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evidence based practice to reduce hospital readmissions: Advances in Patient Safety Kerm Henriksen, 2005 v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products. |
evidence based practice to reduce hospital readmissions: Primary Care Barbara Starfield, 1992 This comprehensive work provides a lucid examination of the difficult problems that arise with the implementation of effective primary care. The book has four purposes: to help practitioners of primary care understand what they do and why; to provide a basis for the training of primary care practitioners; to stimulate research that will provide a more substantive basis for improvements in primary care; and to help policy makers understand the difficulties and challenges of primary care and its importance. In addition to discussing systems of primary care and alternative ways of evaluating them, the author addresses important issues such as practitioner-patient communication, information systems and medical records, referral processes, personnel, managed care, financing, quality assessment and community orientation. This unique volume provides a clear and valuable assessment of the basic concepts, issues and challenges in this increasingly important field. |
evidence based practice to reduce hospital readmissions: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 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. |
evidence based practice to reduce hospital readmissions: Closing the Quality Gap Kaveh G. Shojania, 2004 |
evidence based practice to reduce hospital readmissions: Unequal Treatment Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, 2009-02-06 Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color. |
evidence based practice to reduce hospital readmissions: Capturing Social and Behavioral Domains and Measures in Electronic Health Records Institute of Medicine, Board on Population Health and Public Health Practice, Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records, 2015-01-08 Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement. |
evidence based practice to reduce hospital readmissions: Race, Ethnicity, and Language Data Institute of Medicine, Board on Health Care Services, Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement, 2009-12-30 The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement. |
evidence based practice to reduce hospital readmissions: The Learning Healthcare System Institute of Medicine, Roundtable on Evidence-Based Medicine, 2007-06-01 As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care. |
evidence based practice to reduce hospital readmissions: The Practice of Patient Centered Care: Empowering and Engaging Patients in the Digital Era R. Engelbrecht, R. Balicer, M. Hercigonja-Szekeres, 2017-11-16 Medical informatics is increasingly central to the effective and efficient delivery of healthcare today. This book presents the proceedings of the European Federation for Medical Informatics Special Topic Conference (EFMI STC 2017), held in Tel Aviv, Israel, in October 2017. The theme and title of the 2017 edition of this annual conference is ‘The practice of patient centered care: Empowering and engaging patients in the digital era’. The aim of the conference series is to increase interaction and collaboration between the stakeholder groups from both health and ICT across, but not limited to, Europe by providing a platform for researchers, data scientists, practitioners, decision makers and entrepreneurs to discuss sustainable and inclusive digital health innovations aimed at the engagement and empowerment of patients/consumers. The book is divided into 3 sections: full papers, short communications, and posters, and covers a wide range of topics from the field of medical informatics. It will be of interest to healthcare planners and providers everywhere. |
evidence based practice to reduce hospital readmissions: Heart Failure Management Norman Sharpe, 1999-09-03 The 19 chapters which comprise this text cover all aspects of heart failure, and are extremely readable and well-organized. The references selected for each chapter are highly sufficient and there is excellent coverage of all the pharmaceutical treatments, which have proven effective in the management of heart failure; moreover, there are chapters on the non-pharmacological management as well. The book instructs the physician in how to use the newer drugs, either singly or in combination and the clinical trials chapter gives the reader a balanced view of what is happening in research. |
