Midterms Flashcards
What are the different challenges in the healthcare system
Quality CHASM Report (2001)
(6 items)
➢ Poor design of systems
➢ System’s inability to respond to
changing patient demographics
and related requirements
➢ Failure to assimilate rapidly growing
and increasingly complex science
and technology base
➢ Slow adoption of information
technology innovations needed to
provide care
➢ Little accommodation of patients
diverse demands and needs
➢ Personal shortages and poor
working conditions
Quality CHASM Report (2001)
o Absence or poorly designed
system resulted in poor quality of
care
o Lack of integration and
coordination among HC
(miscommunication)
. Poor design and processes
Quality CHASM Report (2001)
o HC system is focused on treating
acute care and less focused on
chronic issues
o Little participation of patient or
family in the decision making
process
Poor accommodation of Patient’s
needs
Quality CHASM Report (2001)
o Improved medical science and
technology with large research
databases
o HC workers has problems keeping
up with the advancement
Inability to assimilate the
increasingly complex-based science
Quality CHASM Report (2001)
o Question on capital intensiveness
o Most HC facility still have paper
records
Slow adoption to information
technology
Quality CHASM Report (2001)
o Patients tend to rely health
information available in the
internet
o Foreseen lack of participation in
the decision-making process of
patients (misunderstanding and
lack of communication bet.
Patient and HC professional)
Failure to address growing
consumerism among patients
Quality CHASM Report (2001)
o Supply and demand issues for HC
professionals (students-faculty-HC
professionals)
o HC professional dissatisfaction of
jobs
Workforce shortage and
discontent
Quality CHASM Report (2001)
o Sources of dissatisfaction -
inadequate staffing, poor working
conditions, heavy workloads,
increase overtime, lack of
sufficient support staff,
inadequacy of wages
Workforce shortage and
discontent
Quality CHASM Report (2001)
o Increased medical errors
associated with systems problem
o Lack of collaboration or
continuity among hospitals,
homecare, skilled nursing
facilities (fragmentation of care)
Poor design and processes
Quality CHASM Report (2001)
o Poor interdisciplinary
collaboration and coordination
o Dissatisfaction among patients
and HC professionals
Poor design and processes
Quality CHASM Report (2001)
o Lack of priority on prevention and
health promotion (public health
system)
o Cultural competency issues
Poor accommodation of Patient’s
needs
Quality CHASM Report (2001)
o Gap on financial payments on F2F
basis as compared to alternative
communication offered by IT
o Issues with current existing system
o Privacy and data security issues
o Absence of national commitment
and financial support for building a
national health information
infrastructure
Slow adoption to information
technology
Implications for HPed (3 items)
- Improved collaboration and
coordination - Improved capability to manage
IT - Standardize processes which is
focused on enhancing safety
and quality
Ten Rules of Performance in a
Redesigned Health Care System
- Care is based on continuous
healing relationships. - Care is customized based on
patient needs and values. - The patient is the source of control.
- Knowledge is shared, and
information flows freely. - Decision making is evidence
based. - Safety is a system property.
- Transparency is necessary.
- Needs are anticipated.
- Waste is continuously decreased.
10.Cooperation among clinicians is a
priority.
Health
professionals should provide care
whenever patients need it and in
many forms, not just face-to-face
visits. Health professionals should
be responsive at all times (24 hours
a day, every day) and provide
care over the Internet, by
telephone, and by other means in
addition to face-to-face visits.
Care is based on continuous
healing relationships.
