Healthc (Amst) - Aligning emergency care with the triple aim: Opportunities and future directions after healthcare reform.

Tópicos

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

The Triple Aim of better health, better care, and lower costs has become a fundamental framework for understanding the need for broad health care reform and describing health care value. While the framework is not specific to any clinical setting, this article focuses on the alignment between the framework and Emergency Department (ED) care. The paper explores where emergency care is naturally aligned with each Aim, as well as current barriers which must be addressed to meet the full vision of the Triple Aim. We propose a vision of EDs serving as a nexus for care coordination optimally consistent with the Triple Aim and the requirements for such a role. These requirements include: (1) substantial integration in coordinated care models; (2) development of reliable and actionable data on ED quality, population health, and cost outcomes; (3) specific initiatives to control and optimize ED utilization; and (4) payment models which preserve surge and disaster response capacity.

Resumo Limpo

tripl aim better health better care lower cost becom fundament framework understand need broad health care reform describ health care valu framework specif clinic set articl focus align framework emerg depart ed care paper explor emerg care natur align aim well current barrier must address meet full vision tripl aim propos vision ed serv nexus care coordin optim consist tripl aim requir role requir includ substanti integr coordin care model develop reliabl action data ed qualiti popul health cost outcom specif initi control optim ed util payment model preserv surg disast respons capac

