Engineering A Learning Healthcare System

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Engineering a Learning Healthcare System A Look at the Future: Workshop Summary

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Author by : National Academy of Engineering
Languange Used : English, France, Spanish, Italia and chinese
Page : 340
Isbn : 0309120640
Identifier : 9780309120647
Release : 2011-07-14
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Engineering A Learning Healthcare System by National Academy of Engineering and you can download with pub, pdf, txt, doc, and more file format with free account. improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. the fundamental notion of a high-performing healthcare system--one that increasingly is more effective, more efficient, safer, and higher quality--is rooted in continuous improvement principles that medicine shares with engineering. as part of its learning health system series of workshops, the institute of medicine's roundtable on value and science-driven health care and the national academy of engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. engineering a learning healthcare system: a look at the future: workshop summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

The Learning Healthcare System Workshop Summary

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Author by : Institute of Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 374
Isbn : 9780309133937
Identifier : 0309133939
Release : 2007-06-01
Publisher by : National Academies Press
Category : Medical
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Description : Read Now The Learning Healthcare System by Institute of Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. 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.

Engineering the System of Healthcare Delivery

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Author by : William B. Rouse
Languange Used : English, France, Spanish, Italia and chinese
Page : 481
Isbn : 1607505320
Identifier : 9781607505327
Release : 2010
Publisher by : IOS Press
Category : Medical
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Description : Read Now Engineering The System Of Healthcare Delivery by William B. Rouse and you can download with pub, pdf, txt, doc, and more file format with free account. as the united states continues to debate reform of its healthcare system, this book argues that providing health insurance for all without improving the delivery system will not improve the current problems of access, affordability, and quality. the us healthcare system has many excellent components; strong scientific input, extraordinary technology for diagnosis and treatment, dedicated staff and top-class facilities among them. but the system has evolved haphazardly over time and although it has not failed entirely, the authors argue that like any system where attention, is paid to individual components at the expense of the system as a whole, it can never hope to succeed. above all, they point out that the us system does not provide high value healthcare; it has the highest costs in the world and yet many other countries have lower infant mortality rates and better life expectancy. together with a team of highly regarded thought leaders, the authors of this publication advocate a complete re-thinking of healthcare from a systems perspective - an engineering approach to healthcare-and they then describe how to set about it. covering a wide range of subjects including: health care costs and economics, barriers to change, integrated health systems, electronic records and computer-based patient support as well as patient safety and palliative and chronic care, this book will be of interest to all those involved in healthcare provision whose goal is affordable care to promote healthy, high quality lives.

Digital Infrastructure for the Learning Health System The Foundation for Continuous Improvement in Health and Health Care: Workshop Series Summary

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Author by : Institute of Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 336
Isbn : 0309154162
Identifier : 9780309154161
Release : 2011-10-21
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Digital Infrastructure For The Learning Health System by Institute of Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. like many other industries, health care is increasingly turning to digital information and the use of electronic resources. the institute of medicine's roundtable on value & science-driven health care hosted three workshops to explore current efforts and opportunities to accelerate progress in improving health and health care with information technology systems.

Best Care at Lower Cost The Path to Continuously Learning Health Care in America

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Author by : Committee on the Learning Health Care System in America
Languange Used : English, France, Spanish, Italia and chinese
Page : 413
Isbn : 0309260744
Identifier : 9780309260749
Release : 2013-05-24
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Best Care At Lower Cost by Committee on the Learning Health Care System in America and you can download with pub, pdf, txt, doc, and more file format with free account. 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.

Improving Diagnosis in Health Care

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Author by : National Academies of Sciences, Engineering, and Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 472
Isbn : 0309377692
Identifier : 9780309377690
Release : 2016-01-29
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Improving Diagnosis In Health Care by National Academies of Sciences, Engineering, and Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. the diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. according to improving diagnosis in health care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. it is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. the committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. improving diagnosis in health care a continuation of the landmark institute of medicine reports to err is human (2000) and crossing the quality chasm (2001) finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. the recommendations of improving diagnosis in health care contribute to the growing momentum for change in this crucial area of health care quality and safety.

The Learning Healthcare System Workshop Summary

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Author by : Institute of Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 374
Isbn : 9780309133937
Identifier : 0309133939
Release : 2007-06-01
Publisher by : National Academies Press
Category : Medical
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Description : Read Now The Learning Healthcare System by Institute of Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. 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.

Healthcare Systems Engineering

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Author by : Paul M. Griffin
Languange Used : English, France, Spanish, Italia and chinese
Page : 432
Isbn : 1118971086
Identifier : 9781118971086
Release : 2016-03-28
Publisher by : John Wiley & Sons
Category : POLITICAL SCIENCE
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Description : Read Now Healthcare Systems Engineering by Paul M. Griffin and you can download with pub, pdf, txt, doc, and more file format with free account. apply engineering and design principles to revitalize the healthcare delivery system healthcare systems engineering is the first engineering book to cover this emerging field, offering comprehensive coverage of the healthcare system, healthcare delivery, and healthcare systems modeling. written by leading industrial engineering authorities and a medical doctor specializing in healthcare delivery systems, this book provides a well-rounded resource for readers of a variety of backgrounds. examples, case studies, and thoughtful learning activities are used to thoroughly explain the concepts presented, including healthcare systems, delivery, quantification, and design. you'll learn how to approach the healthcare industry as a complex system, and apply relevant design and engineering principles and processes to advance improvements. written with an eye toward practicality, this book is designed to maximize your understanding and help you quickly apply toward solutions for a variety of healthcare challenges. healthcare systems engineering is a new and complex interdisciplinary field that has emerged to address the myriad challenges facing the healthcare industry in the wake of reform. this book functions as both an introduction and a reference, giving you the knowledge you need to move toward better healthcare delivery. understand the healthcare delivery context use appropriate statistical and quantitative models improve existing systems and design new ones apply systems engineering to a variety of healthcare contexts healthcare systems engineering overlaps with industrial engineering, operations research, and management science, uniting the principles and practices of these fields together in pursuit of optimal healthcare operations. although collaboration is focused on practitioners, professionals in information technology, policy and administration, public health, and law all play crucial roles in revamping health care systems. healthcare systems engineering is a complete and authoritative reference for stakeholders in any field.

