Download or read book Modeling and Analysis of Patient Transitions in Healthcare Delivery Systems written by Wenjun Zhu (Ph.D.) and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient transitions are significant elements in healthcare delivery systems, which refer to the movement of a patient from one healthcare setting or provider to another, including discharge from hospital to home, admission from home to a hospital, or movement from one unit to another within the hospital. Patient transitions play a significant role in ensuring patient safety, care quality and operation efficiency. Unfortunately, these transitions do not always go smoothly, and ineffective transitions can lead to adverse events and higher hospital readmission rates and costs. Moreover, although patient transitions have been studied extensively, most of them are based on pilot studies or empirical data analysis. Only limited analytical work can be found, and nearly all of them focus on planning or long-term analysis. The introduction of mathematical modeling can provide a fresh look on the dynamics of patient transitions. Thus, this dissertation is dedicated to improving the efficiency and quality of patient transitions in healthcare delivery systems: from transitions of care between different units, to readmission from home to hospital, and to medication prescription upon admission. Specifically, mathematical models and data analytical tools are utilized to provide a systematic approach, and practical cases in healthcare facilities are introduced to illustrate the applicability of the methods. First, by focusing on transitions of care between multiple units within a hospital, we introduce a Markov chain model to study the transient behavior of patient transfers from a hospital emergency department (ED) to in-patient units. Such transfers are referred to as handoffs and the process is modeled by a stochastic process with unavailability of service, which characterizes the constraints in bed capacity, staff shortage, and coordination issues, etc. To overcome the dimensionality curse, an approximation method is introduced to reduce the computation complexity substantially and numerical studies are carried out to evaluate the accuracy of the method. Next, focusing on readmission from home to hospital, a transition flow model is introduced to study fall-related ED revisits for elderly patients with diabetes. Diabetic patients are stratified into five clinically relevant classes, and the complex transition process is decomposed into five independent sub-process corresponding to the classes as there is no cross-class transition in the process based on the data collected. To reduce revisits, sensitivity analysis is introduced to identify the most critical factors whose changes can lead to the largest reduction in revisits. The applicability of the model is illustrated through a case study at University of Wisconsin (UW) Hospital ED. The study in next chapter is on medication prescription right after transitions into intensive care units (ICUs). Correlation-based network analysis (CNA) is utilized to investigate drug-induced acute kidney injury (AKI) by mining the medication administration records upon patient's admission into ICU of Mayo Clinic, focusing on the identification of drug-drug interactions. Patient-level factors have been identified as potential risk factors that can facilitate or impede safe patient transitions, thus, patient level covariate such as glomerular filtration rate (GFR) is considered to identify the differences among risk groups. In summary, the work developed in this dissertation provides mathematical models and data analytical tools to assess and improve patient transitions, and ultimately contributes to delivery of efficient and high-quality care services in healthcare delivery systems.
Download or read book Modeling and Analysis of Patient Transitions in Healthcare Delivery Systems written by Wenjun Zhu (Ph.D.) and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient transitions are significant elements in healthcare delivery systems, which refer to the movement of a patient from one healthcare setting or provider to another, including discharge from hospital to home, admission from home to a hospital, or movement from one unit to another within the hospital. Patient transitions play a significant role in ensuring patient safety, care quality and operation efficiency. Unfortunately, these transitions do not always go smoothly, and ineffective transitions can lead to adverse events and higher hospital readmission rates and costs. Moreover, although patient transitions have been studied extensively, most of them are based on pilot studies or empirical data analysis. Only limited analytical work can be found, and nearly all of them focus on planning or long-term analysis. The introduction of mathematical modeling can provide a fresh look on the dynamics of patient transitions. Thus, this dissertation is dedicated to improving the efficiency and quality of patient transitions in healthcare delivery systems: from transitions of care between different units, to readmission from home to hospital, and to medication prescription upon admission. Specifically, mathematical models and data analytical tools are utilized to provide a systematic approach, and practical cases in healthcare facilities are introduced to illustrate the applicability of the methods. First, by focusing on transitions of care between multiple units within a hospital, we introduce a Markov chain model to study the transient behavior of patient transfers from a hospital emergency department (ED) to in-patient units. Such transfers are referred to as handoffs and the process is modeled by a stochastic process with unavailability of service, which characterizes the constraints in bed capacity, staff shortage, and coordination issues, etc. To overcome the dimensionality curse, an approximation method is introduced to reduce the computation complexity substantially and numerical studies are carried out to evaluate