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This book presents guidelines for good practice in community care work. It describes the planning and implementation of pioneering initiatives in the community, analyses their effectiveness and outlines their practical implications.
Vicky White and John Harris have drawn together the contributors' experiences of working with children in a broad range of settings, emphasising ways in which the current context of change can be used as an opportunity to enhance the quality of service provision and achieve better outcomes for children and their families.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
At least 7 million young Americansâ€"fully one-quarter of adolescents 10 to 17 years oldâ€"may be at risk of failing to achieve productive adult lives. They use drugs, engage in unprotected sex, drop out of school, and sometimes commit crimes, effectively closing the door to their own futures. And the costs to society are enormous: school and social services are overwhelmed, and our nation faces the future with a diminished citizenry. This penetrating book argues that the problems of troubled youth cannot be separated from the settings in which those youths liveâ€"settings that have deteriorated significantly in the past two decades. A distinguished panel examines what works and what does not in the effort to support and nurture adolescents and offers models for successful programs. This volume presents an eye-opening look at what millions of the nation's youths confront every day of their lives, addressing: How the decline in economic security for young working parents affects their children's life chances. How dramatic changes in household structure and the possibilities of family and community violence threaten adolescents' development. How the decline of neighborhoods robs children of a safe environment. How adolescents' health needs go unmet in the current system. Losing Generations turns the spotlight on those institutions youths needâ€"the health care system, schools, the criminal justice, and the child welfare and foster home systemsâ€"and how they are functioning. Difficult issues are addressed with study results and insightful analyses: access of poor youths to health insurance coverage, inequities in school funding, how child welfare agencies provide for adolescents in their care, and the high percentage of young black men in the criminal justice system.
Social enterprises are long-standing agents of inclusive growth and democratization of the economic and social spheres, and they have proved resilient to economic adversity all the while addressing socio-economic challenges in innovative ways, re-integrating people back to the labour market, and
Written by advanced practice public/community health nurse experts, this comprehensive resource for advanced practice nursing students and clinicians builds upon the core foundations of practice: social justice, interdisciplinary practice, community involvement, disease prevention, and health promotion. Interweaving theory, practice, and contemporary issues, Advanced Public and Community Health Nursing Practice, Second Edition, provides essential knowledge needed to successfully assess communities, diagnose community situations, plan programs and budgets, and evaluate programs in public and community health. This revised edition has been thoroughly updated to encompass the evolution of public/community health nursing practice during the past 15 years. With several examples of community assessments, community health program plans, and evidence-based and best-practice interventions, the content in this publication addresses the core processes of advanced public/community health nursing practice. Chapters integrate new material about the physical environment and cover key changes in nursing education and practice and healthcare financing and delivery. This new edition includes additional content on culture and diversity, in-depth theory and conceptual frameworks, doctoral preparation, and policy. New to the Second Edition: Completely new information reflecting changes in nursing education and practice and healthcare financing and delivery Abundant examples of community assessments and community health program plans Evidence-based/best-practice interventions, programs, and services Clinical/practicum activities to help learners apply content in varied settings Suggested readings and references to support more in-depth study Additional information about the physical environment, culture and diversity, doctoral preparation, and policy Interprofessional/interdisciplinary practice In-depth information regarding theories and conceptual frameworks New references, examples, case studies, problems, and discussion questions Key Features: Provides comprehensive, in-depth information regarding community assessment, program planning, program implementation, evaluation, and program revision Delivers timely knowledge about using evidence, practice standards, public health ethics, Healthy People 2020, and competent practice in varied settings Includes realistic case studies of program and evaluation plans Presents examples of programs and projects conducted by advanced practice public/community health nurses
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The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
Communities of Practice in Health and Social Care highlights howcommunities of practice (CoPs) can make service development andquality improvement in health and social care easier to initiateand more sustainable. Using a series of case studies from the UK and Australia the bookdemonstrates how the theory of CoPs is implemented in the deliveryof health and social care and highlights the associated potential,complexities, advantages and disadvantages. Communities of Practice in Health and Social Care equipspractitioners, managers, educators and practice mentors with theknowledge and skills to facilitate the development and maintenanceof Communities of Practice and highlights how the effects ofCommunities of Practice might be made explicit.