Health Systems Science

Description

The first textbook devoted to this emerging area, Health Systems Science now brings you fully up to date with today’s key issues and solutions. This increasingly important branch of health care explores how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Along with basic and clinical sciences, health systems science is rapidly becoming a crucial 'third pillar' of medical science, with an emphasis on understanding the role of human factors, systems engineering, leadership, and patient improvement strategies that will help transform the future of health care and ensure greater patient safety. In this 2nd Edition, new chapters, new exercises, and new information help you acquire the knowledge and skills you need for success in today’s challenging healthcare system. Access to this product, which may be at the discretion of your institution, is up to 3 years of online and perpetual offline access. Elsevier reserves the right to restrict or remove access due to changes in product portfolio or other market conditions. The first comprehensive text for mastering health systems science, offering practical coverage of all of the factors in the lives of patients that influence their well-being, the structures and processes of the health system itself, societal factors, communication, and information technology. NEW to this edition: New content on systems thinking and ethics and legal issues further define and address this new important component of health care education; additional exercises; and expanded information on the patient experience and private practice. Complete coverage of patient safety, quality improvement, value in health care, teamwork, stewardship of health care resources, population health, clinical informatics, care coordination, leadership, and health care financing/reform. Patient improvement strategies incorporate checklists, information technology, team training, and more. A consistent chapter template provides clear coverage of each topic, including Learning Objectives, Chapter Outline, Core Chapter Content, Summary, Questions for Reflection, and Annotated Bibliography and References. Developed by the American Medical Association’s Accelerating Change in Medical Education Consortium, and authored by a team that includes AMA staff members working with individuals from the Consortium member schools. StudentConsult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. Title page Table of Contents Copyright Contributors Foreword Preface 1.  What is health systems science? Building an integrated vision I. The need for curricula in health systems science II. The rapidly changing health care environment III. Clinician readiness to practice in the evolving health care system IV. The third medical science: Health systems science V. Health systems science curricular domains VI. Case studies: Renal disease and treatment—where basic, clinical, and health systems science merge VII. Professional identity formation VIII. Challenges for learners to engage health systems science IX. Chapter summary X. Overview of book chapters XI. Chapter template Questions for further thought References Annotated bibliography References 2.  Systems thinking in health care: Addressing the complex dynamics of patients and health systems I. Burning platform for change in health care delivery and the need for systems thinking II. Systems thinking in health care III. Health care delivery as complex adaptive challenges IV. The habits of a systems thinker V. Application of systems thinking to health care VI. Chapter summary Questions for further thought Annotated bibliography References 3.  The health care delivery system I. Desired outcomes of health care delivery II. Catalysts for change in US health care delivery III. New models of health care delivery IV. Congruence of current delivery systems with accountable care and population health V. Closing gaps in the health care delivery system VI. Chapter summary Questions for further thought Annotated bibliography References 4.  Health care structures and processes I. Introduction to the donabedian model II. Structures across the continuum of care III. Processes within the health care system IV. Clinical microsystems V. Future directions VI. Chapter summary Questions for further thought Annotated bibliography References 5.  Value in health care I. Introduction to value in health care II. Knowledge and education gaps in high-value care III. Defining value IV. Value from stakeholders’ perspectives V. Assessing the current value of US health care VI. Key attributes of a high-value health care system VII. Barriers to high-value care VIII. What can health care professionals do to promote high-value care? IX. Chapter summary Questions for further thought Annotated bibliography References 6.  Patient safety I. Introduction II. Basic principles of patient safety III. Specific types of medical errors IV. Factors contributing to error V. Communicating with patients after adverse events due to medical errors VI. Second victims VII. Reporting systems—mandatory versus voluntary VIII. Assessment of risk and mitigation of medical errors IX. Evaluation of near misses and errors X. Patient safety improvement strategies XI. Changing the future of patient safety XII. Chapter summary Questions for further thought Annotated bibliography References 7.  Quality improvement I. Quality improvement in health care II. Quality measurement III. Quality reporting IV. Quality improvement methods V. Common quality issues and successful interventions VI. Quality improvement scholarship VII. Chapter summary Questions for further thought Annotated bibliography References 8.  Principles of teamwork and team science I. Introduction—teams as a critical aspect of health systems science II. The promise of interprofessional practice III. Teams and collaboration IV. Evaluating teams and teamwork V. Understanding health systems, systems thinking, and teams VI. Team training VII. Chapter summary Questions for further thought Annotated bibliography References 9.  Leadership in health care I. Introduction II. The health care leadership imperative III. Who are health care leaders? IV. The importance of clinician leadership V. Influential leadership theories VI. Guiding principles of health care leadership VII. Health care leadership competencies VIII. Specific attributes for health care leaders in different settings IX. Pathways to leadership X. New leadership roles XI. Chapter summary Questions for further thought Annotated bibliography References 10.  Clinical informatics I. Rationale and terminology of clinical informatics II. Use of clinical informatics in health care delivery III. Secondary use of clinical data IV. Outcomes and implications of clinical informatics V. Competencies of clinical informatics VI. Chapter summary Questions for further thought Annotated bibliography References 11.  Population health I. Introduction II. What is population health? III. Why a focus on population health? IV. Solutions to improve population health V. Future of population health VI. Education initiatives in population health VII. Chapter summary Questions for further thought Annotated bibliography References 12.  Structural and social determinants of health I. Introduction II. Case studies and exercise III. How structural and social determinants lead to adverse health outcomes IV. Structural determinants of health inequities V. Social determinants of health VI. Interventions focusing on root causes VII. Case study conclusions VIII. Chapter summary Questions for further thought Acknowledgments Annotated bibliography References 13.  Health law and ethics I. Introduction: Law and ethics in health systems change II. Fiduciary duty and conflict of interest III. Professional self-regulation and market competition IV. Fraud and abuse V. Privacy and confidentiality VI. Health insurance VII. Informed consent to treatment VIII. Medical malpractice and redressing error IX. Withholding and withdrawing care X. Chapter summary Questions for further thought Annotated bibliography References 14.  Health care policy and economics I. Introduction II. Core principles of health policy III. Core principles of health care economics IV. Theories and history of health care reform V. The path to the Affordable Care Act VI. The major components of the ACA VII. The effect of the ACA on patients, health care professionals, and institutions VIII. Policy controversies and challenges IX. Chapter summary Questions for further thought Annotated bibliography References 15.  Application of health systems science competencies in patient care I. Introduction: Foundational skills for health care delivery II. Evidence-based medicine III. Communication skills via new technology IV. Teamwork V. Professionalism VI. Chapter summary Questions for further thought Annotated bibliography References 16.  The use of assessment to support students’ learning and improvement in health systems science I. Introduction II. Current attention to health systems science in major assessment frameworks in US medical education III. Assessment of knowledge, skills, and practice performance in health systems science IV. Student-directed assessment strategies for the clinical workplace V. Assessment of team performance VI. Chapter summary Questions for further thought Annotated bibliography References 17.  Looking ahead: The dynamic nature of health systems science, future trends, and the role of learners as change agents I. Health systems science—a dynamic, rapidly developing domain and field of inquiry II. Future trends and their implications for health systems science III. Health professions students and trainees as master adaptive learners and change agents IV. Future directions for health systems science V. Chapter summary Questions for further thought Annotated bibliography References Glossary Index