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| gap analysis in healthcare: Closing the Quality Gap Kaveh G. Shojania, 2004 |
| gap analysis in healthcare: Framework for Determining Research Gaps During Systematic Review U. S. Department of Health and Human Services, Agency for Healthcare Research and Quality, 2013-03-23 The identification of gaps from systematic reviews is essential to the practice of ''evidence-based research.'' Health care research should begin and end with a systematic review. A comprehensive and explicit consideration of the existing evidence is necessary for the identification and development of an unanswered and answerable question, for the design of a study most likely to answer that question, and for the interpretation of the results of the study. In a systematic review, the consideration of existing evidence often highlights important areas where deficiencies in information limit our ability to make decisions. We define a research gap as a topic or area for which missing or inadequate information limits the ability of reviewers to reach a conclusion for a given question. A research gap may be further developed, such as through stakeholder engagement in prioritization, into research needs. Research needs are those areas where the gaps in the evidence limit decision making by patients, clinicians, and policy makers. A research gap may not be a research need if filling the gap would not be of use to stakeholders that make decisions in health care. The clear and explicit identification of research gaps is a necessary step in developing a research agenda. Evidence reports produced by Evidence-based Practice Centers (EPCs) have always included a future research section. However, in contrast to the explicit and transparent steps taken in the completion of a systematic review, there has not been a systematic process for the identification of research gaps. We developed a framework to systematically identify research gaps from systematic reviews. This framework facilitates the classification of where the current evidence falls short and why the evidence falls short. The framework included two elements: (1) the characterization the gaps and (2) the identification and classification of the reason(s) for the research gap. The PICOS structure (Population, Intervention, Comparison, Outcome and Setting) was used in this framework to describe questions or parts of questions inadequately addressed by the evidence synthesized in the systematic review. The issue of timing, sometimes included as PICOTS, was considered separately for Intervention, Comparison, and Outcome. The PICOS elements were the only sort of framework we had identified in an audit of existing methods for the identification of gaps used by EPCs and other related organizations (i.e., health technology assessment organizations). We chose to use this structure as it is one familiar to EPCs, and others, in developing questions. It is not only important to identify research gaps but also to determine how the evidence falls short, in order to maximally inform researchers, policy makers, and funders on the types of questions that need to be addressed and the types of studies needed to address these questions. Thus, the second element of the framework was the classification of the reasons for the existence of a research gap. For each research gap, the reason(s) that most preclude conclusions from being made in the systematic review is chosen by the review team completing the framework. To leverage work already being completed by review teams, we mapped the reasons for research gaps to concepts from commonly used evidence grading systems. Our objective in this project was to complete two types of further evaluation: (1) application of the framework across a larger sample of existing systematic reviews in different topic areas, and (2) implementation of the framework by EPCs. These two objectives were used to evaluate the framework and instructions for usability and to evaluate the application of the framework by others, outside of our EPC, including as part of the process of completing an EPC report. Our overall goal was to produce a revised framework with guidance that could be used by EPCs to explicitly identify research gaps from systematic reviews. |
| gap analysis in healthcare: Closing the Quality Gap Kaveh G. Shojania, United States. Agency for Healthcare Research and Quality, University of California, San Francisco-Stanford Evidence-Based Practice Center, 2005-12 This review was organized to bring a systematic assessment of different quality improvement strategies & their effects to the process of identifying & managing hypertension. Findings suggest that quality improvement strategies appear, in general, to be associated with the improved identification & control of hypertension. It is not possible to discern with complete confidence which specific quality improvement strategies have the greatest effects, since most of the studies included more than one quality improvement strategy. Illustrations. |
