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"Health care system" redesign

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https://www.readbyqxmd.com/read/27729027/what-is-the-impact-of-systems-of-care-for-heart-failure-on-patients-diagnosed-with-heart-failure-a-systematic-review
#1
Andrea Driscoll, Sharon Meagher, Rhoda Kennedy, Melanie Hay, Jayant Banerji, Donald Campbell, Nicholas Cox, Debra Gascard, David Hare, Karen Page, Voltaire Nadurata, Rhonda Sanders, Harry Patsamanis
BACKGROUND: Hospital admissions for heart failure are predicted to rise substantially over the next decade placing increasing pressure on the health care system. There is an urgent need to redesign systems of care for heart failure to improve evidence-based practice and create seamless transitions through the continuum of care. The aim of the review was to examine systems of care for heart failure that reduce hospital readmissions and/or mortality. METHOD: Electronic databases searched were: Ovid MEDLINE, EMBASE, CINAHL, grey literature, reviewed bibliographies and Cochrane Central Register of Controlled Trials for randomised controlled trials, non-randomised trials and cohort studies from 1(st) January 2008 to 4(th) August 2015...
October 11, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27637827/across-the-divide-primary-care-departments-working-together-to-redesign-care-to-achieve-the-triple-aim
#2
Steven Koslov, Elizabeth Trowbridge, Sandra Kamnetz, Sally Kraft, Jeffrey Grossman, Nancy Pandhi
BACKGROUND: Primary care is considered the foundation of an effective health care system. However, primary care departments at academic health centers have numerous challenges to overcome when trying to achieve the Triple Aim. METHODS: As part of an organizational initiative to redesign primary care at a large academic health center, departments of internal medicine, general pediatrics and adolescent medicine, and family medicine worked together to comprehensively redesign primary care...
September 2016: Healthcare
https://www.readbyqxmd.com/read/27586403/modeling-and-designing-health-care-payment-innovations-for-medical-imaging
#3
Hui Zhang, Christian Wernz, Danny R Hughes
Payment innovations that better align incentives in health care are a promising approach to reduce health care costs and improve quality of care. Designing effective payment systems, however, is challenging due to the complexity of the health care system with its many stakeholders and their often conflicting objectives. There is a lack of mathematical models that can comprehensively capture and efficiently analyze the complex, multi-level interactions and thereby predict the effect of new payment systems on stakeholder decisions and system-wide outcomes...
September 1, 2016: Health Care Management Science
https://www.readbyqxmd.com/read/27568505/organizing-publicly-funded-substance-use-disorder-treatment-in-the-united-states-moving-toward-a-service-system-approach
#4
Howard Padwa, Darren Urada, Patrick Gauthier, Traci Rieckmann, Brian Hurley, Desirée Crèvecouer-MacPhail, Richard A Rawson
Historically, publicly funded substance use disorder (SUD) treatment services in the United States have been disorganized and inefficient. By reconfiguring and linking services to create systems of care-services, structures, and processes that are purposively interconnected to treat SUD systematically-health systems can transform discrete service components into cohesive service systems that comprehensively and efficiently treat SUDs. In this article we: (1) articulate the potential benefits of organizing publicly funded SUD services into systems of care; (2) review basic principles underlying theories of SUD system organization; (3) describe the mix and configuration of services needed to create comprehensive, integrated systems of publicly funded SUD care; (4) elucidate how patients can flow through systems of SUD services in a clinically sound and cost-efficient manner, and; (5) propose eight steps that can be taken to create systems of care by identifying and leveraging the strengths, assets, and capacities of SUD service providers already operating within their health care systems...
October 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27396533/six-health-care-trends-that-will-reshape-the-patient-provider-dynamic
#5
Joshua M Liao, Ezekiel J Emanuel, Amol S Navathe
Six trends - movement towards value-based payment, rapid adoption of digital health technology, care delivery in non-traditional settings, development of individualized clinical guidelines, increased transparency, and growing cultural awareness about the harms of medical overuse - are driving the US health care system towards a future defined by quality- and patient-centric care. Health care organizations are responding to these changes by implementing provider and workforce changes, pursuing stronger payer-provider integration, and accelerating the use of digital technology and data...
