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  • National Academy of Medicine » Treating a Chronic Condition: Efforts to Reduce Avoidable Readmissions at U.S. Hospitals
    for Medicare Medicaid Services CMS reported that the 30 day all cause readmission rate had decreased to 17 8 percent after averaging 19 percent for the past 5 years This improvement translates to 70 000 fewer readmissions in 2012 but more importantly it means that real people behind these numbers didn t have to return to the hospital unnecessarily This of course is good news and demonstrable evidence that CMS s Hospital Readmissions Reduction Program is moving the needle in the right direction The program currently reduces Medicare reimbursements for hospitals with high rates of heart attack heart failure and pneumonia readmissions For fiscal year 2014 CMS recommends a revised methodology to take into account planned readmissions for the existing three measures and for fiscal year 2015 proposes two new measures readmissions for hip knee arthroplasty and chronic obstructive pulmonary 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 review procedures of nor is

    Original URL path: http://nam.edu/perspectives-2013-treating-a-chronic-condition-efforts-to-reduce-avoidable-readmissions-at-u-s-hospitals/ (2015-07-15)
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  • National Academy of Medicine » Forging Collaboration Within Academia and Between Academia and Health Care Delivery Organizations: Importance, Successes, and Future Work
    been sponsoring for the past several years Interprofessional education IPE defined by the World Health Organization as persons from two or more professions learning with from and about each other in order to achieve better patient outcomes offers the potential to generate such teamwork when implemented more frequently effectively and ideally pervasively IPE is not a new concept An IOM report released in 1972 Educating for the Health Team 2 advocated for IPE Some institutions have attempted to incorporate IPE but until recently it has struggled to take hold There are a number of challenges that must be faced and several of the Macy Foundation s grants address these For instance there is now a growing number of different universities one perhaps having a medical school another having a nursing school or a school of pharmacy that are collaborating on IPE The University of Colorado University of Minnesota and University of Washington have all launched successful school wide approaches to IPE involving multiple health professional schools An example of a successful IPE collaboration across different academic institutions is Hunter College s nursing public health and social work collaboration with Weill Cornell medicine Read more by topic Quality and Patient Safety

    Original URL path: http://nam.edu/2013-forging-collaboration-within-academia-and-between-academia-and-health-care-delivery-organizations-importance-successes-and-future-work/ (2015-07-15)
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  • National Academy of Medicine » A Continuously Learning Health Care System in the United States
    in the report Best Care at Lower Cost The necessity of such a system arose from the IOM s Quality Chasm series which proposed the spread of learning organizations as a method to improve the efficiency speed and effectiveness of information sharing and innovation among clinicians payers vendors and particularly patients and consumers To move from the idea of a continuously learning health care system to its implementation the IOM engaged an expert committee the Comittee on the Learning Healthcare System in America to investigate the possibilities and limitations that might exist in the capture and employment of patient focused knowledge collected from clinicians researchers and educators Mary Naylor of the University of Pennsylvania School of Nursing provided the perspective of nurses the largest group of clinicians involved in patient care on this committee Her work helped the committee develop approaches to the problems of a complex health care system that are timely relevant to nurses and important for patients 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

    Original URL path: http://nam.edu/perspectives-2013-a-continuously-learning-health-care-system-in-the-united-states/ (2015-07-15)
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  • National Academy of Medicine » A Few Nudges for the Choosing Wisely Campaign
    some of their most profitable practices But physicians hold themselves to a higher standard and Choosing Wisely proves it This leadership comes not a moment too soon As the IOM reminds us unnecessary services help drive more than 750 billion in wasted spending each year and countless patients suffer unnecessary pain distress disability and sometimes death Read more by topic Public Health Quality and Patient Safety Note The views expressed

    Original URL path: http://nam.edu/perspectives-2013-a-few-nudges-for-the-choosing-wisely-campaign/ (2015-07-15)
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  • National Academy of Medicine » Choosing Wisely: Grounded in Physician Professionalism
    needed and provides benefit But often physicians say they have difficulty saying no to patients requests for tests or treatments Research by Eric Campbell at the Mongan Institute for Health Policy found that more than one third of physicians said they would accommodate a patient who badly wanted a test even if the physician knew it was unnecessary Read more by topic Coverage and Access Health Services Quality and Patient

    Original URL path: http://nam.edu/perspectives-2013-choosing-wisely-grounded-in-physician-professionalism/ (2015-07-15)
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  • National Academy of Medicine » A Win for the Learning Health System
    difficult problems in the learning health system health care associated infections are such problems They are among the most serious complications of health care and are increasingly demonstrated to be avoidable 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

    Original URL path: http://nam.edu/perspectives-2013-a-win-for-the-learning-health-system/ (2015-07-15)
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  • National Academy of Medicine » Transparency: A Patient’s Right to Know
    of transparency is upon us and it s redefining the way hospitals deliver care to patients As health care moves from a system that rewards volume by paying for every procedure to one that rewards value by paying for outcomes transparency is not only the right thing to do but also the pragmatic thing to do Read more by topic Health Data Note The views expressed in this Perspective are

    Original URL path: http://nam.edu/perspectives-2013-transparency-a-patients-right-to-know/ (2015-07-15)
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  • National Academy of Medicine » Achieving Clinical Quality and Patient Safety: Education and Research as Critical Success Factors
    Health care delivery is changing in virtually every domain affecting primary tertiary and quaternary care crossing disciplines and engaging all health professions and involving both processes and outcomes of care All of these changes are marked by a major overarching theme quality improvement and patient safety QI PS Simultaneously medical research is shifting broadening its scope to include health care delivery or implementation science studies of what works in health care Parallel to the changes in health care delivery and reinforced by the strengthening of health care delivery research there is a similar evolution occurring in medical education Possibly less familiar these changes are no less profound Academic medical centers AMCs and teaching hospitals in the United States are leading a major shift in the content and process of medical education through new models of competency based learning and assessment and interprofessional team based care 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 review

    Original URL path: http://nam.edu/perspectives-2013-achieving-clinical-quality-and-patient-safety-education-and-research-as-critical-success-factors/ (2015-07-15)
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