The document discusses health disparities and barriers to healthcare access in the United States. It notes that factors like financial concerns, geography, literacy, race, culture and others can contribute to population-specific differences in disease burden and access to care. Some populations experience disproportionately higher rates of chronic illnesses and mortality from certain causes. Efforts are needed to improve access, reduce disparities, and accelerate quality improvement, especially around preventive care and patient safety, in order to ensure all patients receive high-quality care.
The Paradigm Shift from Healthcare to Population HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
How to convince key decisionmakers to integrate health literacyChristopher Trudeau
Looking to make the business & regulatory case for integrating health literacy or patient-centered care into your hospital or health system. This presentation gives practical tips and example slides I've used to help make the case.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
The Paradigm Shift from Healthcare to Population HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
How to convince key decisionmakers to integrate health literacyChristopher Trudeau
Looking to make the business & regulatory case for integrating health literacy or patient-centered care into your hospital or health system. This presentation gives practical tips and example slides I've used to help make the case.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
How do you get travelers to engage directly with your brand? With BaynoteONE, travel brands put each customer at the center of their digital experience and deliver the cross-device, personalized experience that engages travelers, delivers increased bookings and creates long-term, loyal relationships.
The Human Need for Personalization: Psychology, Technology and Science Dan Saso
In this whitepaper, Scott Brave defines the psychology, technology and science that underlie a shopper’s desire for a personalized eCommerce experience. You’ll learn how:
The definition of personalization, psychology of needs, and technological constructs make automated personalization systems possible. The science behind the man-machine interface brings user psychology and technology together.
3M’s goal is to improve life for its customers, to be relevant to every business and do it in a manner that enables operational
excellence and innovation. Choosing Baynote empowered the Shop3M team to do just that. Christopher Murray said, “We
wanted to be able to test the technology without making a large capital investment. Baynote has been flexible and a very
good partner for us to work with.” And with a double digit improvement in conversions, coupled with an 8.5% lift in average order value, Baynote has met just about every metric established by the Shop3M team.
Land Art Generator Glasgow - Test Unit Pecha KuchaChris Fremantle
Chris Fremantle's Presentation to the 6 July Pecha Kucha organised by Test Unit at the Whisky Bond, Glasgow. Fremantle highlighted his art and energy journey from the Brent Spar standoff between Shell and Greenpeace, through discovering Peter Fend's work to realising that Platform, an arts organisation, had spun off a renewable energy business which is still more than 10 years later delivering renewables solutions in London. He went on to highlight the four key reasons why the Land Art Generator is relevant in Scotland today including the Scottish Government's Climate Change Act and targets for de-carbonising the Scottish economy, the environmental capacity for renewables in Scotland, the need for creative input and the issue of land ownership/reform.
7 Winning Strategies For Personalizing Your Guest ExperienceDan Saso
7 winning strategies for personalizing your guest experience - An overview of 7 best practice tips for personalization within the Hospitality industry.
As part of my Executive MBA program at St Mary's College of California, I worked on a Capstone project in which I helped Indonesian Cosmetic manufacturer to help export their Purbasari body scrub product into the North American Market. This presentation is a draft outline to my export strategy plan for PT Gloria Origita Cosmetic.
If you have any questions or comments for improvements please feel free to reach out to me or comment below.
Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
Addressing health equity & the risk in providing careEvan Osborne
What Is Health Equity & Why Should It Be Addressed?
How Does Health Equity Impact Providers & Payors?
How Can Providers & Payors Be Rewarded For Addressing Health Equity?
How Can Health Equity Be Addressed Through Technology?
Why Is There A Need For Healthcare Data Aggregation.pptxPersivia Inc
Healthcare Data Aggregation is crucial in streamlining information, improving patient care, and enhancing overall healthcare outcomes. Aggregating healthcare data allows for the creation of comprehensive patient profiles by pulling information from various sources such as electronic health records (EHRs), wearable devices, and diagnostic tools. This holistic view enables healthcare professionals to make more informed decisions about patient care.
Evolution of Health Care Paper and TimelineThere are specifi.docxSANSKAR20
Evolution of Health Care Paper and Timeline
There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.
How has this change impacted the quality of care?
The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.
Percentage of physicians whose electronic health records provided selected benefits
(HealthIT.gov)
Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.
Did Societal beliefs and values influence this change? Why or why not?