| gap analysis in healthcare: Children's Health, the Nation's Wealth Institute of Medicine, National Research Council, Division of Behavioral and Social Sciences and Education, Board on Children, Youth, and Families, Committee on Evaluation of Children's Health, 2004-10-18 Children's health has clearly improved over the past several decades. Significant and positive gains have been made in lowering rates of infant mortality and morbidity from infectious diseases and accidental causes, improved access to health care, and reduction in the effects of environmental contaminants such as lead. Yet major questions still remain about how to assess the status of children's health, what factors should be monitored, and the appropriate measurement tools that should be used. Children's Health, the Nation's Wealth: Assessing and Improving Child Health provides a detailed examination of the information about children's health that is needed to help policy makers and program providers at the federal, state, and local levels. In order to improve children's health-and, thus, the health of future generations-it is critical to have data that can be used to assess both current conditions and possible future threats to children's health. This compelling book describes what is known about the health of children and what is needed to expand the knowledge. By strategically improving the health of children, we ensure healthier future generations to come. |
| gap analysis in healthcare: Priority Areas for National Action Institute of Medicine, Board on Health Care Services, Committee on Identifying Priority Areas for Quality Improvement, 2003-04-10 A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas. |
| gap analysis in healthcare: The Health Gap Michael Marmot, 2015-09-10 'Punchily written ... He leaves the reader with a sense of the gross injustice of a world where health outcomes are so unevenly distributed' Times Literary Supplement 'Splendid and necessary' Henry Marsh, author of Do No Harm, New Statesman There are dramatic differences in health between countries and within countries. But this is not a simple matter of rich and poor. A poor man in Glasgow is rich compared to the average Indian, but the Glaswegian's life expectancy is 8 years shorter. The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death, suicide, heart disease linked to a rich country's version of disadvantage. In all countries, people at relative social disadvantage suffer health disadvantage, dramatically so. Within countries, the higher the social status of individuals the better is their health. These health inequalities defy usual explanations. Conventional approaches to improving health have emphasised access to technical solutions – improved medical care, sanitation, and control of disease vectors; or behaviours – smoking, drinking – obesity, linked to diabetes, heart disease and cancer. These approaches only go so far. Creating the conditions for people to lead flourishing lives, and thus empowering individuals and communities, is key to reduction of health inequalities. In addition to the scale of material success, your position in the social hierarchy also directly affects your health, the higher you are on the social scale, the longer you will live and the better your health will be. As people change rank, so their health risk changes. What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller. This new evidence is compelling. It has the potential to change radically the way we think about health, and indeed society. |
| gap analysis in healthcare: Redesigning Healthcare Delivery Peter Boland, 1996 One of the greatest challenges in health care is reaorganizing its core processes. These reorganization initiatives are most often pursued under pressure from empoyers, consumers, advances in medical technologies, and changes in payer policy. Redesigning Healthcare Delivery teaches practitioners, managers, and executives proven new ways to predict and manage the needs of patient populations, improve customer service, and refocus their organizations on administrative and clinical tasks to ensure future success. |
| gap analysis in healthcare: Investing in Interventions That Address Non-Medical, Health-Related Social Needs National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, 2019-09-27 With U.S. health care costs projected to grow at an average rate of 5.5 percent per year from 2018 to 2027, or 0.8 percentage points faster than the gross domestic product, and reach nearly $6.0 trillion per year by 2027, policy makers and a wide range of stakeholders are searching for plausible actions the nation can take to slow this rise and keep health expenditures from consuming an ever greater portion of U.S. economic output. While health care services are essential to heath, there is growing recognition that social determinants of health are important influences on population health. Supporting this idea are estimates that while health care accounts for some 10 to 20 percent of the determinants of health, socioeconomic factors and factors related to the physical