The Common Rule and Continuous Improvement in Health Care: A Learning Health System Perspective

2011 ◽  
Vol 1 (10) ◽  
Author(s):  
Harry Selker ◽  
◽  
Claudia Grossman ◽  
Alyce Adams ◽  
Donald Goldmann ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Continuous Improvement ◽  
System Perspective ◽  
Common Rule ◽  
Learning Health System ◽  
The Common ◽  
Health System Perspective

Revisiting the Common Rule and Continuous Improvement in Health Care: A Learning Health System Perspective

2015 ◽  
Vol 5 (12) ◽  
Author(s):  
Richard Platt ◽  
◽  
Christopher Dezii ◽  
Barbara Evans ◽  
Jonathan Finkelstein ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Continuous Improvement ◽  
System Perspective ◽  
Common Rule ◽  
Learning Health System ◽  
The Common ◽  
Health System Perspective

Challenges in immunisation service delivery for refugees in Australia: A health system perspective

Vaccine ◽  
2017 ◽  
Vol 35 (38) ◽  
pp. 5148-5155 ◽  
Author(s):  
A. Mahimbo ◽  
H. Seale ◽  
M. Smith ◽  
A. Heywood
Keyword(s):  
Service Delivery ◽  
Health System ◽  
System Perspective ◽  
Immunisation Service ◽  
Health System Perspective

scholarly journals An Analysis of the Learning Health System in Its First Decade in Practice: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Jodyn E Platt ◽  
Minakshi Raj ◽  
Matthias Wienroth
Keyword(s):  
Health Care ◽  
Health System ◽  
Thematic Analysis ◽  
Scoping Review ◽  
Rapid Learning ◽  
The Past ◽  
Learning From Data ◽  
Learning Health System ◽  
Over Time ◽  
Value Of Health

BACKGROUND In the past decade, Lynn Etheredge presented a vision for the Learning Health System (LHS) as an opportunity for increasing the value of health care via rapid learning from data and immediate translation to practice and policy. An LHS is defined in the literature as a system that seeks to continuously generate and apply evidence, innovation, quality, and value in health care. OBJECTIVE This review aimed to examine themes in the literature and rhetoric on the LHS in the past decade to understand efforts to realize the LHS in practice and to identify gaps and opportunities to continue to take the LHS forward. METHODS We conducted a thematic analysis in 2018 to analyze progress and opportunities over time as compared with the initial <i>Knowledge Gaps and Uncertainties</i> proposed in 2007. RESULTS We found that the literature on the LHS has increased over the past decade, with most articles focused on theory and implementation; articles have been increasingly concerned with policy. CONCLUSIONS There is a need for attention to understanding the ethical and social implications of the LHS and for exploring opportunities to ensure that these implications are salient in implementation, practice, and policy efforts.

scholarly journals Value-Based Health Care Supported by Data Science

2018 ◽  
pp. 193-212 ◽  
Author(s):  
Tiffany I. Leung ◽  
G. G. van Merode
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health System ◽  
Healthcare System ◽  
Patient Outcomes ◽  
Data Science ◽  
Costs Of Care ◽  
Learning Health System ◽  
Measuring Outcomes ◽  
Cost Measurement

AbstractThe value agenda involves measuring outcomes that matter and costs of care to optimize patient outcomes per dollar spent. Outcome and cost measurement in the value-based health care framework, centered around a patient condition or segment of the population, depends on data in every step towards healthcare system redesign. Technological and service delivery innovations are key components of driving transformation towards high-value health care. The learning health system and network-based thinking are complementary frameworks to the value agenda. Health care and medicine exist in a data-rich environment, and learning about how data can be used to measure and improve value of care for patients is and increasingly essential skill for current and future clinicians.

Cost-effectiveness of continuous positive airway pressure therapy for obstructive sleep apnea: health care system and societal perspectives

SLEEP ◽  
2019 ◽  
Vol 42 (12) ◽  
Author(s):  
Jared Streatfeild ◽  
David Hillman ◽  
Robert Adams ◽  
Scott Mitchell ◽  
Lynne Pezzullo
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Health System ◽  
Health Care System ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Cpap Therapy ◽  
System Perspective ◽  
Obstructive Sleep ◽  
Care System

Abstract Study Objectives To determine cost-effectiveness of continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) in Australia for 2017–2018 to facilitate public health decision-making. Methods Analysis was undertaken of direct per-person costs of CPAP therapy (according to 5-year care pathways), health system and other costs of OSA and its comorbidities averted by CPAP treatment (5-year adherence rate 56.7%) and incremental benefit of therapy (in terms of disability-adjusted life years [DALYs] averted) to determine cost-effectiveness of CPAP. This was expressed as the incremental cost-effectiveness ratio (= dollars per DALY averted). Direct costs of CPAP were estimated from government reimbursements for services and advertised equipment costs. Costs averted were calculated from both the health care system perspective (health system costs only) and societal perspective (health system plus other financial costs including informal care, productivity losses, nonmedical accident costs, deadweight taxation and welfare losses). These estimates of costs (expressed in US dollars) and DALYs averted were based on our recent analyses of costs of untreated OSA. Results From the health care system perspective, estimated cost of CPAP therapy to treat OSA was $12 495 per DALY averted while from a societal perspective the effect was dominant (−$10 688 per DALY averted) meaning it costs more not to treat the problem than to treat it. Conclusions These estimates suggest substantial community investment in measures to more systematically identify and treat OSA is justified. Apart from potential health and well-being benefits, it is financially prudent to do so.

scholarly journals Costs and consequences of chronic pain due to musculoskeletal disorders from a health system perspective in Chile

PAIN Reports ◽  
2018 ◽  
Vol 3 (5) ◽  
pp. e656 ◽  
Author(s):  
Constanza Vargas ◽  
Norberto Bilbeny ◽  
Carlos Balmaceda ◽  
María Francisca Rodríguez ◽  
Pedro Zitko ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Health System ◽  
Musculoskeletal Disorders ◽  
System Perspective ◽  
Health System Perspective
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