Resumos Similares

J Med Syst - An architecture model for multiple disease management information systems. ( 0,66076268079262 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,655254205593958 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,646838135423641 )
Health Info Libr J - The academic librarian as co-investigator on an interprofessional primary research team: a case study. ( 0,626533030319844 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,6163899353042 )
Appl Clin Inform - Personal health records for patients with chronic disease: a major opportunity. ( 0,614264201499644 )
Int J Med Inform - The use of technology for urgent clinician to clinician communications: a systematic review of the literature. ( 0,613363802659159 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,612053826258601 )
BMC Med Inform Decis Mak - A theoretical decision model to help inform advance directive discussions for patients with COPD. ( 0,611475988040658 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,607333613668367 )
Telemed J E Health - The patient-centered medical home and health information technology. ( 0,606936804833383 )
BMC Med Inform Decis Mak - Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study. ( 0,605607277876508 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,596263202435107 )
BMC Med Inform Decis Mak - From design to implementation--the Joint Asia Diabetes Evaluation (JADE) program: a descriptive report of an electronic web-based diabetes management program. ( 0,594983941250471 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,587458536028267 )
Methods Inf Med - From bench to bed: bridging from informatics theory to practice. An exploratory analysis. ( 0,586198385366582 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,581003416487661 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,578137223779235 )
J. Med. Internet Res. - Home care technology through an ability expectation lens. ( 0,577704442983971 )
Int J Med Inform - Telemedicine across borders: a systematic review of factors that hinder or support implementation. ( 0,577251030849947 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,576669870397068 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,576219051439795 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,573721080483987 )
Telemed J E Health - The Ontario Telemedicine Network: a case report. ( 0,571869638747267 )
J Biomed Inform - Proclets in healthcare. ( 0,571816490517267 )
Methods Inf Med - It's time for health record banking! ( 0,570597402157456 )
J Am Med Inform Assoc - CAPriCORN: Chicago Area Patient-Centered Outcomes Research Network. ( 0,569886169655775 )
J. Med. Internet Res. - Researchers' needs for resource discovery and collaboration tools: a qualitative investigation of translational scientists. ( 0,569655430361613 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,567350809036784 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,566240255596862 )
Artif Intell Med - Describing disease processes using a probabilistic logic of qualitative time. ( 0,566097731673802 )
Health Info Libr J - Focus groups for allied health professionals and professions allied to technical services in the NHS--marketing opportunities, lessons learnt and recommendations. ( 0,564508911068837 )
J Am Med Inform Assoc - Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research. ( 0,563505949088545 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,563036177459459 )
Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth. ( 0,56205226696068 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,562000684301023 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,561992191982366 )
Appl Clin Inform - Lessons learned for collaborative clinical content development. ( 0,561576188159264 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,560658258286678 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,560160378134017 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,55726060477072 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,556970828921842 )
Appl Clin Inform - Dealing with the archetypes development process for a regional EHR system. ( 0,553149544743733 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,55238691651974 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,550795282215023 )
Perspect Health Inf Manag - The impact of health literacy on a patient's decision to adopt a personal health record. ( 0,550581188284073 )
Healthc (Amst) - A mobile health infrastructure to support underserved patients with chronic disease. ( 0,548501890251177 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,54597125459021 )
J Am Med Inform Assoc - A system dynamics evaluation model: implementation of health information exchange for public health reporting. ( 0,545685965590918 )
IEEE J Biomed Health Inform - Integration of Personalized Healthcare Pathways in an ICT platform for Diabetes Management: a small-scale exploratory study. ( 0,544858505537757 )
J Innov Health Inform - Using information to deliver safer care: a mixed-methods study exploring general practitioners' information needs in North West London primary care. ( 0,543229385053035 )
Int J Med Inform - The fungibility of time in claims of efficiency: the case of making transmission of prescriptions electronic in English general practice. ( 0,53977991574339 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,53926851222266 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,538561522320141 )
Perspect Health Inf Manag - Navigating regulatory change: preliminary lessons learned during the healthcare provider transition to ICD-10-CM/PCS. ( 0,538507513228886 )
Int J Health Geogr - Spatial patterns of diabetes related health problems for vulnerable populations in Los Angeles. ( 0,537388029545117 )
Health Informatics J - Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital. ( 0,536961737364582 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,535365552672534 )
Telemed J E Health - International trauma teleconference: evaluating trauma care and facilitating quality improvement. ( 0,534696203181575 )
Telemed J E Health - Evaluating the experience of training through videoconferences in primary care. ( 0,534374478150178 )
Appl Clin Inform - An e-health decision support system for improving compliance of health workers to the maternity care protocols in South Africa. ( 0,534372090625954 )
Telemed J E Health - Use of telemedicine to improve glycemic management in a skilled nursing facility: a pilot study. ( 0,533903825209788 )
Comput Methods Programs Biomed - A model to personalize scheduling of complex prescriptions. ( 0,533379904041514 )
J. Med. Internet Res. - Information and communication technology to support self-management of patients with mild acquired cognitive impairments: systematic review. ( 0,532618861628992 )
Healthc (Amst) - Academic Medical Centers as digital health catalysts. ( 0,531392248635697 )
J Am Med Inform Assoc - CLARA: an integrated clinical research administration system. ( 0,531110728478389 )
Comput. Biol. Med. - Development of an advanced database for clinical trials integrated with an electronic patient record system. ( 0,530661474588631 )
Int J Med Inform - Designing for collaborative interpretation in telemonitoring: re-introducing patients as diagnostic agents. ( 0,529609927373273 )
Appl Clin Inform - Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED. ( 0,529268229284712 )
Comput Methods Programs Biomed - Supporting a distributed execution of clinical guidelines. ( 0,528413454806725 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,527702668706941 )
Telemed J E Health - Providers' perspectives: utilizing telepsychiatry in schools. ( 0,52685448535477 )
Med Decis Making - Addressing adoption and research design decisions simultaneously: the role of value of sample information analysis. ( 0,52355462941468 )
J. Med. Internet Res. - Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. ( 0,522838946315078 )
Int J Med Inform - Sirius: a web-based system for retinal image analysis. ( 0,522391781129295 )
J Am Med Inform Assoc - Patient-centered care, collaboration, communication, and coordination: a report from AMIA's 2013 Policy Meeting. ( 0,521354021751115 )
BMC Med Inform Decis Mak - Methods to identify, study and understand end-user participation in HIT development. ( 0,521031813232232 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,520292988176206 )
Comput Methods Programs Biomed - Physiologic insulin delivery with insulin feedback: a control systems perspective. ( 0,519889881655536 )
J. Med. Internet Res. - Health information technology to facilitate communication involving health care providers, caregivers, and pediatric patients: a scoping review. ( 0,518347044724536 )
Int J Med Inform - The integration of Information and Communication Technology into nursing. ( 0,518336872171312 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,517130145291986 )
Telemed J E Health - Standardizing sepsis screening and management via a tele-ICU program improves patient care. ( 0,516176911526746 )
Int J Med Inform - Short message service or disService: issues with text messaging in a complex medical environment. ( 0,515807702370784 )
Int J Med Inform - Towards an understanding of the information dynamics of the handover process in aged care settings--a prerequisite for the safe and effective use of ICT. ( 0,515805257077584 )
Appl Clin Inform - From bed to bench: bridging from informatics practice to theory: an exploratory analysis. ( 0,515339264665822 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,5147300474382 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,514230838394344 )
Int J Med Inform - Narratives of empowerment and compliance: studies of communication in online patient support groups. ( 0,513771188671418 )
J Am Med Inform Assoc - Open source electronic health records and chronic disease management. ( 0,513459713880965 )
Telemed J E Health - Feasibility and impact of telemonitor-based depression care management for geriatric homecare patients. ( 0,513186541921461 )
J Biomed Inform - Evaluation of an Enhanced Role-Based Access Control model to manage information access in collaborative processes for a statewide clinical education program. ( 0,512349117285612 )
Int J Med Inform - E-prescribing errors in community pharmacies: exploring consequences and contributing factors. ( 0,512164173491254 )
AMIA Annu Symp Proc - The training and support needs of faculty and students using a health information technology system were significant: a case study in a dental school. ( 0,512141309888183 )
Int J Med Inform - Paper persistence, workarounds, and communication breakdowns in computerized consultation management. ( 0,511429029175786 )
Inform Health Soc Care - Specifying process requirements for holistic care. ( 0,511296899944679 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,510616127009455 )
Health Info Libr J - A review of competencies needed for health librarians--a comparison of Irish and international practice. ( 0,510346337681431 )
Comput Methods Programs Biomed - Markov Chain Monte Carlo simulation for projection of end stage renal disease patients in Greece. ( 0,5101758750353 )
Int J Med Inform - Cooperation and communication challenges in small-scale eHealth development projects. ( 0,509650481284594 )