Calidad e Innovación en el Consultorio Médico
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Calidad e Innovación en el Consultorio Médico
Casa Médica Centrada en el Paciente: microsistemas eficientes en la atencion ambulatoria
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Virtual Visits — Confronting the Challenges of Telemedicine — NEJM

Virtual Visits — Confronting the Challenges of Telemedicine — NEJM | Calidad e Innovación en el Consultorio Médico | Scoop.it
Perspective from The New England Journal of Medicine — Virtual Visits — Confronting the Challenges of Telemedicine
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Los desafíos que presentan la implementación de consultas médicas virtuales

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berwick_escapefire_563.pdf

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Lectura obligada para aquellos interesados en innovar en salud

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The Government’s Bad Diet Advice

The Government’s Bad Diet Advice | Calidad e Innovación en el Consultorio Médico | Scoop.it
America’s dietary guidelines have long been based on weak science.
Edgardo Vazquez's insight:

Cuanta incertidumbre!!! Como modificamos las recomendaciones medicas de manera sustentable?

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THE DIGITAL HEALTH REVOLUTION

THE DIGITAL HEALTH REVOLUTION | Calidad e Innovación en el Consultorio Médico | Scoop.it
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Acceso a 2 informes sobre estrategias para utilizar la tecnologia digital incrementando la participacion del paciente

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The Patient-Centered Medical Home's Impact on Cost and Quality | Patient-Centered Primary Care Collaborative

The Patient-Centered Medical Home's Impact on Cost and Quality | Patient-Centered Primary Care Collaborative | Calidad e Innovación en el Consultorio Médico | Scoop.it
Excerpt from Executive Summary 

This year’s Patient-Centered Primary Care Collaborative (PCPCC) Annual Review of the Evidence summarizes new results from primary care patient-centered medical home (PCMH) initiatives published from September 2013 through November 2014 (since the publication of the previous Annual Review). Selected cost and utilization outcomes from a combination of peer-reviewed studies, state program evaluations, and industry publications are aggregated to present an overview of PCMH and primary care innovations happening across the country. 
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Informe anual sobre el impacto del modelo de Casa Medica Centrada en el Paciente sobre costos y calidad

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Doctors' Pay Will Be Linked to Quality in Historic U.S. Overhaul of Medical Billing 

Doctors' Pay Will Be Linked to Quality in Historic U.S. Overhaul of Medical Billing  | Calidad e Innovación en el Consultorio Médico | Scoop.it
The Obama administration will make historic changes to how the U.S. pays its annual $3 trillion health-care bill, aiming to curtail a costly habit of paying doctors and hospitals without regard to quality or effectiveness.
Edgardo Vazquez's insight:

Tendencia creciente por parte del Gobierno de USA  a vincular  en salud pago con resultado

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The Future of Medicine Is in Your Smartphone

The Future of Medicine Is in Your Smartphone | Calidad e Innovación en el Consultorio Médico | Scoop.it
From smartphone attachments that can diagnose an ear infection to apps that can monitor mental health, new tools are tilting health-care control from doctors to patients.
Edgardo Vazquez's insight:

Potencial impacto de la tecnologia sobre el cuidado de la salud y el empoderamiento de los pacientes

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BMJ Blogs: The BMJ » Blog Archive » K M Venkat Narayan: Is health simply organized kindness?

BMJ Blogs: The BMJ » Blog Archive » K M Venkat Narayan: Is health simply organized kindness? | Calidad e Innovación en el Consultorio Médico | Scoop.it
My big public health hero (who is a hero to many) Dr Bill Foege once said that, “Civilization is organized kindness,” and my three days in Copenhagen made me feel that the Danish have mastered this principle as a fine science and art.
Edgardo Vazquez's insight:

Seria util como sociedad  empezar a debatir integrando otras realidades que generan un mayor nivel de bienestar

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How to Stop the Overconsumption of Health Care - HBR

How to Stop the Overconsumption of Health Care - HBR | Calidad e Innovación en el Consultorio Médico | Scoop.it
It’s bad for costs and the patients themselves.
Edgardo Vazquez's insight:

Hace referencia a la iniciativa de "Elegir Sabiamente"  y menciona 4 dimensiones para controlar la sobreutilizacion en salud

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Coordinated Care Through 'Medical Home' Best for Chronically Ill Kids: Study

Coordinated Care Through 'Medical Home' Best for Chronically Ill Kids: Study | Calidad e Innovación en el Consultorio Médico | Scoop.it
Children were less likely to need hospitalization, visit the ER, researchers report
Edgardo Vazquez's insight:

Casa Medica Centrada en el Paciente, mejor microsistema de cuidado para niños en riesgo con enfermedades cronicas