evidence based practice to reduce hospital readmissions: When Groups Meet Thomas F. Pettigrew, Linda R. Tropp, 2013-06-17 Research and theory on intergroup contact have become one of the fastest advancing and most exciting fields in social psychology in recent years. The work is exciting because it combines basic social psychological concerns -- human interaction, situational influences on behavior -- with an effective means of improving intergroup relations at a time when the world is witnessing widespread intergroup hatred and strife. This volume provides an overview of this rapidly progressing area of investigation – its origins and early work, its current status and recent developments, along with criticisms of this work and suggestions for future directions. It covers a range of research findings involving contact between groups drawn from the authors’ extensive meta-analysis of 515 published studies on intergroup contact. This meta-analysis, together with the authors’ renowned research on intergroup contact, provides a solid foundation and broad overview of the field, to which have been added discussions of research extensions and emerging directions. When Groups Meet is a rich, comprehensive overview of classic and contemporary work on intergroup contact, and provides insights into where this work is headed in the future. For research specialists, this volume not only serves as a sourcebook for research and theory on intergroup contact, it also provides the entire 515-item bibliography from the meta-analysis. The clear structure and accessible writing style will also appeal to advanced undergraduate and graduate students in psychology and other social sciences. |
evidence based practice to reduce hospital readmissions: Impact of Community Health Workers on Access, Use of Services, and Patient Knowledge and Behavior , 1998 |
evidence based practice to reduce hospital readmissions: The Future of Nursing 2020-2030 National Academies of Sciences Engineering and Medicine, Committee on the Future of Nursing 2020-2030, 2021-09-30 The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report. |
evidence based practice to reduce hospital readmissions: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
evidence based practice to reduce hospital readmissions: The Student-Physician Robert K. Merton, George G. Reader, Patricia Kendall, 2013-10-01 |
evidence based practice to reduce hospital readmissions: The Healthcare Imperative Institute of Medicine, Roundtable on Evidence-Based Medicine, 2011-01-17 The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers. |
evidence based practice to reduce hospital readmissions: Acute Care for Elders Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, 2014-07-21 Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients. |
evidence based practice to reduce hospital readmissions: Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition: Model and Guidelines Deborah Dang, Sandra L. Dearholt, Kim Bissett, 2021-06-15 Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare. |
evidence based practice to reduce hospital readmissions: Population-Based Nursing Ann L. Cupp Curley, Patty A. Vitale, 2011-10-19 Print+CourseSmart |
evidence based practice to reduce hospital readmissions: Rewarding Provider Performance Institute of Medicine, Board on Health Care Services, Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs, 2007-02-17 The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors. |
evidence based practice to reduce hospital readmissions: Improving Patient Care Richard Grol, Michel Wensing, Martin Eccles, David Davis, 2013-03-18 As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare. |
evidence based practice to reduce hospital readmissions: Theory at a Glance Karen Glanz, 1997 |
evidence based practice to reduce hospital readmissions: Orthopedic Infection David Schlossberg, 2012-12-06 This comprehensive, clinically oriented reference details the state-of-the-art approach to infections of bones and joints. Utility for all practitioners is ensured by the wide range of contributors who include infectious disease specialists, rheumatologists, orthopedic surgeons, and radiologists. This is the definitive resource for the clinician who treats orthopedic infections. |
evidence based practice to reduce hospital readmissions: Chronic Obstructive Pulmonary Disease Exacerbations Jadwiga A. Wedzicha, Fernando J. Martinez, 2008-09-22 Chronic Obstructive Pulmonary Disease Exacerbations covers the definition, diagnosis, epidemiology, mechanisms, and treatment associated with COPD exacerbations. This text also addresses imaging and how it plays a pivotal role in the diagnosis and study of exacerbations.Written by today's top experts, Chronic Obstructive Pulmonary Disease Exacerbat |
evidence based practice to reduce hospital readmissions: Health Informatics Ramona Nelson, Nancy Staggers, PhD, RN, FAAN, 2013-06-14 Health Informatics: An Interprofessional Approach was awarded first place in the 2013 AJN Book of the Year Awards in the Information Technology/Informatics category. Get on the cutting edge of informatics with Health Informatics, An Interprofessional Approach. Covering a wide range of skills and systems, this unique title prepares you for work in today's technology-filled clinical field. Topics include clinical decision support, clinical documentation, provider order entry systems, system implementation, adoption issues, and more. Case studies, abstracts, and discussion questions enhance your understanding of these crucial areas of the clinical space. 31 chapters written by field experts give you the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, disaster recovery, and simulation. Case studies and attached discussion questions at the end of each chapter encourage higher level thinking that you can apply to real world experiences. Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what each chapter will cover. Conclusion and Future Directions section at the end of each chapter reinforces topics and expands on how the topic will continue to evolve. Open-ended discussion questions at the end of each chapter enhance your understanding of the subject covered. |
