Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309391970 Category : Medical Languages : en Pages : 95
Book Description
The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
Author: Rafael Obregon Publisher: John Wiley & Sons ISBN: 1118241908 Category : Language Arts & Disciplines Languages : en Pages : 680
Book Description
International in scope, The Handbook of Global Health Communication offers a comprehensive and up-to-date analysis of the role of communication processes in global public health, development and social change Brings together 32 contributions from well-respected scholars and practitioners in the field, addressing a wide range of communication approaches in current global health programs Offers an integrated view that links communication to the strengthening of health services, the involvement of affected communities in shaping health policies and improving care, and the empowerment of citizens in making decisions about health Adopts a broad understanding of communication that goes beyond conventional divisions between informational and participatory approaches
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309132967 Category : Medical Languages : en Pages : 359
Book Description
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.
Author: Natacha J. Moreno Publisher: Thieme ISBN: 1684201845 Category : Medical Languages : en Pages : 121
Book Description
A practical resource that provides keys to improved patient–provider communication in healthcare "Engages its readers not only on an intellectual level but also on an emotional one…. This is a must read for everyone in the healthcare field and also for those involved in any form of caregiving. Natacha has written an inspiring book!" George Kohlrieser, PhD, Distinguished Professor of Leadership and Organizational Behavior Patient-Centered Communication: The Seven Keys to Connecting with Patients by Natacha J. Moreno supports and enhances caring communication and empathetic dialogue between providers and patients, an extremely important topic that exemplifies excellence in medical practice. The book focuses on seven essential components which form the foundation of compassionate communication. These are mindfulness, intention to bond, positive body language, empathetic vocal tone, attending to the patient's state and perspective, and listening with the heart and mind. The chapters provide instruction on effective verbal and nonverbal skills that support each vital key to connection. Key Highlights Opening vignettes provide a practical example of each chapter's topic in practice Imagine This and Take Action boxes stimulate thinking, motivate action, and provide an opportunity to apply knowledge and communication skills Videos demonstrate how to nonverbally reflect engagement, openness, kindness, and compassion, and also provide positive and negative examples of tone and vocal style This highly compelling and inspirational book is an essential read for all healthcare professionals and caregivers, and serves as a vital teaching guide.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309303133 Category : Medical Languages : en Pages : 470
Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Author: Natacha Moreno Publisher: Thieme ISBN: 1638536902 Category : Medical Languages : en Pages : 123
Book Description
A practical resource that provides keys to improved patient–provider communication in healthcare "Engages its readers not only on an intellectual level but also on an emotional one…. This is a must read for everyone in the healthcare field and also for those involved in any form of caregiving. Natacha has written an inspiring book!" George Kohlrieser, PhD, Distinguished Professor of Leadership and Organizational Behavior Patient-Centered Communication: The Seven Keys to Connecting with Patients by Natacha J. Moreno supports and enhances caring communication and empathetic dialogue between providers and patients, an extremely important topic that exemplifies excellence in medical practice. The book focuses on seven essential components which form the foundation of compassionate communication. These are mindfulness, intention to bond, positive body language, empathetic vocal tone, attending to the patient's state and perspective, and listening with the heart and mind. The chapters provide instruction on effective verbal and nonverbal skills that support each vital key to connection. Key Highlights Opening vignettes provide a practical example of each chapter's topic in practice Imagine This and Take Action boxes stimulate thinking, motivate action, and provide an opportunity to apply knowledge and communication skills Videos demonstrate how to nonverbally reflect engagement, openness, kindness, and compassion, and also provide positive and negative examples of tone and vocal style This highly compelling and inspirational book is an essential read for all healthcare professionals and caregivers, and serves as a vital teaching guide.
Author: Janice L. Dreachslin Publisher: John Wiley & Sons ISBN: 1118065603 Category : Medical Languages : en Pages : 480
Book Description
Major changes are occurring in the United States population and the nation's health care institutions and delivery systems. Significant disparities in health status exist across population groups. But the health care enterprise, with all its integrated and disparate parts, has been slow to respond. Written by three nationally known scholars and experts, Diversity and Cultural Competence in Health Care: A Systems Approach is designed to provide health care students and professionals with a clear understanding of foundations, philosophies, and processes that strengthen diversity management, inclusion, and culturally competent care delivery. Focusing on current practice and health care policy, including the recently passed Patient Protection and Affordable Care Act of 2010 (ACA), this textbook integrates strategic diversity management, self-reflective leadership, and the personal change process with culturally and linguistically appropriate care into a cohesive systems-oriented approach for health care professionals. The essentials of cultural competence and diversity management covered in this text will be helpful to a wide variety of students because they encompass principles and practices that can be realistically incorporated into the ongoing work of any health care field or organization. Each chapter contains learning objectives, summary, key terms, and review questions and activities designed to allow students to understand and explore concepts and practices identified throughout the text.
Author: Sarah W. Blackstone Publisher: Plural Publishing ISBN: 1597567957 Category : Medical Languages : en Pages : 353
Book Description
Patient-Provider Communication: Roles for Speech-Language Pathologists and Other Health Care Professionals presents timely information regarding effective patient-centered communication across a variety of health care settings. Speech-language pathologists, who serve the communication needs of children and adults, as well as professionals from medical and allied health fields will benefit from this valuable resource. This text is particularly relevant because of changes in health care law and policy. It focuses on value-based care, patient engagement, and positive patient experiences that produce better outcomes. Authors describe evidence-based strategies that support communication vulnerable patients, including individuals who have difficulty speaking, hearing, understanding, seeing, reading, and writing, as well as patients whose challenges reflect limited health literacy, and/or differences in language, culture, religion, sexual orientation, and so on. Topics addressed include patient-provider communication in medical education, emergency and disaster scenarios, doctor's offices and clinics, adult and pediatric acute care settings, rehabilitation, long-term residential care, and hospice/palliative care situations. The editors are recognized internationally for their work in the field of communication disorders and have been active in the area of patient-provider communication for many years. Patient-Provider Communication is a must-have resource for speech-language pathologists and other health care providers at the forefront of quality patient-centered care.
Author: Gwen Van Servellen Publisher: Jones & Bartlett Publishers ISBN: 0763755575 Category : Language Arts & Disciplines Languages : en Pages : 520
Book Description
The first text of its kind to address the connection between communication practices and quality patient care outcomes provides future and practicing patient caregivers basic communication knowledge and skills.