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  • National Academy of Medicine » Public Health
    cost of health and quality of health care but they find Read More March 06 2014 by Straton Mwashighadi 0 Comment Public Health Governmental Public Health and the Economics of Adaptation to Population Health In this discussion paper Glen Mays describes recent experimentation with population health strategies that has been spurred by the ACA and by state health reform Population health strategies involve varied stakeholders in the public and private sectors The evolution in the landscap Read More March 06 2014 by Rowena Gono 0 Comment Public Health Paying for Population Health A Texas Innovation In this discussion paper local public health official Thomas Schlenker describes one state s creative use of the Medicaid waiver Through the waiver program CMS allows states to reallocate funds in ways that improve Medicaid program effectiveness and efficiency In Texas the Read More February 06 2014 by Straton Mwashighadi 0 Comment Public Health Health Literacy as an Essential Component to Achieving Excellent Patient Outcomes The U S population is more diverse than ever before in terms of race ethnicity language socioeconomic status and education level In order to adequately serve these changing demographics health care organizations must provide all persons with the ability to obtain process and Read More January 28 2014 by Rowena Gono 0 Comment Public Health Designing Health Literate Mobile Apps As mobile devices become more popular mobile health applications mHealth apps present opportunities to improve health and wellness However poorly designed mHealth apps can contribute to the challenges many people have understanding and acting on health information challenges that Read More January 28 2014 by Sarah 0 Comment Public Health Designing Health Literate Mobile Apps As mobile devices become more popular mobile health applications mHealth apps present opportunities to improve health and wellness However poorly designed mHealth apps can contribute

    Original URL path: http://nam.edu/tag/public-health/page/4/ (2015-07-15)
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  • National Academy of Medicine » Public Health
    Health Health Metrics Public Health A Bold Proposal for Advancing Population Health In his discussion paper Stephen Shortell identifies a key requirement to move us from being a culture of sickness and care to being a culture of health making changes in how we pay for health To effect this transition the nation needs partnerships that transcend sector boundaries Read More August 08 2013 by Keenan Faulkner 0 Comment Public Health Integrating Health Literacy with Health Care Performance Measurement Health literacy is the degree to which individuals have the capacity to obtain process and understand basic health information and services needed to make appropriate health decisions Health literacy affects health outcomes and is critical for ensuring safe patient centered equit Read More July 26 2013 by Keenan Faulkner 0 Comment Public Health Building Capacity for Population Intervention Research in Primary Care Rising health care costs increasing prevalence of chronic disease persisting health care disparities and access issues and the aging population underlie the urgent need for change in the U S health care system to simultaneously improve health and reduce costs 1 3 This imperative e Read More July 16 2013 by Keenan Faulkner 0 Comment Public Health A Few Nudges for the Choosing Wisely Campaign As discussed by Christine Cassel of the American Board of Internal Medicine in an Institute of Medicine IOM commentary on June 14 2013 the Choosing Wisely campaign unites more than 25 medical specialty societies each agreeing to identify Five Things Physicians and Patients Shoul Read More June 28 2013 by Keenan Faulkner 0 Comment Public Health Quality and Patient Safety Amplifying the Voice of the Underserved in the Implementation of the Affordable Care Act In April 2013 in collaboration with the Connecticut Health Foundation the Institute of Medicine s IOM s Roundtable on the