Evidence-Based Medicine and the Changing Nature of Health Care 2007 IOM Annual Meeting Summary

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Author by : Institute of Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 202
Isbn : 0309113695
Identifier : 9780309113694
Release : 2008-09-06
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Evidence Based Medicine And The Changing Nature Of Health Care by Institute of Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. drawing on the work of the roundtable on evidence-based medicine, the 2007 iom annual meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. as new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. the annual meeting, held on october 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the iom membership.

Observational Studies in a Learning Health System Workshop Summary

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Author by : A Learning Health System Activity
Languange Used : English, France, Spanish, Italia and chinese
Page : 107
Isbn : 9780309290814
Identifier : 0309290813
Release : 2013-12-16
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Observational Studies In A Learning Health System by A Learning Health System Activity and you can download with pub, pdf, txt, doc, and more file format with free account. clinical research strains to keep up with the rapid and iterative evolution of medical interventions, clinical practice innovation, and the increasing demand for information on the clinical effectiveness of these advancements. in response to the growing availability of archived and real-time digital health data and the opportunities this data provides for research, as well as the increasing number of studies using prospectively collected clinical data, the institute of medicine\'s roundtable on value & science-driven health care convened a workshop on observational studies in a learning health system. participants, including experts from a wide range of disciplines - clinical researchers, statisticians, biostatisticians, epidemiologists, health care informaticians, health care analytics, research funders, health products industry, clinicians, payers, and regulators - explored leading edge approaches to observational studies, charted a course for the use of the growing health data utility, and identified opportunities to advance progress. workshop speakers and individual participants strove to identify stakeholder needs and barriers to the broader application of observational studies. observational studies in a learning health systemis the summary of the workshop. this report explores the role of observational studies in the generation of evidence to guide clinical and health policy decisions. the report discusses concepts of rigorous observational study design and analysis, emerging statistical methods, and opportunities and challenges of observational studies to complement evidence from experimental methods, treatment heterogeneity, and effectiveness estimates tailored toward individual patients.

Redesigning the Clinical Effectiveness Research Paradigm Innovation and Practice-Based Approaches: Workshop Summary

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Author by : Institute of Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 442
Isbn : 030911988X
Identifier : 9780309119887
Release : 2010-10-20
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Redesigning The Clinical Effectiveness Research Paradigm by Institute of Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. recent scientific and technological advances have accelerated our understanding of the causes of disease development and progression, and resulted in innovative treatments and therapies. ongoing work to elucidate the effects of individual genetic variation on patient outcomes suggests the rapid pace of discovery in the biomedical sciences will only accelerate. however, these advances belie an important and increasing shortfall between the expansion in therapy and treatment options and knowledge about how these interventions might be applied appropriately to individual patients. the impressive gains made in americans' health over the past decades provide only a preview of what might be possible when data on treatment effects and patient outcomes are systematically captured and used to evaluate their effectiveness. needed for progress are advances as dramatic as those experienced in biomedicine in our approach to assessing clinical effectiveness. in the emerging era of tailored treatments and rapidly evolving practice, ensuring the translation of scientific discovery into improved health outcomes requires a new approach to clinical evaluation. a paradigm that supports a continual learning process about what works best for individual patients will not only take advantage of the rigor of trials, but also incorporate other methods that might bring insights relevant to clinical care and endeavor to match the right method to the question at hand. the institute of medicine roundtable on value & science-driven health care's vision for a learning healthcare system, in which evidence is applied and generated as a natural course of care, is premised on the development of a research capacity that is structured to provide timely and accurate evidence relevant to the clinical decisions faced by patients and providers. as part of the roundtable's learning healthcare system series of workshops, clinical researchers, academics, and policy makers gathered for the workshop redesigning the clinical effectiveness research paradigm: innovation and practice-based approaches. participants explored cutting-edge research designs and methods and discussed strategies for development of a research paradigm to better accommodate the diverse array of emerging data resources, study designs, tools, and techniques. presentations and discussions are summarized in this volume.

Clinical Data as the Basic Staple of Health Learning Creating and Protecting a Public Good: Workshop Summary

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Author by : Institute of Medicine
Languange Used : English, France, Spanish, Italia and chinese
Page : 338
Isbn : 0309120608
Identifier : 9780309120609
Release : 2011-01-14
Publisher by : National Academies Press
Category : Medical
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Description : Read Now Clinical Data As The Basic Staple Of Health Learning by Institute of Medicine and you can download with pub, pdf, txt, doc, and more file format with free account. successful development of clinical data as an engine for knowledge generation has the potential to transform health and health care in america. as part of its learning health system series, the roundtable on value & science-driven health care hosted a workshop to discuss expanding the access to and use of clinical data as a foundation for care improvement.