evidence based practice to reduce hospital readmissions: Clinical Analytics and Data Management for the DNP Martha L. Sylvia, PhD, MBA, RN, Mary F. Terhaar, PhD, RN, ANEF, FAAN, 2018-03-28 Praise for the First Edition: “DNP students may struggle with data management, since their projects are not research, but quality improvement, and this book covers the subject well. I recommend it for DNP students for use during their capstone projects. Score: 98, 5 Stars --Doody's Medical Reviews This is the only text to deliver the strong data management knowledge and skills that are required competencies for all DNP students. It enables readers to design data tracking and clinical analytics in order to rigorously evaluate clinical innovations/programs for improving clinical outcomes, and to document and analyze change. The second edition is greatly expanded and updated to address major changes in our health care environment. Incorporating faculty and student input, it now includes modalities such as SPSS, Excel, and Tableau to address diverse data management tasks. Eleven new chapters cover the use of big data analytics, ongoing progress towards value-based payment, the ACA and its future, shifting of risk and accountability to hospitals and clinicians, advancement of nursing quality indicators, and new requirements for Magnet certification. The text takes the DNP student step by step through the complete process of data management from planning to presentation, and encompasses the scope of skills required for students to apply relevant analytics to systematically and confidently tackle the clinical interventions data obtained as part of the DNP student project. Of particular value is a progressive case study illustrating multiple techniques and methods throughout the chapters. Sample data sets and exercises, along with objectives, references, and examples in each chapter, reinforce information. Key Features: Provides extensive content for rigorously evaluating DNP innovations/projects Takes DNP students through the complete process of data management from planning through presentation Includes a progressive case study illustrating multiple techniques and methods Offers very specific examples of application and utility of techniques Delivers sample data sets, exercises, PowerPoint slides and more, compiled in Supplemental Materials and an Instructor Manual |
evidence based practice to reduce hospital readmissions: Diabetes and American Indians , 2007 |
evidence based practice to reduce hospital readmissions: Fragility Fracture Nursing Karen Hertz, Julie Santy-Tomlinson, 2018-06-15 This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care. |
evidence based practice to reduce hospital readmissions: Living Well with Chronic Illness Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Living Well with Chronic Disease: Public Health Action to Reduce Disability and Improve Functioning and Quality of Life, 2011-06-30 In the United States, chronic diseases currently account for 70 percent of all deaths, and close to 48 million Americans report a disability related to a chronic condition. Today, about one in four Americans have multiple diseases and the prevalence and burden of chronic disease in the elderly and racial/ethnic minorities are notably disproportionate. Chronic disease has now emerged as a major public health problem and it threatens not only population health, but our social and economic welfare. Living Well with Chronic Disease identifies the population-based public health actions that can help reduce disability and improve functioning and quality of life among individuals who are at risk of developing a chronic disease and those with one or more diseases. The book recommends that all major federally funded programmatic and research initiatives in health include an evaluation on health-related quality of life and functional status. Also, the book recommends increasing support for implementation research on how to disseminate effective longterm lifestyle interventions in community-based settings that improve living well with chronic disease. Living Well with Chronic Disease uses three frameworks and considers diseases such as heart disease and stroke, diabetes, depression, and respiratory problems. The book's recommendations will inform policy makers concerned with health reform in public- and private-sectors and also managers of communitybased and public-health intervention programs, private and public research funders, and patients living with one or more chronic conditions. |
evidence based practice to reduce hospital readmissions: Evidence-Based Geriatric Nursing Protocols for Best Practice Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN, Elizabeth Capezuti, PhD, RN, FAAN, Terry T. Fulmer, PhD, RN, FAAN, DeAnne Zwicker, DrNP, APRN, BC, 2016-03-28 This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles |
evidence based practice to reduce hospital readmissions: Quality Improvement Research Richard Grol, Richard W. Baker, Fiona Moss, 2003-11-21 Quality improvement in health care is now a stated objective of health services worldwide, yet effective delivery is not always apparent. This book discusses research methods that should help to improve the delivery of quality. |
