Engineering a Learning Healthcare System

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309120647
Release Date: 2011-06-14
Genre: Medical

Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system--one that increasingly is more effective, more efficient, safer, and higher quality--is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

New Law and Ethics in Mental Health Advance Directives

Author: Penelope Weller
Publisher: Routledge
ISBN: 9780415532945
Release Date: 2013
Genre: Law

The recognition of positive rights and the growing impact of human rights principles has recently orchestrated a number of reforms in mental health law, bringing increasing entitlement to an array of health services. In this book, Penelope Weller considers the relationship between human rights and mental health law, and the changing attitudes which have led to the recognition of a right to demand treatment internationally. Weller discusses the ability of those with mental health problems to use advance directives to make a choice about what treatment they receive in the future, should they still be unable to decide for themselves. Focusing on new perspectives offered by the Conventions on the Rights of Persons with Disabilities (CRPD), Weller explores mental health law from a variety of international perspectives including: Canada, Australia, New Zealand and the United Kingdom, where policies differ depending on whether you are in England and Wales, or Scotland. These case studies indicate how human rights perspectives are shifting mental health law from a constricted focus upon treatment refusal, towards a recognition of positive rights. The book covers topics including: refusing treatment new approaches in human rights international perspectives in mental health law the right to demand treatment. The text will appeal to legal and mental health professionals as well as academics studying mental health law, and policy makers.

Crossing the Quality Chasm

Author: Committee on Quality of Health Care in America
Publisher: National Academies Press
ISBN: 9780309072809
Release Date: 2001-07-19
Genre: Medical

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Family Support and Family Caregiving across Disabilities

Author: George H.S. Singer
Publisher: Routledge
ISBN: 9781317979135
Release Date: 2014-06-11
Genre: Family & Relationships

Family members provide the majority of care for individuals with disabilities in the United States. Recognition is growing that family caregiving deserves and may require societal support, and evidence-based practices have been established for reducing stress associated with caregiving. Despite the substantial research literature on family support that has developed, researchers, advocates and professionals have often worked in separate categorical domains such as family support for caregiving for the frail elderly, for individuals with mental illness, or for people with development disabilities. Family Support and Family Caregiving across Disabilities addresses this significant limitation through cross-categorical and lifespan analyses of family support and family caregiving from the perspectives of theory and conceptual frameworks, empirical research, and frameworks and recommendations for improvements in public policy. The book also examines children with disabilities, children with autism, adults with schizophrenia, and individuals with cancer across the life cycle. This book was published as a two-part special issue in the Journal of Family Social Work.

Family caregiving in mental illness

Author: Harriet P. Lefley
Publisher: Sage Publications, Inc
ISBN: 0803957203
Release Date: 1996-01-18
Genre: Medical

"This is the most comprehensive book to-date about the role that families play in caring for adults with mental illness. Unique to this volume is an examination of caregiving roles from an historical perspective as well as from the perspective of various caregiving relationships--parents, adult children, and siblings. Of special importance is Dr. Lefley's delineation of the nature of caregiving throughout the life cycle of the family." Agnes B. Hatfield, Ph.D., University of Maryland at College Park "I find Harriet Lefley's new book Family Caregiving in Mental Illness to be extremely thoughtful and comprehensive. It is all here--family theories and research, caregiving in the context of changes in the family life cycle, coping strategies, cross-cultural issues, advocacy, patient rights, and mental health policy. Dr. Lefley is the expert of experts when it comes to family caregiving in serious mental illness. The book is very readable and accessible to family members, social workers, and policymakers. It represents another big step in Dr. Lefley's courageous effort to bring family issues to public attention." --Richard Tessler, Ph.D. University of Massachusetts Deinstitutionalization suddenly catapults family members into being the primary caregivers for functionally impaired adults who are diagnosed with mental illness. This role as caregiver is one that family members are untrained and unprepared for. In Family Caregiving in Mental Illness, author Harriet Lefley explores the experiences of those giving care for adults with mental illness. She thoughtfully examines the unique characteristics and conceptual models related to mental illness and then surveys the experience of mental illness in the context of the family life cycle and developmental stages of the illness. Family burden, including social stigma; treatment barriers; iatrogenic stress; and the relationship between the patient and caregiver are appraised while the influence on other family members is highlighted. The stages of familial response, specific types of coping strategies, and professional and nonclinical services for families are reviewed, along with positive affects on the family's welfare. Finally, cultural factors affecting family caregiving are discussed in the international context and in terms of ethnic differences within the United States. Also considered are the impact of advocacy movements on caregivers, the legal and ethical barriers to care, alternative models to family caregiving, and the maintenance and growth of consumer-run services. All professionals working with persons with mental illness as well as researchers and students in this area will find Family Caregiving in Mental Illness illuminating and valuable.

Beyond the HIPAA Privacy Rule

Author: Committee on Health Research and the Privacy of Health Information: The HIPAA Privacy Rule
Publisher: National Academies Press
ISBN: 9780309124997
Release Date: 2009-02-24
Genre: Computers

In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.

