Leading Community Based Changes in the Culture of Health in the US

Leading Community Based Changes in the Culture of Health in the US PDF

Author: Claudia S.P. Fernandez

Publisher: BoD – Books on Demand

Published: 2021-09-08

Total Pages: 318

ISBN-13: 1803551550

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Advancing health equity calls for a new kind of leader and a new approach to leadership development. Clinical Scholars and Culture of Health Leaders are mid-career leadership development programs supporting the emergence of collaborative and systemic approaches, bringing teams of leaders together with others in the community to work toward the common goal of lessening health disparities. In each chapter of this book, the authors share how they tackled seemingly intractable issues, making headway through applying the principles of adaptive leadership in unbounded systems to create not only outcomes but also impacts on health disparities and, in some cases, sustainable and scalable applications. In this volume, you will learn how Clinical Scholars and Culture of Health Leaders programs curated and measured the successful learning and development of these dedicated health-equity advocates.

Communities in Action

Communities in Action PDF

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

The Future of Nursing

The Future of Nursing PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-02-08

Total Pages: 700

ISBN-13: 0309208955

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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.

Culture of Health in Practice

Culture of Health in Practice PDF

Author: Alonzo L. Plough

Publisher:

Published: 2020

Total Pages:

ISBN-13: 9780190071431

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"This book concerns the importance of achieving health equity throughout the United States. Its publication is timely, given the major challenges in American health care in recent years. These include reductions in health care coverage, the loss of funding to tackle social determinants of health, and the growing risks associated with climate change. The abundant data that document health inequities in housing, education, incarceration, income, opportunity, and so much else in the United States reveal the extent of the health-based challenges the nation faces as a whole. With these issues in mind, this book tackles a variety of topics centered on a "Culture for Health," and includes contributions from the Robert Wood Johnson Foundation's (RWJF) Sharing Knowledge to Build a Culture of Health conferences. The first part of this volume concerns the assets intrinsic to cultural identity and the contribution to the nation's well-being that this diversity brings. Next, the book calls attention to the places where people spend much of their time and shows how each setting has the power to generate health, or to undermine it. Finally, this book closes with a section on a broad range of interconnected topics that have drawn considerable attention from many fields and brought new perspectives to the table."--

Building a National Culture of Health

Building a National Culture of Health PDF

Author: Anita Chandra

Publisher: Rand Corporation

Published: 2016

Total Pages: 0

ISBN-13:

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In 2013, the Robert Wood Johnson Foundation (RWJF) began its Culture of Health initiative. To implement the primary Culture of Health outcome of improved population health, well-being, and equity, RWJF worked with RAND to develop an action framework.

The Culture Cure

The Culture Cure PDF

Author: Pamela M. Tripp

Publisher: Createspace Independent Publishing Platform

Published: 2016-08-11

Total Pages: 216

ISBN-13: 9781533661302

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The Culture Cure delivers the essential DNA required to break free of the status quo environment that continues to dominate the American healthcare industry. It begins with the understanding of fundamental organizational core values that lay the foundation for excellence in culture, quality, finance, and governance, known as the trees of transcendence. The Culture Cure is the medicine that can ultimately elevate the standing of the United States' healthcare system ranking among top healthcare systems, no longer trailing behind other developed countries in world. This book provides the reader with nine foundational values that transform a healthcare organization, outfitting it to succeed in the modern environment of high accountability and value-based medicine. Plagued by traditional leadership paradigms, the healthcare industry continues to deliver status quo results. Transformational thinking must dominate by embracing the values that have been vetted over 25 years in healthcare settings that are described in The Culture Cure. Transformational cultures deliver excellence, innovation, and best practices that are not afraid to own, manage, create, and develop high reliable organizations of transcendence. Delivering a systemic and collegial leadership approach to continuous improvement breathes new life into healthcare to address the chronic pain associated with underperformance. With the heated debate over America's healthcare reform and recent crises in our government-run healthcare system, transformation has become imperative. Transformation is never simple, particularly in an industry that has been described by many leadership experts as one of the most complex industries to lead. There is a public call for healthcare leaders to initiate wide-scale transformation from our traditional healthcare culture into one that innovates to meet today's challenges. The availability of evidence-based information mandates industry transformation. But for most leaders the question still remains, how? How do we transition from our traditional environment to create a foundational culture that will proactively sustain the winds of change, and create a high reliable organization? To begin this journey it requires acknowledging the most important asset in any healthcare entity, which is the employees. Developing the best colleagues, the best leaders, and the best culture leads to achieving an environment of sustainable success. The Culture Cure is about placing the oxygen mask on the employees, before securing it on the patient. Employees can not give what they do not have. Quality of care, financial sustainability, and healthcare excellence will follow when employees function in a culture that fosters personal development, positive influence, and a trusting empowerment. Author Pamela M. Tripp, has lived her passion for healthcare excellence over the past 35 years, serving as a healthcare educator, senior leader, and turnaround Chief Executive Officer. Implementing the tenets of The Culture Cure has secured national and international service excellence and quality of care awards and most recently the distinction of being the first federally qualified community health center system in the nation to receive the First Milestone Malcolm Baldrige: Governors Quest for Excellence recognition.

Culture of Health in Practice

Culture of Health in Practice PDF

Author: Alonzo L. Plough

Publisher: Oxford University Press

Published: 2020-03-10

Total Pages: 241

ISBN-13: 0190071427

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Weaving together research findings and narratives, Culture of Health in Practice: Innovations in Research, Community Engagement, and Action explores the many opportunities we have as a society to advance a Culture of Health and makes the case that a commitment to health equity is fundamental to bringing those efforts into the mainstream. In this latest contribution to the Robert Wood Johnson Foundation's Culture of Health Series, contributors describe the challenges and opportunities in rural and urban regions, in neighborhoods and schools, in prisons and workplaces. They explore different populations, including immigrants, minority youth, and individuals with substance use disorders; the risks posed by climate change; the role of the media in shaping the public discourse; and the innovations being spearheaded by health providers, insurers, and community leaders. Together, the chapters carry the message that while the challenges are daunting, achieving health equity for all lies within reach.

Crossing the Global Quality Chasm

Crossing the Global Quality Chasm PDF

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-01-27

Total Pages: 399

ISBN-13: 0309477891

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In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Best Care at Lower Cost

Best Care at Lower Cost PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2013-05-10

Total Pages: 437

ISBN-13: 0309282810

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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.