Midterms Flashcards
(34 cards)
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.
Health
professionals have the capability
to respond to individual patient
choices and preferences.
Care is customized based on
patient needs and values.
Health professionals should be
able to accommodate
differences in patient preferences
and encourage shared decision
making.
The patient is the source of control.
Health
professionals should support
patients’ unfettered access to
their own medical information
and to clinical knowledge and
communicate effectively and
share information with patients.
Knowledge is shared, and
information flows freely.
Health professionals should
provide care based on the best
available scientific, standardized
knowledge.
Decision making is evidence
based.
Health
professionals should ensure safety
by paying greater attention to
systems that help prevent and
mitigate errors.
Safety is a system property
Health
professionals should make
information available to patients
and their families that allows them
to make informed decisions about
all aspects of care.
Transparency is necessary
Health
professionals should be able to
anticipate patient needs through
planning.
. Needs are anticipated
Health professionals should make
efforts not to waste resources or
patient time.
Waste is continuously decreased.
Health professionals
should actively collaborate and
communicate to ensure an
appropriate exchange of
information and coordination of
care.
.Cooperation among clinicians is a
priority.