The Caring Self

Author: Clare L. Stacey
Publisher: Cornell University Press
ISBN: 9780801476990
Release Date: 2011-07-07
Genre: Medical

Stacey draws on observations of and interviews with aides working in Ohio and California to explore the physical and emotional labor associated with the care of others.

Patient Advocacy for Health Care Quality Strategies for Achieving Patient Centered Care

Author: Jo Anne L. Earp
Publisher: Jones & Bartlett Publishers
ISBN: 9780763765255
Release Date: 2008-05-02
Genre: Medical

As a contribution to the emerging healthcare quality movement, Patient Advocacy for Healthcare Quality: Strategies for Achieving Patient-Centered Care is distinct from any others of its kind in its focus on the consumer s perspective and in its emphasis on how advocacy can influence change at multiple social levels. This introductory volume synthesizes patient advocacy from a multi-level approach and is an ideal text for graduate and professional students in schools of public health, nursing and social work.Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition."

Improving the Quality of Health Care for Mental and Substance Use Conditions

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133661
Release Date: 2006-03-29
Genre: Medical

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation’s economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Primary Care

Author: Barbara Starfield
Publisher: Religion in America
ISBN: 0195125436
Release Date: 1998
Genre: Medical

In Primary Care: Balancing Health Needs, Services, and Technology, Barbara Starfield presents evidence of the positive impact of primary care on the health of populations and provides innovative methods to evaluate the attainment and contribution primary care systems and practitioners. Thisvolume is a valuable extension of the author's 1992 book on primary care, underscoring two additional areas: the role of primary care in facilitating equity in health services, and the emerging overlap between clinical medicine and public health. As primary care increasingly informs health caredecision-making throughout the world, this updated edition is critical for the future trajectory of health policy.

A Textbook of Family Medicine

Author: Ian R. McWhinney
Publisher: New York : Oxford University Press
ISBN: 019511518X
Release Date: 1997
Genre: Medical

Since the previous edition of Ian McWhinney's text was published in 1989, family medicine has assumed an increasingly important role in the modern health care system. The growth of managed care in The United States and of similar movements in other countries has made it more important than ever to define and conceptualize the discipline and to synthesize its body of knowledge and skills. The author brings to this task a lifetime's experience in family practice and academic family medicine. The first edition was widely acclaimed for its originality, depth of analysis, and elegant style. The book has now been extensively revised, while retaining its original structure. The first ten chapters are devoted, as before, to a conceptualization and description of the field, Much new material has been added on the patient-centered clinical method, illness narratives, the biological basis of family medicine, health promotion, the concept of risk, and the contribution of evidence-based medicine. Chapter 9 now includes an authoritative review of evidence-based preventive strategies. The five clinical chapters exemplify the application of basic principles in practice. These have all been updated with the results of new research. The chapters on the practice of family medicine cover such topics as home care, records and practiced management. The revisions of these reflect many changes that have occurred since the first edition. A new chapter on alternative (complementary) medicine fills the need for reliable information on this topic. The book has been designed to be read as a whole, with fundamental ideas forming a continuous thread which runs through all its sections.

Innovative Care for Chronic Conditions

Author: Sheri Pruitt
Publisher: World Health Organization
ISBN: 9789241590174
Release Date: 2002-06-02
Genre: Law

The dramatic increase in chronic conditions, including noncommunicable diseases, mental disorders, and certain communicable diseases such as HIV/AIDS demands creative action. The WHO created this document to alert decision-makers throughout the world about these important changes in global health, and to present health care solutions for managing this rising burden.

Sociological abstracts

Author: Leo P. Chall
Publisher:
ISBN: STANFORD:36105011674467
Release Date: 1992
Genre: Sociology

CSA Sociological Abstracts abstracts and indexes the international literature in sociology and related disciplines in the social and behavioral sciences. The database provides abstracts of journal articles and citations to book reviews drawn from over 1,800+ serials publications, and also provides abstracts of books, book chapters, dissertations, and conference papers.

Patient Engagement

Author: Guendalina Graffigna
Publisher: Walter de Gruyter GmbH & Co KG
ISBN: 9783110452440
Release Date: 2016-01-01
Genre: Psychology

Following the Consumer Psychology perspective, this book offers healthcare professionals, policy makers, academics and experts of new technologies a comprehensive theoretical vision on patient engagement. Rigorous and readable, this timely manifesto presents a new model of patient engagement in healthcare, emphasizing its value in improving patient care, safety, and outcomes and in leading to healthcare innovation.

Primary Care

Author: Molla S. Donaldson
Publisher: National Academies
ISBN: NAP:13650
Release Date: 1996-09-05
Genre: Medical

Introduction -- Defining primary care -- The value of primary care -- The nature of primary care -- The delivery of primary care -- The primary care workforce -- Education and training for primary care -- Research and evaluation in primary care -- Implementation strategy -- Appendixes -- A. Site visits -- B. Public hearing -- C. Workshops -- D. Mental health care in the primary care setting -- E. Life in the kaleidoscope: the impact of managed care on the U.S. Health Care Workforce and a new model for the delivery of primary care -- F. Integrating our primary care and public health systems: a formula for improving community and population health -- G. Committee biographies -- Index.