The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.
The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many ...
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
2. The Health Resources and Services
Administration defines health
disparities as "population-specific
differences in the presence of
disease, health outcomes, or
access to health care."
4. The Center for Advancing Health reports that 19% of
adults postpone care for financial reasons such as lack
of insurance or inability to pay.
21% of adults postpone healthcare for nonfinancial
reasons.
• scheduling conflicts
• inability to get time off work
• lack of child care
• transportation difficulties
• long wait times to see a provider
5. 20% of Americans live in
rural areas while only
11% of physicians
practice there.
6. Rural populations have
disproportionately more chronic
illnesses than urban residents.
Healthcare is limited by poor
infrastructure and fewer practitioners.
◦ Less access to preventative medicine
◦ Limited availability of wellness
programs. (HHS 2011)
7. Hispanics in the United States are more likely
to die from diabetes than non-Hispanic
Whites.
African Americans, Native Americans and
Alaska Natives have higher infant mortality
rates than Whites.
African Americans have higher death rates
from heart disease, cancer, HIV/AIDS and
homicide than Whites. (Blais & Hayes, 2011).
8. “Eliminating racial and ethnic
disparities in health will require
enhanced efforts at preventing
disease, promoting health and
delivering appropriate care.”
(OMHD, 2010).
9. People with higher education and income
have lower rates of heart disease, diabetes,
obesity and infant mortality.
People with higher education and income
seek preventive care more frequently than
people
10. Poor infrastructure
◦ Lack of reliable computing and storage
Cost
◦ Clinicians and administrators may fear budget
disasters and lost productivity
Interoperability
◦ Systems do not exchange data seamlessly
Computer illiteracy among clinicians
◦ Some clinicians are not comfortable with new
technology
11. “Informatics is the science
and art
of turning data into
information.”
(Hebda and Czar, 2013).
12. “An EHR is a digital version of
patient data found in traditional
paper records.” (Hebda and Czar,
2013). Ideally, the EHR contains a
running record of all healthcare
encounters.
13. Meaningful Use
Meaningful use (MU), in a health information
technology (HIT) context, defines the use of
electronic health records (EHR) and related
technology within a healthcare organization.
14. .
Stage 1:
Meaningful use criteria focus on:
Electronically capturing health information in a
standardized format
Using that information to track key clinical
conditions
Communicating that information for care
coordination processes
Initiating the reporting of clinical quality
measures and public health information
Using information to engage patients and their
families in their care
15. Stage 2:
Meaningful use criteria focus on:
More rigorous health information exchange
(HIE)
Increased requirements for e-prescribing and
incorporating lab results
Electronic transmission of patient care
summaries across multiple settings
More patient-controlled data
16. Stage 3:
Meaningful use criteria focus on:
Improving quality, safety, and efficiency,
leading to improved health outcomes
Decision support for national high-priority
conditions
Patient access to self-management tools
Access to comprehensive patient data
through patient-centered HIE
Improving population health
17. According to the ASTM E1384 Standard Guide
for Content and Structure of the Electronic
Health Record 1 the EHR serves all of the
functions of the traditional health record with
many advantages. Some of these advantages
include:
a unified repository of healthcare information
information that is accessible from multiple
sites
more efficient communication between
healthcare providers
18. cross-patient retrievals will provide statistics
needed by clinical, outcomes, and health
service researchers as well as administrators
and managers
better defined policies and procedures to
improve healthcare practice
a longitudinal health record that can be
developed more efficiently and effectively
19. Medicare and Medicaid EHR Incentive
Programs
The Medicare and Medicaid EHR Incentive
Programs will provide EHR incentive payments
to eligible professionals (EPs) and eligible
hospitals as they adopt, implement, upgrade,
or demonstrate meaningful use of certified
electronic health record (EHR) technology.
20. Safety , Quality, Efficiency, Education
Guidelines
Clinical reminders
Bridging communication gaps
Communication with consumer and other
providers
Retrievable record
Social networking
Education
21. Agency for Healthcare Research and Quality (AHRQ)
Measure trends in effectiveness of care, patient
safety, timeliness of care, patient centeredness,
and efficiency of care.
22.
23. ◦ Few disparities in quality of care related to race,
ethnicity, or income showed significant
improvement, although the number of disparities
that were getting smaller typically exceeded the
number of disparities that were getting larger.
