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Best care at lower cost : the path to continuously learning health care in America /

"America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's ec...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Smith, Mark D. (Physician) (Editor ), Saunders, Robert Samuel, 1978- (Editor ), Stuckhardt, Leigh (Editor ), McGinnis, J. Michael (Editor )
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington, D.C. : National Academies Press, 2013.
Colección:Online access: NCBI NCBI Bookshelf.
Temas:
Acceso en línea:Texto completo

MARC

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245 0 0 |a Best care at lower cost :  |b the path to continuously learning health care in America /  |c Committee on the Learning Health Care System in America ; Mark Smith, Robert Saunders, Leigh Stuckhardt, and J. Michael McGinnis, editors ; Institute of Medicine of the National Academies. 
264 1 |a Washington, D.C. :  |b National Academies Press,  |c 2013. 
264 4 |c ©2013 
300 |a 1 online resource (416 pages) :  |b illustrations (some color) 
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520 |a "America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009--roughly $750 billion--was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions"--Publisher's description 
504 |a Includes bibliographical references. 
505 0 |a Introduction and overview -- Imperative: managing rapidly increasing complexity -- Imperative: achieving greater value in health care -- Imperative: capturing opportunities from technology, industry, and policy -- A continuously learning health care system -- Generating and applying knowledge in real time -- Engaging patients, families, and communities -- Achieving and rewarding high-value care -- Creating a new culture of care -- Actions for continuous learning, best care, and lower costs -- Glossary -- A CEO checklist for high-value health care -- ACA provisions with implications for a learning health care system. 
588 0 |a Online resource; title from resource home page (National Academies Press, viewed November 13, 2012). 
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650 0 |a Medical policy  |z United States. 
650 0 |a Health care reform  |z United States. 
650 1 2 |a Delivery of Health Care  |x economics 
650 2 2 |a Efficiency, Organizational  |x economics 
650 2 2 |a Costs and Cost Analysis 
650 2 2 |a Quality of Health Care  |x economics 
651 2 |a United States 
650 6 |a Politique sanitaire  |z États-Unis. 
650 6 |a Services de santé  |x Réforme  |z États-Unis. 
650 7 |a BUSINESS & ECONOMICS  |x Insurance  |x Risk Assessment & Management.  |2 bisacsh 
650 7 |a Health care reform  |2 fast 
650 7 |a Medical policy  |2 fast 
651 7 |a United States  |2 fast 
700 1 |a Smith, Mark D.  |c (Physician),  |e editor. 
700 1 |a Saunders, Robert Samuel,  |d 1978-  |e editor. 
700 1 |a Stuckhardt, Leigh,  |e editor. 
700 1 |a McGinnis, J. Michael,  |e editor. 
710 2 |a Institute of Medicine (U.S.).  |b Committee on the Learning Health Care System in America,  |e issuing body. 
776 0 8 |i Print version:  |t Best care at lower cost.  |d Washington, D.C. : National Academies Press, ©2012  |z 9780309260732  |w (DLC) 2012040484  |w (OCoLC)809911392 
830 0 |a Online access: NCBI NCBI Bookshelf. 
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