the accuracy of the method. Next, focusing on readmission from home to hospital, a transition flow model is introduced to study fall-related ED revisits for elderly patients with diabetes. Diabetic patients are stratified into five clinically relevant classes, and the complex transition process is decomposed into five independent sub-process corresponding to the classes as there is no cross-class transition in the process based on the data collected. To reduce revisits, sensitivity analysis is introduced to identify the most critical factors whose changes can lead to the largest reduction in revisits. The applicability of the model is illustrated through a case study at University of Wisconsin (UW) Hospital ED. The study in next chapter is on medication prescription right after transitions into intensive care units (ICUs). Correlation-based network analysis (CNA) is utilized to investigate drug-induced acute kidney injury (AKI) by mining the medication administration records upon patient's admission into ICU of Mayo Clinic, focusing on the identification of drug-drug interactions. Patient-level factors have been identified as potential risk factors that can facilitate or impede safe patient transitions, thus, patient level covariate such as glomerular filtration rate (GFR) is considered to identify the differences among risk groups. In summary, the work developed in this dissertation provides mathematical models and data analytical tools to assess and improve patient transitions, and ultimately contributes to delivery of efficient and high-quality care services in healthcare delivery systems.
Download or read book Stochastic Modeling And Analytics In Healthcare Delivery Systems written by Jingshan Li and published by World Scientific. This book was released on 2017-09-22 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, there has been an increased interest in the field of healthcare delivery systems. Scientists and practitioners are constantly searching for ways to improve the safety, quality and efficiency of these systems in order to achieve better patient outcome.This book focuses on the research and best practices in healthcare engineering and technology assessment. With contributions from researchers in the fields of healthcare system stochastic modeling, simulation, optimization and management, this is a valuable read.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book Healthcare Transitions and the Aging Population written by Dianne Morrow Ross and published by . This book was released on 2008 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare services for the aging population in the United States are a complex configuration of acute healthcare organizations, and post acute nursing facilities, home healthcare, and community based services. The system encompasses all services that imply the need for clinical, medical, or professional judgment (Baldrige National Quality Program, 2006). Most Americans believe the system exists to provide preventive services, management for chronic conditions, and health care services to meet the needs of the people (National Committee for Quality Assurance (NCQA), 2004). However, the healthcare delivery system is fragmented across a broad array of settings (Coleman, Smith, Frank, Min, Parry, & Kramer, 2004), plagued by gaps in quality of care, and does not provide optimal care to the majority of American citizens (NCQA, 2004). As a result, national efforts are focused on the identification of quality indicators, performance measures, and the driving need for consensus standards across a multiplicity of providers, payers, and stakeholders. The overarching focus of this effort is to bridge the gaps in health care quality, and reduce documented disparities for vulnerable populations (National Quality Forum (2004). Healthcare transitions occur as patients receive a broad range of services across a multiplicity of providers, payers, and settings. Aging patients> 65 are most vulnerable during these transitions. A poorly executed transition can result in complications for the patient, duplication of tests and services, discharge delays, increased lengths of stay, early readmissions to the acute care setting, frustration for families and care givers, and dissatisfaction with overall services. Management of care and accountability across settings is limited and patients are falling through the cracks in the foundation of the healthcare system (Covinsky, 2003). The intent of this research was to examine healthcare transitions for patients> 65 admitted to a large acute healthcare system, and to identify measurable quality indicators for an innovative delivery model designed to optimize early discharge from the hospital through rapid rehabilitation. This was a quasi-experimental, cross-sectional design measured at the patient level. The research included a total sample of 250 patients representing both the intervention and the control group. The intervention group consisted of 100 patients who were rapidly discharged to a transitional care facility in the community, and 150 patients randomly selected to a control group that did not transition to rapid rehabilitation. The groups were matched as closely as possible by age, gender, race, primary diagnoses, and the complexity of case. Inefficiency was measured by 3 indicators (1) length of stay, (2) total expenses before contractual allowances, and (3) discharge delays from the hospital. Ineffectiveness was measured by 3 indicators: (1) readmission within 30 days, (2) patient safety with falls serving as the proxy, and (3) overall patient satisfaction. Descriptive analysis was performed utilizing SPSS 15.0. Path analysis was method of choice for data analysis and AMOS 7.0 was utilized for the measurement model. Descriptive analysis found a broad range of diagnosis related groups across 183 women and 67 men with a mean age of 80 for both groups. Initial analysis found the intervention group had a mean length of stay of 9.17 days, and experienced 20 readmissions. The control group had