    Original URL path: http://nam.edu/tag/public-health/page/5/ (2015-07-15)
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  • National Academy of Medicine » Public Health
    public health capacity is diminishing outbreaks of microbial threats are not In 2012 there were a number of high profile threats see the box on the right that demanded public health intervention to protect the public It is well understood that the role of a physi Read More March 22 2013 by Keenan Faulkner 0 Comment Diseases Public Health Metrics for Comparing User Experiences in Health IT In this discussion paper David Classen M D M S from the University of Utah School of Medicine and Pascal Metrics a patient safety organization describes how user experiences with Electronic Health Record systems from commercial vendors could be made publicly available This re Read More January 24 2013 by Keenan Faulkner 0 Comment Coverage and Access Health Services Public Health Quality and Patient Safety It Matters How We Define Health Care Equity Equity is not a contemporary concept The Oxford English Dictionary defines equity as the quality of being fair and impartial equity of treatment A branch of law that developed alongside common law in order to remedy some of its defects in fairness and justice formerly administere Read More January 18 2013 by Keenan Faulkner 0 Comment Coverage and Access Health Services Public Health Ounces of Prevention Health Impact Assessments Can Help Improve Public Policy Health Outcomes When I was a resident I cared for an asthmatic boy who had been in and out of the hospital 3 times in 8 weeks Each time we sent him home with an escalating regimen of medications and each time his symptoms only worsened After his mother told me that they lived in a run down apar Read More January 11 2013 by Rowena Gono 0 Comment Children Youth and Familes Diseases Health Care Reform Public Health Select Populations and Health Disparities Harmonizing Reporting

    Original URL path: http://nam.edu/tag/public-health/page/6/ (2015-07-15)
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  • National Academy of Medicine » Public Health
    Electronic health records EHRs and other forms of health information technology IT hold the promise of transforming the way health care is delivered in the United States improving quality and safety while lowering costs But after a decade of experience concerns hav Read More September 14 2012 by Denise Walker 0 Comment Public Health Quality and Patient Safety The First Step Toward Value Based Health Care Pursuit of value based health care is now the elect aim of health policy in the United States But caution is 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 September 07 2012 by Denise Walker 0 Comment Health Care Workforce Public Health More Hospitals Begin to Apply Lessons from Seven Pillars Process When the family of Michelle Malizzo Ballog found out that their daughter s 2008 death had been caused by a preventable medical error one question trumped all others How could this have happened To the family s surprise and relief officials at the University of Illinois Hospital an Read More August 24 2012 by Keenan Faulkner 0 Comment Coverage and Access Health Care Workforce Health Services Public Health Improving Return on Investment in Health Care by Reducing Overuse and Misuse Large Employers Perspectives As politicians face the disturbing consequences of high health care costs on federal state and local budgets the need to act will likely drive unwise decisions Typical responses to severe cost pressures as we have seen in state legislatures and the Congress are blunt cuts that o Read More August 10 2012 by Denise Walker 0 Comment Health Care Workforce Public Health The Promise of Lean Processes American health care faces challenges in access cost and quality and in

    Original URL path: http://nam.edu/tag/public-health/page/7/ (2015-07-15)
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  • National Academy of Medicine » Public Health
    Time Four years ago UCLA s medical center was ranked as an honor roll hospital by U S News and World Report but our patients would seldom refer us to a friend We skillfully performed today s health care miracles organ transplants complex neurosurgical repairs and saved the lives of Read More April 20 2012 by Denise Walker 0 Comment Health Care Workforce Public Health The Clinical Trials Enterprise in the United States A Call for Disruptive Innovation Over the past decade the symbiotic relationship between the clinical trials enterprise CTE and the health care delivery system has been subject to increasing amounts of stress During this period the CTE has primarily focused on process improvement seeking to create and maintain Read More April 20 2012 by Denise Walker 0 Comment Biomedical and Health Research Public Health Quality and Patient Safety The Clinical Trials Enterprise in the United States A Call for Disruptive Innovation Over the past decade the symbiotic relationship between the clinical trials enterprise CTE and the health care delivery system has been subject to increasing amounts of stress During this period the CTE has primarily focused on process improvement seeking to create and maintain Read More April 20 2012 by Keenan Faulkner 0 Comment Biomedical and Health Research Public Health Quality and Patient Safety A Path to Accountable Care With all the attention being paid to emerging accountable care organizations throughout the country a California model is delivering measurable results Catholic Healthcare West CHW now Dignity Health Hill Physicians Medical Group and Blue Shield of California had preliminary c Read More April 06 2012 by Denise Walker 0 Comment Health Care Workforce Public Health Quality and Patient Safety Surgical Complexity Initiative A basic aim of effective and efficient health care is ensuring the right match between the