environment are estimated to account for up to 50 percent of the determinants of health. Challenges related to the social determinants of health at the individual level include housing insecurity and poor housing quality, food insecurity, limitations in access to transportation, and lack of social support. These social needs affect access to care and health care utilization as well as health outcomes. Health care systems have begun exploring ways to address non-medical, health-related social needs as a way to reduce health care costs. To explore the potential effect of addressing non-medical health-related social needs on improving population health and reducing health care spending in a value-driven health care delivery system, the National Academies of Science, Engineering, and Medicine held a full-day public workshop titled Investing in Interventions that Address Non-Medical, Health-Related Social Needs on April 26, 2019, in Washington, DC. The objectives of the workshop were to explore effective practices and the supporting evidence base for addressing the non-medical health-related social needs of individuals, such as housing and food insecurities; review assessments of return on investment (ROI) for payers, healthy systems, and communities; and identify gaps and opportunities for research and steps that could help to further the understanding of the ROI on addressing non-medical health-related social needs. This publication summarizes the presentations and discussions from the workshop. |
| gap analysis in healthcare: Resilient Health Care Professor Robert L Wears, Professor Erik Hollnagel, Professor Jeffrey Braithwaite, 2015-09-28 Properly performing health care systems require concepts and methods that match their complexity. Resilience engineering provides that capability. It focuses on a system’s overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. This book contains contributions from international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce the number of things that go wrong, Resilient Health Care aims to increase the number of things that go right. |
| gap analysis in healthcare: Crossing the Quality Chasm Institute of Medicine, Committee on Quality of Health Care in America, 2001-07-19 Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change. |
| gap analysis in healthcare: Finding What Works in Health Care Institute of Medicine, Board on Health Care Services, Committee on Standards for Systematic Reviews of Comparative Effectiveness Research, 2011-07-20 Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research. |
| gap analysis in healthcare: 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. |
| gap analysis in healthcare: Artificial Intelligence in Healthcare Adam Bohr, Kaveh Memarzadeh, 2020-06-21 Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. - Highlights different data techniques in healthcare data analysis, including machine learning and data mining - Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks - Includes applications and case studies across all areas of AI in healthcare data |
| gap analysis in healthcare: Handbook of Healthcare Logistics Maartje E. Zonderland, Richard J. Boucherie, Erwin W. Hans, Nikky Kortbeek, 2021-03-29 This book presents healthcare logistics solutions that have been successfully implemented at a variety of healthcare facilities. In each case, a major challenge is presented, along with the solution approach and implementation steps, followed by the impact on hospital operations. Problems encountered when implementing the results in practice are also discussed. Much of the work presented is drawn from the experiences of members of the Center for Healthcare Operations Improvement and Research (CHOIR) at Twente, along with the CHOIR spin-off company, Rhythm. |
| gap analysis in healthcare: Analyzing Health Equity Using Household Survey Data Adam Wagstaff, Owen O'Donnell, Eddy van Doorslaer, Magnus Lindelow, 2007-11-02 Have gaps in health outcomes between the poor and better off grown? Are they larger in one country than another? Are health sector subsidies more equally distributed in some countries than others? Are health care payments more progressive in one health care financing system than another? What are catastrophic payments and how can they be measured? How far do health care payments impoverish households? Answering questions such as these requires quantitative analysis. This in turn depends on a clear understanding of how to measure key variables in the analysis, such as health outcomes, health expenditures, need, and living standards. It also requires set quantitative methods for measuring inequality and inequity, progressivity, catastrophic expenditures, poverty impact, and so on. This book provides an overview of the key issues that arise in the measurement of health variables and living standards, outlines and explains essential tools and methods for distributional analysis, and, using worked examples, shows how these tools and methods can be applied in the health sector. The book seeks to provide the reader with both a solid grasp of the principles underpinning distributional analysis, while at the same time offering hands-on guidance on how to move from principles to practice. |