◦ Disparities that were getting smaller include
differences between Hispanics and non-Hispanic
Whites in rates of admission for congestive heart
failure. Disparities that were getting larger
include differences between Blacks and Whites in
rates of advanced stage breast cancer.
24.
25. The Affordable Care Act requires that all
federally funded health programs and
population surveys collect and report data
on race, ethnicity, sex, primary language,
and disability and supports use of data to
analyze and track health disparities
26. The AMA has encouraged physicians to examine
their own practices to ensure equality in medical
care.
The AMA has created a program on health
disparities to coordinate many of the AMA's
activities in science, ethics, and medical
education addressing the issue.
The AMA has extensive AMA's Principles of
Medical Ethics, used to define ethical and
professional behavior for physicians.
The AMA is involved in ongoing efforts to
increase the number of minority physicians so as
to reflect the diversity of the US population.
27. The AMA's House of Delegates reaffirmed our
commitment to minority health care by making
the elimination of racial and ethnic health
disparities an issue of high priority.
The AMA is partnering with the AMA Foundation
to help physicians become aware of and
appropriately manage low health literacy among
patients.
Educating Physicians on Controversies in Health
(EpoCH) is a series of brief informational Web
streaming programs—developed by the AMA—
targeting primary care physicians.
28. Examples of successes
Affordable Care Act
American Medical Association commitment
AHRQ focus & data element changes
Enabled Research
Community Ministries of Rockville (CMR)
Mobil Medical Care (MobileMed)
Primary Care Coalition (PCC)
World Wide Assistance (WWA)
Regional Minority Prevention Network - George Washing
Cancer Institute (GWCI)
ProstateNet
Health Disparity Conference
29. Quality Improvement strategies, better
outcomes
Integration of fragmented fields
Forging public and private partnerships
Prevention
Necessary educational and training tools
Partnering with communities
Utilizing community organizations
30. Summary and Conclusion
Researchers have found that some populations,
including certain racial and ethnic groups, limited
English proficient persons, people with
disabilities, and the elderly, are
disproportionately affected by barriers which
prevent or decrease access to healthcare
services. In addition, there are measurable
differences in the use of healthcare services and
the quality of healthcare services received among
various population groups.
31. We need to improve access to care, reduce
disparities, and accelerate the pace of quality
improvement, especially in the areas of
preventive care and safety.
More data are needed to assess progress in
care coordination and efficiency. Information
needs to be shared with partners who have
the skills and commitment to change health
care.
32. Building on data stakeholders can design and
target strategies and clinical interventions to
ensure that all patients receive the high-
quality care needed to make their lives better.
33. Agency for Healthcare Research and Quality (AHRQ) found at
http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/highlights.html
Andrulis DP, Siddiqui NJ, Purtle JP, et al. Patient Protection and Affordable Care Act of
2010: advancing health equity for racially and ethnically diverse populations.
Washington, DC: Joint Center for Political and Economic Studies; 2010. Available at:
http://www.jointcenter.org/research/patient-protection-and-affordable-care-act-of-
2010-advancing-health-equity-for-racially-and .
HHS action plan to reduce racial and ethnic health disparities. Washington, DC: U.S.
Department of Health and Human Services; 2011. Available at:
http://minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=285.
Office of Minority Health. Explanation of data standards for race, ethnicity, sex, primary
language, and disability. Washington, D.C.: U.S. Department of Health and Human
Services; 2011, Available at:
http://minorityhealth.hhs.gov/templates/content.aspx?ID=9228&lvl=2&lvlID.
U.S. Department of Health and Human Services. 2012 annual progress report to
Congress: national strategy for quality improvement in health care. Washington, DC:
HHS; 2012. Available at:
http://www.ahrq.gov/workingforquality/nqs/nqs2012annlrpt.pdf [Plugin Software Help].
http://healthinformatics.wikispaces.com/Health+disparity
http://www.ama-assn.org/ama/pub/physician-resources/public-health/eliminating-
health-disparities.page
34. Khan, K. (2011, August 19). Americans face barriers to health care beyond cost. Retrieved
from http://www.cfah.org/hbns/2011/americans-face-barriers-to-health-care-beyond-
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"Mom's Son I" by Janne Nummela
http://freemusicarchive.org/music/Janne_Nummela/Kosmoskalevala/05_janne_nummel
a_-_mom_s_son_i