    Original URL path: http://nam.edu/tag/public-health/page/8/ (2015-07-15)
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  • National Academy of Medicine » Public Health
    meeting for Institute of Medicine IOM staff I delivered a version of my 2011 Frank A Calderone Prize Lecture which included reference to the seven deadly sins As originally enunciated by Pope Gregory I in 590 A D the deadly sins are lust sloth gluttony greed wr Read More January 27 2012 by Keenan Faulkner 0 Comment Aging Biomedical and Health Research Children Coverage and Access Diseases Education Environmental Health Food and Nutrition Global Health Health Care Workforce Health Services Public Health Quality and Patient Safety Select Populations and Health Disparities Substance Abuse and Mental Health Veteran s Health Women s Health Youth and Families Free Employee Flu Shots Pay Prevention Dividends As is the case every year millions of Americans will contract influenza this flu season and thousands will die During the 2009 10 season alone when H1N1 set off the world s first flu pandemic in 40 years more than an estimated 12 000 Americans lost their lives to the new and diff Read More January 27 2012 by Denise Walker 0 Comment Diseases Public Health Walking Our Way to Better Health We are spending 2 8 trillion dollars each year in the United States on health care far more than any other country in the world Interestingly more than 75 percent of that sum is going toward chronic diseases Chronic conditions can actually be prevented Chronic diseases have two ma Read More January 27 2012 by Keenan Faulkner 0 Comment Food and Nutrition Public Health Benefit Design Should Reflect Value In 1965 when Medicare was enacted spending for prescription drugs was less than 4 billion so low that no one thought to include a drug benefit as part of Medicare By 2003 the cost and importance of drug therapy was so high that Medicare Part D was

    Original URL path: http://nam.edu/tag/public-health/page/9/ (2015-07-15)
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  • National Academy of Medicine » Violence Prevention: Moving from Evidence to Implementation
    older In the same year homicide was ranked as the second leading cause of death for 15 to 24 year olds according to the National Vital Statistics System And the Department of Health and Human Services estimated that in 2011 1 6 million referrals were screened for child abuse or neglect Despite encouraging reports of reductions in violence in the United States these data demonstrate that millions of individuals including children are subjected to violence every year The magnitude of the prevalence of violence underscores the need to implement programs that have demonstrated effectiveness to prevent violence Fortunately the evidence for strategies programs and interventions to prevent violence has grown during the last few decades and the ability to access this evidence has been transformed by technological developments However there are challenges when implementing evidence based violence prevention programs This discussion paper identifies progress in the growth and accessibility of the evidence base for violence prevention and highlights several challenges in implementing evidence based interventions Read more by topic Children Youth and Familes Children s 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

    Original URL path: http://nam.edu/perspectives-2013-violence-prevention-moving-from-evidence-to-implementation/ (2015-07-15)
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  • National Academy of Medicine » Essential Stewardship Priorities for Academic Health Systems
    develop the ten essential priorities for Academic Health Systems in navigating the evolving health care terrain Recognizing that Academic Health Systems AHSs must adapt in order to continue to fulfill their responsibilities as the leaders of research education and care delivery the authors put forth the list of priorities as a grounding framework for developing new and innovative models of care re engineering education programs and streamlining the bench to bedside translation of biomedical research Developing a diverse and well coordinated health workforce and increasing collaboration among stakeholders will be a central component to AHSs ability to steward a continuously learning and improving health system Accompanying this Discussion Paper is the related Academic Health System Case Material providing illustrative examples of the ways in which these institutions are working to improve care innovation and values operate at the frontier of biomedical science strengthen workforce culture competence and capacity and build partnerships and leadership Other institutions are invited and encouraged to submit material from their own experiences which may be included in later updates to vsrt nas edu Read more by topic Academic Health Systems Biomedical and Health Research Health Care Workforce Public Health Note The views expressed in this Perspective

    Original URL path: http://nam.edu/perspectives-2013-essential-stewardship-priorities-for-academic-health-systems/ (2015-07-15)
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