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The Economic Impact of Improvements in Primary Healthcare Performance PHC

Simone Dahrouge, Rose Anne Devlin, Bill Hogg, Grant Russell, Doug Coyle, Dean Fergusson
Canadian Health Services Research Foundation – CHSRF – 2012
Available online PDF [89p.] at: http://bit.ly/KJVjE6
This report presents the results of four different approaches to evaluate the economic impact of enhancements to PHC:

1. A synthesis of the literature on the macro- and micro-economic effects of good health, with specific relevance to PHC performance.
2. A systematic review of the economic impact of incorporating a pharmacist into a Primary Healthcare Performance PHC practice.
3. A simulation exercise that evaluates the economic impact of improvements to influenza immunization rates for older adults brought about by provider reminder systems in PHC.
4. A literature review of reductions in burden of illness associated with four specific enhancements to chronic disease management in PHC that produce health benefits. These include PHC improvements that result in improved blood pressure control, enhanced diabetes management, increased uptake of cancer screening and improved continuity of care….”
Implementation Science is an open access, peer-reviewed online journal that aims to publish research relevant to the scientific study of methods to promote the uptake of research findings into routine healthcare in clinical, organisational or policy contexts.

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.

1 Hints of a Different Way—Case Studies in Practice-Based Evidence
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
2 The Evolving Evidence Base—Methodologic and Policy Challenges
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
3 Narrowing the Research-Practice Divide—Systems Considerations
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
4 New Approaches—Learning Systems in Progress
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
5 Developing the Test Bed—Linking Integrated Service Delivery Systems
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
6 The Patient as a Catalyst for Change
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
7 Training the Learning Health Professional
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
8 Structuring the Incentives for Change
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
Изменено: Жозефа - 16.06.12 20:30

Charles Vincent
"Patient Safety"
English | 2 edition | 2010 | ISBN: 1405192216 | 432 pages

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.

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.
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).
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

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.

"Medical Care Economic Risk: Measuring Financial Vulnerability from Spending on Medical Care"

Michael J. O'Grady and Gooloo S. Wunderlich
Committee on National Statistics; Division of Behavioral and Social Sciences and Education; Board on Health Care Services; National Research Council and Institute of Medicine
NAS Press | 2012 | ISBN: 0309266041 9780309266048 | 246 pages

The implementation of the patient Protection and Affordable Care Act (ACA) provides a strong impetus to think rigorously about ways to measure medical care economic burden and risk, which is the basis for Medical Care Economic Risk. As new policies are implemented that seek to expand and improve health insurance coverage and to protect against the high costs of medical care relative to income, such measures will be important to assess the effects of policy changes in both the short and long term on the extent of financial burden and risk for the population, which are explained in this report.

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.

James T. Tweedy

Healthcare Hazard Control and Safety Management
2005-06-24 | ISBN: 1574443062 | 816 pages

Surpassing the standard set by the first edition, Healthcare Hazard Control and Safety Management, Second Edition presents expansive coverage for healthcare professionals serving in safety, occupational health, hazard materials management, quality improvement, and risk management positions. Comprehensive in scope, the book covers all major issues in the field. It presents information on physical, chemical, biological, ergonomic, and psycho-social hazards in an organized format.

In addition to providing easily digested information, the author has constructed practical checklists and forms that can be readily put to use. He provides advice and guidance on management, hazard control, compliance, standards, and accreditation. Updates to the second edition include additional information on leadership, performance improvement, risk management, organizational culture, behavioral safety, root cause analysis, new OSHA and Joint Commission requirements, and regulatory changes. And if that weren't enough, the book supplies a blueprint for developing training and education programs, provides more than 25 appendices addressing healthcare-related safety topics and OSHA issues, and includes more than 30 safety checklists that cover a variety of hazards found in healthcare and long term care facilities. Not only will you use this reference on a daily basis, you may find yourself reaching for this book so often that it will not stay on your bookshelf.

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.

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.

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.

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”.

Decision Resources Inc “The SAGE Handbook of Healthcare"
English | 2008-06-05 | ISBN: 1847870481 | 752 pages

With escalating healthcare costs, changes to the regulatory control on pharmaceutical industries and the inevitable adjustments made in policies and investment in healthcare there is enormous interest in the commercial as well as the scientific aspects of today's healthcare industry.

The SAGE Handbook of Healthcare provides an authoritative analysis of the current (and anticipated) developments in the global healthcare industries. Providing a unique perspective that interfaces between the science and business aspects, it combines information on the latest scientific developments with applied, commercial business data from the global marketplace.

The Handbook focuses on the aspects of paramount importance in the healthcare sector:
- Pharmacoeconomics
- Pharmacogenomics
- Therapeutics
- Diagnostics
Areas covered include:
- The role of nanotechnology, genomics and cell therapy in medicine
- Diagnostics; Biomarkers and technological advances
- Case studies in oncology and cardiovascular and CNS therapeutics

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.

Barbara J. Youngberg, "Principles of Risk Management and Patient Safety"
2010 | ISBN: 0763774057 | 400 pages |

Principles of Risk Management and Patient Safety identifies changes in the industry and describes how these changes have influenced the functions of risk management in all aspects of healthcare. The book is divided into four sections. The first section describes the current state of the healthcare industry and looks at the importance of risk management and the emergence of patient safety. It also explores the importance of working with other sectors of the health care industry such as the pharmaceutical and device manufacturers.

The last three sections focus on the three main components of the risk manager s responsibility: claims management, risk financing and proactive loss control. The final section touches on solutions for seamless integration between risk management and patient safety functions. Using an integrative approach Principles of Risk Management and Patient Safety offers a comprehensive review of the current issues which formulate the basis of a risk management program and provide the knowledge that a risk manager would be expected to have.
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