| gap analysis in healthcare: Value Stream Management for the Lean Office Don Tapping, Tom Shuker, 2018-02-19 Bring Lean Improvements to the Administrative Areas of Your Organization! Extending their eight-step process to the realization of a lean office, Tapping and Shuker use a customer service case studyto illustrate the effectiveness of the value stream storyboard.This popular volume provides organizations with a proven system for implementing lean principles in the office. In addition to providing a thorough overview of basic lean concepts, this book details methods for identifying the administrative activities in need of attention. To address these, it applies the eight-step process for removing waste and reorganizing workflow. Accompanying the book are downloadable resources containing a lean assessment tool, a storyboard template, charts, a team charter, and worksheets. Along with this book you receive downloadable resources containing a lean assessment tool, a storyboard template, useful charts, a team charter, forms, reports, and worksheets! |
| gap analysis in healthcare: Health Care Operations Management James R. Langabeer, 2008-05-02 Hospitals are large and complex organizations, yet they function largely without sophistication and technology inherent in other large businesses. In a time when well over half of all hospitals report negative operating margins, driving down costs through logistics and the supply chain is one of the most important yet overlooked areas for cost improvements. Hospitals and other healthcare systems spend more time and money on their supply chain than on physicians and doctors salaries combined. This is one of the first books to focus on the core business support services typically called “logistics” in healthcare. These include: Hospital materials management and the clinical supply chain Laundry and linen management eCommerce and technology in hospital logistics Accounting for medical supplies and inventories Inventory management Healthcare vendor collaboration Demand and supply planning This is an ideal text for healthcare administrators and functional business managers responsible for purchasing, receiving, supplier management, business planning, accounting, and hospital administration as well as for students of hospital business services. |
| gap analysis in healthcare: Closing the Gender Pay Gap in Medicine Amy S. Gottlieb, MD, FACP, 2020-10-28 Women now represent over half of medical school matriculants, almost half of residents and fellows, and over a third of practicing physicians nationally. Despite considerable representation among the physician workforce, women are paid 75 cents on the dollar compared with their male counterparts after accounting for specialty, geography, time in practice, and average hours per week worked. This pay gap is significantly greater than the one reported for US women workers as a whole and has shown little improvement over time. While much has been written about the problem, a robust discussion about how to rectify the situation has been missing from the conversation. Closing the Gender Pay Gap in Medicine is the first comprehensive assessment of how cultural expectations and compensation methodologies in medicine work together to perpetuate salary disparities between men and women physicians. Since the gender gap reflects a convergence of forces within our healthcare enterprises, achieving pay equity can be an overwhelming undertaking for institutions and their leaders. However, compensation is foremost a business endeavor. Therefore, a roadmap for operationalizing equity within the finance, human resources, and compliance structures of our organizations is critical to eliminating disparities. The roadmap described in this book breaks down the component parts of compensation methodology to reveal their unintentional impact on salary equity and lays out processes and procedures that support new approaches to generate fair and equitable outcomes. Additionally, the roadmap is anchored in change management principles that address institutional culture and provide momentum toward salary equity. The book begins with a review of the evidence on the gender pay gap in medicine. The following chapter discusses how gender-based differences in performance assessments, specialty choice, domestic responsibilities, negotiation, professional resources, sponsorship, and clinical productivity accumulate across women’s careers in medicine and impact evaluation, promotion, and therefore compensation in the healthcare workplace. The next two chapters focus, respectively, on how compensation is determined - highlighting potential pitfalls for pay equity - and regulatory and legal considerations. Chapters 5 and 6 explore organizational infrastructure, salary data collection and analysis, and culture change strategies necessary to rectify compensation inequities. Chapter 7 