Advancing Federal Sector Health Care: A Model for Technology Transfer

ISBN-13: 9781441928771 / Angielski / Miękka / 2010 / 396 str.

Peter Ramsaroop; Marion J. Ball; David Beaulieu

Opis

As a result of severe wounds received in World War II, I have spent many months in military hospitals, including 20 months in an Army hospital immediately after the war. I continue to use the Military Health System, as do many of my colleagues in Congress, because I firmly believe the quality of health care delivered in military and veterans hospitals is second to none. The largest system of its type in the world, the U.S. military healthcare system is undergoing changes as dramatic as those experienced by the entire country. During Desert Storm, we saw new technologies, such as telemedicine, at work in the field. Since then, military medicine has contin ued to imprave and develop innovations that often focus on healthcare issues of concern to society as a whole. We already have seen technology transfer at work. Things we use in our everyday lives, from sunscreen to the Internet, have come to us directly from innovations developed by federal researchers. The private sector, working with the public agencies, has creatively adapted federal research. For example, the hemopump is used successfully by heart surgeons world wide to save heart patients. This device, developed by Richard Wampler, was based on satellite technology information that was declassified in the early 1980s. The chapters in this book focus on current federal sector efforts to shape health care and technology transfer. Many of the initiatives described involve some degree of partnering between the public and private sectors."

Spis treści

Foreword; Introduction; Section 1. The Emerging Federal Sector Healthcare Model; Chapter 1. The Longer View; Chapter 2. History and Evolution of Federally Supported Healthcare Information Systems; Chapter 3. Enhancing Private Bio-Medical Technology: The Role of Federal Programs; Chapter 4. The Parthenon Model in Military Medicine; Chapter 5. Power of Alignment: Technology Integration Board of Directors; Chapter 6. Redesigning the VHA's Delivery System; Chapter 7. Shaping Future Healthcare Professionals; Chapter 8. Performance Improvement in the TRICARE Delivery System; Chapter 9. Improving the Procurement Model; Chapter 10. IT Privatization and Outsourcing: A Model Approach; Section 2. Applying New Models for Improvements and Cost Containment; Chapter 11. Improving Provider Performance: An Integrated Approach and Case Study on Privileging and Credentialing; Chapter 12. Cost Containment: A New Approach and VA Case Study; Chapter 13. Data Quality Case Study; Chapter 14. Reengineering Care Management and Delivery; Chapter 15. Linking Financial and Utilization Data in a Large System; Section 3. Enabling Technologies; Chapter 16. Architecture: Building the Railroad; Chapter 17. E-Health: Future Implications; Chapter 18. The Future of the GCPR: A Hybrid Approach; Chapter 19. Improving Data Capture through Technology: Implications for Population Health and Bio-Warfare; Chapter 20. TeleHealth; Chapter 21. Potential addition: Advanced Diagnostic Technique: US Army; Chapter 22. Potential addition: CDC; Appendices: Congressional Mandates for Healthcare for 2000; GCPR Assessment Matrix; Privatization/Outsourcing Checklist; Contracting and Procurement Model - A new approach checklist.

O autorze

The major strength of this book is its use of concrete examples that
show how process redesign and the integration of enabling technologies
have led to performance improvement and cost reduction in the largest
healthcare system in the world and how these approaches transfer
effectively to the private healthcare sector.