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Research shows that the importance of patient-reported outcomes, improved decision support, and care coordination is growing rapidly as new payment models transform healthcare delivery. This has led to the use of new measures and communication techniques, including shared decision-making and motivational interviewing. Using patient-reported outcomes at the point of service helps providers identify what matters most to the patient in front of them now. Describing treatment options and deciphering a patient’s preferences effectively is a process, which has been likened to arriving at a diagnosis. Providers make a medical diagnosis by discerning a patient’s primary complaints, past history, exam findings, and test results. A preference diagnosis can be thought of similarly. Providers work with their patients to identify what matters most to them, discuss the risks and benefits of the available treatment options, and support the patient as needed through the decision-making process. Once informed of their options, patients frequently chose treatments that require modifying their habits. Motivational interviewing helps patients and providers understand what matters most now and design care plans that provide appropriate support. While many healthcare providers and leaders may be familiar with patient-reported outcomes from research articles, and have heard of shared decision-making and motivational interviewing, few have experience using them. Fewer still understand how each relates to the other. This book helps leaders and healthcare providers better understand how to use patient-reported data to their advantage at the point of service. The book provides the background for developing shared knowledge and shared language, along with extensive examples of dialogue between providers and patients. In addition, the book contains personal interviews of subject matter experts who have significant experience using these measures. The result is a comprehensive understanding of how these measures and techniques can help providers, organizations, and patients navigate this modern healthcare management opportunity.
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.
Why are we here? What is the meaning of existence? What truly matters the most in life? To even begin to answer these questions, we must start by exploring our own internal ideals, values, and beliefs. Presenting the unique perspective of respected analyst and author James Hollis, Ph.D., What Matters Most helps readers learn to appreciate (even be amazed by) events unfolding within, even as the external world creates constant struggles.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
In an age of unprecedented prosperity and opportunity, there are many who feel that something is missing in their lives. Bestselling author Smith outlines reasons for this dissatisfaction and outlines a powerful formula to help readers identify their deeply held values and live them to the fullest. Illustrations.
An honest and insightful reflection on lessons learned about primary care from a life as a small town doctor
What if we taught young people that they can measure success by how they follow Christ rather than by how much money they make or where they go to college? In What Matters Most, University of Notre Dame theology professor Leonard J. DeLorenzo urges youth ministers, teachers, and parents to help young people redefine success in light of their call to discipleship—completely saying yes to God. In Luke's account of the Annunciation, Mary offers a true model of discipleship for young people to follow. Her example will empower them to make choices about how to live their lives as a courageous yes to God in everything they choose—just as she did. DeLorenzo, who served as the long-time director of Notre Dame Vision—a program designed to help young Catholics find their true calling as disciples of Jesus—shows how Mary exhibited four habits that will guide young people to make important life decisions: Listen carefully and practice patience. Remember who we are and what we value most. Respond with compassion to choices we face. Embrace sacrifice for the sake of love. DeLorenzo includes personal stories from his experience as a father and working with youth and young adults with spiritual wisdom to equip teachers, mentors, pastoral ministers, and parents to reexamine the way they encourage and help form young Catholics approaching significant life choices such as college and jobs. He presents ways to remedy spiritual deficits in these young people created by cultural realities such as the fast pace of tech-driven lives and the looming pressure to succeed with worldly accomplishments.
Doctors are taught how to cure people. But they don’t always know how to care for them. Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional healthcare system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us. Uncaring draws an original and revealing portrait of what it’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.
Time management remains a huge challenge for most people. This book shares the habits and processes used by top leaders worldwide to minimize distractions and maximize accomplishments. In researching more than 1,260 managers and executives from more than 108 different organizations, Steve and Rob Shallenberger discovered that 68 percent of them feel like their number one challenge is time management, yet 80 percent don't have a clear process for how to prioritize their time. Drawing on their forty years of leadership research, this book offers three powerful habits that the top 10 percent of leaders use to Do What Matters Most. These three high performance habits are developing a written personal vision, identifying and setting Roles and Goals, and consistently doing Pre-week Planning. And Steve and Rob make an audacious promise: these three habits can increase anyone's productivity by at least 30 to 50 percent. For organizations, this means higher profits, happier employees, and increased innovation. For individuals, it means you'll find hours in your week that you didn't know were there—imagine what you could do! You will learn how acquiring this skillset turned an “average” employee into her company's top producer, enabled a senior vice president to reignite his team and achieve record results, transformed a stressed-out manager's work and home life, helped a CEO who felt like he'd lost his edge regain his fire and passion, and much more. By implementing these simple and easy-to-understand habits, supported by tools like the Personal Productivity Assessment, you will learn how to lead a life by design, not by default. You'll feel the power that comes with a sense of control, direction, and purpose.
A comprehensive guide to this emerging field, fully updated to cover clinical, policy, and practical issues with a user-centred approach.