offers a detailed account of one medical institution’s successful journey to achieve salary equity. The book’s final chapter emphasizes that closing the gender pay gap is at its essence a business endeavor and recommends that organizations assess progress and cost with the same attention, rigor, and regularity as afforded other operating expenses. Closing the Gender Pay Gap in Medicine offers a detailed roadmap for healthcare organizations seeking to close the gender pay gap among their physician workforce. This first-of-its-kind book will assist institutions plan courses of action and identify potential pitfalls so they can be understood and mitigated. It will also prove a valuable resource for transformational leadership and systems-based change critical to attaining compensation equity. |
| gap analysis in healthcare: Health Care Comes Home National Research Council, Division of Behavioral and Social Sciences and Education, Board on Human-Systems Integration, Committee on the Role of Human Factors in Home Health Care, 2011-06-22 In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers. |
| gap analysis in healthcare: Applied Physics, System Science and Computers III Klimis Ntalianis, George Vachtsevanos, Pierre Borne, Anca Croitoru, 2019 This book reports on advanced theories and methods in three related fields of research: applied physics, system science and computers. The first part covers applied physics topics, such as lasers and accelerators; fluid dynamics, optics and spectroscopy, among others. It also addresses astrophysics, security, and medical and biological physics. The second part focuses on advances in computers, such as those in the area of social networks, games, internet of things, deep learning models and more. The third part is especially related to systems science, covering swarm intelligence, smart cities, complexity and more. Advances in and application of computer communication, artificial intelligence, data analysis, simulation and modeling are also addressed. The book offers a collection of contributions presented at the 3nd International Conference on Applied Physics, System Science and Computers (APSAC), held in Dubrovnik, Croatia on September 26-28, 2018. Besides presenting new methods, it is also intended to promote collaborations between different communities working on related topics at the interface between physics, computer science and engineering. |
| gap analysis in healthcare: Strategic Planning in Healthcare Brian C. Martin, PhD, MBA, 2018-11-28 4-Star Rating, Doody’s Medical Reviews Strategic Planning in Healthcare: An Introduction for Health Professionals is a practical guide to the theory of strategic planning and the principles of strategic management that apply to all organizational settings, including large healthcare networks, small practices, and public health institutions, among many others. This text provides a solid theoretical framework, supplemented with examples and a common case, which is reinforced by hands-on practical student exercises and chapter-specific worksheets. It examines strategy-making issues from the initial assessment of the organization and competitive landscape, through situational analysis of economic incentives, creation of objectives and measurement, formulation of financial and operational strategies, and the development of mission and goals, effectively allowing students to apply concepts at each stage of the planning cycle. Throughout, this book explains different tactics for implementation and evaluation, the principles of integrating evaluation and control, and other factors that affect competitive positioning and performance in health service organizations. This hands-on text incorporates real-world examples and case studies so that the content can be digested easily in undergraduate and graduate courses alike and can be applied to an individual or group project to encourage application and experiential learning. Written by an experienced strategic planner and educator, this foundational textbook prepares public health students, healthcare administration students, and related health professionals to develop their own effective strategic plans that achieve performance excellence. Key Features: Provides a thorough, step-by-step review of the strategic planning process in healthcare organizations with a strong theoretical framework Detailed case studies using a fictionalized healthcare organization conclude each chapter Includes strategic planning chapter-specific worksheets that allow students to develop a quasi-strategic plan Real-world sample strategic plans from the healthcare industry Access to the downloadable ebook and downloadable chapter worksheets Full Instructor package including an Instructor’s Manual, PPTs, and test bank |
