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Author: United States Secretary of Defense Publisher: Createspace Independent Publishing Platform ISBN: 9781974365159 Category : Languages : en Pages : 206
Book Description
On May 28, 2014, the Secretary of Defense ordered a comprehensive review of the Military Health System (MHS). The review was directed to assess whether: 1) access to medical care in the MHS meets defined access standards; 2) the quality of health care in the MHS meets or exceeds defined benchmarks; and 3) the MHS has created a culture of safety with effective processes for ensuring safe and reliable care of beneficiaries. This is the first time the MHS has taken an enterprise view of such scope in these areas. Based on information analyzed during the review, the MHS provides good quality care that is safe and timely, and is comparable to that found in the civilian sector. However, the MHS demonstrates wide performance variability with some areas better than civilian counterparts and other areas below national benchmarks. Together, the review's results and the professional inputs from six external experts indicate clear opportunities to improve health care delivery. By implementing effective strategies used by other high-performing organizations, the MHS can create an optimal health care environment that focuses on continuous quality improvement where every patient receives safe, high-quality care at all times. The major recommendations in this report are directed at system enhancements to address areas of concern and to drive change that will foster creation of a high reliability health system. High reliability organizations, in general, are those where harm prevention and quality improvement are second nature to all in the organization. Such organizations recognize the risk of over simplification in complex systems: thus, implementation of the proposed recommendations should not be expected to result in immediate change. MHS governance can support performance improvement with better analytics, greater clarity in policy, and aligned training and education programs. However, improving outcomes is about decreasing performance variance at the individual facility level, which requires consistent leadership vigilance, with the goal of making the MHS a top-tier health care system.
Author: United States Secretary of Defense Publisher: Createspace Independent Publishing Platform ISBN: 9781974365159 Category : Languages : en Pages : 206
Book Description
On May 28, 2014, the Secretary of Defense ordered a comprehensive review of the Military Health System (MHS). The review was directed to assess whether: 1) access to medical care in the MHS meets defined access standards; 2) the quality of health care in the MHS meets or exceeds defined benchmarks; and 3) the MHS has created a culture of safety with effective processes for ensuring safe and reliable care of beneficiaries. This is the first time the MHS has taken an enterprise view of such scope in these areas. Based on information analyzed during the review, the MHS provides good quality care that is safe and timely, and is comparable to that found in the civilian sector. However, the MHS demonstrates wide performance variability with some areas better than civilian counterparts and other areas below national benchmarks. Together, the review's results and the professional inputs from six external experts indicate clear opportunities to improve health care delivery. By implementing effective strategies used by other high-performing organizations, the MHS can create an optimal health care environment that focuses on continuous quality improvement where every patient receives safe, high-quality care at all times. The major recommendations in this report are directed at system enhancements to address areas of concern and to drive change that will foster creation of a high reliability health system. High reliability organizations, in general, are those where harm prevention and quality improvement are second nature to all in the organization. Such organizations recognize the risk of over simplification in complex systems: thus, implementation of the proposed recommendations should not be expected to result in immediate change. MHS governance can support performance improvement with better analytics, greater clarity in policy, and aligned training and education programs. However, improving outcomes is about decreasing performance variance at the individual facility level, which requires consistent leadership vigilance, with the goal of making the MHS a top-tier health care system.
Author: United States United States Government Publisher: Createspace Independent Publishing Platform ISBN: 9781522903116 Category : Languages : en Pages : 454
Book Description
These Terms of Reference establish the objectives and process for the Military Health System (MHS) Review. This review will assess health cm.e access, patient safety, and health care quality across the MHS, as directed by the Secretary of Defense. Health care provided in support of the Combatant Commands and operational forces is excluded from this review."
Author: United States United States Government Publisher: CreateSpace ISBN: 9781511976695 Category : Languages : en Pages : 454
Book Description
These Terms of Reference establish the objectives and process for the Military Health System (MHS) Review. This review will assess health cm.e access, patient safety, and health care quality across the MHS, as directed by the Secretary of Defense. Health care provided in support of the Combatant Commands and operational forces is excluded from this review."
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309260558 Category : Medical Languages : en Pages : 350
Book Description
Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
Author: Dan J. Jansen Publisher: DIANE Publishing ISBN: 1437920047 Category : Health & Fitness Languages : en Pages : 20
Book Description
Contents: Recent Developments; Background; Subjects: Purpose of DoD¿s Military Health System (MHS); Structure of the MHS; Unified Medical Budget; Medicare Eligible Retiree Health Care Fund; Cost of Military Health Care to Beneficiaries; Changes in MHS in Recent Years; Eligibility to Receive Care; Assignment of Priorities for Care in Military Medical Facilities; Relationship of DoD Health Care to Medicare; Military Personnel and Free Medical Care for Life; Payment of Private Health Care Providers; Effect of Base Realignment and Closure on Military Medical Care; Pharmacy Benefit; Medical Benefits Available to Reservists; Congressionally Directed Medical Research Program; Tricare and Abortion; and Use of Animals in Medical Res. or Training.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309442885 Category : Medical Languages : en Pages : 531
Book Description
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309450047 Category : Medical Languages : en Pages : 165
Book Description
The medical research landscape in the United States is supported by a variety of organizations that spend billions of dollars in government and private funds each year to seek answers to complex medical and public health problems. The largest government funder is the National Institutes of Health (NIH), followed by the Department of Defense (DoD). Almost half of DoD's medical research funding is administered by the Congressionally Directed Medical Research Programs (CDMRP). The mission of CDMRP is to foster innovative approaches to medical research in response to the needs of its stakeholdersâ€"the U.S. military, their families, the American public, and Congress. CDMRP funds medical research to be performed by other government and nongovernmental organizations, but it does not conduct research itself. The major focus of CDMRP funded research is the improved prevention, diagnosis, and treatment of diseases, injuries, or conditions that affect service members and their families, and the general public. The hallmarks of CDMRP include reviewing applications for research funding using a two-tiered review process, and involving consumers throughout the process. Evaluation of the Congressionally Directed Medical Research Programs Review Process evaluates the CDMRP two-tiered peer review process, its coordination of research priorities with NIH and the Department of Veterans Affairs, and provides recommendations on how the process for reviewing and selecting studies can be improved.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309068371 Category : Medical Languages : en Pages : 312
Book Description
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309170397 Category : Medical Languages : en Pages : 214
Book Description
Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System: A Program Review describes the capacity, quality, and effectiveness of the international and domestic facilities and programs that are a part of a DoD system to monitor and address emerging infectious diseases globally. The committee concludes that the goals of the system are in U.S. military, U.S. civilian, and global public health interests and that substantial progress has been made toward achieving system goals.
Author: United States Secretary of Defense
Author: United States Secretary of Defense
Author: United States United States Government
Author: United States United States Government
Author: Institute of Medicine
Author: Dan J. Jansen
Author: Kerm Henriksen
Author: National Academies of Sciences, Engineering, and Medicine
Author: National Academies of Sciences, Engineering, and Medicine
Author: Institute of Medicine
Author: Institute of Medicine