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Analysis of healthcare inte...
This report is one of several that document a broad, two-year study by RAND Health to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs, and to help inform government actions that could maximize EMR-S benefits and increase its use. It provides the technical details and results of one component of that study that analyzes interventions in the healthcare system that use EMR-S to affect patient trajectories-i.e., the sequence of encounters a patient has with the healthcare system. The interventions are to improve patient safety, increase preventive services, expand chronic disease management, and foster healthier lifestyles. We identified four classes of trajectory-changing interventions and we selected some important interventions in each class: --Implement Computerized Physician Order Entry (CPOE) as a means to reduce adverse drug events (ADEs). --Increase the provision of the following preventive services: influenza and pneumococcal vaccinations and screening for breast, cervical, and colorectal cancer. --Enroll people with one of four chronic illnesses-asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), or diabetes-in disease management programs. --Persuade people to adopt healthy lifestyles and estimate the health outcomes if everyone did so: controlled their weight, stopped smoking, ate a healthy diet, exercised, and controlled their blood pressure and cholesterol as necessary with medications. We estimated the effects of each intervention on healthcare utilization (e.g., hospital stays, office visits, prescription drug use), healthcare expenditures, and population health outcomes (workdays or schooldays missed, days spent sick in bed, mortality). These interventions generally affect trajectories by improving health and thereby reducing healthcare utilization, or by reducing a costly form of utilization (e.g., inpatient stays) and increasing a more economical form (e.g., office visits to physicians, or prescription medications). The report should be of interest to healthcare IT professionals, other healthcare executives and researchers, and officials in the government responsible for health policy
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monografia Rebiun33858049 https://catalogo.rebiun.org/rebiun/record/Rebiun33858049 m o d cr cn||||||||| 050729s2005 caua ob 000 0 eng d 2005022219 154316747 171127262 481626848 647633727 781422359 872040205 888612491 909079274 961576839 962615766 974513592 974573686 974577876 974619085 981556978 981862947 988459948 992095714 1005942056 1006966128 1008950439 1018070656 1037529385 1038597774 1039292978 1043627158 1044490028 1045526664 1047937816 1055350928 1058139716 1062911219 1073070204 1081281221 1083556255 1100556483 1101718877 1109326011 1110318561 1112888661 1112917285 1115068699 1117337358 1119122268 1119149322 1153534753 1154162225 1156974138 1228547444 1244210745 1248618200 1257354517 1257357229 1401730691 9780833040978 electronic bk.) 0833040979 electronic bk.) 0833038443 9780833038449 9780833040923 online) 0833040928 AU@ 000044591790 AU@ 000048835164 AU@ 000051315160 AU@ 000053238550 AU@ 000060527030 DEBBG BV043086542 DEBBG BV044158179 DEBSZ 422197580 DEBSZ 431047464 GBVCP 1008649538 GBVCP 80228776X NZ1 12045632 RAND/MG-408-HLTH 22573/ctthjzr JSTOR COCUF eng pn COCUF UBY OCLCQ N$T YDXCP E7B OCLCQ DKDLA OCLCQ B24X7 OCLCQ COO OCLCQ OCLCA JSTOR OCLCO OCLCQ NLGGC DEBSZ OCLCQ AU@ EBLCP N$T OCLCQ OCLCF OCLCQ OCLCE AZK JBG AGLDB OCLCQ CNNOR MOR OCLCO PIFBR ZCU MERUC OCLCQ ERL IOG VFL U3W LOA LND BUF ICG BRL STF WRM OCLCQ VTS OCLCO CEF NRAMU ICN CUY VT2 EZ9 OCLCO OCLCQ OCLCO OCLCQ MERER OCLCO WYU OCLCO A6Q TXR DKC OCLCO OCLCQ OCLCO NJT OCLCO UX1 HS0 UWK ADU UKBTH UPM OCLCQ OCLCA NJT OCLCQ OCLCO SFB OCLCA UKCRE U9X BRF OCLCQ INARC OCLCO OCLCQ OCL OCLCO UEJ dlr MED 002000 bisacsh MED 095000 bisacsh MED036000 bisacsh Analysis of healthcare interventions that change patient trajectories James H. Bigelow [and others] Santa Monica, CA RAND 2005 Santa Monica, CA Santa Monica, CA RAND 1 online resource (xxxvii, 171 pages) illustrations 1 online resource (xxxvii, 171 pages) Text txt rdacontent computer c rdamedia online resource cr rdacarrier data file Rand Health MG-409-HLTH "MG-408-HLTH."--P 4., cover Includes bibliographical references (pages 157-171) Building the trajectory database from MEPS -- Interpreting MEPS-based estimates -- Avoiding adverse drug events through computerized physician order entry -- Short-term effects of preventive services -- Management of chronic diseases -- Estimating long-term effects of healthy behavior on population health status and health care -- The patient's role in disease management and lifestyle changes -- Realizing the potential Use copy. Restrictions unspecified star. MiAaHDL This report is one of several that document a broad, two-year study by RAND Health to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs, and to help inform government actions that could maximize EMR-S benefits and increase its use. It provides the technical details and results of one component of that study that analyzes interventions in the healthcare system that use EMR-S to affect patient trajectories-i.e., the sequence of encounters a patient has with the healthcare system. The interventions are to improve patient safety, increase preventive services, expand chronic disease management, and foster healthier lifestyles. We identified four classes of trajectory-changing interventions and we selected some important interventions in each class: --Implement Computerized Physician Order Entry (CPOE) as a means to reduce adverse drug events (ADEs). --Increase the provision of the following preventive services: influenza and pneumococcal vaccinations and screening for breast, cervical, and colorectal cancer. --Enroll people with one of four chronic illnesses-asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), or diabetes-in disease management programs. --Persuade people to adopt healthy lifestyles and estimate the health outcomes if everyone did so: controlled their weight, stopped smoking, ate a healthy diet, exercised, and controlled their blood pressure and cholesterol as necessary with medications. We estimated the effects of each intervention on healthcare utilization (e.g., hospital stays, office visits, prescription drug use), healthcare expenditures, and population health outcomes (workdays or schooldays missed, days spent sick in bed, mortality). These interventions generally affect trajectories by improving health and thereby reducing healthcare utilization, or by reducing a costly form of utilization (e.g., inpatient stays) and increasing a more economical form (e.g., office visits to physicians, or prescription medications). The report should be of interest to healthcare IT professionals, other healthcare executives and researchers, and officials in the government responsible for health policy Electronic reproduction. [Place of publication not identified] HathiTrust Digital Library 2011. MiAaHDL Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL English digitized 2011 HathiTrust Digital Library committed to preserve pda MiAaHDL Health maintenance organization patients Cost effectiveness Medicine- Data processing Medical informatics Cost-Benefit Analysis Medical Informatics Applications Technology Assessment, Biomedical Medical Informatics Coût-efficacité Médecine- Informatique cost benefit analysis MEDICAL- Administration MEDICAL- Practice Management & Reimbursement MEDICAL- Health Policy Medicine- Data processing Medical informatics Cost effectiveness Health maintenance organization patients CD-ROMs CD-ROMs. Bigelow, J. H. Rand Corporation Books at JSTOR: Open Access JSTOR Books at JSTOR: Open Access Print version Analysis of healthcare interventions that change patient trajectories. Santa Monica, CA : RAND, 2005 (DLC) 2005022219 Rand publications series