Leading evidence informed value improvement in healthcare PDF Download

Author: John Ovretveit
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Author: John Ovretveit
Publisher: eBook Partnership
ISBN: 1904235891
Category : Business & Economics
Languages : en
Pages : 162

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Book Description
Improvement in healthcare has not delivered on its promise, outside of a few examples. This is because it has not sufficiently been linked to resources - thus argues this book. Value improvement focuses on changes which raise quality and lower costs. This is effective because it unites professions, patients, payers and purchasers in a common cause and uses tested solutions and methods. Value improvement works with the realities of resources and politics, and with knowledge of what is effective in different situations. The purpose of healthcare is to reduce avoidable suffering. This includes the suffering unknowingly caused by a service, when we do not use an effective treatment or make an error. These events are also waste, and they have a financial cost. The good news is that we now have more knowledge about these adverse or subA-optimal events, and about effective solutions. We now know these organisational events are not inevitable and we can prevent them. We are also beginning to discover that many, if prevented, will reduce the costs of healthcare. Improving diagnosis and prescribing reduces both avoidable sufferA- ing and higher costs, as do hygiene strategies and changes to ensure professionals pass on correct information about patients to the next caregiver. We are entering an exciting time in healthcare, equivalent to earA- lier periods of medical discoveries. The discoveries of improvement and implementation science in organisations are now being linked to the discoveries about the costs and savings of quality and safety changes. This knowledge is beginning to be used by clinicians, manA-agement and purchasers, and alliances are forming to bring in a new era of quality and safety improvement. The aim of this book is to show how ordinary leaders can comA-bine improvement knowledge with resource knowledge to reduce suffering and the costs of healthcare. It does not assume good inforA-mation technology or special resources to help improvement. It recA-ognises that our colleagues may not want to spend time on this work, and often do not do what they are asked to do. It recognises some improvements are not value improvements: they do not add value for patients and reduce costs. Where improvements do both, we may find that the financing system penalises the provider for making the change, or we cannot covert the saved resources into lower costs or higher income. Thus, it is also about both short A-term and long A-term value improvements. It is about how managers and other leaders find and awaken energy in themselves to make improvement, and bring this energy to life in the people they work with. How we channel this energy in effective ways and enable others to make improvement. It is about tomorrow, and next week and about where the real innovation, creativity and inspiration happens: in the routine but changing, short A-staffed, semiA- chaos of most health services. We are not powerless and can choose not to accept failings of the health system as being outside of our influence. A few others have shown what can be achieved when we join in a common cause and use these effective methods. The challenge is for us is to do this in our local service and to connect our services.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309142431
Category : Medical
Languages : en
Pages : 369

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Book Description
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors-patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology-conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.

Author: Maulik Joshi DrPH
Publisher: CRC Press
ISBN: 1498700195
Category : Business & Economics
Languages : en
Pages : 232

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Book Description
A succinct and practical primer on healthcare transformation, Leading Healthcare Transformation is a key resource for all clinicians in leadership positions. It summarizes high-profile healthcare topics and includes a synopsis of the evidence, examples, lessons learned, and key action steps for each topic covered.Providing cutting-edge insights fro

Author: Roundtable on Evidence-Based Medicine
Publisher:
ISBN: 9780309385602
Category :
Languages : en
Pages : 368

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Book Description
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors--patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology--conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030911053X
Category : Medical
Languages : en
Pages : 368

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Book Description
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors-patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology-conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.

