Feb 11, 2014, 4:51 PM, Posted by
The quest over the last decade and a half to define and quantify “quality” in health care in the United States has resulted in widespread use of quality measures. Unfortunately, the alignment of these measures among entities in both the private and public sectors has been secondary to the efforts to identify and use good measures. This failure has resulted in a tremendous lack of comparability between quality improvement efforts.
While not surprising, the near total lack of alignment has become a major obstacle in the effort to improve care for patients. It leads to significant burdens for those looking to improve, wastes valuable (and finite) resources and is a drag on overall quality improvement efforts. Additionally, it creates a considerable barrier to efforts encouraging value-based decision making by consumers and others.
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Oct 8, 2013, 10:00 AM, Posted by
It is increasingly clear that solutions for our most pressing and challenging public health issues will ultimately hinge on designing environments that encourage healthy behavior choices by making them more available, economical, and enjoyable.
Traditional public health approaches are not perfectly suited to this task. For example, epidemiological studies allow us to measure the association between environmental design features such as parks or sidewalks and walking behavior, but these experimental data are generally insufficient to be either actionable by decision-makers or effective in prompting behavior change. As Jeff Speck, urban planner and theorist, observes in his recent book Walkable City: How Downtown Can Save America, One Step at a Time:
The pedestrian is an extremely fragile species, the canary in the coal mine of urban livability. Under the right conditions, this creature thrives and multiplies. But creating those conditions requires attention to a broad range of criteria, some more easily satisfied than others.”
Public health must improve its ability to develop multi-dimensional interventions to more successfully provide environments and experiences that encourage positive health outcomes. Put another way, public health must develop its capacity for design thinking.
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Sep 26, 2013, 8:19 PM, Posted by
Latinos in Tech and Social Media, better known as LATISM, is a movement that I had heard about, but not yet experienced. That all changed on Sept. 21 and 22, when I joined hundreds and hundreds of Latinos from around the nation at the Waldorf Astoria in Manhattan for the 5th annual LATISM conference. The focus: business, health, tech, education and advocacy.
For me, it all started six months ago. Andres Henriquez from the National Science Foundation, Rob Torres from the Gates Foundation, and I had a fortuitous encounter in Washington, D.C., as members of the Aprendiendo Juntos "Learning Together" Council. Aprendiendo Juntos Council is a multi-sector group of researchers, practitioners, and policy experts who seek to identify new models and practical strategies to improve educational outcomes for Hispanic-Latino families through the wise deployment of digital technologies. After sharing our concern for underrepresentation of high-quality Latino candidates for philanthropic funding in our respective organizations, we concluded that we wanted to demystify philanthropy. So we embarked on an experiment. What if we could talk about our trajectory–from hardship to philanthropy–with an audience of digital movers and shakers?
And that’s what we did over the September weekend. It was an engaging conversation with Latinos–working in technology, business, education and advocacy–who are ultimately committed to making their communities healthier and stronger. This conversation is just the beginning, and a great way to test my pet-hypothesis: That we will find the opportunity to share a Culture of Health in the places we least expect to find it.
What do you think? Please share your comments and ideas with me here and via Twitter @nieveschristine.
Aug 5, 2013, 9:43 AM, Posted by
As co-founder of ElationEMR, Kyna Fong and her brother Conan hope to revolutionize the way physicians use electronic medical records (EMRs). In this blog post, Fong, a former Robert Wood Johnson Foundation (RWJF) Scholar in Health Policy Research (2008-2010) and assistant professor of economics at Stanford University, explains how her new product helps physicians and nurses embrace the future of medicine. You can read more about how technology is being used in health care settings here.
Caring for patients is becoming increasingly complex. A whopping 68 percent of Medicare beneficiaries have multiple chronic conditions and, of those, 54 percent have four or more.
There is no doubt that innovations in information technology are essential to meeting this challenge and improving the quality and effectiveness of health care. New data streams are creating increasingly rich stories of our individual health—chronicling how we eat, sleep, exercise, and even what our genes predict.
New modes of delivering care are arising as new technologies offer more precise, more accessible vehicles to manage our health, including telemedicine, remote monitoring, connected messaging, and smart devices. What’s blatantly missing in these tools of the future, however, is a full understanding of how to connect with the key individuals who deliver care: physicians and nurses.
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