Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ implement(1333) system(1263) develop(1122) }
{ care(1570) inform(1187) nurs(1089) }
{ model(3404) distribut(989) bayesian(671) }
{ import(1318) role(1303) understand(862) }
{ assess(1506) score(1403) qualiti(1306) }
{ chang(1828) time(1643) increas(1301) }
{ data(3963) clinic(1234) research(1004) }
{ perform(1367) use(1326) method(1137) }
{ record(1888) medic(1808) patient(1693) }
{ data(3008) multipl(1320) sourc(1022) }
{ drug(1928) target(777) effect(648) }
{ clinic(1479) use(1117) guidelin(835) }
{ perform(999) metric(946) measur(919) }
{ model(2656) set(1616) predict(1553) }
{ sampl(1606) size(1419) use(1276) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ first(2504) two(1366) second(1323) }
{ can(981) present(881) function(850) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ can(774) often(719) complex(702) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Primary care is the foundation of the Department of Veterans Affairs (VA) health care, but transformation efforts are necessary to meet the needs of Veterans and provide patient-centered care (PCC).PROBLEM: The need to transform the VA from a problem/disease-based provider-driven system to a patient-centered, patient-driven health care system.GOALS: Our project objective was to describe the implementation of the Patient-Aligned Care Team (PACT) model in the current Department of Veterans Affairs (VA) health care environment and to identify barriers and facilitators to implementing a new model of care that could apply more broadly to the implementation of large-scale changes in other large integrated health care systems.STRATEGY: We sought to learn through in-depth interviews with leaders and key informants at several stages of the PACT process, including planning, implementing, modifying where needed, and maintenance.RESULTS: The PACT model offers PCC that is managed with high quality, safety, and effectiveness; provides optimal access; and integrates the Veterans' voice to respect their preferences, needs, and values toward achieving optimal health and well-being.IMPLICATIONS: This transformation in VA provides insight into the barriers and facilitators to implementing large-scale change in an integrated health care system. Implementation of a new model of care across a large integrated health care system requires continuous and highly visible engagement from leadership and staff, distribution of resources across initiatives, and alignment of program goals and performance measures, these lessons.

Resumo Limpo

ckground primari care foundat depart veteran affair va health care transform effort necessari meet need veteran provid patientcent care pccproblem need transform va problemdiseasebas providerdriven system patientcent patientdriven health care systemgo project object describ implement patientalign care team pact model current depart veteran affair va health care environ identifi barrier facilit implement new model care appli broad implement largescal chang larg integr health care systemsstrategi sought learn indepth interview leader key inform sever stage pact process includ plan implement modifi need maintenanceresult pact model offer pcc manag high qualiti safeti effect provid optim access integr veteran voic respect prefer need valu toward achiev optim health wellbeingimpl transform va provid insight barrier facilit implement largescal chang integr health care system implement new model care across larg integr health care system requir continu high visibl engag leadership staff distribut resourc across initi align program goal perform measur lesson

