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Integrated healthcare delivery network

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https://www.readbyqxmd.com/read/27770772/frequency-of-satisfaction-and-dissatisfaction-with-practice-among-rural-based-group-employed-physicians-and-non-physician-practitioners
#1
Anthony C Waddimba, Melissa Scribani, Nicole Krupa, John J May, Paul Jenkins
BACKGROUND: Widespread dissatisfaction among United States (U.S.) clinicians could endanger ongoing reforms. Practitioners in rural/underserved areas withstand stressors that are unique to or accentuated in those settings. Medical professionals employed by integrating delivery systems are often distressed by the cacophony of organizational change(s) that such consolidation portends. We investigated the factors associated with dis/satisfaction with rural practice among doctors/non-physician practitioners employed by an integrated healthcare delivery network serving 9 counties of upstate New York, during a time of organizational transition...
October 22, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27668560/the-central-role-of-physician-leadership-for-driving-change-in-value-based-care-environments
#2
Adam Lustig, Michael Ogden, Robert W Brenner, Jerry Penso, Kimberly D Westrich, Robert W Dubois
BACKGROUND: In 2013, it was reported that about 1 of every 3 U.S. adults has hypertension. Of these 70 million individuals, approximately 50% have their blood pressure under control. Achieving hypertension control, especially in at-risk populations, requires a multipronged approach that includes lifestyle modifications and pharmacological treatment. As provider groups, hospital systems, and integrated delivery networks optimize their care processes to promote population health activities in support of the accountable care organization (ACO) model of care, managing hypertension and other chronic diseases will be essential to their success...
October 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27625007/-you-need-to-be-an-advocate-for-yourself-factors-associated-with-decision-making-regarding-influenza-and-pneumococcal-vaccine-use-among-u-s-older-adults-from-within-a-large-metropolitan-health-system
#3
Linda M Kaljee, Paul Kilgore, Tyler Prentiss, Lois Lamerato, Daniela Moreno, Samia Arshad, Marcus Zervos
In the United States, influenza and pneumonia account significantly to emergency room use and hospitalization of adults >65 years. The Centers for Disease Control and Prevention recommends use of the annual influenza vaccine and two pneumococcal vaccines for older adults to decrease risks of morbidity and mortality. However, actual vaccine up-take is estimated at 61.3% for pneumococcal vaccines and 65% for influenza vaccine in the 2013-2014 season. Vaccine up-take is affected by multiple socio-cultural and economic factors including general healthcare access and utilization, social networks and norms, communication with health providers and health information sources, as well as perceptions related to vaccines and targeted diseases...
September 13, 2016: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27613378/the-effectiveness-of-clinical-networks-in-improving-quality-of-care-and-patient-outcomes-a-systematic-review-of-quantitative-and-qualitative-studies
#4
Bernadette Bea Brown, Cyra Patel, Elizabeth McInnes, Nicholas Mays, Jane Young, Mary Haines
BACKGROUND: Reorganisation of healthcare services into networks of clinical experts is increasing as a strategy to promote the uptake of evidence based practice and to improve patient care. This is reflected in significant financial investment in clinical networks. However, there is still some question as to whether clinical networks are effective vehicles for quality improvement. The aim of this systematic review was to ascertain the effectiveness of clinical networks and identify how successful networks improve quality of care and patient outcomes...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27562482/towards-interactive-medical-content-delivery-between-simulated-body-sensor-networks-and-practical-data-center
#5
Xiaobo Shi, Wei Li, Jeungeun Song, M Shamim Hossain, Sk Md Mizanur Rahman, Abdulhameed Alelaiwi
With the development of IoT (Internet of Thing), big data analysis and cloud computing, traditional medical information system integrates with these new technologies. The establishment of cloud-based smart healthcare application gets more and more attention. In this paper, semi-physical simulation technology is applied to cloud-based smart healthcare system. The Body sensor network (BSN) of system transmit has two ways of data collection and transmission. The one is using practical BSN to collect data and transmitting it to the data center...