Author: Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN
Publisher: Springer Publishing Company
ISBN: 082619625X
Category : Medical
Languages : en
Pages : 484

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Book Description
Delivers a practical leadership approach that will thrive in today’s healthcare environment This application-based text is designed to cultivate nursing and healthcare leaders who embrace the demands and opportunities of today’s healthcare environment, which is rooted in innovation. Authored by world-class innovators and leaders in evidence-based healthcare practice, the book provides proven strategies to incorporate innovative and evidence-based leadership strategies into daily use to build creative, high-functioning, and sustainable organizations. The book differs from traditional academic texts by providing content that is practical, personal, and engaging. It provides a clear path for readers to integrate innovation and leadership principles into their careers and daily practice. The text is enhanced by individualized quotes and first-person accounts from healthcare industries. Chapters offer objectives and case studies. Other features include “Calls to Action” which will help readers develop leadership skills, and “Key Takeaway Points” to help remember important concepts. Podcasts conducted with prolific leaders illustrate the many challenges they have faced over the years. Key Features: Rooted in AACN Essentials for DNP and Master’s Education Provides practical information on leadership, innovation, and entrepreneurship Includes best practice applications for healthcare and non-healthcare industries to improve outcomes in real-world settings Provides case studies, “Calls to Action,” and “Key Takeaway Points” Includes podcasts with top healthcare leaders

Author: Daniel Weberg
Publisher: Jones & Bartlett Learning
ISBN: 1284171361
Category : Medical
Languages : en
Pages : 493

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Book Description
Leadership for Evidence-Based Innovation in Nursing and Health Professions, Second Edition takes a patient-centered approach, discusses the perspectives on the dynamic of innovation and evidence as well as emerging competencies for leaders of healthcare innovation, making it the ideal textbook for DNP and Masters level leadership courses.

Author: Nathan William Tierney
Publisher: Taylor & Francis
ISBN: 1351591487
Category : Business & Economics
Languages : en
Pages : 337

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"Nathan Tierney’s powerful storytelling is rarely seen in today’s health care business environment. We must redesign the health care delivery system---a team sport in service of patients, hold it accountable with measurement to improve outcomes, and quantify the resource costs over the full cycle of care. Value-based health care is a framework through which these goals are achieved, and Tierney provides a detailed playbook to get your organization there. Outlined in incredible detail and clarity, he presents core concepts and dives into the key metrics needed to build, maintain, and scale a successful value-based health care organization. Nathan shares a realistic vision of what any CEO should expect when developing their own Value Management Office. Nothing is more important to me than improving the lives of those I love. My personal mission is to create systemic change with an impact on the global stage. This playbook needs to be on the desk of every executive, clinician, and patient today." -Mahek Shah, MD, Senior Researcher and Senior Project Leader, Harvard Business School Our current healthcare system’s broken. The Organization for Economic Co-Operation and Development (OECD) predicts health care costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population, (2) growing affluence, (3) rise in chronic diseases, and (4) better-informed patients; all of which raises the demand for healthcare. In 2006, Michael Porter and Elizabeth Teisberg authored the book ‘Redefining Health Care: Creating Value-Based Competition on Results.’ In it, they present their analysis of the root causes plaguing the health care industry and make the case for why providers, suppliers, consumers, and employers should move towards a patient-centric approach that optimizes value for patients. According to Porter, "value for patients should be the overarching principle for our broken system." Since 2006, Professor Porter, accompanied by his esteemed Harvard colleague, Profesor Robert Kaplan, have worked tirelessly to promote this new approach and pilot it with leading healthcare delivery organizations like Cleveland Clinic, Mayo Clinic, MD Anderson, and U.S. Department of Veteran Affairs. Given the current state of global healthcare, there is urgency to achieve widespread adoption of this new approach. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. This book defines the practice of value-based health care as Value Management. The book explores Profesor Porter’s Value Equation (Value = Outcomes/ Cost), which is central to Value Management, and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side, the book presents the Value Realization Framework, which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery. The Value Realization Framework is based on Professor Kaplan's ground-breaking Balanced Scorecard approach, but specific to healthcare organizations. On the costs side, the book details the Harvard endorsed time-driven activity based costing (TDABC) methodology, which has proven to be a modern catalyst for defining HDO costs. Finally, this book covers the need and a plan to establish a Value Management Office to lead the delivery transformation and govern operations. This book is designed in a format where any organization can read it and acquire the fundamentals and methodologies of Value Management. It is intended for healthcare delivery organizations in need of learning the specifics of achieving the implementation of value-based healthcare.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309185866
Category : Medical
Languages : en
Pages : 202

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Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.