| gap analysis in healthcare: Narrative Medicine Maria Giulia Marini, 2015-09-29 This book examines all aspects of narrative medicine and its value in ensuring that, in an age of evidence-based medicine defined by clinical trials, numbers, and probabilities, clinical science is firmly embedded in the medical humanities in order to foster the understanding of clinical cases and the delivery of excellent patient care. The medical humanities address what happens to us when we are affected by a disease and narrative medicine is an interdisciplinary approach that emphasizes the importance of patient narratives in bridging various divides, including those between health care professionals and patients. The book covers the genesis of the medical humanities and of narrative medicine and explores all aspects of their role in improving healthcare. It describes how narrative medicine is therapeutic for the patient, enhances the patient–doctor relationship, and allows the identification, via patients' stories, of the feelings and experiences that are characteristic for each disease. Furthermore, it explains how to use narrative medicine as a real scientific tool. Narrative Medicine will be of value for all caregivers: physicians, nurses, healthcare managers, psychotherapists, counselors, and social workers. “Maria Giulia Marini takes a unique and innovative approach to narrative medicine. She sees it as offering a bridge – indeed a variety of different bridges – between clinical care and ‘humanitas’. With a sensitive use of mythology, literature and metaphor on the one hand, and scientific studies on the other, she shows how the guiding concept of narrative might bring together the fragmented parts of the medical enterprise”. John Launer, Honorary Consultant, Tavistock Clinic, London UK |
| gap analysis in healthcare: Improving Health Care in Low- and Middle-Income Countries Lani Rice Marquez, 2020-05-26 This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=^ |
| gap analysis in healthcare: Health-Care Utilization as a Proxy in Disability Determination National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Health Care Utilization and Adults with Disabilities, 2018-04-02 The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for listing-level severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience. |
| gap analysis in healthcare: 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. |
| gap analysis in healthcare: 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/ |
| gap analysis in healthcare: Human Resources in Healthcare, Health Informatics and Healthcare Systems Kabene, Stfane M., 2010-07-31 While many countries enjoy the benefits of modern healthcare systems and social and economic policies that improve life expectancy, many countries still have high maternal and infant mortality rates, struggle with infectious diseases, and face critical human resource shortages in healthcare. Human Resources in Healthcare, Health Informatics and Healthcare Systems addresses two major problems that threaten the health of the human race. The first of which is the lack of human resources in healthcare. We need to ensure that we have an adequate number of healthcare professionals who are highly motivated and properly trained. Furthermore, we need to ensure that they have the latest health technology at their disposal, which is the second major issue facing the world today. The world s most respected scholars and practitioners describe their experiences and propose possible theoretical and practical solutions in this relevant and timely handbook. |
| gap analysis in healthcare: Registries for Evaluating Patient Outcomes Agency for Healthcare Research and Quality/AHRQ, 2014-04-01 This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. |
| gap analysis in healthcare: eBusiness in Healthcare Ursula Hübner, Marc A. Elmhorst, 2007-10-23 Here is a book that aggregates five years of experience of three successive R and D projects (ELCH, GetTogether, GROPIS) covering technical and organizational issues of eProcurement. The projects, which were funded partly by the government and partly by industry and hospitals, looked at the characteristics of procurement processes and at standard technologies. Two of the projects included case studies (ELCH, GROPIS), the third project focused on the development of standard business objects for eProcurement in healthcare (GetTogether). Together they form a rich source of information worth communicating to a large audience of experts and newcomers alike. |
| gap analysis in healthcare: Project Planning and Management: A Guide for Nurses and Interprofessional Teams James L. Harris, Linda A. Roussel, Catherine Dearman, Patricia L. Thomas, 2018-08-28 Project Planning and Management: A Guide for Nurses and Interprofessional Teams, Third Edition serves as a primary resource for students developing and implementing clinical projects as a requirement for course completion. |
| gap analysis in healthcare: China's Healthcare System and Reform Lawton Robert Burns, Gordon G. Liu, 2017-01-26 This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world. |