October 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27507768/creating-virtual-integration-and-improved-oncology-care-quality-through-a-co-management-services-agreement
#6
Nicole L W Hartung, Rhonda M Henschel, Katie B Smith, Dean H Gesme
PURPOSE: Implementation of a co-management services agreement (Co-MSA) creates agreed-upon cancer care delivery quality metrics, a forum for discussion of service line oversight, and virtually integrated care without institutional employment of oncologists. The goal of this project was to demonstrate that a Co-MSA improved predefined quality metrics and provided enhanced communications between a health system's oncology service line and a group of independent oncologists. METHODS: Iterative planning discussions were scheduled biweekly over an 18-month period...
September 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27332270/capturing-provenance-evolution-and-modification-of-clinical-protocols-via-a-heterogeneous-semantic-social-network
#7
Nick Portokallidis, George Drosatos, Eleni Kaldoudi
Healthcare delivery is largely based on medical best practices as in clinical protocols. Research so far has addressed the computerized execution of clinical protocols by developing a number of related representation languages, execution engines and integrated platforms to support real time execution. However, much less effort has been put into organizing clinical protocols for use and reuse. In this paper we propose a heterogeneous semantic social network to describe and organize clinical protocols based on their provenance, evolution and modifications...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27253585/initial-management-and-outcomes-after-superficial-thrombophlebitis-the-cardiovascular-research-network-venous-thromboembolism-study
#8
Bethany Samuelson, Alan S Go, Sue Hee Sung, Dongjie Fan, Margaret C Fang
Although superficial thrombophlebitis (SVTE) is generally considered a benign, self-limited disease, accumulating evidence suggests that it often leads to more serious forms of venous thromboembolism. We reviewed the medical charts of 329 subjects with SVTE from the Cardiovascular Research Network Venous Thromboembolism cohort study to collect information on the acute treatment of SVTE and subsequent diagnosis of deep venous thrombosis within 1 year. All participants received care within Kaiser Permanente Northern California, a large, integrated healthcare delivery system...
June 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27071909/front-matter
#9
(no author information available yet)
This volume contains the proceedings of the Special Topic Conference (STC) of the European Federation for Medical Informatics (EFMI). The organisation of the STC is part of a long tradition of EFMI working groups to organise scientific events focused on important trends in medical informatics and eHealth. In 2016, the special topic is "Transforming Healthcare with the Internet of Things" in relation to the EFMI working group Personal Portable Devices (PPD). STC 2016 takes place in Paris, France, organised by the Laboratoire d'Informatique Médicale et d'Ingénierie des Connaissances en e-Santé (LIMICS) under the auspices of EFMI and the French Association for Medical Informatics (AIM)...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27052054/six-elements-of-integrated-primary-healthcare
#10
Lynsey J Brown, Jodie Oliver-Baxter
BACKGROUND: Integrated care has the potential to deliver efficiencies and improvements in patient experiences and health outcomes. Efforts towards integrated care, especially at the primary and community health levels, have increasingly been under focus, both nationally and internationally. In Australia, regional integration is a priority, and integration of care is a task for meso-level organisations such as Primary Health Networks (PHNs). OBJECTIVE: This paper seeks to provide a list of elements and questions for consideration by organisations working across primary healthcare settings, looking to enact and improve the delivery of integrated care...
March 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27048434/it-takes-more-than-a-village-building-a-network-of-safety-in-nepal-s-mountain-communities
#11
Vincanne Adams, Sienna Craig, Arlene Samen, Surya Bhatta
Purpose This report from the field details the ways that one small maternal child health NGO, which began its work in Tibet and now works in the mountain communities of Nepal, has established a model for integrated healthcare delivery and support it calls the "network of safety." Description It discusses some of the challenges faced both by the NGO and by the rural mountain communities with whom it partners, as well as with the government of Nepal. Conclusion This report describes and analyzes successful efforts to reduce maternal and infant mortality in a culturally astute, durable, and integrated way, as well as examples of innovation and success experienced by enacting the network of safety model...