Resumos Similares

Int J Med Inform - Achieving the integrated and smart health and wellbeing paradigm: a call for policy research and action on governance and business models. ( 0,898504653985389 )
J Am Med Inform Assoc - Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research. ( 0,880972343570193 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,874259959118048 )
Int J Med Inform - Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy. ( 0,857560634922027 )
Healthc (Amst) - Case study: Delivery and payment reform in congestive heart failure at two large academic centers. ( 0,856926517444914 )
Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries. ( 0,856230921249662 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,828628673656649 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,827200962552044 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,824579645112743 )
BMC Med Inform Decis Mak - Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa. ( 0,81767622459791 )
J. Med. Internet Res. - Interpretive flexibility in mobile health: lessons from a government-sponsored home care program. ( 0,813062194046067 )
AMIA Annu Symp Proc - Peers, regulators, and professions: the influence of organizations in health information technology adoption. ( 0,81257500632377 )
J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state. ( 0,812101158606231 )
J Med Syst - eHealth in Denmark: a case study. ( 0,805853511640606 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,803733204041794 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,803507725463394 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,801815968402343 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,798669827529747 )
Int J Med Inform - The implications of e-health system delivery strategies for integrated healthcare: lessons from England. ( 0,78818774558559 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,784648071137253 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,784348635318666 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,781140141170326 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,774213525663814 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,771724450957329 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,769724725344742 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,76785953171209 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,767420665172921 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,767033997170278 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,762099153324012 )
Int J Med Inform - Holistic health: predicting our data future (from inter-operability among systems to co-operability among people). ( 0,761623813986071 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,761507901908939 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,760288117071596 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,759528109287291 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,757196649141599 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,753273930805166 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,752185794390578 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,752128016600098 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,751246177445152 )
Int J Health Geogr - The Atlas of human African trypanosomiasis: a contribution to global mapping of neglected tropical diseases. ( 0,750249288328932 )
J Am Med Inform Assoc - Shifts in the architecture of the Nationwide Health Information Network. ( 0,749481617672952 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,748205842810494 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,74594335578193 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,744698248327765 )
Comput. Biol. Med. - An empirical study of healthcare providers and patients' perceptions of electronic health records. ( 0,744457046324407 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,743491021365033 )
J Biomed Inform - Steps towards a digital health ecosystem. ( 0,741263339017576 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,740923099855221 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,739047980874866 )
Telemed J E Health - e-Health policy and deployment activities in Europe. ( 0,738937191073769 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,73838903630498 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,734689815068591 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,73430691147491 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,733181197706693 )
Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study. ( 0,732782623059235 )
J. Med. Internet Res. - Principles and framework for eHealth strategy development. ( 0,732391743377054 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,732027067552489 )
Int J Med Inform - A Rasch model analysis of technology usage in Minnesota hospitals. ( 0,729557345925505 )
AMIA Annu Symp Proc - An evaluation of the rates of repeat notifiable disease reporting and patient crossover using a health information exchange-based automated electronic laboratory reporting system. ( 0,729513399506181 )
Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites. ( 0,726306061575742 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,726085263339244 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,723945452132 )
Health Info Libr J - Healthcare librarians and the delivery of critical appraisal training: barriers to involvement. ( 0,723195913307339 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,722486332292265 )
Methods Inf Med - IMPACT: a generic tool for modelling and simulating public health policy. ( 0,720741715707604 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,718741529144878 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,718229693799629 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,718058524419323 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,717966355076314 )
J Am Med Inform Assoc - Ten key considerations for the successful implementation and adoption of large-scale health information technology. ( 0,716650677552531 )
Appl Clin Inform - Strategic Procedures and Revisions for implementing Telemedicine and Telecare in Greece. ( 0,713845997637592 )
Inform Health Soc Care - A healthcare management system for Turkey based on a service-oriented architecture. ( 0,71186028445678 )
AMIA Annu Symp Proc - Developing national eHealth infrastructures--results and lessons from Europe. ( 0,711538003452532 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,707087794435285 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,706866515421924 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,706553327785291 )
BMC Med Inform Decis Mak - Information technology systems in public sector health facilities in developing countries: the case of South Africa. ( 0,706250240845471 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,70593021085905 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,705821549841381 )
Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,70518532327015 )
J Am Med Inform Assoc - Query Health: standards-based, cross-platform population health surveillance. ( 0,702880603978805 )
J. Med. Internet Res. - Major infection events over 5 years: how is media coverage influencing online information needs of health care professionals and the public? ( 0,698785182064292 )
Healthc (Amst) - Relationship-centered care: A new paradigm for population health management. ( 0,695589044280595 )
BMC Med Inform Decis Mak - Strengthening district-based health reporting through the district health management information software system: the Ugandan experience. ( 0,695470667584992 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,694457502769481 )
Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,694067886323132 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,69403031237683 )
J Biomed Inform - The long road to semantic interoperability in support of public health: experiences from two states. ( 0,693477558176316 )
Telemed J E Health - Telemental health: responding to mandates for reform in primary healthcare. ( 0,691579916829029 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,69068221304938 )
BMC Med Inform Decis Mak - Boundaries and e-health implementation in health and social care. ( 0,688872482204421 )
Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. ( 0,688235634823155 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,687997124117503 )
J. Med. Internet Res. - Home care technology through an ability expectation lens. ( 0,687594646859336 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,687215078223644 )
Int J Health Geogr - Mapping the capacities of fixed health facilities to cover people at risk of gambiense human African trypanosomiasis. ( 0,68707407422408 )
AMIA Annu Symp Proc - Preparing for an aging population and improving chronic disease management. ( 0,686946582095273 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,686055247429226 )
Int J Health Geogr - Spatial access to residential care resources in Beijing, China. ( 0,683275186283159 )
Telemed J E Health - Federal efforts to define and advance telehealth--a work in progress. ( 0,679381126106995 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,678298557488649 )