Improving Nurse-Physician Collaboration: Building an Infrastructure of Support

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (114 download)

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Book Synopsis Improving Nurse-Physician Collaboration: Building an Infrastructure of Support by : Marshall Blue

Download or read book Improving Nurse-Physician Collaboration: Building an Infrastructure of Support written by Marshall Blue and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Healthcare organizations have come to realize the 21st century brings many challenges. First and foremost is the challenge of improving patient satisfaction with their health care and their associated experience accessing this complex system. Other challenges are incorporating the patient perceptions of delivering high quality, safe, equitable care to the surrounding community while demonstrating cohesive teamwork. Healthcare professionals and organizations must find an effective and efficient pathway to provide excellent care to the patient within an extremely competitive market. Current research demonstrates a patient perceives they are receiving exceptional care when interdisciplinary conversations are noticed between the nurse and physician. This perception is realized as interactions of providers become standard practice and promote the patient's overall health outcomes and care experiences. A comparison of pre-and post-implementation data revealed an improvement in nurse-physician collaboration and patient satisfaction and care experience. The post-implementation RN MD Collaboration SurveyMonkey℗ʼ revealed 70% of the nurses had a positive perception of strong communication and collaboration with the physicians. Each profession has an ethical duty to ensure safe quality care is provided to every patient every time. The importance of open communication between nurses and physicians is essential to the advancement of patient care quality and safety and the healthcare system at large. The patient's healthcare experience directly correlates when they perceive their nurse and physician collaborate on the plan of care. Keywords: effective communication models, effective team building, collaboration, communication, job satisfaction, nurse-physician interaction, patient care experience, patient satisfaction.

Assessing Progress on the Institute of Medicine Report The Future of Nursing

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Publisher : National Academies Press
ISBN 13 : 0309380316
Total Pages : 221 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Assessing Progress on the Institute of Medicine Report The Future of Nursing by : National Academies of Sciences, Engineering, and Medicine

Download or read book Assessing Progress on the Institute of Medicine Report The Future of Nursing written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-03-22 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.

The Future of Nursing

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Publisher : National Academies Press
ISBN 13 : 0309208955
Total Pages : 700 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Future of Nursing by : Institute of Medicine

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

The Future of Nursing 2020-2030

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Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Team-Building Handbook: Improving Nurse-Physician Communications

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Publisher :
ISBN 13 : 9781556452871
Total Pages : 0 pages
Book Rating : 4.4/5 (528 download)

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Book Synopsis Team-Building Handbook: Improving Nurse-Physician Communications by : Kathleen Bartholomew

Download or read book Team-Building Handbook: Improving Nurse-Physician Communications written by Kathleen Bartholomew and published by . This book was released on 2014-11-19 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clear, constructive conversations between nurses and physicians is as crucial to the development and maintentance of a healthy workplace as it is to quality patient care. This pack of 10 handbooks provides techniques, scripting, and scenarios to aid your staff in building top-notch communication skills.

Mentoring in Nursing through Narrative Stories Across the World

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Publisher : Springer Nature
ISBN 13 : 3031252047
Total Pages : 1045 pages
Book Rating : 4.0/5 (312 download)

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Book Synopsis Mentoring in Nursing through Narrative Stories Across the World by : Nancy Rollins Gantz

Download or read book Mentoring in Nursing through Narrative Stories Across the World written by Nancy Rollins Gantz and published by Springer Nature. This book was released on 2023-07-15 with total page 1045 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book explores how mentoring, theoretical background of mentoring and how mentoring is used by nurses in all arenas where they work in health care, education, research, policy, politics, and academia in supporting nurses with their professional and career development. Over 300 mentors and mentees, from a wide range of countries across all continents, share their stories of mentoring reflecting on their development in leadership, clinical practice, education, research and politics. The book describes various types of mentoring including more traditional types of mentoring as well as virtual, online and peer mentoring. During the mentorship trajectories the nurses address an inclusive collection of issues that they are faced with and share supporting strategies. The book highlights the importance of mentoring for nurses to support their personal, and professional leadership development. Also, it emphasizes the importance of mentoring for when nurses engaged in variety of projects that could entail or encompass evidence-based clinical practice, development within education, research in the clinical arena, policy formation, political affairs, or cultural inclusion that present significant impact in patient care and healthcare outcomes within and across countries. With The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity report from the National Academies of Sciences, published in 2021, the role of nursing will become ever more dynamic and therefore the profession of nursing must be visible in improving and securing the future for patients, families, and communities across the globe. Mentoring practices to build the profession’s leaders are forever essential, acute, and imperative. This book shows how mentoring can support nurses in further developing nursing as a profession and scientific discipline across countries to support clinical application of evidence based practice, and nursing education and research dissemination. Accordingly, this book shares essential, diverse and pioneering expertise through wide range of narrative stories that will benefit nurses at all years of experience, from early career nurses, emerging leaders, nurse educators, leaders, policy makers and nurse scientists around the globe. The nursing profession must magnify its position in health care and nurses need to proliferate their contributions throughout the globe. They can accomplish that through mentoring and “growing and nurturing other nurses” to advance and thrive in today’s world.