April 5, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/26911573/integrating-and-rationalizing-public-healthcare-services-as-a-source-of-cost-containment-in-times-of-economic-crises
#12
Massimo Pettoello-Mantovani, Leyla Namazova-Baranova, Jochen Ehrich
BACKGROUND: Serious concern has been raised about the sustainability of public health care systems of European Nations and ultimately about the health of European citizens, as a result of the economic crisis that has distressed Europe since 2008. The severe economic crisis of the Euro zone, which is still afflicting Europe in 2016, has in fact threatened to equally impact public health services of nations presenting either a weak or a strong domestic growth. COMMENTS: On behalf of the European Paediatric Association, the Union of National European Societies and Associations, the authors of the Commentary debates the relationship between the effects of economic instability and health, through the report on an article recently published in the Italian Journal of Pediatrics, which emphasized the importance of integrating existing public health care services, otherwise independently provided by public hospitals, and Primary Care Paediatric networks...
February 24, 2016: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/26611275/pooling-real-world-multiple-sclerosis-patient-data-on-a-european-level-a-true-story-of-success
#13
REVIEW
Christoph Thalheim
Patient-based evidence is becoming increasingly important in budget-restricted healthcare systems as the information can help influence the direction of funds towards interventions that provide the most relevant outcomes for people living with a chronic disease. The European Multiple Sclerosis Platform (EMSP) is an umbrella organization for national multiple sclerosis (MS) patients' associations in Europe which represents the interests of >700,000 MS patients, their families and caregivers. EMSP aims to ensure the delivery of high-quality equitable treatment for persons with MS across Europe...
2015: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/26560057/testing-a-model-of-facilitated-reflection-on-network-feedback-a-mixed-method-study-on-integration-of-rural-mental-healthcare-services-for-older-people
#14
Jeffrey Fuller, Candice Oster, Eimear Muir Cochrane, Suzanne Dawson, Sharon Lawn, Julie Henderson, Deb O'Kane, Adam Gerace, Ruth McPhail, Deb Sparkes, Michelle Fuller, Richard L Reed
OBJECTIVE: To test a management model of facilitated reflection on network feedback as a means to engage services in problem solving the delivery of integrated primary mental healthcare to older people. DESIGN: Participatory mixed methods case study evaluating the impact of a network management model using organisational network feedback (through social network analysis, key informant interviews and policy review). INTERVENTION: A model of facilitated network reflection using network theory and methods...
2015: BMJ Open
https://www.readbyqxmd.com/read/26534996/primary-care-physicians-willingness-to-disclose-oncology-errors-involving-multiple-providers-to-patients
#15
Kathleen Mazor, Douglas W Roblin, Sarah M Greene, Hassan Fouayzi, Thomas H Gallagher
BACKGROUND: Full disclosure of harmful errors to patients, including a statement of regret, an explanation, acceptance of responsibility and commitment to prevent recurrences is the current standard for physicians in the USA. OBJECTIVE: To examine the extent to which primary care physicians' perceptions of event-level, physician-level and organisation-level factors influence intent to disclose a medical error in challenging situations. DESIGN: Cross-sectional survey containing two hypothetical vignettes: (1) delayed diagnosis of breast cancer, and (2) care coordination breakdown causing a delayed response to patient symptoms...
October 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/26521377/paho-s-strategy-for-universal-access-to-health-and-universal-health-coverage-implications-for-health-services-and-hospitals-in-lac
#16
Reynaldo Holder, Ricardo Fabrega
Moving towards Universal Access to Health and Universal Health Coverage (UAH/UHC) is an imperative task on the health agenda for the Americas. The Directing Council of the Pan American Health Organization (PAHO) recently approved resolution CD53.R14, titled Strategy for Universal Access to Health and Universal Health Coverage. From the perspective of the Region of the Americas, UAH/UHC "imply that all people and communities have access, without any kind of discrimination, to comprehensive, appropriate and timely, quality health services determined at the national level according to needs, as well as access to safe, affordable, effective, quality medicines, while ensuring that the use of these services does not expose users to financial hardship, especially groups in conditions of vulnerability"...
