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  • National Academy of Medicine » Return on Information: A Standard Model for Assessing Institutional Return on Electronic Health Records
    Model for Assessing Institutional Return on Electronic Health Records the authors propose an evaluation model for health system management teams and clinicians to use in calculating the financial implications benefits and costs of implementing and optimizing EHRs and related technologies The paper and the companion financial model are a product of collaboration between participants in the IOM s Digital Learning Collaborative and members of the Healthcare Financial Management Association Despite the compelling policy and business environments for EHR adoption and implementation the authors highlight common logistical and conceptual challenges hindering investment decisions They suggest that a standard model that allows for consistent comparison across EHR implementations can enable more useful assessments of the value of EHR systems and the related process re engineering necessary to realize that value fully The proposed model released in conjunction with the discussion paper is a catalog of categorized benefits expenses and potential revenue impacts and the accounts where these may be captured 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

    Original URL path: http://nam.edu/perspectives-2014-return-on-information-a-standard-model-for-assessing-institutional-return-on-electronic-health-records/ (2015-07-15)
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  • National Academy of Medicine » Bringing a Systems Approach to Health
    outlines several case studies that not only identify and address adoption barriers such as the need for culture shifts and substantial leadership support but also demonstrate the high potential of systems approaches For instance the implementation of systems methods across operations at the Virginia Mason Health System resulted in reduced wait times safety and patient outcome improvements as well as cost reduction Read more by topic Quality and Patient Safety

    Original URL path: http://nam.edu/perspectives-2013-bringing-a-systems-approach-to-health/ (2015-07-15)
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  • National Academy of Medicine » From Pilots to Practice: Speeding the Movement of Successful Pilots to Effective Practice
    many effective pilots conducted across the U S health care system Citing common lessons learned from real pilots across the country from North Carolina to Indiana to Oregon the authors identify several approaches to improve the planning evaluation scale up and spread of effective pilot projects including broader incorporation of scale up tactics at the onset of a project and continuous pilot modification throughout the project s duration Read more

    Original URL path: http://nam.edu/perspectives-2013-from-pilots-to-practice-speeding-the-movement-of-successful-pilots-to-effective-practice/ (2015-07-15)
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  • National Academy of Medicine » Making the Case for Continuous Learning from Routinely Collected Data
    Download PDF In Making the Case for Continuous Learning from Routinely Collected Data the authors suggest that in order to achieve better health patients and clinicians will need to view every health care encounter as providing an opportunity to improve outcomes The paper cites widely reported examples of routinely collected digital health data being applied to improve services inform patients avoid harm and speed research Developed by individual participants from the IOM s Clinical Effectiveness Research Innovation Collaborative it asserts that patients and the public are the most effective advocates for resetting expectations that their data be used to advance knowledge and support continuous learning Citing examples of efforts to engage patients and clinicians in continuous learning efforts the authors see broader application of these approaches as critical to ensuring the success of a learning health system in achieving better care lower costs and improved health Read more by topic Biomedical and Health Research Health Data 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 discussion It has not

    Original URL path: http://nam.edu/perspectives-2013-making-the-case-for-continuous-learning-from-routinely-collected-data/ (2015-07-15)
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  • National Academy of Medicine » Harmonizing Reporting on Potential Conflicts of Interest: A Common Disclosure Process for Health Care and Life Sciences
    Hartzler Warner Paul Weber Dorit Zuk Adam C Berger Isabelle Von Kohorn November 27 2012 Download PDF Harmonizing Reporting on Potential Conflicts of Interest comes in response to the current state of complexity in reporting conflict of interest in health care and life sciences research Developed by individual participants in a joint activity of the IOM s Board on Health Sciences Policy and the Best Practices Innovation Collaborative of the IOM Roundtable on Value Science Driven Health Care the authors present the case for a harmonized conflict of interest disclosure system that would not only reduce the time spent by researchers and health professionals on administrative tasks but may also help to improve the accuracy and clarity of information To further this goal the paper identifies and defines elements for COI reporting that are common to different organizations and agencies involved in health care The authors propose a centralized data repository operated in a not for profit status that is governed and stewarded in a manner which ensures data security while increasing transparency in medical research and clinical practice Read more by topic Health Care Workforce Public Health Quality and Patient Safety Note The views expressed in this Perspective are

    Original URL path: http://nam.edu/perspectives-2012-harmonizing-reporting-on-potential-conflicts-of-interest-a-common-disclosure-process-for-health-care-and-life-sciences/ (2015-07-15)
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  • National Academy of Medicine » Core Principles & Values of Effective Team-Based Health Care
    clarify how these factors shape effective team based care The principles and values reviewed are intended to help guide clinicians patients administrators and other stakeholders in health care seeking high value team based care that focuses on the goals and priorities of patients and their families In its conclusion the discussion paper outlines four themes to guide the growth of team based health care delivery Read the Full Discussion Paper

    Original URL path: http://nam.edu/perspectives-2012-core-principles-values-of-effective-team-based-health-care/ (2015-07-15)
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  • National Academy of Medicine » Communicating with Patients on Health Care Evidence
    Okun Paul Wicks Tresa Undem Valerie Rohrbach Isabelle Von Kohorn September 25 2012 Download PDF Communicating with Patients on Health Care Evidence presents tested messages and insights for engaging effectively with patients on medical evidence Developed by individual participants from the IOM s Evidence Communication Innovation Collaborative the authors surveyed the landscape of existing efforts to communicate evidence effectively and then fielded focus groups and a nationally representative survey The authors research revealed that patients want to be deeply engaged in decisions about their health but current conversations with their clinicians fall short Furthermore patients believe that evidence is at least as important as their clinician s expertise and their own preferences when making health care decisions In its conclusion the discussion paper notes action areas to promote improved health care decision making culture change incentives alignment infrastructure support quality standards and accountability 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 The Perspective is intended to help inform and stimulate discussion It has not been subjected to the review

    Original URL path: http://nam.edu/perspectives-2012-communicating-with-patients-on-health-care-evidence/ (2015-07-15)
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  • National Academy of Medicine » Demanding Value from Our Health Care: Motivating Patient Action to Reduce Waste in Health Care
    past three decades Martin et al 2012 causing stress on family employer and government budgets Furthermore these expenses contain substantial waste and often do not improve patient health One important way to improve this situation is by engaging patients and the public around value There are numerous challenges to achieving this goal including several unanswered questions about how best to routinely approach patients on the issue Yet some insights are developing First the success of value initiatives depends on their understanding of and connection to patient goals motivations values and aspirations To further engage people around value requires that comparative cost and quality information is available and comprehensive enough to support individuals care decisions Finally value needs to be embedded in all aspects of health care decisions from incentives to benefit design to support patients and consumers as they seek to increase the value they achieve from their care Given the size of the task effective change will require coordinated efforts from all stakeholder groups 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

    Original URL path: http://nam.edu/perspectives-2012-demanding-value-from-our-health-care-motivating-patient-action-to-reduce-waste-in-health-care/ (2015-07-15)
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