The Resource Analysis of healthcare interventions that change patient trajectories, James H. Bigelow ... [et al.], (electronic book)

Analysis of healthcare interventions that change patient trajectories, James H. Bigelow ... [et al.], (electronic book)

Label
Analysis of healthcare interventions that change patient trajectories
Title
Analysis of healthcare interventions that change patient trajectories
Statement of responsibility
James H. Bigelow ... [et al.]
Contributor
Subject
Language
eng
Summary
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
Cataloging source
CaPaEBR
Dewey number
362.1/068
Illustrations
illustrations
Index
no index present
LC call number
R729.5.H43
LC item number
A63 2005eb
Literary form
non fiction
Nature of contents
  • standards specifications
  • bibliography
http://library.link/vocab/relatedWorkOrContributorName
  • Bigelow, J. H
  • Rand Corporation
http://library.link/vocab/subjectName
  • Health maintenance organization patients
  • Medical Informatics Applications
  • Cost-Benefit Analysis
  • Technology Assessment, Biomedical
Label
Analysis of healthcare interventions that change patient trajectories, James H. Bigelow ... [et al.], (electronic book)
Instantiates
Publication
Note
"MG-408-HLTH."--P 4., cover
Bibliography note
Includes bibliographical references (p. 157-171)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
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
Control code
ebr10152598
Dimensions
26 cm.
Dimensions
unknown
Extent
xxxvii, 171 p.
Form of item
electronic
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Original version note
Original electronic resource.
Other physical details
ill.
Reproduction note
Electronic resource.
Specific material designation
remote
Label
Analysis of healthcare interventions that change patient trajectories, James H. Bigelow ... [et al.], (electronic book)
Publication
Note
"MG-408-HLTH."--P 4., cover
Bibliography note
Includes bibliographical references (p. 157-171)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
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
Control code
ebr10152598
Dimensions
26 cm.
Dimensions
unknown
Extent
xxxvii, 171 p.
Form of item
electronic
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Original version note
Original electronic resource.
Other physical details
ill.
Reproduction note
Electronic resource.
Specific material designation
remote

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