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The Learning Healthcare System: Workshop Summary
IOM Roundtable on Evidence-Based Medicine
NA Press | 2011 | ISBN: 0309103002 9780309103008 0309106877 | 374 pages

This book considers how health care is structured to develop and to apply evidence 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.

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" is the first 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.

Contents
Summary
1 Hints of a Different Way—Case Studies in Practice-Based Evidence
Overview
Coverage with Evidence Development - Peter B. Bach
Use of Large System Databases - Jed Weissberg
Quasi-Experimental Designs for Policy Assessment - Stephen Soumerai
Practical Clinical Trials - Sean Tunis
Computerized Protocols to Assist Clinical Research - Alan H. Morris
References
2 The Evolving Evidence Base—Methodologic and Policy Challenges
Overview
Evolving Methods: Alternatives to Large Randomized Controlled Trials - Robert M. Califf
Evolving Methods: Eval  uating Medical Device Interventions in a Rapid State of Flux - Telba Irony
Evolving Methods: Mathematical Models to Help Fill the Gaps in Evidence - David M. Eddy and David C. Kendrick
Heterogeneity of Treatment Effects: Subgroup Analysis - Sheldon Greenfield and Richard L. Kravitz
Heterogeneity of Treatment Effects: Pharmacogenetics - David Goldstein
Broader Post-Marketing Surveillance for Insights on Risk and Effectiveness - Harlan Weisman, Christina Farup, Adrian Thomas, Peter Juhn, and Kathy Buto
Adjusting Evidence Generation to the Scale of Effects - Steve M. Teutsch and Marc L. Berger
HIPAA and Clinical Research: Protecting Privacy
Protecting Privacy While Linking Patient Records - Janlori Goldman and Beth Tossell
References
3 Narrowing the Research-Practice Divide—Systems Considerations
Overview
Feedback Loops to Expedite Study Timeliness and Relevance - Brent James
Electronic Health Records and Evidence-Based Practice - Walter F. Stewart and Nirav R. Shah
Standards of Evidence - Steven Pearson
Implications for Accelerating Innovation - Robert Galvin
References
4 New Approaches—Learning Systems in Progress
Overview
Implementation of Evidence-Based Practice in the VA - Joel Kupersmith
Practice-Based Research Networks - Robert L. Phillips, Jr., James Mold, and Kevin Peterson
National Quality Improvement Process and Architecture - George Isham
Envisioning a Rapid Learning Healthcare System - Lynn Etheredge
References
5 Developing the Test Bed—Linking Integrated Service Delivery Systems
Overview
NIH and Reengineering Clinical Research - Stephen I. Katz
AHRQ and the Use of Integrated Service Delivery Systems - Cynthia Palmer
The HMO Research Network as a Test Bed - Eric B. Larson
Council of Accountable Physician Practices - Michael A. Mustille
References
6 The Patient as a Catalyst for Change
Overview
The Internet, eHealth, and Patient Empowerment - Janet M. Marchibroda
Joint Patient-Provider Management of the Electronic Health Record - Andrew Barbash
Evidence and Shared Decision Making - James N. Weinstein and Kate Clay
References
7 Training the Learning Health Professional
Overview
Clinicians and the Electronic Health Record as a Learning Tool - William W. Stead
Embedding an Evidence Perspective in Health Professions Education - Mary Mundinger
Knowledge Translation: Redefining Continuing Education Around Evolving Evidence - Mark V. Williams
References
8 Structuring the Incentives for Change
Overview
Opportunities for Private Insurers - Alan Rosenberg
Opportunities for CMS - Steve Phurrough
Opportunities for Pharmaceutical Companies - Wayne A. Rosenkrans, Jr., Catherine Bonuccelli, and Nancy Featherstone
Opportunities for Standards Organizations - Margaret E. O’Kane

Sheldon Lipshutz
10 Things You Need To Know Before You See The Doctor: A Physician's Advice From More Than 40 Years Of Practicing Medicine
Publisher: Silver Lake Publishing | 2004-07 | ISBN: 1563437813 | 286 pages

Takes consumers behind the scenes of hospitals and doctors' offices to understand how and why medicine works the way it does. Here are clear tools for making good decisions when you see a doctor and have to sort through many options. People who read this book will be able to ask the right questions of health care providers: readers can confidently * demand the best medical care * be smart and aggressive consumers Most people have a hard time applying what they know when they or their family members are in an emergency room or doctor's office. This book will empower every reader with * real-life medical stories and hospital experiences that will instruct--and amaze * full explanations of medical-ese language * a walk-through of every type of insurance.

The European Observatory on Health Systems and Policies supports and promotes evidence-based health policy-making through comprehensive and rigorous analysis of the dynamics of health care systems in Europe.
The Observatory is a partnership between the World Health Organization Regional Office for Europe, the Governments of Belgium, Finland, Ireland, the Netherlands, Norway, Slovenia, Spain, Sweden, and the Veneto Region of Italy, The European Commission, the European Investment Bank, the World Bank, UNCAM (French National Union of Health Insurance Funds), the London School of Economics and Political Science (LSE), and the London School of Hygiene & Tropical Medicine (LSHTM).
http://www.healthobservatory.eu

Building Type Basics for Healthcare Facilities
English | 2 edition | April 25, 2008 | ISBN-10: 0470135417 | 352 pages

Building Type Basics for Healthcare Facilities, Second Edition is your one-stop reference for the essential information you need to confidently begin the design process and successfully complete a healthcare project, large or small, on time and within budget. Leading architects from across the United States share their firsthand knowledge in order to guide you through all aspects of healthcare facility design, with an emphasis on what you need to do to get started quickly.

