Prescription for the Future: The Twelve Transformational Practices of Highly Effective Medical Organizations, Ezekiel J. Emanuel. PublicAffairs, New York (2017), (272 pp., 1610397258, ISBN- 978-1610397254)
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Rick Mathis (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
A collective national approach to fostering innovation in complex care
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Rachel Davis, Stephen A. SomersAbstractThe Complex Care Innovation Lab convenes 15 organizations from across the country that are innovators in health care delivery for low-income populations with complex needs. These organizations have identified several elements that are core to successful complex care programs, including: (1) incorporating patient-centered approaches to care; (2) utilizing a non-traditional workforce; (3) employing data-driven strategies; and (4) leveraging flexible payment models that assign accountability to providers and faci...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Creating Age-Friendly Health Systems – A vision for better care of older adults
We describe the background, evidence-based changes, and testing, scale-up, and spread strategy that are part of the design of the Creating Age-Friendly Health Systems initiative. The goal is to reach 20% of U.S. hospitals and health systems by 2020, with plans to reach additional hospitals and health systems in subsequent years. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Improving the safety of health information technology requires shared responsibility: It is time we all step up
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Dean F. Sittig, Elisabeth Belmont, Hardeep SinghAbstractIn 2011, an Institute of Medicine report on health information technology (IT) and patient safety highlighted that building health-IT for safer use is a shared responsibility between key stakeholders including: “vendors, care providers, healthcare organizations, health-IT departments, and public and private agencies”. Use of electronic health records (EHRs) involves all these stakeholders, but they often have conflicting priorities and requirements. Since 2011, the concept of shared respon...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Patient preference in primary care provider type
ConclusionsProvider qualifications and previous health care experiences are cited as key reasons for preferring all provider types. Additionally, physicians are more often preferred for their qualifications and technical skills, whereas NP/PAs are more often preferred for their interpersonal skills.ImplicationsOur results could help providers, health system administrators, workforce planners, and policy makers better understand patient perspectives and design care that enhances patient satisfaction. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Effects of electronic psychiatric consultations on primary care provider perceptions of mental health care: Survey results from a randomized evaluation
ConclusionsThe psychiatric eConsults model improved PCPs’ perceptions of support for delivering mental health care and perceptions of access to specialist consultations.ImplicationsElectronic consultations may be a promising approach to support the delivery of mental health services in primary care settings.Level of evidencePre- and post-intervention web surveys from a cluster-randomized trial. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Challenges to teaming for pain in primary care
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): Karleen F. Giannitrapani, Sangeeta C. Ahluwalia, R. Thomas Day, Maura Pisciotta, Steven Dobscha, Karl Lorenz (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Participation and payments in the PQRS Maintenance of Certification Program: Implications for future merit based payment programs
Publication date: March 2018Source: Healthcare, Volume 6, Issue 1Author(s): McKinley Glover, Richard Duszak, Ezequiel Silva, Sandhya K. Rao, James S. Babb, Andrew B. Rosenkrantz (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Patterns and predictors of physician adoption of new cardiovascular drugs
ConclusionsPhysicians vary in their prescribing of recently-introduced cardiovascular drugs. Though most physicians did not rapidly adopt any new cardiovascular drugs, drug novelty and cardiology training were associated with greater adoption. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
UPMC’s blueprint for BuILDing a high-value health care system
Publication date: Available online 30 March 2018Source: HealthcareAuthor(s): Donna Keyser, Jane Kogan, Marion McGowan, Pamela Peele, Diane Holder, William ShrankAbstractNational-level demonstration projects and real-world studies continue to inform health care transformation efforts and catalyze implementation of value-based service delivery and payment models, though evidence generation and diffusion of learnings often occurs at a relatively slow pace. Rapid-cycle learning models, however, can help individual organizations to more quickly adapt health care innovations to meet the challenges and demands of a rapidly changi...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Achieving alignment in graduate medical education to train the next generation of healthcare professionals to improve healthcare delivery
This article discusses recent innovations and emerging strategies in medical training across three key components for achieving alignment: (1) bridging educational and clinical priorities; (2) developing curricula to support alignment; (3) and fostering resident-led programs that lead to systems change. Understanding the current landscape of educational and operational innovations across clinical learning environments can help health system leaders and medical educators work together to implement cohesive programs that achieve all of these key components. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Trends in hospital-SNF relationships in the care of Medicare beneficiaries
Publication date: Available online 7 May 2018Source: HealthcareAuthor(s): Joshua M. Liao, R. Tamara Konetzka, Rachel M. WernerAbstractImproving the value of post-acute care at skilled nursing facilities (SNFs) has become a Medicare policy priority. Anecdotally, hospitals have responded by formally acquiring or pursuing tighter informal connections with SNFs. We evaluated the trend in connections between US acute care hospitals and Medicare-certified SNFs between 2000 and 2013 using vertical integration and two novel network-based measures (number of SNF partners, and discharge concentration). Among 4441 hospitals and 17,21...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Assessing the implementation of a bedside service handoff on an academic hospitalist service
ConclusionsDespite its time-intensive nature, performing the service handoff at the patient's bedside may lead to a more complete and efficient service transition. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Competencies for engaging high-needs patients in primary care
ConclusionsAbsence of deliberate attention to equipping providers with specific competencies for caring for high-needs patients may contribute to lack of patient engagement and sub-optimal outcomes, ultimately undermining the success of programs serving these populations. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Practice-based research networks add value to evidence-based quality improvement
ConclusionsThe PBRN strengthened multi-site EBQI activities across all implementation phases.ImplicationsPBRNs contribute to the uptake of evidence into everyday practice, and may serve as an important component of the future implementation of evidence-based initiatives. Level of evidence: V. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
