Beyond the HIPAA Privacy Rule

Beyond the HIPAA Privacy Rule PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-03-24

Total Pages: 334

ISBN-13: 0309124999

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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.

Enhancing the Effectiveness of Team Science

Enhancing the Effectiveness of Team Science PDF

Author: National Research Council

Publisher: National Academies Press

Published: 2015-07-15

Total Pages: 255

ISBN-13: 0309316855

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The past half-century has witnessed a dramatic increase in the scale and complexity of scientific research. The growing scale of science has been accompanied by a shift toward collaborative research, referred to as "team science." Scientific research is increasingly conducted by small teams and larger groups rather than individual investigators, but the challenges of collaboration can slow these teams' progress in achieving their scientific goals. How does a team-based approach work, and how can universities and research institutions support teams? Enhancing the Effectiveness of Team Science synthesizes and integrates the available research to provide guidance on assembling the science team; leadership, education and professional development for science teams and groups. It also examines institutional and organizational structures and policies to support science teams and identifies areas where further research is needed to help science teams and groups achieve their scientific and translational goals. This report offers major public policy recommendations for science research agencies and policymakers, as well as recommendations for individual scientists, disciplinary associations, and research universities. Enhancing the Effectiveness of Team Science will be of interest to university research administrators, team science leaders, science faculty, and graduate and postdoctoral students.

The Healthcare Efficiency Revolution

The Healthcare Efficiency Revolution PDF

Author: Ziv Gil

Publisher: Springer Nature

Published: 2020-12-05

Total Pages: 127

ISBN-13: 3030612325

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In recent years, improving efficiency in healthcare facilities in general, and in hospitals specifically, has become increasingly important. This book provides essential information on the powerful performance results that can be achieved when patient-centered efficiency reforms are implemented within health management systems. Created for departmental and institutional healthcare professionals, this book offers intuitive guidelines, technical tools, and work procedures to comprehensively analyze all aspects of current operations and reconfigure assets in pursuit of serving more patients, reducing costs, and generating revenues. This work is particularly valuable as its focuses on the most basic service unit in any given hospital (department/unit) and on methodologies for enhancing management practice and creating internal cultures of continual change and ongoing development. The book provides effective and lasting solutions that reduce E.R. and physician consultation wait times, complications and hospital readmissions, and laboratory tests performed, as well as increase O.R. productivity, annual numbers of patients served, and overall rates of staff and patient satisfaction. Also addressed are how best to handle moments of crisis (such as COVID-19); ethical and legal concerns; and the hiring, development, promotion, and empowerment of staff. Dedicated sections analyze ways to minimize disruptive behavior among physicians, nurses, and other personnel, and present strategies for improving department meetings, particularly in an era of social distancing. The book also describes how to maximize outcomes through multi-disciplinary approaches, the use of core performance metrics, ongoing data collection and analysis, simple reporting protocols, transparency, and the adoption of technological aids, including dedicated apps. Everything presented in this work has been put into practice. They achieved substantial and sustainable improvements in service delivery – all with little or no change in staff, budgets, and other resources already at hand. This book will help specialists and medical managers in the healthcare market to more effectively use their own resources to achieve levels of performance and success objectives they might otherwise have thought were unattainable.

Paradox and Imperatives in Health Care

Paradox and Imperatives in Health Care PDF

Author: Jeffrey C. Bauer

Publisher: CRC Press

Published: 2014-08-25

Total Pages: 164

ISBN-13: 1466593245

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The Paradox: Americans are not as healthy as people in dozens of comparable countries that spend 30 percent less on health care, and our medical marketplace overall is plagued by persistent problems of cost, quality, and access. Yet, the world’s best individual health systems are located in the U.S.—each a unique result of visionary leadership and private initiative, not government-driven health reform. The Imperatives: Due to powerful new forces explained in this book, medical spending has stopped growing. Purchasers, payers, and patients are no longer willing or able to keep paying more. To stay in business and improve population health, providers and their business partners must eliminate the shameful waste generated by inefficient and ineffective production processes. The Solution: Simply repairing or repealing the Affordable Care Act will not get us where we want to go. The fundamental roadblock is a wasteful system, not uninsured Americans. Reform needs to be immediately redirected to creating the best health care system that 17 percent of GDP can buy. Money saved by taking the new path to reform can then be used to improve population health through access for all. Paradox and Imperatives in Health Care is the roadmap for getting there. Supplies updated perspectives on health care’s problems and solutions Details the reasons why government-driven reform does not solve problems Provides a justification for regulatory relief tied to performance improvement Suggests specific new policies for a better approach to desired outcomes Presents content written expressly for busy executives and policy makers

Key Capabilities of an Electronic Health Record System

Key Capabilities of an Electronic Health Record System PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-07-31

Total Pages: 36

ISBN-13: 0309185432

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Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.

Crossing the Quality Chasm

Crossing the Quality Chasm PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-08-19

Total Pages: 360

ISBN-13: 0309072808

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

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