2015: World Hospitals and Health Services: the Official Journal of the International Hospital Federation
https://www.readbyqxmd.com/read/26451675/warfarin-time-in-therapeutic-range-and-its-impact-on-healthcare-resource-utilization-and-costs-among-patients-with-nonvalvular-atrial-fibrillation
#17
Steve Deitelzweig, Michael Evans, Eric Hillson, Jeffrey Trocio, Amanda Bruno, Wilson Tan, Melissa Lingohr-Smith, Prianka Singh, Jay Lin
BACKGROUND: Warfarin is efficacious for reducing stroke risk among patients with nonvalvular atrial fibrillation (NVAF). However, the efficacy and safety of warfarin are influenced by its time in therapeutic range (TTR). OBJECTIVE: To assess differences in healthcare resource utilization and costs among NVAF patients with low (<60%) and high (≥60%) warfarin TTRs in an integrated delivery network (IDN) setting. METHODS: Patients with NVAF were identified from an electronic medical record database...
2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/26321084/practice-innovation-the-need-for-nimble-data-platforms-to-implement-precision-oncology-care
#18
REVIEW
Aymen Elfiky, Dongyang Zhang, Hari K Krishnan Nair
Given the drive toward personalized, value-based, and coordinated cancer care delivery, modern knowledge-based practice is being shaped within the context of an increasingly technology-driven healthcare landscape. The ultimate promise of 'precision medicine' is predicated on taking advantage of the range of new capabilities for integrating disease- and individual-specific data to define new taxonomies as part of a systems-based knowledge network. Specifically, with cancer being a constantly evolving complex disease process, proper care of an individual will require the ability to seamlessly integrate multi-dimensional 'omic' and clinical data...
July 2015: Discovery Medicine
https://www.readbyqxmd.com/read/26198100/assessment-of-the-coordination-of-integrated-health-service-delivery-networks-by-the-primary-health-care-copas-questionnaire-validation-in-the-brazilian-context
#19
Ludmila Barbosa Bandeira Rodrigues, Claudia Benedita Dos Santos, Sueli Leiko Takamatsu Goyatá, Marcela Paschoal Popolin, Mellina Yamamura, Keila Christiane Deon, Luis Miguel Veles Lapão, Marcelino Santos Neto, Severina Alice da Costa Uchoa, Ricardo Alexandre Arcêncio
BACKGROUND: Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire - COPAS - to assess the coordination of Integrated Health Service Delivery Networks by the Primary Health Care. METHODS: A cross sectional approach was used. The population was pooled from Family Health Strategy healthcare professionals, of the Alfenas region (Minas Gerais, Brazil)...
2015: BMC Family Practice
https://www.readbyqxmd.com/read/26126271/meteor-an-enterprise-health-informatics-environment-to-support-evidence-based-medicine
#20
Mamta Puppala, Tiancheng He, Shenyi Chen, Richard Ogunti, Xiaohui Yu, Fuhai Li, Robert Jackson, Stephen T C Wong
GOAL: The aim of this paper is to propose the design and implementation of next-generation enterprise analytics platform developed at the Houston Methodist Hospital (HMH) system to meet the market and regulatory needs of the healthcare industry. METHODS: For this goal, we developed an integrated clinical informatics environment, i.e., Methodist environment for translational enhancement and outcomes research (METEOR). The framework of METEOR consists of two components: the enterprise data warehouse (EDW) and a software intelligence and analytics (SIA) layer for enabling a wide range of clinical decision support systems that can be used directly by outcomes researchers and clinical investigators to facilitate data access for the purposes of hypothesis testing, cohort identification, data mining, risk prediction, and clinical research training...
December 2015: IEEE Transactions on Bio-medical Engineering
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