| gap analysis in healthcare: ADKAR Jeff Hiatt, 2006 In his first complete text on the ADKAR model, Jeff Hiatt explains the origin of the model and explores what drives each building block of ADKAR. Learn how to build awareness, create desire, develop knowledge, foster ability and reinforce changes in your organization. The ADKAR Model is changing how we think about managing the people side of change, and provides a powerful foundation to help you succeed at change. |
| gap analysis in healthcare: Project Planning & Management: A Guide for Nurses and Interprofessional Teams James L. Harris, Linda A. Roussel, Patricia L. Thomas, Catherine Dearman, 2015-07-23 roject Planning and Management: A Guide for Nurses and Interprofessional Teams, Second Edition serves as a primary resource for students developing and implementing clinical projects as a requirement for course completion. |
| gap analysis in healthcare: 2019 Magnet Application Manual American Nurses Credentialing Center, 2017-09 |
| gap analysis in healthcare: Communities in Action National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on Community-Based Solutions to Promote Health Equity in the United States, 2017-04-27 In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome. |
| gap analysis in healthcare: Infection Prevention and Control Angela Dramowski, Consultant Microbiologist North Middlesex Hospital and Honorary Senior Lecturer Shaheen Mehtar, 2014-09-19 Infection Prevention and Control is a crucial guide for healthcare workers, especially those working in low-resource settings. Chapters cover: Infection prevention and control programmes Micro-organisms relevant to infection prevention and control Risk assessment and management Hand hygiene Healthcare facility design Cleaning and waste management Surveillance and outbreak investigation Tuberculosis IPC Anti-microbial stewardship. |
| gap analysis in healthcare: Money for Nothing Jishnu Das, Jeffrey S. Hammer, 2005 The quality of medical care received by patients varies for two reasons: differences in doctors' competence or differences in doctors' incentives. Using medical vignettes, the authors evaluated competence for a sample of doctors in Delhi. One month later, they observed the same doctors in their practice. The authors find three patterns in the data. First, what doctors do is less than what they know they should do-doctors operate well inside their knowledge frontier. Second, competence and effort are complementary so that doctors who know more also do more. Third, the gap between what doctors do and what they know responds to incentives: doctors in the fee-for-service private sector are closer in practice to their knowledge frontier than those in the fixed-salary public sector. Under-qualified private sector doctors, even though they know less, provide better care on average than their better-qualified counterparts in the public sector. These results indicate that to improve medical services, at least for poor people, there should be greater emphasis on changing the incentives of public providers rather than increasing provider competence through training. |
| gap analysis in healthcare: Administrative Healthcare Data Craig Dickstein, Renu Gehring, 2014-10 Explains the source and content of administrative healthcare data, which is the product of financial reimbursement for healthcare services. The book integrates the business knowledge of healthcare data with practical and pertinent case studies as shown in SAS Enterprise Guide. |
| gap analysis in healthcare: Understanding My Healthcare Facility Elkin D Taborda , 2024-01-26 About the Book: In the complex world of healthcare, the dedicated professionals who care for patients often remain unaware of the intricate processes and regulations that underpin the safe operation of a healthcare facility. Understanding My Healthcare Facility is a transformative book by Elkin D Taborda & James M Crouch that seeks to bridge this knowledge gap and empower healthcare professionals with a deeper understanding of the infrastructure and regulations behind the scenes. This enlightening guide takes you on a journey through the complex world of healthcare facilities, shedding light on the myriad processes and regulations that ensure the safety and efficiency of patient care. From doctors and nurses to administrators, this book is a must-read for anyone involved in the healthcare industry. The book's insights are not only invaluable for frontline healthcare workers but also essential for those in leadership roles within healthcare organizations. Equipping readers with the knowledge and tools to navigate the workings of healthcare facilities empowers them to take real-time actions that lead to the most desirable outcomes, ultimately enabling them to focus on providing patient care in a safe and nurturing environment. Understanding My Healthcare Facility is your key to a deeper understanding of the healthcare facility's crucial infrastructure, ensuring a safer and more efficient healthcare experience for all. |
