A three-step health services research approach to improve prescribing
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Adam J. Rose, Megan B. McCullough, Guneet K. JasujaAbstractMedications are often prescribed suboptimally; some effective medications are underused, some ineffective medications are overused, and some medications that should be received by a few are instead given to many. The underlying causes of suboptimal prescribing likely differ for each medication, and therefore must be understood anew, although previous studies can help generate hypotheses. This perspective sets forth a 3-step research agenda, which has worked well for us in several recently co...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Serving people with severe mental illness who are dually eligible for Medicare and Medicaid
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Caterina Hill, Khin-Kyemon Aung, Toyin Ajayi, Mika Cheng, Lauren Easton, Karen Derby, Jerome Genser, Bradley Keith, Peggy Johnson (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Redesigning primary care with health coaches: An interview with Iora Health CEO Rushika Fernandopulle
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Adam L. Beckman, Sanchay Gupta (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Catalyzing healthcare transformation with digital health: Performance indicators and lessons learned from a Digital Health Innovation Group
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Jocelyn Tseng, Sonia Samagh, Donna Fraser, Adam B. LandmanAbstractDespite considerable investment in digital health (DH) companies and a growing DH ecosystem, there are multiple challenges to testing and implementing innovative solutions. Health systems have recognized the potential of DH and have formed DH innovation centers. However, limited information is available on DH innovation center processes, best practices, or outcomes. This case report describes a DH innovation center process that can be replicated across health systems and defines and b...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Accompanying indigenous Maya patients with complex medical needs: A patient navigation system in rural Guatemala
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Anita Chary, David Flood, Kirsten Austad, Marcela Colom, Jessica Hawkins, Katia Cnop, Boris Martinez, Waleska Lopez, Peter Rohloff (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Working smarter not harder: Coupling implementation to de-implementation
We describe a typology of de-implementation that represents four types of change: partial reduction, complete reversal, substitution with related replacement and substitution with unrelated replacement of existing practice. We also explicate how learning and unlearning needed for effective change vary in these four types of de-implementation. Last, we propose coupling de-implementation and implementation efforts, which serve conceptual and logistical goals of organizational change. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Straddling care and education: Developing interprofessional collaboration through a hotspotting service learning project
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Anne C. Jones, Trudy Li, Meg Zomorodi, Rob Broadhurst, Amy B. WeilAbstractInterprofessional (IP) team work has been shown to decrease burnout and improve care and decrease costs. However, institutional barriers have challenged adoption in practice and education. Faculty and students are turning to IP service-learning projects to help students gain experience and provide needed services. This paper highlights a “hotspotting” program where students from different health professions work collaboratively to improve high utilizing patients’ health....
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Shared care planning: Realizing the promise of team-based person-centered care
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Smitha Ganeshan, Galina Gheihman, Marissa Palmor, Stephanie Choi, Diana Wohler, Lisa S. Rotenstein (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
It takes a village: Exploring the impact of social determinants on delivery system outcomes for heart failure patients
ConclusionsThe lack of expected association between area deprivation and healthcare outcomes in some communities may be explained by the presence of effect modifiers.ImplicationsUnderstanding existing effect modifiers for area deprivation in local communities that delivery systems serve can inform targeted quality improvement. These factors should also be considered when comparing delivery system performance for reimbursement and in population health management. (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
A state-led framework for value-based purchasing to incent integration
Publication date: June 2018Source: Healthcare, Volume 6, Issue 2Author(s): Katherine Shea Barrett, Katherine L. Record, Vivian HaimeAbstractAddressing healthcare costs requires incenting providers to address both physical and behavioral health conditions, as well as social determinants of health. The most complex, and expensive, patients are often those with comorbid mental illness and/or addiction, who are at higher risk for exposure to violence, food insecurity, unstable housing and other adversities that negatively affect health. Yet today’s value-based payment models and associated quality measures do not incent prov...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal
We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and huma...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Saving without compromising: Teaching trainees to safely provide high value care
Publication date: Available online 8 June 2018Source: HealthcareAuthor(s): Timothy J. Judson, Matthew J. Press, Allan S. DetskyAbstractHospitals are increasingly shifting toward value-based reimbursement and focusing on cost consciousness and patient experience. These concepts are crucial to high-quality, affordable healthcare. However, physicians are not well-trained in factoring cost and patient experience into clinical decisions. The addition of these ideas may create the opportunity for patient harm by depriving patients of necessary care. We discuss ways for physicians to mitigate this risk by engaging in online high ...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
An Introduction to Global Health: Practice, Equity, Human Rights, Joia S. Mukherjee. Oxford University Press, NY: New York (2018)
Publication date: Available online 9 June 2018Source: HealthcareAuthor(s): David Flood (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
Interview with Amy Boutwell, MD, MPP
Publication date: Available online 26 June 2018Source: HealthcareAuthor(s): Abhishek Dalal (Source: Healthcare)
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
A modified stakeholder participation assessment framework for design thinking in health innovation
Publication date: Available online 28 June 2018Source: HealthcareAuthor(s): Sharief Hendricks, Nailah Conrad, Tania S. Douglas, Tinashe MutsvangwaAbstractIncreasing pressure to improve health outcomes of populations with limited resources has prompted an emphasis on innovation. Design thinking has been proposed as a systematic approach to innovation in health, owing to its human-centred methodology that prioritises deep empathy for the end-users’ desires, needs and challenges, which results in a better understanding of the problem in order to develop more comprehensive and effective solutions. A key feature of design thi...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research