This edition is revised with multiple new healthcare project examples completed this century, more information on engineering requirements, and background on evolving sustainability and technology issues. It begins with an assessment of the healthcare industry's current and future needs, focusing on how those needs affect architecture. Next you get critical information and guidelines that enable you to create successful designs for inpatient, outpatient, and long-term care facilities. Coverage includes clinics, emergency departments, ambulatory care units, specialty centers, as well as facilities designed for adaptive reuse or the assimilation of future technologies.

http://www.healthsystemassessment.com/health-system-assessment-approach-a-how-to-manual/

Health System Assessment Approach: A How-To Manual
To help countries understand and strengthen their health systems, the Partners for Health Reformplus (PHRplus) (2001-2006) and Health Systems 20/20 (2006-2012) projects, with funding from the United States Agency for International Development (USAID), in collaboration with other projects and development partners, pilot tested and began developing the original Health System Assessment Approach in 2004. Since that time the approach has continued to be tested and the accompanying HSAA How To Manual adjusted as a “living document”.
The HSAA manual has been used to assess health systems and guide policymakers and program planners in many countries and regions. Health system assessment (HSA) results have contributed to national strategic plans, PEPFAR partnership frameworks, and numerous other Health System Strengthening (HSS) and programmatic activities. Based on lessons learned from experience and consultations with experts, Health Systems 20/20 has updated the Health System Assessment Approach: A How-To Manual and published Version 2.0 in 2012.
The approach covers key health system functions and is organized around WHO’s six health system building blocks: leadership and governance; health financing; service delivery; human resources for health; medical products, vaccines, and technologies; and health information systems. For more information, read the HSA brief.

Mary Donnelly
Healthcare Decision-Making and the Law: Autonomy, Capacity and the Limits of Liberalism
Published: 2010-11-30 | ISBN: 052111831X | 344 pages

This analysis of the law's approach to healthcare decision-making critiques its liberal foundations in respect of three categories of people: adults with capacity, adults without capacity and adults who are subject to mental health legislation. Focussing primarily on the law in England and Wales, the analysis also draws on the law in the United States, legal positions in Australia, Canada, Ireland, New Zealand and Scotland and on the human rights protections provided by the ECHR and the Convention on the Rights of Persons with Disabilities. Having identified the limitations of a legal view of autonomy as primarily a principle of non-interference, Mary Donnelly questions the effectiveness of capacity as a gatekeeper for the right of autonomy and advocates both an increased role for human rights in developing the conceptual basis for the law and the grounding of future legal developments in a close empirical interrogation of the law in practice.

Nilmini Wickramasinghe, Rajeev Bali

"Critical Issues for the Development of Sustainable E-health Solutions"
English | 2012 | ISBN: 1461415357 | 418 pages

Pervasive healthcare is an emerging research discipline, focusing on the development and application of pervasive and ubiquitous computing technology for healthcare and wellness. Pervasive healthcare seeks to respond to a variety of pressures on healthcare systems, including the increased incidence of life-style related and chronic diseases, emerging consumerism in healthcare, need for empowering patients and relatives for self-care and management of their health, and need to provide seamless access for healthcare services, independent of time and place. Pervasive healthcare may be defined from two perspectives. First, it is the development and application of pervasive computing (or ubiquitous computing, ambient intelligence) technologies for healthcare, health and wellness management. Second, it seeks to make healthcare available to anyone, anytime, and anywhere by removing locational, time and other restraints while increasing both the coverage and quality of healthcare. This book proposes to define the emerging area of pervasive health and introduce key management principles, most especially knowledge management, its tools, techniques and technologies. In addition, the book takes a socio-technical, patient-centric approach which serves to emphasize the importance of a key triumvirate in healthcare management namely, the focus on people, process and technology. Last but not least the book discusses in detail a specific example of pervasive health, namely the potential use of a wireless technology solution in the monitoring of diabetic patients.

Global Approach in Safety Testing: ICH Guidelines Explained By Jan Willem van der Laan, Joseph J DeGeorge
2013 | 327 Pages | ISBN: 1461459494

This volume will consider one of ICH’s major categories, Safety i.e. topics relating to in vitro and in vivo pre-clinical studies (Carcinogenicity Testing, Genotoxicity Testing, etc.). Since the start of the ICH process, many guidelines have been written, but even after ICH6 no explanations have been given during a formal Congress about the background of the ICH Guidance documents. Even more important than what has been written, might have been those thoughts of the experts that are not included in the Guidance documents. Why has the guideline been written as it is written, and why have some aspects been deleted. These and other related questions are the contents of this book, written by experts who were involved in the ICH process. Furthermore, the chapters will contain discussions on the “lessons learnt” and “future developments”.

Angela Coulter - Engaging Patients in Healthcare
Published: 2011-08-01 | ISBN: 0335242715 | 224 pages

This evidence-based guide provides the first comprehensive overview of patient engagement and participation in healthcare. It has been written for all those who want to understand the various ways in which patient and public engagement can contribute to better health outcomes.
Angela Coulter explains the theories, models and policies at the heart of patient involvement as well as giving extensive practical examples to demonstrate the reality of involving patients. The book includes an examination of patients’ roles in respect of:
Improving care processes
Building health literacy
Selecting treatments
Strengthening self-care
Ensuring safer care
Participating in research
Training professionals
Shaping services
Clearly written by a leading author in the field and well illustrated with data, examples and evidence, the book includes practical descriptions of real patient engagement, together with critical review and suggestions to guide future developments. This guide also brings together an extensive body of international evidence, making it the most current and original text on the market.
Engaging Patients in Healthcare is essential reading for students and professionals working and studying in public health, health care management, health services and beyond.