a mean length of stay of 6.77 days, and 30 readmissions. The statistical analysis suggested length of stay and cost of healthcare services are statistically significant indicators at the 0.05 or lower level and that patient safety has the potential to be developed as an indicator for effective outcomes. The identification of quality indicators, measurement of efficiency and effectiveness, and establishing predictors for successful healthcare transitions is dependent on the quality and integrity of data abstracted from hospital information systems, accuracy of information in patient records, and the consensus of standards and definitions across a multiplicity of stakeholders. Further research and collaboration is necessary to ensure that patient transition to innovative care programs such as rapid rehabilitation is based on well-defined patient selection criteria. The intent of the methodologies and quality indicators explored in this research supports the increasing need to ensure that inferences and quality measurements drawn from healthcare information is based on valid, reliable, and well defined data sources (Pan, Fergusson, Schweitzer, & Hebert, 2005). This research suggests hospitals are making steady progress to overcome challenges to safe, quality health services as outlined by the Institute of Medicine (2001) for system redesign, but finds specific implications for hospital leadership. There is a need to thread evidence based practice initiatives into hospital and clinical structures to accommodate new delivery models, processes, and case management. Health services information needs to be housed in a central repository or data warehouse to increase transparency of reportable information across systems and to ensure that valid and reliable information is utilized to draw inferences about performance of hospital systems (Selden & Sowa, 2004) and that quality measurements are established to ensure a scientific foundation for the management of healthcare services (Wan, 2002).
Download or read book Nutrition and Healthy Aging in the Community written by Institute of Medicine and published by National Academies Press. This book was released on 2012-06-15 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. population of older adults is predicted to grow rapidly as "baby boomers" (those born between 1946 and 1964) begin to reach 65 years of age. Simultaneously, advancements in medical care and improved awareness of healthy lifestyles have led to longer life expectancies. The Census Bureau projects that the population of Americans 65 years of age and older will rise from approximately 40 million in 2010 to 55 million in 2020, a 36 percent increase. Furthermore, older adults are choosing to live independently in the community setting rather than residing in an institutional environment. Furthermore, the types of services needed by this population are shifting due to changes in their health issues. Older adults have historically been viewed as underweight and frail; however, over the past decade there has been an increase in the number of obese older persons. Obesity in older adults is not only associated with medical comorbidities such as diabetes; it is also a major risk factor for functional decline and homebound status. The baby boomers have a greater prevalence of obesity than any of their historic counterparts, and projections forecast an aging population with even greater chronic disease burden and disability. In light of the increasing numbers of older adults choosing to live independently rather than in nursing homes, and the important role nutrition can play in healthy aging, the Institute of Medicine (IOM) convened a public workshop to illuminate issues related to community-based delivery of nutrition services for older adults and to identify nutrition interventions and model programs. Nutrition and Healthy Aging in the Community summarizes the presentations and discussions prepared from the workshop transcript and slides. This report examines nutrition-related issues of concern experienced by older adults in the community including nutrition screening, food insecurity, sarcopenic obesity, dietary patterns for older adults, and economic issues. This report explores transitional care as individuals move from acute, subacute, or chronic care settings to the community, and provides models of transitional care in the community. This report also provides examples of successful intervention models in the community setting, and covers the discussion of research gaps in knowledge about nutrition interventions and services for older adults in the community.
Download or read book Patient Flow written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Download or read book Comprehensive Hospital Medicine E Book written by Mark V. Williams and published by Elsevier Health Sciences. This book was released on 2007-09-26 with total page 1071 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the exciting and growing field of hospital medicine, you're as concerned with the efficient management of your unit as you are the effective care of your patients. This title is your ideal new clinical reference on both counts. Nationally recognized experts equip you with practical, actionable guidance on all of the challenges you face every day—making it easier for you to provide optimal care for every patient. State-of-the-art, evidence-based, hospital-focused guidelines on clinical assessment, diagnosis, prognosis, treatment, and discharge/follow-up planning help you to effectively manage all of the key disorders in every body system. 20 chapters focused on peri-operative care assist you in navigating this increasingly important component of hospital medicine practice. Expert advice on systems issues explores how to establish and enhance a hospitalist program, provide leadership, manage patient transitions of care, establish a teamwork model with hospital staff, promote patient safety and staff performance improvement, standardize care, and navigate legal and ethical concerns.
