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01-09C - Introduction To Healthcare and Public Health in The US - Unit 09 - Healthcare Reform - Lecture C

The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License. The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp01Unit09. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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Health IT Workforce Curriculum - 2012
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24 views

01-09C - Introduction To Healthcare and Public Health in The US - Unit 09 - Healthcare Reform - Lecture C

The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License. The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp01Unit09. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

Uploaded by

Health IT Workforce Curriculum - 2012
Copyright
© Attribution Non-Commercial ShareAlike (BY-NC-SA)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Introduction to Healthcare and

Public Health in the US


The Evolution and Reform of
Healthcare in the US
Lecture c
This material (Comp1_Unit9c) was developed by Oregon Health & Science University, funded by the Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.
The Evolution and Reform of
Healthcare in the US
Learning Objectives
2
Describe evidence-based medicine,
clinical practice guidelines, and quality
indicators in medicine (Lecture a, b, c)
Describe the patient-centered medical
home model (Lecture d)
Discuss the key issues driving healthcare
reform in the US (Lecture e)
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Quality Indicators In Medicine
3
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
What is quality?
"the degree to which health services for
individuals and populations increase the
likelihood of desired health outcomes, in a
manner that is consistent with current
professional knowledge.
(Institute of Medicine, 2001)
What Does Quality Mean?
Better patient outcomes (patient health)
Better system performance (patient care)
Better professional development (clinician
learning)
Scientific evidence + particular context =
measured performance improvement
4
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Agency for Healthcare Research and
Quality (AHRQ)
5
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Part of Department of Health and Human
Services
Mission: to improve quality, safety,
efficiency, and effectiveness of healthcare
for all Americans
Safety and quality: Reduce risk of harm
Effectiveness: Improve healthcare outcomes
Efficiency: Transform research into practice
Methods To Promote Quality
6
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Metrics for measuring quality
Process measures
Outcome measures
Role of EHR in improving quality
Data collection
Data analysis
Plan-Do-Study-Act (PDSA) cycle
Organizational standards
Comparative Effectiveness
Research (CER)
7
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
In 2008 the Institute of Medicine noted that
patient care should be based on the
conscientious, explicit, and judicious use
of current best evidence
In 2009 the IOM defined CER as
evidence that compares the benefits
and harms of alternative methods
Comparative Effectiveness
8
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Generate evidence from research studies
Compare drugs, tests, healthcare delivery
methods, etc.
Researchers may look at existing studies,
or devise new studies
They may develop or use different
methods and sources of data

Steps in Comparative
Effectiveness Research (CER)
9
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Review and synthesize current medical
research
Promote and generate new evidence and
analytic tools
Translate and disseminate research
findings to diverse stakeholders
Benefits of CER
10
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
CER stakeholders spectrum of
individuals who make informed decisions
that will improve healthcare
CER may provide information about
benefits and harms
CER can compare costs of different
treatments based on outcomes
CER helps patients and physicians to
choose between treatments
Emphasis on CER is a part of
Healthcare Reform
11
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
The American Recovery and
Reinvestment Act of 2009 created the
Federal Coordinating Council for
Comparative Effectiveness Research
Evolution and Reform of
Healthcare in the US
Summary Lecture c
12
Defined quality indicators
Approaches to quality improvement, e.g.,
Plan, Do, Study, Act
Described Comparative Effectiveness
Research (CER)
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c
Evolution and Reform of
Healthcare in the US
References Lecture c
References
Committee on Quality Healthcare in America, Institute of Medicine, . (2001). Crossing the quality
chasm: a new health system for the 21st century. Washington,, DC: National Academy Press.
Comparative Effectiveness Research Funding. (n.d.). Retrieved December 6, 2011, from U.S.
Department of Health & Human Services/Recovery website:
http://www.hhs.gov/recovery/programs/cer/index.html
Initial National Priorities for Comparative Effectiveness Research. (2009). Retrieved from National
Academies Press, Washington DC 20055 website:
http://www.nap.edu/catalog.php?record_id=12648#toc
Sox, H. C., Helfand, M., Grimshaw, J., Dickersin, K., & the PLoS Medicine Editors, et.al. (2010,
April 29). Comparative effectiveness research: Challenges for medical journals [editorial]. The
Cochrane Library, Retrieved from
http://www.thecochranelibrary.com/details/editorial/687971/Comparative-Effectiveness-Research-
Challenges-for-Medical-Journals.html


13
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Introduction to Healthcare and Public Health in the US
The Evolution and Reform of Healthcare in the US
Lecture c

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