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  • National Academy of Medicine » A Glide Path to High-Value Health Care
    of providing coordinated team based care and managing the entire patient focused episode and communities that support healthy lifestyles and provide access to health care for all Creating an accountability environment of value based payment and public reporting programs that rewards better outcomes at lower cost is critical to achieving this vision Read more by topic Health Care Workforce Note The views expressed in this Perspective are those of the

    Original URL path: http://nam.edu/perspectives-2012-a-glide-path-to-high-value-health-care/ (2015-07-15)
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  • National Academy of Medicine » Applying Innovation to the Work of Government: A Case Study of the Office of the National Coordinator for Health IT
    Clinical Health HITECH Act provided financial incentives for health care professionals and hospitals to adopt and meaningfully use certified EHRs It also allocated 2 billion to build the infrastructure needed to deploy interoperable and secure EHRs nationwide Read more by topic Health Care Workforce Quality and Patient Safety About the Author Social Share 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-applying-innovation-to-the-work-of-government-a-case-study-of-the-office-of-the-national-coordinator-for-health-it/ (2015-07-15)
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  • National Academy of Medicine » Bringing Knowledge Home
    can help physicians and nurses identify the most effective courses of treatment for their patients and it is an almost immediate process In less than 3 seconds Watson can sift through the equivalent of about 200 million pages evaluate the information and provide precise responses With medical information doubling every 5 years advanced health analytic systems technologies like this can help improve patient care through the delivery of up to

    Original URL path: http://nam.edu/perspectives-2012-bringing-knowledge-home/ (2015-07-15)
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  • National Academy of Medicine » Care Transformation at Emory Hospital
    Chasm in 1999 and 2001 respectively were markers of a tipping point in U S health care Prior to that time quality in health care had largely been defined by innovation and cutting edge diagnostic and therapeutic interventions The challenge issued by these IOM reports and the quality movement in general was to continue such innovations but at the same time to markedly improve the reliability and safety of the delivery of the more routine elements of care Central to the new dogma was a growing appreciation that the limits of human performance are such that high reliability care cannot be based on a model of individual perfection but rather requires an approach built on highly effective teamwork and intentional process redesign While tools ranging from simple checklists to sophisticated disciplines such as Six Sigma and Lean can be extremely helpful culture plays a central role in achieving these goals Read more by topic Health Care Workforce 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

    Original URL path: http://nam.edu/perspectives-2012-care-transformation-at-emory-hospital/ (2015-07-15)
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  • National Academy of Medicine » 2012 – Trying to Practice What I Preached: Helping My Parents at the End of Their Lives
    did not relate was how hard it was to put into practice for my own family the principles I had been espousing all those years Mom and Dad moved to El Cerrito California in 1954 into a small house north of Berkeley with a splendid view of the Golden Gate Bridge Around age 80 Mom slipped into the early phases of Alzheimer s dementia Dad made the decision to keep her home where she remained until her death at age 91 She had home health aides and was comfortable although it was painful to watch her previously keen intelligence fade month by month Before she became ill Mom and Dad had asked me how to prevent falling into the patterns of aggressive care like cancer chemotherapy for advanced disease that had befallen several of their friends Easy I replied your physicians were trained at the UCSF program that I headed and they have lots of good common sense Even so there were problems Mom s primary care physician was evaluated on criteria that included percentages of patients receiving Pap smears and mammograms so Mom got those every year even though she was not a surgical candidate And then there was the painful Mohs procedure for a facial basal cell carcinoma that was performed to prevent subsequent spread and scarring that occurred at a time when she had stopped talking and had to be fed I found it difficult during my cross country visits to persuade the devoted attendants and my father to forgo those interventions I also felt uncomfortable Was I being callous by denying my own mother medical care that experts thought she needed Still Mom had what we might consider a good death at home under hospice care and with small doses of morphine the last few days

    Original URL path: http://nam.edu/perspective-2012-trying-to-practice-what-i-preached-helping-my-parents-at-the-end-of-their-lives/ (2015-07-15)
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  • National Academy of Medicine » Healing Humankind One Patient at a Time
    complex neurosurgical repairs and saved the lives of those ravaged by trauma Why wouldn t those un der our care tell their friends to come to UCLA Were we so enamored of technical expertise that we neglected to listen to our patients and their families 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

    Original URL path: http://nam.edu/perspectives-2012-healing-humankind-one-patient-at-a-time/ (2015-07-15)
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  • National Academy of Medicine » A Path to Accountable Care
    and Blue Shield of California had preliminary conversations in early 2007 to find ways to work together that could lead to material improvements in the delivery system They envisioned a delivery model that realigned incentives between the hospital medical group and health plan to promote coopera tion and integration in a financially viable way for all parties This model also incorporated aggressive cost saving initiatives to reduce waste and duplication not just shift cost within the system The parties would accomplish this vision through In depth population assessment Identify cost drivers and develop interventions based on clinical best practices to address those costs Data sharing Share clinical and case management information in order to re move redundancies Cross organizational collaboration Assemble a multi organizational and multi disciplinary team to establish a baseline of current processes and develop new integrated innovative care processes tailored to the care needs of the population and to the individual patient Read more by topic Health Care Workforce 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 of Medicine NAM The Perspective is

    Original URL path: http://nam.edu/perspectives-2012-a-path-to-accountable-care/ (2015-07-15)
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  • National Academy of Medicine » Continuous Adoption of Best Practices: The New Normal
    and redesigned processes of care and service The result is countless stories of improved outcomes from every type of health care delivery organization and from every part of the country The opportunity now in front of us is to identify and implement the most effective ways to spread improvement so that we can continuously adopt best practices Read more by topic Health Care Workforce Quality and Patient Safety Note The

    Original URL path: http://nam.edu/perspectives-2012-continuous-adoption-of-best-practices-the-new-normal/ (2015-07-15)
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