evidence based practice to reduce hospital readmissions: High Quality Care for All Secretary of State for Health, 2008 This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation. |
evidence based practice to reduce hospital readmissions: Population Health Management for Poly Chronic Conditions Thomas T.H. Wan, 2017-10-24 This book is dedicated to population health management and how it can be used to improve the health care and outcomes for patients with poly chronic conditions. The book uses an integrated approach guided by a transdisciplinary orientation that incorporates both a macro and a micro-theoretical framework for promoting population health management. Thus, policy decision makers can prioritize how limited resources can be used to optimize health service needs of the chronically ill and disabled in the nation as well as in the globe. The book also identifies appropriate applications of health information technology that can facilitate interoperability, data sharing and effective communication to ensure that applicable knowledge is derived from the available information. Multiple implications of population health management for poly chronic conditions suggest that concerted efforts in promoting preventive strategies can yield numerous benefits. Continuous improvement efforts through impact evaluation and a commitment to the adoption of the health information technology resources needed are also critical aspects of this process. Patients with poly chronic conditions have complex needs and are often high-utilizers of health services. Great potential exists to improve the health and health care of these individuals through improved coordination integrating multiple domains of the population health management approach. Population Health Management is needed now more than ever due to the current challenges facing the health care system that were not present in previous decades. This book points out strategic directions suggested by empirical evidence and experts’ opinions on innovative care management solutions observed in many advanced countries. |
evidence based practice to reduce hospital readmissions: Cardiac Rehabilitation Nursing Carol Rossman Jillings, 1988 |
evidence based practice to reduce hospital readmissions: High Performance Healthcare: Using the Power of Relationships to Achieve Quality, Efficiency and Resilience Jody Hoffer Gittell, 2009-04-17 In her groundbreaking book The Southwest Airlines Way, Jody Hoffer Gittell revealed the management secrets of the company Fortune magazine called “the most successful airline in history.” Now, the bestselling business author explains how to apply those same principles in one of our nation’s largest, most important, and increasingly complex industries. High Performance Healthcare explains the critical concept of “relational coordination”—coordinating work through shared goals, shared knowledge, and mutual respect. Because of the way healthcare is organized, weak links exist throughout the chain of communication. Gittell clearly demonstrates that relational coordination strengthens those weak links, enabling providers to deliver high quality, efficient care to their patients. Using Gittell’s innovative management methods, you will improve quality, maximize efficiency, and compete more effectively. High Performance Healthcare walks you step by step through the process of: Identifying weak areas of relational coordination within your organization Transforming work practices that are creating barriers to relational coordination Building a high performance work system to foster consistent relational coordination across all disciplines The book includes case studies illustrating how some healthcare organizations are already transforming themselves using Gittell’s proven tools. It concludes by identifying industry-level obstacles to high performance healthcare and showing how individual organizations and their leaders can support sweeping change at the highest levels. Policy changes and increased access to care will not alone answer the healthcare industry’s problems. Timely, accurate, problem-solving communication that crosses all organizational boundaries is a powerful response to business as usual. High Performance Healthcare explains exactly how to achieve this crucial dynamic, providing a long-awaited cure to an industry in crisis. |
evidence based practice to reduce hospital readmissions: Models for Nursing Betty Kershaw, Jane Salvage, 1986 |
evidence based practice to reduce hospital readmissions: Patient-focused interventions Angela Coulter, Jo Ellins, 2006 |