Download or read book The Future of the Public s Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Download or read book Handbook of Healthcare Operations Management written by Brian T. Denton and published by Springer Science & Business Media. This book was released on 2013-02-28 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.
Download or read book Operational Decision Making Across Patient Care Cycle written by Hyo Kyung Lee and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent decades, healthcare has become increasingly expensive, creating pressure on care providers to deliver quality care while reducing costs. Consuming almost 20% of the gross domestic products (GDP), healthcare is one of the largest industry sectors in the United States (US). However, such high expenses may not always result in an adequate healthcare service quality where long waits, limited access and resource overloads are commonly observed. Now more than ever, efforts to deliver care more efficiently and effectively are being pursued throughout the US. Moreover, the US healthcare system is facing incredible challenges as healthcare is shifting from the traditional, volume-driven, fee-for-service model towards value-based payment and care delivery model. Such value initiatives are becoming increasingly prevalent and important as patient costs continue to rise and access to affordable care is threatened. Given such widespread movements toward value-based care models, all provider segments have a more growing role to play in quality improvement and enhancing their care delivery at all points along the patient care continuum. That said, the healthcare industry can no longer focus on acute care providers and hospitals only; post-acute, sub-acute, and non-acute providers play an increasingly important role as patient outcomes are being tied to readmissions and value-based payments, increasing the importance of all provider roles across the care delivery cycle. This dissertation is dedicated to improving the efficiency and quality of the healthcare system across the care delivery cycle: from prevention to diagnosis to treatment and to home care. Specifically, analytical tools and models to support systematic and evidence-based decision making are introduced for each stage within the cycle. Starting from the prevention stage, we introduce a Markov chain based modeling framework to assess the impact of implementing a new service model in primary care clinics. An application study at Dean East Clinic of SSM Health is presented and managerial insights from the model regarding the impact of various workload allocation policies are discussed as well. In the following chapter, focusing on the diagnosis stage, a system-theoretic method is introduced to analyze the diagnosis-to-treatment process for lung cancer patients. As the process commonly involves frequent and potentially harmful delays, speeding up the timeliness without sacrificing the care quality is critical to improve patient outcome as well as satisfaction. To do so, we decompose the complex care delivery process to evaluate the system performance and derive indicator measures that can be used to identify the bottleneck waiting steps. Moreover, the complete distribution of the total waiting time is formulated to estimate the probability to receive the surgery within a desired or given time period. Finally, the applicability of the proposed method is illustrated via a case study at Baptist Memorial Hospital. For the treatment stage, the next chapter investigates the delays or blockings that occur during the intra hospital patient flow between different departments. Specifically, a finite capacity queueing network model based iterative procedure is formulated to evaluate the transition delay times, average bed occupancy rates, and probabilities of full occupancy. Finally, we investigate system properties to provide managerial guidance to improve patient transitions and reduce delays. To complete the patient care cycle analysis, the subsequent chapter focuses on the last stage of the care cycle: postdischarge or home care phase. As there are considerable variations in the postdischarge care process for total joint replacement (TJR) patients, we formulate the TJR postdischarge intervention process as a finite-horizon discrete-time Markov decision process. Specifically, we dynamically model the post-TJR intervention process by directly incorporating the readmission risk and penalty, and considering the varying effectiveness of interventions depending on where the patient is located at. The applicability of the model is illustrated through a case study at St. Mary's Hospital where the derived optimal policy provides guidance to healthcare professionals in determining the optimal timing and target group of interventions. In summary, the work developed in this dissertation provides quantitative tools to support operational decision making across the patient care cycle, and ultimately contributes to delivering safe and patient-centered care in a coordinated and seamless system.
Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Download or read book Handbook of Healthcare Delivery Systems written by Yuehwern Yih and published by CRC Press. This book was released on 2016-04-19 with total page 798 pages. Available in PDF, EPUB and Kindle. Book excerpt: With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundation
Download or read book Building a Better Delivery System written by Institute of Medicine and published by National Academies Press. This book was released on 2005-10-20 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.
Download or read book Health Care Transition written by Albert C. Hergenroeder and published by Springer. This book was released on 2018-05-03 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