September 2016: Healthcare
https://www.readbyqxmd.com/read/27332212/preparing-the-next-generation-of-advanced-practice-nurses-for-connected-care
#6
Diane J Skiba, Amy J Barton, Krista Estes, Eric Gilliam, Sarah Knapfel, Chanmi Lee, Gina Moore, Katy Trinkley
The health care delivery system in the United States is transforming at a rapid pace. Several trends, including the emergence of a Connected Health care system, will require advanced nurse practitioners to have new knowledge, skills and competencies to practice in the future. This paper describes the redesign of coursework and the development of a Connected Care Framework to guide the learning needs of nurse practitioners. A Connected Care Quotient consisting of ten relevant questions and learning activities will serve as a guide for the future development of competencies for advanced practice nurses...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27164866/assessing-fidelity-of-cognitive-behavioral-therapy-in-rural-va-clinics-design-of-a-randomized-implementation-effectiveness-hybrid-type-iii-trial
#7
Michael A Cucciare, Geoffrey M Curran, Michelle G Craske, Traci Abraham, Michael B McCarthur, Kathy Marchant-Miros, Jan A Lindsay, Michael R Kauth, Sara J Landes, Greer Sullivan
BACKGROUND: Broadly disseminating and implementing evidence-based psychotherapies with high fidelity, particularly cognitive behavioral therapy (CBT), has proved challenging for many health-care systems, including the Department of Veterans Affairs, especially in primary care settings such as small or remote clinics. A computer-based tool (based on the coordinated anxiety learning and management (CALM) program) was designed to support primary care-based mental health providers in delivering CBT...
May 10, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27111748/a-narrative-review-of-patient-and-family-engagement-the-foundation-of-the-medical-home
#8
Crystal W Cené, Beverley H Johnson, Nora Wells, Beverly Baker, Renee Davis, Renee Turchi
BACKGROUND: Patient and family engagement (PFE) is vital to the spirit of the medical home. This article reflects the efforts of an expert consensus panel, the Patient and Family Engagement Workgroup, as part of the Society of General Internal Medicine's 2013 Research Conference. OBJECTIVE: To review extant literature on PFE in pediatric and adult medicine and quality improvement, highlight emerging best practices and models, suggest questions for future research, and provide references to tools and resources to facilitate implementation of PFE strategies...
July 2016: Medical Care
https://www.readbyqxmd.com/read/27016948/rapid-process-optimization-a-novel-process-improvement-methodology-to-innovate-health-care-delivery
#9
Jennifer L Wiler, Kelly Bookman, Derek B Birznieks, Robert Leeret, April Koehler, Shauna Planck, Richard Zane
Health care systems have utilized various process redesign methodologies to improve care delivery. This article describes the creation of a novel process improvement methodology, Rapid Process Optimization (RPO). This system was used to redesign emergency care delivery within a large academic health care system, which resulted in a decrease: (1) door-to-physician time (Department A: 54 minutes pre vs 12 minutes 1 year post; Department B: 20 minutes pre vs 8 minutes 3 months post), (2) overall length of stay (Department A: 228 vs 184; Department B: 202 vs 192), (3) discharge length of stay (Department A: 216 vs 140; Department B: 179 vs 169), and (4) left without being seen rates (Department A: 5...
March 26, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27008357/creating-the-medical-schools-of-the-future
#10
Susan E Skochelak, Steven J Stack
Despite wide consensus on needed changes in medical education, experts agree that the gap continues to widen between how physicians are trained and the future needs of our health care system. A new model for medical education is needed to create the medical school of the future. The American Medical Association (AMA) is working to support innovative models through partnerships with medical schools, educators, professional organizations, and accreditors. In 2013, the AMA designed an initiative to support rapid innovation among medical schools and disseminate the ideas being tested to additional medical schools...
March 22, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26929234/collaborating-in-an-evolving-health-care-system-opportunities-for-redesigning-health-care-delivery
#11
Susie Adams
No abstract text is available yet for this article.
January 2016: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/26871644/availability-of-care-concordant-with-patient-centered-medical-home-principles-among-those-with-chronic-conditions-measuring-care-outcomes
#12
Nadereh Pourat, Shana A Charles, Sophie Snyder
BACKGROUND: Care delivery redesign in the form of patient-centered medical home (PCMH) is considered as a potential solution to improve patient outcomes and reduce costs, particularly for patients with chronic conditions. But studies of prevalence or impact at the population level are rare. OBJECTIVES: We aimed to assess whether desired outcomes indicating better care delivery and patient-centeredness were associated with receipt of care according to 3 important PCMH principles...
March 2016: Medical Care
https://www.readbyqxmd.com/read/26855635/episode-of-care-payments-in-total-joint-arthroplasty-and-cost-minimization-strategies
#13
REVIEW
Benedict U Nwachukwu, Evan O'Donnell, Alexander S McLawhorn, Michael B Cross
Total joint arthroplasty (TJA) is receiving significant attention in the US health care system for cost containment strategies. Specifically, payer organizations have embraced and are implementing bundled payment schemes in TJA. Consequently, hospitals and providers involved in the TJA care cycle have sought to adapt to the new financial pressures imposed by episode of care payment models by analyzing what components of the total "event" of a TJA are most essential to achieve a good outcome after TJA. As part of this review, we analyze and discuss a health economic study by Snow et al...
