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Thursday, July 6

  1. page Executive summary edited ... Second, we examine proposed solutions: Debates now focus on what models should replace the fai…
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    Second, we examine proposed solutions: Debates now focus on what models should replace the failed financial strategies of the past. New models being discussed tend to focus on increasing consumer co-payments and deductibles while demanding consumers make complex healthcare choices without adequate knowledge, and rewarding providers financially for attaining performance goals that may not improve outcomes or control costs.
    These models may be useful, but will only succeed if they address a fundamental problem: Healthcare stakeholders[1] must (a) know the specific treatments and prevention[2] methods best for each patient and how to deliver that them efficiently and effectively, and (b) use that knowledge in a way that continually improves care quality.
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    a knowledge void;gap; and those
    Often, the necessary clinical information simply doesn’t exist. But even when good information is available to support healthcare decisions, it often isn’t being used to improve care quality because the unaided human mind, no matter how competent, simply cannot focus on all the necessary details nor possess all the knowledge needed for continually making the best clinical decisions. Specialization and traditional information technology do not solve this problem.
    Third, we propose a uniquely comprehensive approach to solving our country’s healthcare problems. Unlike other models focused primarily on economic strategies, ours is based on the wisdom that sustainable gains in care quality require a focused commitment on building and using scientific knowledge within a collaborative healthcare community to improve outcomes and lower costs. This model recommends implementing patient-centered care in a supportive healthcare environment enabling stakeholders to improve the health and well-being all people by:
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    6:22 am
  2. page The Knowledge Gap edited ... a knowledge void: gap: An estimated half of all surgical operations and other medical pro…
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    a knowledge void:gap:
    An estimated half of all surgical operations and other medical procedures lack strict scientific evidence of their effectiveness and safety [1] and common procedures are prescribed that are not proven effective — up to 85 percent lack adequate scientific validation.[2] In other words, healthcare providers often don’t know what treatments work best for a particular patient.
    Stakeholders do not have enough information about the quality of care — outcomes data about what works and what doesn’t — to enable them to make appropriate decisions.[3,4,4a] They are concerned that their decisions are based on limited or poor quality information. The consequences are enormous for everyone;
    (view changes)
    6:21 am

Friday, March 10

  1. page The Current Situation edited ... Nevertheless, U.S. healthcare has great potential to do great things,[33a] but many of our pol…
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    Nevertheless, U.S. healthcare has great potential to do great things,[33a] but many of our policies and practices are blocking realization of that potential.
    While it is widely accepted that information technology is an essential part of the solution, few providers use clinical information systems to (a) support providers in making diagnostic and treatment decisions by coupling patient problems with evidence-based knowledge; (b) manage and assess the execution of plans of care; and (c) collect and share outcomes data[34] and lessons learned. The dominant trend in every realm of science is the increasing value and usage of computers[35], yet healthcare lags far behind as clinical decisions are made largely without the aid of computer software.[36] The U.S., in fact, lags as much as a dozen years behind other industrialized countries in the adoption of health information technology.[37]
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    healthcare “knowledge void.”gap.”
    Links to blogs:
    » Why Is Fixing American Health Care So Difficult?
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    12:56 pm

Monday, February 20

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Wednesday, April 6

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Thursday, January 21

Sunday, November 16

  1. page home edited ... A Wise Way to Better Outcomes and Lower Costs By Stephen E. Beller, Ph.D. and Sabatini J. Mon…
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    A Wise Way to Better Outcomes and Lower Costs
    By Stephen E. Beller, Ph.D. and Sabatini J. Monatesti
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    please contact smonatesti@verizon.net or Dr. Beller
    » Table of Contents
    Returning visitors: Click here to view Recent Changes
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    8:49 pm
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