| gap analysis in healthcare: Managing Human Resources in Health Care Organizations Leiyu Shi, 2007 Light on complex theoretical language, this relevant, accessible text offers a hands-on approach to studying human resources in various healthcare systems such as hospitals, integrated healthcare systems, managed care settings, private practices, and public health clinics. The book can be used as a stand-alone textbook in undergraduate or graduate level courses on human resources. With its practice-oriented approach, it is also a valuable resource for current health care organizations. |
Stihl Ignition Module Air Gap... - Arborist, Chainsaw & Tree Work …
Jun 12, 2005 · Next, the shop manual says to remove the setting gage, and measure the resulting air gap which is 0.008" - 0.012". Sounds easy enough. Here's the problem, the stihl setting …
AC Delco R45TS gap out of the box - Team Chevelle
Apr 12, 2018 · Test engine was a 253 Cu in V6. Stock ign, 045 plug gap, it made 168 hp. With Platinum plugs, same 045 gap, it made 171 hp. Split Fire plugs, same 171 HP. With surface …
BBC Intakes ---AFR 4910 vs Edelbrock RPM Air Gap
Nov 11, 2024 · I decided to a buy the AFR 4910 intake for my 502BBC with 265 AFR heads. AFR advertises the 4910 as the ultimate out of box match for their oval heads. For the record here …
torque converter/flexplate gap - Team Camaro Tech
Sep 27, 2015 · feeler gauges or calipers measure the gap between the flexplate converter mounting pad and the torque converter mounting pad. If gap distan ce is between .060” and …
Piston ring gap - Team Chevelle
Apr 16, 2023 · Rule of thumb for a naturally aspirated engine 0.004" gap per inch of bore so in your case you should shoot for 0.016-0.017" (4.155 x 0.004) ideally. If your gap is 0.032" you …
Real world HEI spark plug gaps - Team Chevelle
Aug 12, 2017 · If yu still see a specification for an incorrect giant spark plug gap for an HEi for any of the HEI's, DROP THE GAP DOWN TO THE PROPER SPECIFICATION OF .045 …
Starter too far from flexplate-what to do? - Team Chevelle
Jun 4, 2010 · Shimming only the outer side of the starter will draw it closer to the flexplate. Also, some starters have a smaller diameter pinion shaft (but the gear itself is the same size). If …
Spark plug and gap for higher compression BBC | Team Chevelle
Aug 24, 2017 · Go with a colder plug for higher compression and experiment from there. Depends a lot on how high the compression is and altitude, etc. Stick with the recommended plug gap …
Spark Plug Gap on 454 - Team Chevelle
Jan 30, 2006 · Can anyone tell me what the spark plug gap on a 454 should be. I changed the plugs on my 454 and it seems as if it is missing a little at low RPM. Does anyone recommed a …
Spark plug gap & Pertronix Ignitor - Team Chevelle
Jul 22, 2019 · The wider the gap the higher the spark voltage and current is needed because it takes higher voltage to cross a wider gap. That also allows the coil to charge more. Just basic …
Stihl Ignition Module Air Gap... - Arborist, Chainsaw & Tree Work …
Jun 12, 2005 · Next, the shop manual says to remove the setting gage, and measure the resulting air gap which is 0.008" - 0.012". Sounds easy enough. Here's the problem, the stihl setting …
AC Delco R45TS gap out of the box - Team Chevelle
Apr 12, 2018 · Test engine was a 253 Cu in V6. Stock ign, 045 plug gap, it made 168 hp. With Platinum plugs, same 045 gap, it made 171 hp. Split Fire plugs, same 171 HP. With surface …
BBC Intakes ---AFR 4910 vs Edelbrock RPM Air Gap
Nov 11, 2024 · I decided to a buy the AFR 4910 intake for my 502BBC with 265 AFR heads. AFR advertises the 4910 as the ultimate out of box match for their oval heads. For the record here …
torque converter/flexplate gap - Team Camaro Tech
Sep 27, 2015 · feeler gauges or calipers measure the gap between the flexplate converter mounting pad and the torque converter mounting pad. If gap distan ce is between .060” and …
Piston ring gap - Team Chevelle
Apr 16, 2023 · Rule of thumb for a naturally aspirated engine 0.004" gap per inch of bore so in your case you should shoot for 0.016-0.017" (4.155 x 0.004) ideally. If your gap is 0.032" you …
Real world HEI spark plug gaps - Team Chevelle
Aug 12, 2017 · If yu still see a specification for an incorrect giant spark plug gap for an HEi for any of the HEI's, DROP THE GAP DOWN TO THE PROPER SPECIFICATION OF .045 …
Starter too far from flexplate-what to do? - Team Chevelle
Jun 4, 2010 · Shimming only the outer side of the starter will draw it closer to the flexplate. Also, some starters have a smaller diameter pinion shaft (but the gear itself is the same size). If …
Spark plug and gap for higher compression BBC | Team Chevelle
Aug 24, 2017 · Go with a colder plug for higher compression and experiment from there. Depends a lot on how high the compression is and altitude, etc. Stick with the recommended plug gap …
Spark Plug Gap on 454 - Team Chevelle
Jan 30, 2006 · Can anyone tell me what the spark plug gap on a 454 should be. I changed the plugs on my 454 and it seems as if it is missing a little at low RPM. Does anyone recommed a …
Spark plug gap & Pertronix Ignitor - Team Chevelle
Jul 22, 2019 · The wider the gap the higher the spark voltage and current is needed because it takes higher voltage to cross a wider gap. That also allows the coil to charge more. Just basic …
