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

Richard E. Anderson

"Medical Malpractice: A Physician's Sourcebook"
Humana Press | English | 2004-09-24 | ISBN: 1588293890 | 322 pages

A comprehensive presentation of the origin, nature, and ramifications of the medical malpractice litigation crisis, as well as possible solutions and alternatives to the current troubled system. The authors focus on the clinical face of litigation from the perspective of the practicing physician in a variety of specialties, ranging from family and emergency medicine to anesthesiology, obstetrics, gynecology, and plastic surgery. Special consideration is given to breast cancer and Pap smear litigation, risk management for the family physician, the emerging significance of e-medicine, and the importance of effective patient communication. Additional legal chapters examine the litigation process itself, offering insight into winning medical malpractice lawsuits, the role of the physician as expert witness or defendant, the process of discovery and deposition, and how a plaintiff's attorney views risk reduction. For public policy debate, the authors spell out the case for legal reform, suggest changes in medical-legal jurisprudence that can be of immediate benefit, and reflect on the broader problems of our entire health care system and its interface with law and public policy.

Transforming the delivery of health and social care
The case for fundamental change
Chris Ham, Anna Dixon, Beatrice Brooke
The King’s Fund – September 2012 - London – UK
Available online PDF [61p.] at: http://bit.ly/PluZ40

Content:
Summary
Introduction
1 The drivers of change
Demographic changes
Health outcomes and life expectancy
The burden of disease and disability
Risk factors
Public and patient expectations
Medical advances
Financial and human resources
2 How well equipped is the current delivery system to respond to the drivers of change?
Population health and health outcomes
Primary care
Hospital care
Social care
Mental health

3 The health and social care system of the future Enhancing the role of patients and users in the care team
Changing professional roles
Rethinking the location of care
Using new information and communication technologies
Harnessing the potential of new medical technologies
Making intelligent use of data and information

4 Making it happen
Sources of innovation
The challenge of innovation

Enhancing the role of patients and users in the care team
Changing professional roles
Rethinking the location of care
Using new information and communication technologies
Harnessing the potential of new medical technologies
Making intelligent use of data and information

4 Making it happen
Sources of innovation
The challenge of innovation

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.

Ginge Kettenbach
Writing Patient/Client Notes: Ensuring Accuracy in Documentation (4th edition)
Published: 2009-02-12 | ISBN: 0803618786 | 256 pages

An ideal resource for any health care professional needing to learn or improve their skills with simple, straightforward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management model. Section by section, exercise by exercise, the 4th Edition will help you to to write clear, concise, and correct patient care notes using a variety of tools, including SOAP notes.

Yasar A. Ozcan

"Quantitative Methods in Health Care Management: Techniques and Applications"
English | 2005-08-03 | ISBN: 0787971642 | 434 pages

As health care organization leaders use data more consistently in decision making, it is important they understand the quantitative methods that help convert data to information. Quantitative Methods in Health Care Management provides important insights into the various quantitative methods, detailing many different problems and their solutions. It contains numerous helpful exhibits and graphics that explain and demonstrate the methods presented. It also provides a readable narrative for the manager who wants a high-level refresher on quantitative methods.

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.