Nurses With Disabilities

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Publisher : Springer Publishing Company
ISBN 13 : 082611010X
Total Pages : 226 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Nurses With Disabilities by : Leslie Neal-Boylan

Download or read book Nurses With Disabilities written by Leslie Neal-Boylan and published by Springer Publishing Company. This book was released on 2012-10-12 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: " This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "

Keeping Patients Safe

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Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Interprofessional Teamwork for Health and Social Care

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Publisher : John Wiley & Sons
ISBN 13 : 1444347799
Total Pages : 275 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Interprofessional Teamwork for Health and Social Care by : Scott Reeves

Download or read book Interprofessional Teamwork for Health and Social Care written by Scott Reeves and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROMOTING PARTNERSHIP FOR HEALTH This book forms part of a series entitled Promoting Partnership for Health publishedin association with the UK Centre for the Advancement of Interprofessional Education (CAIPE). The series explores partnership for health from policy, practice and educational perspectives. Whilst strongly advocating the imperative driving collaboration in healthcare, it adopts a pragmatic approach. Far from accepting established ideas and approaches, the series alerts readers to the pitfalls and ways to avoid them. DESCRIPTION Interprofessional Teamwork for Health and Social Care is an invaluable guide for clinicians, academics, managers and policymakers who need to understand, implement and evaluate interprofessional teamwork. It will give them a fuller understanding of how teams function, of the issues relating to the evaluation of teamwork, and of approaches to creating and implementing interventions (e.g. team training, quality improvement initiatives) within health and social care settings. It will also raise awareness of the wide range of theories that can inform interprofessional teamwork. The book is divided into nine chapters. The first 'sets the scene' by outlining some common issues which underpin interprofessional teamwork, while the second discusses current teamwork developments around the globe. Chapter 3 explores a range of team concepts, and Chapter 4 offers a new framework for understanding interprofessional teamwork. The next three chapters discuss how a range of range of social science theories, interventions and evaluation approaches can be employed to advance this field. Chapter 8 presents a synthesis of research into teams the authors have undertaken in Canada, South Africa and the UK, while the final chapter draws together key threads and offers ideas for future of teamwork. The book also provides a range of resources for designing, implementing and evaluating interprofessional teamwork activities.

Moral Distress in the Health Professions

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Publisher : Springer
ISBN 13 : 3319646265
Total Pages : 173 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Moral Distress in the Health Professions by : Connie M. Ulrich

Download or read book Moral Distress in the Health Professions written by Connie M. Ulrich and published by Springer. This book was released on 2018-01-31 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.

Health Professions Education

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Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Nurse-physician Collaboration

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Publisher : Churchill Livingstone
ISBN 13 :
Total Pages : 270 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nurse-physician Collaboration by : Eugenia L. Siegler

Download or read book Nurse-physician Collaboration written by Eugenia L. Siegler and published by Churchill Livingstone. This book was released on 1994 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the current barriers to effective collaboration between nurses and physicians and suggests how to overcome them. Six successful examples of collaborative practice in a variety of settings are described. Specific guidelines for teaching collaborative skills to both physicians and nurses are outlined at length.