evidence based practice to reduce hospital readmissions: MediCaring Communities Joanne Lynn, 2016-06-16 Americans want a long life and most of us will get to live into our 80's and beyond, but we have not squarely faced the challenges of living well in the last years of long lives. This book lays out a thoroughly pragmatic way to organize service delivery and financing so that Americans could count on living comfortably and meaningfully through the period of disability and illness that most will experience in the last years of life - all at a cost that families and taxpayers can sustain. MediCaring Communities offers to customize care around the priorities of elders and their families and to manage the local care system so it is reliable and efficient.Three out of four of us will need long-term care. The period of needing someone's help every day now lasts more than two years, on average. Most of us will not have saved enough to get through this part of life without financial help from family or government - indeed, we'll spend almost half of our total lifetime healthcare expenditures in this last part of life, mostly on personal care that is not covered by Medicare. We have not yet required housing to be modified for living with disabilities or secured a ready supply of home-delivered food, and we certainly have not required medical care to focus on the patient and family priorities in order to enable the last years to be meaningful and comfortable. Family caregiving will be a crisis as families become smaller, more dispersed, older, and facing inadequate retirement income for the younger generation. MediCaring Communities improve care by building care plans around the health needs and living situation of the elderly person and family, and especially from respecting their choices about priorities. The improvements in service delivery arise from integrating supportive services at home with customized medical care and installing local monitoring and management. The improvements in finance arise from harvesting savings from the current overuse of medical tests and treatments in this part of life. These come together in MediCaring Communities.Strong evidence supports each component, but the real strength is in the combination, where savings support critical community-based services, communities build the necessary environment, and elders and their families craft their course with the help of interdisciplinary teams. This book lays it out, using expansion of PACE (The Program of All-Inclusive Care of the Elderly) as the test case. The book provides a strong and complete guide to serious reform, and just in time for the aging of the Boomers which will escalate the needs dramatically during the 2030's. Now is the time to act.Advance Praise for MediCaring CommunitiesFor decades, Joanne Lynn's has been the clearest, strongest, most soulful voice in America for modernizing the ways in which we care for frail elders. This essential book is her masterpiece. It offers a magisterial, evidence-based vision of that new care, and an entirely plausible pathway for reaching it. Facing a tsunami of aging, our nation simply cannot afford to ignore this counsel.-Donald M. Berwick, MD, President Emeritus and Senior Fellow, Institute for Healthcare Improvement, and former Administrator, Centers for Medicare & Medicaid Services.MediCaring Communities integrates good geriatrics and long-term services and supports, and building upon an expanded PACE program can be a tangible start. We should try this!-Jennie Chin Hansen, Lead in Developing PACE; Past President, AARP; and Past CEO of On Lok Senior Health Services and the American Geriatrics Society. |
evidence based practice to reduce hospital readmissions: Envisioning the National Health Care Quality Report Institute of Medicine, Board on Health Care Services, Committee on the National Quality Report on Health Care Delivery, 2001-03-22 How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care. |
evidence based practice to reduce hospital readmissions: Risk Adjustment for Measuring Health Care Outcomes Lisa I. Iezzoni, 2013 This text offers independent chapters for a multidisciplinary readership of students and professionals in areas such as biostatistics, public health, psychology, and health policy. It introduces concepts and methods for designing, using, and evaluating risk adjustment methods when comparing outcomes of care such as costs, clinical outcomes, and patient-centered outcomes in various health care settings. Because the field is broad and changing, the book does not review existing risk adjustment methods; instead, it concentrates on basic methods and principles that apply generally to risk adjustment. Individual chapters are devoted to data from administrative sources, medical records, and patient surveys. Later chapters cover practical issues in developing and evaluating risk adjustment methods and understanding their validity and reliability. There is also material on risk adjustment for specific populations. This fourth edition contains a new chapter on using risk adjustment in the management of health care organizations, plus new information on genetic, social, and environmental risk factors. This edition reflects current practice in electronic health records and health information technologies. Iezzoni teaches medicine at Harvard Medical School. Annotation ©2012 Book News, Inc., Portland, OR (booknews.com). |
Is "evidence" countable? - English Language & Usage Stack …
Jul 8, 2013 · Evidence or Evidences of Christianity , Evidences of the Christian Religion, or simply The Evidences. 6. a. Information, whether in the form of personal testimony, the language of …
"As evidenced by" or "as evident by"? - English Language & Usage …
Dec 23, 2013 · Evidence can be a verb; whether it is too archaic to use is a personal view. Evident cannot be, so as evident by is wrong, possibly an eggcorn. – Tim Lymington
What's the difference in meaning between "evidence" and "proof"?