February 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/26849561/the-impact-of-comprehensive-case-management-on-hiv-client-outcomes
#14
Mark Brennan-Ing, Liz Seidel, Leslie Rodgers, Jerome Ernst, Doug Wirth, Daniel Tietz, Antonio Morretti, Stephen E Karpiak
In 1990, New York State instituted Comprehensive Medicaid Case Management, also known as Target Case Management (TCM), for people dealing with multiple comorbid conditions, including HIV. The goal of TCM is to assist clients in navigating the health care system to increase care engagement and treatment adherence for individuals with complex needs. HIV-positive individuals engaged in care are more likely to be virally suppressed, improving clinical outcomes and decreasing chances of HIV transmission. The purpose of this study was to understand the impact of TCM management on outcomes for people with HIV...
2016: PloS One
https://www.readbyqxmd.com/read/26340245/ehr-documentation-the-hype-and-the-hope-for-improving-nursing-satisfaction-and-quality-outcomes
#15
Ann OʼBrien, Charlotte Weaver, Theresa Tess Settergren, Mary L Hook, Catherine H Ivory
The phenomenon of "data rich, information poor" in today's electronic health records (EHRs) is too often the reality for nursing. This article proposes the redesign of nursing documentation to leverage EHR data and clinical intelligence tools to support evidence-based, personalized nursing care across the continuum. The principles consider the need to optimize nurses' documentation efficiency while contributing to knowledge generation. The nursing process must be supported by EHRs through integration of best care practices: seamless workflows that display the right tools, evidence-based content, and information at the right time for optimal clinical decision making...
October 2015: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/26250631/implementing-a-patient-centered-medical-home-in-the-veterans-health-administration-perspectives-of-primary-care-providers
#16
Samantha L Solimeo, Kenda R Stewart, Gregory L Stewart, Gary Rosenthal
Implementation of a patient centered medical home challenges primary care providers to change their scheduling practices to enhance patient access to care as well as to learn how to use performance metrics as part of a self-reflective practice redesign culture. As medical homes become more commonplace, health care administrators and primary care providers alike are eager to identify barriers to implementation. The objective of this study was to identify non-technological barriers to medical home implementation from the perspective of primary care providers...
December 2014: Healthcare
https://www.readbyqxmd.com/read/26195686/making-personalized-health-care-even-more-personalized-insights-from-activities-of-the-iom-genomics-roundtable
#17
Sean P David, Samuel G Johnson, Adam C Berger, W Gregory Feero, Sharon F Terry, Larry A Green, Robert L Phillips, Geoffrey S Ginsburg
Genomic research has generated much new knowledge into mechanisms of human disease, with the potential to catalyze novel drug discovery and development, prenatal and neonatal screening, clinical pharmacogenomics, more sensitive risk prediction, and enhanced diagnostics. Genomic medicine, however, has been limited by critical evidence gaps, especially those related to clinical utility and applicability to diverse populations. Genomic medicine may have the greatest impact on health care if it is integrated into primary care, where most health care is received and where evidence supports the value of personalized medicine grounded in continuous healing relationships...
July 2015: Annals of Family Medicine
https://www.readbyqxmd.com/read/26173516/using-a-curricular-vision-to-define-entrustable-professional-activities-for-medical-student-assessment
#18
Karen E Hauer, Christy Boscardin, Tracy B Fulton, Catherine Lucey, Sandra Oza, Arianne Teherani
BACKGROUND: The new UCSF Bridges Curriculum aims to prepare students to succeed in today's health care system while simultaneously improving it. Curriculum redesign requires assessment strategies that ensure that graduates achieve competence in enduring and emerging skills for clinical practice. AIM: To design entrustable professional activities (EPAs) for assessment in a new curriculum and gather evidence of content validity. SETTING: University of California, San Francisco, School of Medicine...
September 2015: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/26151066/structure-based-redesign-of-lysostaphin-yields-potent-antistaphylococcal-enzymes-that-evade-immune-cell-surveillance
#19
Kristina Blazanovic, Hongliang Zhao, Yoonjoo Choi, Wen Li, Regina S Salvat, Daniel C Osipovitch, Jennifer Fields, Leonard Moise, Brent L Berwin, Steven N Fiering, Chris Bailey-Kellogg, Karl E Griswold
Staphylococcus aureus infections exert a tremendous burden on the health-care system, and the threat of drug-resistant strains continues to grow. The bacteriolytic enzyme lysostaphin is a potent antistaphylococcal agent with proven efficacy against both drug-sensitive and drug-resistant strains; however, the enzyme's own bacterial origins cause undesirable immunogenicity and pose a barrier to clinical translation. Here, we deimmunized lysostaphin using a computationally guided process that optimizes sets of mutations to delete immunogenic T cell epitopes without disrupting protein function...
2015: Molecular Therapy. Methods & Clinical Development
https://www.readbyqxmd.com/read/26111377/editorial-moving-patients-from-consultants-to-partners-in-health-care-system-redesign-achieving-meaningful-engagement
#20
Grace A Lin, Naomi S Bardach
No abstract text is available yet for this article.
December 2014: Joint Commission Journal on Quality and Patient Safety
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