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Download Best care at lower cost : the path to continuously learning by Institute of Medicine, Committee on the Learning Health Care PDF

By Institute of Medicine, Committee on the Learning Health Care System in America, J. Michael McGinnis, Leigh Stuckhardt, Robert Saunders, Mark Smith

"America's well-being care approach has turn into too complicated and expensive to proceed company as ordinary. most sensible Care at lower price explains that inefficiencies, an overpowering volume of information, and different fiscal and caliber boundaries prevent growth in bettering health and wellbeing and threaten the nation's financial balance and worldwide competitiveness. in line with this record, the data and instruments exist to place the well-being process on the  Read more...

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Increase transparency on health care system performance. Recommendation 10: Broad leadership. Expand commitment to the goals of a continuously learning health care system. • • experiences reliably and consistently, and implement standards and practices that advance the interoperability of data systems. The National Coordinator for Health Information Technology, digital technology developers, and standards organizations should ensure that the digital infrastructure captures and delivers the core data elements and interoperability needed to support better care, system improvement, and the generation of new knowledge.

Following public reporting of pneumonia care measures, for example, rates of compliance with the measures rose from 72 percent to 95 percent in 8 years (Joint Commission, 2011). , 2011). While further work is needed to improve the practical implementation of transparency and minimize negative consequences, greater transparency is necessary to provide the information needed to promote continuous learning and improvement. Conclusion: Transparency of process, outcome, price, and cost information, both within health care and with patients and the public, has untapped potential to support continuous learning and improvement in patient experience, outcomes, and cost and the delivery of high-value care.

Beyond systems-based problem solving, systems that continuously learn and improve also need to be adept at transferring the knowledge they gain throughout the organization. While each of these factors is important, it is the organization’s operational model—the way it aligns goals, resources, and incentives—that makes learning actionable. An 28 BEST CARE AT LOWER COST organization’s operational model can incentivize continuous learning, help control variability and waste that do not contribute to quality care, recoup savings to invest in improving care processes and patient health, and make improvement sustainable.

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