Oct 21, 2014 · The evidence or argument that compels the mind to accept an assertion as true. [American Heritage Dictionary via the Free Dictionary] In some fields of enquiry (Law, or the …
Can evidence be used as verb? - English Language & Usage Stack …
Apr 22, 2020 · Although it is true that there are, in the actual contemporary usage, quite a few examples of nouns (including evidence) turned into verbs, it should be noted that opinions …
meaning - What are the differences between "assumption" and ...
"Pre" (not per) does mean before and "ad" does mean to in this instance, but the time dependence you infer is an etymological fallacy. A presumption is made before the proper …
phrases - Why does something "strain credulity"? - English …
Dec 12, 2022 · Credulity is a capacity to believe something, and as dictionaries note, particularly it is used to suggest belief in something without a lot of evidence. However, the word still sounds …
Argumentation fallacies: Impossible to prove the non-existing
Feb 14, 2016 · If the only evidence for something's existence is a lack of evidence for it not existing, then the default position is one of mild skepticism and not credulity. This type of …
Is there a difference between "assertion" and "assertation"?
Mar 25, 2022 · b : a declaration that something is the case He presented no evidence to support his assertions. — Webster Dictionary. Definition of Assertation: the act of asserting or …
"it has proved" or "it has been proved" [duplicate]
Mar 25, 2020 · 1a: to establish the existence, truth, or validity of (as by evidence or logic) prove a theorem; the charges were never proved in court [it was proved that smoking damages …
meaning - English Language & Usage Stack Exchange
May 29, 2011 · The truth of the matter will be determined by the quality and quantity of the evidence...The writer may opt for: The truth of the matter will be determined by the evidence …
Is "evidence" countable? - English Language & Usage Stack …
Jul 8, 2013 · Evidence or Evidences of Christianity , Evidences of the Christian Religion, or simply The Evidences. 6. a. Information, whether in the form of personal testimony, the language of …
"As evidenced by" or "as evident by"? - English Language & Usage …
Dec 23, 2013 · Evidence can be a verb; whether it is too archaic to use is a personal view. Evident cannot be, so as evident by is wrong, possibly an eggcorn. – Tim Lymington
What's the difference in meaning between "evidence" and "proof"?
Oct 21, 2014 · The evidence or argument that compels the mind to accept an assertion as true. [American Heritage Dictionary via the Free Dictionary] In some fields of enquiry (Law, or the …
Can evidence be used as verb? - English Language & Usage Stack …
Apr 22, 2020 · Although it is true that there are, in the actual contemporary usage, quite a few examples of nouns (including evidence) turned into verbs, it should be noted that opinions …
meaning - What are the differences between "assumption" and ...
"Pre" (not per) does mean before and "ad" does mean to in this instance, but the time dependence you infer is an etymological fallacy. A presumption is made before the proper …
phrases - Why does something "strain credulity"? - English …
Dec 12, 2022 · Credulity is a capacity to believe something, and as dictionaries note, particularly it is used to suggest belief in something without a lot of evidence. However, the word still sounds …
Argumentation fallacies: Impossible to prove the non-existing
Feb 14, 2016 · If the only evidence for something's existence is a lack of evidence for it not existing, then the default position is one of mild skepticism and not credulity. This type of …
Is there a difference between "assertion" and "assertation"?
Mar 25, 2022 · b : a declaration that something is the case He presented no evidence to support his assertions. — Webster Dictionary. Definition of Assertation: the act of asserting or …
"it has proved" or "it has been proved" [duplicate]
Mar 25, 2020 · 1a: to establish the existence, truth, or validity of (as by evidence or logic) prove a theorem; the charges were never proved in court [it was proved that smoking damages …
meaning - English Language & Usage Stack Exchange
May 29, 2011 · The truth of the matter will be determined by the quality and quantity of the evidence...The writer may opt for: The truth of the matter will be determined by the evidence …