International Partnerships for Strengthening Health Care Workforce Capacity: Models of Collaborative Education

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Publisher : Frontiers Media SA
ISBN 13 : 2889455157
Total Pages : 246 pages
Book Rating : 4.8/5 (894 download)

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Book Synopsis International Partnerships for Strengthening Health Care Workforce Capacity: Models of Collaborative Education by : Jeanne Mahoney Leffers

Download or read book International Partnerships for Strengthening Health Care Workforce Capacity: Models of Collaborative Education written by Jeanne Mahoney Leffers and published by Frontiers Media SA. This book was released on 2018-07-31 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: A critical problem in resource-scarce countries across the globe is the shortage of appropriately trained health care providers. According to the World Health Organization, the current global health workforce shortage of 7.2 million providers is estimated to increase to 12.9 million by 2035. This disproportionately affects resource-scarce countries, denying basic health care to millions and limiting access to life-saving treatments. Due to limited resources in these countries, not enough health professionals receive training, few have the opportunity for continuing education, and the ability to develop or implement educational programs and curricula is constrained. Additionally, many existing providers choose to emigrate in pursuit of professional advancement opportunities, contributing to the overall shortage of qualified health care providers in these environments. Efforts to strengthen health workforce capacity not only increases access, safety and availability of care, but is critical to building resilient health systems capable of caring for the world’s neediest populations. This requires not only cultivating new health care providers, but also providing ongoing professional development to retain and support current providers, advancing the level of practice in accordance with current clinical science, cultivating educators, and enhancing training curricula. It is critical also to contribute to the limited body of research documenting the effectiveness and impact of various models of collaborative education and partnership to improve health worker training and retention. This Research Topic examines strategies for building health workforce capacity through the prism of educational partnerships, offering significant examples of effective models of international collaborative education as well as insight and guidance on the structure and operation of successful global partnerships. Collectively, the 31 articles accepted and included in this eBook represent a diversity of health professions and geographies across academic, non-governmental organizations and other global partnership forms. The published manuscripts highlight various elements of partnerships with several consistent themes emerging: capacity building, local empowerment, mutual trust and respect, long-term commitment, equity, collaboration, and the importance of integrating theory and practice, for a balance of academic and clinical development. The manuscripts provide examples of partnership and educational programs that are in the formative, early stages of implementation and others which have been sustained long term, some for decades. The following eBook is divided into two parts, with each part broken down into sections. Part I of the eBook includes 18 manuscripts that showcase long-term educational programs that strongly exemplify multiple, foundational aspects of international partnerships in education including mutual collaboration and project management, empowerment of host partners to lead and sustain programs, and capacity building. While individual manuscripts included in Part I look broadly at multiple aspects of successful, international partnerships in education, Part II manuscripts focus intently on one-two elements. Part II includes 13 articles that highlight partnership through short- rather than long-term educational initiatives as well as program development and broad academic partnerships. This Research Topic was sponsored by Health Volunteers Overseas – a United States based non-profit that collaborates with over eighty international universities and health institutions to send volunteer health professionals to low-resource countries to provide continuing education, train the trainer courses, professional support, and consultation on academic program and curricula development.

The Future of the Nursing Workforce in the United States

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 0763756849
Total Pages : 329 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis The Future of the Nursing Workforce in the United States by : Peter Buerhaus

Download or read book The Future of the Nursing Workforce in the United States written by Peter Buerhaus and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.

Patient Safety and Quality

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Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Leadership by Example

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Publisher : National Academies Press
ISBN 13 : 0309168880
Total Pages : 206 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Leadership by Example by : Institute of Medicine

Download or read book Leadership by Example written by Institute of Medicine and published by National Academies Press. This book was released on 2003-05-21 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.

Collaboration Between Health Care and Public Health

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Author :
Publisher : National Academies Press
ISBN 13 : 0309374499
Total Pages : 105 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Collaboration Between Health Care and Public Health by : Institute of Medicine

Download or read book Collaboration Between Health Care and Public Health written by Institute of Medicine and published by National Academies Press. This book was released on 2016-02-04 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: On February 5, 2015, the Institute of Medicine Roundtable on Population Health Improvement hosted a workshop to explore the relationship between public health and health care, including opportunities, challenges, and practical lessons. The workshop was convened in partnership with the Association of State and Territorial Health Officials (ASTHO)-Supported Primary Care and Public Health Collaborative. Organized in response to the 2012 IOM report Primary Care and Public Health: Exploring Integration to Improve Population Health, this workshop focused on current issues at the interface of public health and health care, including opportunities presented by and lessons learned from the Centers for Medicaid and Medicare Services State Innovation Models program. The workshop featured presentations on several dimensions of the public health-health care relationship. Collaboration Between Health Care and Public Health summarizes the presentations and discussion of the event.