients. They call for a new, more enlightened health care, with better medical education, journals that report study outcomes completely and transparently, and patients in control of their personal medical records, not afraid of statistics but able to use them to make informed decisions about their treatments.

Patient Safety

Author: Committee on Data Standards for Patient Safety
Publisher: National Academies Press
ISBN: 0309529328
Size: 35.70 MB
Format: PDF
View: 7255
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Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed — a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.