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  • National Academy of Medicine » Surgical Complexity Initiative
    Veterans This is the first national effort to align the complexity of surgical procedures performed by a Veterans Health Administration VHA facility with that facility s demonstrated infrastructure e g ICU critical care coverage professionals trained in necessary specialties The new initiative ensures that VHA surgical programs practice within the scope of their available resources thereby avoiding potential complications often associated with surgical mission creep The initiative was developed in response to patient incidents at a facility in 2007 in which the root cause was determined to include the performance of surgical procedures without the necessary supporting infrastructure To address this issue VHA s efforts centered around three basic steps The first step was to develop two matrices the Procedure Infrastructure Matrix and the Surgical Complexity Matrix The Procedure Infrastructure Matrix designates the in frastructure requirements for a VHA facility with an inpatient surgical program as one of three levels standard intermediate or complex The Surgical Complexity Matrix uses the same designations to categorize surgical procedures based on Current Procedure Terminology CPT code Read more by topic Coverage and Access Health Care Workforce Health Services Public Health Quality and Patient Safety Note The views expressed in this Perspective are those

    Original URL path: http://nam.edu/perspectives-2012-surgical-complexity-initiative/ (2015-07-15)
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  • National Academy of Medicine » Controlling Costs: A Distinction and Our Choice
    all seem to agree that we should be working to create a high value high performance health marketplace with greater access better quality and lower cost 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-controlling-costs-a-distinction-and-our-choice/ (2015-07-15)
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  • National Academy of Medicine » Taking Aim at the Right Targets
    to harm patients Less common but entirely preventable events such as wrong site surgery and retained foreign objects following surgery to name just two have not abated despite major efforts aimed at eliminating them This lackluster history of combating preventable harm to patients may not be due to the fact that we have the wrong solutions Rather we have not fully understood the problems that the solutions are meant to address We have tended to rely on best practices toolkits protocols checklists and solution bundles as if they are magic bullets These generalized approaches are most successful when a process such as insertion of central lines in ICU patients varies little from place to place and the causes of failure are few and common Such circumstances are rare Most persistent safety problems are laden with greater complexity and variation Addressing these requires an approach that can uncover the many underlying causes of the same problem recognize the variability in underlying causes from place to place and customize solutions to directly target the factors in play 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

    Original URL path: http://nam.edu/perspectives-2012-taking-aim-at-the-right-targets/ (2015-07-15)
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  • National Academy of Medicine » Walking Our Way to Better Health
    good news is we can remedy inactivity fairly easily When you look at all of the options available for improving health the analysis points to one behavioral change that has both the highest potential to have an impact and the highest potential to actually be done by people That high impact high potential behavior is very simply walking The human body is made to walk and we do not walk

    Original URL path: http://nam.edu/perspectives-2012-walking-our-way-to-better-health/ (2015-07-15)
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  • National Academy of Medicine » Innovating to Improve Care and Manage Costs
    way innovators have sought to address the paradox of innovating to improve care and manage costs is through integration of care another is the application of evidence based practices and metrics 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 of Medicine NAM

    Original URL path: http://nam.edu/perspectives-2012-innovating-to-improve-care-and-manage-costs/ (2015-07-15)
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  • National Academy of Medicine » Benefit Design Should Reflect Value
    drug benefit as part of Medicare By 2003 the cost and importance of drug therapy was so high that Medicare Part D was enacted Read more by topic Health Services 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 inform and stimulate

    Original URL path: http://nam.edu/perspectives-2012-benefit-design-should-reflect-value/ (2015-07-15)
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  • National Academy of Medicine » Free Employee Flu Shots Pay Prevention Dividends
    off the world s first flu pandemic in 40 years more than an estimated 12 000 Americans lost their lives to the new and different respiratory virus or its complications Read more by topic Diseases 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

    Original URL path: http://nam.edu/perspectives-2012-free-employee-flu-shots-pay-prevention-dividends/ (2015-07-15)
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  • National Academy of Medicine » Social Networking Sites and the Continuously Learning Health System: A Survey
    2014 Download PDF In Social Networking Sites and the Continuously Learning Health System A Survey the authors report findings that 94 percent of U S adult social media users with health conditions strongly endorse sharing their health data anonymously to help improve health care The discussion paper and a companion commentary were written by participants in the IOM s Evidence Communication Innovation Collaborative The survey also finds that respondents willingness to share data for society s benefit outweighs lingering concerns that sharing health data still carries some degree of risk For instance 76 percent of American social media users with a medical condition believe that data from their personal health record potentially could be used without their knowledge The authors conclude by arguing for balanced policies that allow for the sales of goods and services based on users data but also protect users from potential harm 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-2014-social-networking-sites-and-the-continuously-learning-health-system-a-survey/ (2015-07-15)
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