Building a Better Delivery System: A New Engineering/Health Care Partnership / Edition 1

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Overview

In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.
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Product Details

  • ISBN-13: 9780309096430
  • Publisher: National Academies Press
  • Publication date: 9/20/2005
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 276
  • Sales rank: 842,082
  • Product dimensions: 8.40 (w) x 10.80 (h) x 0.70 (d)

Table of Contents

Pt. I Consensus report
1 A new partnership between systems engineering and health care 11
2 A framework for a systems approach to health care delivery 19
3 The tools of systems engineering 27
4 Information and communications systems : the backbone of the health care delivery system 63
5 A strategy of accelerate change 83
Pt. II Workshop presentations
Crossing the quality chasm 95
Bridging the quality chasm 99
Envisioning the future 103
Improving health and health care 105
Engineering and the health care system 107
Engineering and the health care organization 113
Evidence-based medicine 117
The context of care and the patient care team : the safety attitudes questionnaire 119
Engineering the patient and family into the patient care team 125
Connecting patients, providers, and payers 129
New paradigms for working and learning 133
Designing caregiver- and patient-centered health care systems 135
Systems engineering : opportunities for health care 141
Supply-chain management and health care delivery : pursuing a system-level understanding 143
The human factor in health care systems design 147
Changing health care delivery enterprises 149
Transforming current hospital design : engineering concepts applied to the patient care team and hospital design 153
Discrete-event simulation modeling of the content, processes, and structures of health care 157
Measuring and reporting on health care quality 163
Archimedes : an analytical tool for improving the quality and efficiency of health care 167
Applying financial engineering to the health services industry 173
Engineering tools and methods in the delivery of cancer care services 177
Patient trajectory risk management 183
Deploying resources for an idealized office practice : access, interactions, reliability, and vitality 187
Engineering and the system environment 191
Challenges in informatics 193
A national standard for medication use 195
Obstacles to the implementation and acceptance of electronic medical record systems 199
Automation of the clinical practice : cost-effective and efficient health care 205
The eICU solution : a technology-enabled care paradigm for ICU performance 209
Wireless biomonitoring for health care 215
Rehabilitation redefined 221
Evaluating the potential of new technologies 223
Political barriers to change 227
Lessons from financial services 231
Can purchasers leverage engineering principles to improve health care? 233
Shibboleths in modeling public policy 235
Matching and allocation in medicine and health care 237
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