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The Learning Healthcare System

Author : Institute of Medicine
Publisher : National Academies Press
Page : 374 pages
File Size : 28,79 MB
Release : 2007-06-01
Category : Medical
ISBN : 0309133939

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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 considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-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. The Learning Healthcare System is the first in a series 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.

Engineering a Learning Healthcare System

Author : National Academy of Engineering
Publisher : National Academies Press
Page : 340 pages
File Size : 29,17 MB
Release : 2011-07-14
Category : Medical
ISBN : 0309120640

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Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

Best Care at Lower Cost

Author : Institute of Medicine
Publisher : National Academies Press
Page : 437 pages
File Size : 44,22 MB
Release : 2013-05-10
Category : Medical
ISBN : 0309282810

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America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Basics of the U.S. Health Care System

Author : Niles
Publisher : Jones & Bartlett Learning
Page : 449 pages
File Size : 30,30 MB
Release : 2016-12-14
Category : Business & Economics
ISBN : 1284102882

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Basics of the U.S. Health Care System, Third Edition provides students with a broad, fundamental introduction to the workings of the healthcare industry. Engaging and activities-oriented, the text offers an especially accessible overview of the major concepts of healthcare operations, the role of government, public and private financing, as well as ethical and legal issues. Each chapter features review exercises and Web resources that make studying this complex industry both enjoyable and easy. Students of various disciplines—including healthcare administration, business, nursing, public health, and others—will discover a practical guide that prepares them for professional opportunities in this rapidly growing sector.

Value-based Learning Healthcare Systems Integrative Modeling and Simulation

Author : Bernard P. Zeigler
Publisher : Institution of Engineering and Technology
Page : 377 pages
File Size : 49,11 MB
Release : 2019-01-19
Category : Computers
ISBN : 178561326X

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This book presents an innovative, unique and holistic approach to modeling and simulation approaches in healthcare management from leaders in computer modeling and simulation. From system architecture to modeling methodology, this book shows how to improve patient health and costs of care via the design and implementation of an efficient infrastructure. The framework, algorithms and methods are evaluated in real community environments. Researchers and professionals in health informatics, technology and policy will find this book invaluable.

Mental Health Informatics

Author : Jessica D. Tenenbaum
Publisher : Springer Nature
Page : 540 pages
File Size : 17,8 MB
Release : 2021-11-18
Category : Medical
ISBN : 3030705587

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This textbook provides a detailed resource introducing the subdiscipline of mental health informatics. It systematically reviews the methods, paradigms, tools and knowledge base in both clinical and bioinformatics and across the spectrum from research to clinical care. Key foundational technologies, such as terminologies, ontologies and data exchange standards are presented and given context within the complex landscape of mental health conditions, research and care. The learning health system model is utilized to emphasize the bi-directional nature of the translational science associated with mental health processes. Descriptions of the data, technologies, paradigms and products that are generated by and used in each process and their limitations are discussed. Mental Health Informatics: Enabling a Learning Mental Healthcare System is a comprehensive introductory resource for students, educators and researchers in mental health informatics and related behavioral sciences. It is an ideal resource for use in a survey course for both pre- and post-doctoral training programs, as well as for healthcare administrators, funding entities, vendors and product developers working to make mental healthcare more evidence-based.

Digital Infrastructure for the Learning Health System

Author : Institute of Medicine
Publisher : National Academies Press
Page : 336 pages
File Size : 31,32 MB
Release : 2011-10-21
Category : Medical
ISBN : 0309154162

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Like many other industries, health care is increasingly turning to digital information and the use of electronic resources. The Institute of Medicine's Roundtable on Value & Science-Driven Health Care hosted three workshops to explore current efforts and opportunities to accelerate progress in improving health and health care with information technology systems.

Essentials of the U.S. Health Care System

Author : Leiyu Shi
Publisher : Jones & Bartlett Learning
Page : 390 pages
File Size : 40,46 MB
Release : 2018-09-07
Category : Business & Economics
ISBN : 1284175170

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Essentials of the U.S. Health Care System, Fifth Edition is a clear and concise distillation of the major topics covered in the best-selling Delivering Health Care in America by the same authors. Designed for undergraduate and graduate students in programs across the health disciplines, Essentials of the U.S. Health Care System is a reader-friendly, well organized resource that covers the major characteristics, foundations, and future of the U.S. health care system. The text clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together.

Machine Learning and Deep Learning in Efficacy Improvement of Healthcare Systems

Author : Om Prakash Jena
Publisher : CRC Press
Page : 321 pages
File Size : 48,73 MB
Release : 2022-05-18
Category : Computers
ISBN : 1000486826

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The goal of medical informatics is to improve life expectancy, disease diagnosis and quality of life. Medical devices have revolutionized healthcare and have led to the modern age of machine learning, deep learning and Internet of Medical Things (IoMT) with their proliferation, mobility and agility. This book exposes different dimensions of applications for computational intelligence and explains its use in solving various biomedical and healthcare problems in the real world. This book describes the fundamental concepts of machine learning and deep learning techniques in a healthcare system. The aim of this book is to describe how deep learning methods are used to ensure high-quality data processing, medical image and signal analysis and improved healthcare applications. This book also explores different dimensions of computational intelligence applications and illustrates its use in the solution of assorted real-world biomedical and healthcare problems. Furthermore, it provides the healthcare sector with innovative advances in theory, analytical approaches, numerical simulation, statistical analysis, modelling, advanced deployment, case studies, analytical results, computational structuring and significant progress in the field of machine learning and deep learning in healthcare applications. FEATURES Explores different dimensions of computational intelligence applications and illustrates its use in the solution of assorted real-world biomedical and healthcare problems Provides guidance in developing intelligence-based diagnostic systems, efficient models and cost-effective machines Provides the latest research findings, solutions to the concerning issues and relevant theoretical frameworks in the area of machine learning and deep learning for healthcare systems Describes experiences and findings relating to protocol design, prototyping, experimental evaluation, real testbeds and empirical characterization of security and privacy interoperability issues in healthcare applications Explores and illustrates the current and future impacts of pandemics and mitigates risk in healthcare with advanced analytics This book is intended for students, researchers, professionals and policy makers working in the fields of public health and in the healthcare sector. Scientists and IT specialists will also find this book beneficial for research exposure and new ideas in the field of machine learning and deep learning.

To Err Is Human

Author : Institute of Medicine
Publisher : National Academies Press
Page : 312 pages
File Size : 44,85 MB
Release : 2000-03-01
Category : Medical
ISBN : 0309068371

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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