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  • National Academy of Medicine » Improved Patient Outcomes in 3 Years with a System of Cure for Diabetes
    in the increased cardiovascular disease risk associated with diabetes when glucose cholesterol and blood pressure are better controlled and there are standards of care for improving patient outcomes including recommendations for medical care from physician coordinated teams Read more by topic Diseases Health Care Workforce Quality and Patient Safety Note The views expressed in this Perspective are those of the author s and not necessarily of the author s organizations

    Original URL path: http://nam.edu/perspectives-2012-improved-patient-outcomes-in-3-years-with-a-system-of-cure-for-diabetes/ (2015-07-15)
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  • National Academy of Medicine » Personalized Medicine: Innovation to Clinical Execution
    used to be treated uniformly into smaller more discrete personalized clusters of people who share some important physiology or biochemical variants that respond in different ways to a particular treatment Every day we are gaining new knowledge about the role of genetic factors in common adult diseases including gallstones osteoporosis osteoarthritis skin cancer prostate cancer migraine headaches obesity mental retardation Alzheimer s arthritis diabetes multiple sclerosis schizophrenia and hearing loss Just to take one example Alzheimer s disease alone affects 4 million Americans at a cost of 152 billion per year The math quickly becomes significant when we consider the impact of improving the lives of just 10 percent of these patients by better understanding how they should be treated how their version of the disease is different from other versions and how to avoid side effects of medicines for the personalized characteristics of their disease Read more by topic Quality and Patient Safety Note The views expressed in this Perspective are those of the author s and not necessarily of the author s organizations or of the National Academy of Medicine NAM The Perspective is intended to help inform and stimulate discussion It has not been subjected to the

    Original URL path: http://nam.edu/perspectives-2012-personalized-medicine-innovation-to-clinical-execution/ (2015-07-15)
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  • National Academy of Medicine » Less Is More
    why the return on our 2 5 trillion investment in health care in the United States is not better It is estimated that hundreds of billions to 1 trillion or more goes to waste annually health care spending that does not contribute to the well being of patients Read more by topic Health Care Workforce Public Health Note The views expressed in this Perspective are those of the author s

    Original URL path: http://nam.edu/perspectives-2012-less-is-more/ (2015-07-15)
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  • National Academy of Medicine » The First Step Toward Value-Based Health Care
    needed to avoid affirming Winston Churchill s perspective that you can always count on Americans to do the right thing after they ve tried everything else Read more by topic Health Care Workforce Public Health Note The views expressed in this Perspective are those of the author s and not necessarily of the author s organizations or of the National Academy of Medicine NAM The Perspective is intended to help

    Original URL path: http://nam.edu/perspectives-2012-the-first-step-toward-value-based-health-care/ (2015-07-15)
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  • National Academy of Medicine » More Hospitals Begin to Apply Lessons from Seven Pillars Process
    the University of Illinois Hospital and Health Sciences System UIHHSS in Chicago did not defer that question to their lawyers Instead they investigated their suspicion that a fatal error occurred during Ms Ballog s surgery confirmed that information with the patient s family once it was established apologized and provided a financial settlement for Ms Ballog s young children Importantly the hospital made changes in their anesthesia processes to ensure that the same error would not happen again The Seven Pillars Process This approach known as the Seven Pillars was adopted by UIHHSS in 2006 It is a notable exception in our nation s health care system which still relies heavily on the medical liability system to sort out the myriad issues involved in investigating addressing and preventing patient safety events A full disclosure policy that was adopted in 2001 by the University of Michigan Health System is credited with reducing costs per claim by 50 percent and earning approval of 98 percent of the system s faculty physicians Read more by topic Coverage and Access Health Care Workforce Health Services Public Health Note The views expressed in this Perspective are those of the author s and not necessarily of

    Original URL path: http://nam.edu/perspectives-2012-more-hospitals-begin-to-apply-lessons-from-seven-pillars-process/ (2015-07-15)
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  • National Academy of Medicine » Improving Return on Investment in Health Care by Reducing Overuse and Misuse—Large Employers’ Perspectives
    state legislatures and the Congress are blunt cuts that often affect the most vulnerable and those without political power Changes that take waste out of the system such as not paying for clearly ineffective or redundant care will be resisted by affected economic stakeholders Read more by topic Health Care Workforce Public Health Note The views expressed in this Perspective are those of the author s and not necessarily of

    Original URL path: http://nam.edu/perspectives-2012-improving-return-on-investment-in-health-care-by-reducing-overuse-and-misuse-large-employers-perspectives/ (2015-07-15)
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  • National Academy of Medicine » The Promise of Lean Processes
    help to address these challenges but also can provide models to inform government of practices that could be taken to scale As individual health systems look for innovative approaches to meet these challenges looking outside the health care industry holds promise Read more by topic Public Health Quality and Patient Safety Note The views expressed in this Perspective are those of the author s and not necessarily of the author

    Original URL path: http://nam.edu/perspectives-2012-the-promise-of-lean-processes/ (2015-07-15)
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  • National Academy of Medicine » Our Learning Health Care System Journey
    pharmacies and long term care facilities How will meaningful use achieve its policy goals and bring us to a future state of coordinated care a focus on wellness and broad dissemination of best practices Read more by topic Public Health Quality and Patient Safety Note The views expressed in this Perspective are those of the author s and not necessarily of the author s organizations or of the National Academy

    Original URL path: http://nam.edu/perspectives-2012-our-learning-health-care-system-journey/ (2015-07-15)
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