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As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
With growing pressure on the NHS to keep staff up-to-date, committed and equipped with flexible skills profiles, "Learning for Health Improvement" offers creative ways to invest in people development. It explores the issues relating to work based learning, and argues it is much broader than mere skills acquisition and is wide ranging, collaborative and socially situated. Adopting a practical approach, the book makes use of quizzes, stories, dilemmas and audit tools to assist in comprehension and work-based application. "Learning for Health Improvement" is essential reading for managers and supervisors in healthcare, policy makers and shapers, and healthcare human resources and training managers. It will also be of great interest to healthcare lecturers and academics.
Today in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels. To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation's approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency. Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
The goal of medical informatics is to improve life expectancy, disease diagnosis and quality of life. Medical devices have revolutionized healthcare and have led to the modern age of machine learning, deep learning and Internet of Medical Things (IoMT) with their proliferation, mobility and agility. This book exposes different dimensions of applications for computational intelligence and explains its use in solving various biomedical and healthcare problems in the real world. This book describes the fundamental concepts of machine learning and deep learning techniques in a healthcare system. The aim of this book is to describe how deep learning methods are used to ensure high-quality data processing, medical image and signal analysis and improved healthcare applications. This book also explores different dimensions of computational intelligence applications and illustrates its use in the solution of assorted real-world biomedical and healthcare problems. Furthermore, it provides the healthcare sector with innovative advances in theory, analytical approaches, numerical simulation, statistical analysis, modelling, advanced deployment, case studies, analytical results, computational structuring and significant progress in the field of machine learning and deep learning in healthcare applications. FEATURES Explores different dimensions of computational intelligence applications and illustrates its use in the solution of assorted real-world biomedical and healthcare problems Provides guidance in developing intelligence-based diagnostic systems, efficient models and cost-effective machines Provides the latest research findings, solutions to the concerning issues and relevant theoretical frameworks in the area of machine learning and deep learning for healthcare systems Describes experiences and findings relating to protocol design, prototyping, experimental evaluation, real testbeds and empirical characterization of security and privacy interoperability issues in healthcare applications Explores and illustrates the current and future impacts of pandemics and mitigates risk in healthcare with advanced analytics This book is intended for students, researchers, professionals and policy makers working in the fields of public health and in the healthcare sector. Scientists and IT specialists will also find this book beneficial for research exposure and new ideas in the field of machine learning and deep learning.
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Improving the health of the population requires a public health perspective. We have written this book to demonstrate its nature. Improving the population’s health is the occupational raison d'etre of public health professionals. However, because the population’s health is affected by all facets of society’s activities (see Figure A), possessing a public health perspective is relevant to a wide variety of other professions and disciplines. Although doctors and nurses, social workers, teachers, etc., work with individuals, this book provides new insights for them to consider individuals within the wider context and offers increased possibilities for problem solving. For example, poor living conditions adversely affect school- work, dysfunctional families militate against a patient’s recovery and fear of violence on a housing estate limits the social life of an older person, which in turn creates isolation, loneliness and health deterioration. Given this broader perspective, the solution to a problem may lie in improving the wider environment rather than focusing on the symptoms exhibited by the individual. Taking a public health perspective therefore increases the opportunities for improving the population’s health and well-being. We aim to demonstrate to readers, through practical examples, the network of knowledge and skills required to tackle the challenges that daily confront all professionals concerned with people’s health. Each chapter is devoted to exploring one of the ten areas of public health competence as defined by the Faculty of Public Health Medicine.1 This has been achieved using a problem- based, self-directed learning model. Each of the chapter authors was given a broad brief but with some leeway and licence in how they presented their work. This reflects the reality of public health practice. Foreward.
It is now widely acknowledged that there is more to health than just the absence of illness. This book aims to widen the perspective of health professionals to encompass the concept of well-being across the lifespan. It has been written to introduce students to the theory and practical application of health improvement and well-being in the context of public health, providing global as well as domestic perspectives on key concepts, in particular: Social and health inequalities Social justice Political influences Commissioning, funding and delivery of services Each chapter defines and provides an outline of theoretical perspectives relevant to each topic, allowing the reader to critically evaluate the accepted wisdom in each of the fields under discussion. Case studies illustrate local and global perspectives and questions throughout the book encourage students to think and reflect on the key points of each chapter and apply theory to practice. With a delicate blend of theory and practice, Health Improvement and Well-Being considers the key influences on health improvement and the best ways to tackle them as a health professional. This book is key reading for experienced and senior public health professionals as well as masters level students taking courses in public health, health improvement or health promotion, or taking modules in health improvement as part of a more general health science course. Contributors: Donna Hart, Moyra Baldwin, Janine Talley and Allison Thorpe. "A timely investigation of key factors that impact on well-being. Sets out the national and international policy context clearly and makes very good use of case studies and wider evidence to consider effectiveness of interventions. Thinking points and practical exercises encourage the student to apply knowledge to practice throughout." Paul Reid, Senior Lecturer, School of Health, University of Central Lancashire, UK "This book provides a comprehensive perspective on well-being within the context of health and health improvement both within this country and internationally. I would recommend this book as a key text for all students studying on the nursing, midwifery, social work and allied health profession courses. The chapters are structured well and provide a means for students to explore key concepts. The use of case studies helps the reader to appreciate the practical application of theoretical concepts and as such it brings alive the real issues within the practice setting. The structure and content is suitable for a wide range of academic levels and professional groups, making it a key text for health and social care professions." Patricia Livsey, Executive Dean, Faculty of Health and Human Sciences, Plymouth University, UK "This book would make an ideal resource for anyone working/managing in public health arenas" Quote from Nursing Times, February 2016
This new edition of this bestselling guide offers an integrated approach to process improvement that delivers quick and substantial results in quality and productivity in diverse settings. The authors explore their Model for Improvement that worked with international improvement efforts at multinational companies as well as in different industries such as healthcare and public agencies. This edition includes new information that shows how to accelerate improvement by spreading changes across multiple sites. The book presents a practical tool kit of ideas, examples, and applications.