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The Next Generation of Incentives to Help Doctors Improve the Quality and Efficiency of Care

The Next Generation of Incentives to Help Doctors Improve the Quality and Efficiency of Care | Calidad e Innovación en el Consultorio Médico | Scoop.it
To improve decision-making at the health care provider level, policies that blend financial and non-financial incentives are being developed and tested. A new initiative called Incentives 2.0 is exploring this new type of payment reform. Hear from Anne-Marie Audet, M.D., and Mark Zezza, Ph.D., of the Commonwealth Fund and Kevin Volpp, M.D., Ph.D., of The University of Pennsylvania.
Edgardo Vazquez's insight:

Desarrollo de una nueva generacion de incentivos para mejorar la calidad y eficiencia de la atencion de la salud

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PCMH Videos -- Patient-Centered Medical Home

Watch videos of family physicians discussing how they redesigned their practices to lower costs, maximize staff and improve care.
Edgardo Vazquez's insight:

Videos de 5 estrategias para mejorar las practicas profesionales en una Casa Medica Centrada en el Paciente

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Webinar: Engaging Doctors in the Health Care Revolution

Webinar: Engaging Doctors in the Health Care Revolution | Calidad e Innovación en el Consultorio Médico | Scoop.it
Fixing health care demands a radical transformation in how care is delivered.
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Why Strategy Matters Now — NEJM

Why Strategy Matters Now — NEJM | Calidad e Innovación en el Consultorio Médico | Scoop.it
Perspective from The New England Journal of Medicine — Why Strategy Matters Now
Edgardo Vazquez's insight:

Necesidad de aplicar pensamiento estratégico en organización y gestión de salud

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http://goo.gl/eMvUWR

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Porque surgen inconvenientes en la implementacion de una historia clinica electronica


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NEJMp1500523

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Concepto innovador de Medicina de Precision: en etapa de investigacion con enfasis en diagnostico y tratamiento de enf. cronicas, en particular oncologicas.

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Fundamental Issues in Implementing an Ambulatory Care Electronic Health Record

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Importancia de comprometer a los profesionales de la salud para lograr utilizacion plena de las funcionalidades de una HCE


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Doing More for Patients Often Does No Good

Doing More for Patients Often Does No Good | Calidad e Innovación en el Consultorio Médico | Scoop.it
When options are available, it’s tempting to go for the maximum treatment. But that doesn’t necessarily lead to better outcomes.
Edgardo Vazquez's insight:

Nuevamente, hacer mas no significa que sea mejor para el cuidado de la salud


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The Public–Private Pendulum — Patient Choice and Equity in Sweden — NEJM

Perspective from The New England Journal of Medicine — The Public–Private Pendulum — Patient Choice and Equity in Sweden
Edgardo Vazquez's insight:

Primero de una serie de artículos  que describirá y comparará caracteristicas y resultados de sistemas de salud de distintos paises. Este es sobre Suecia.

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Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally

Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally | Calidad e Innovación en el Consultorio Médico | Scoop.it
Despite having the most expensive health care system, the United States ranks last overall among 11 industrialized countries on measures of health system quality, efficiency, access to care, equity, and healthy lives, according to a new Commonwealth Fund report.
Edgardo Vazquez's insight:

Reporte comparativo de los sistemas de salud en 11 paises en terminos de calidad, eficiencia, acceso, equidad y vida saludable. Liderazgo de Reino Unido y Suiza. USA último.

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Lessons from 2014: Healthcare and Patient Portals

Lessons from 2014: Healthcare and Patient Portals | Calidad e Innovación en el Consultorio Médico | Scoop.it

There was a lot of talk about Healthcare and Patient Portals in 2014.  Health insurance exchange portals started to mature a little bit with healthcare.gov finally coming on line.  The Affordable Care Act requires providers to provide access to medical records for patients and many have looked to implement patient portals.

Looking back, here are some important lessons that we learned.

Healthcare Informatics said that despite many challenges facing patient portals, patient portal usage continues to grow.  In an October 2014 story, Survey: Patient Portal Usage Growing Despite Reservations, Gabriel Perna talks about a survey conducted by HIMSS that “More healthcare provider organizations are adopting patient portals, much of it facilitated by the electronic medical record (EMR) vendor.”  Still, cultural issues were identified as the biggest challenge to patient engagement initiatives.

Janice Jacobs, Healthcare Life Sciences (HCLS) Social Media Director, Dell Services wrote an article called Best Practices for Patient Portals. She lists the following components as necessary for best-in-class patient portals:

  • Branding and user experience are key.  You have to focus on functionality as well.  I’ll take this one step further and say you need to really design based on personas.  Most patients will never use your patient portal.  Some chronic-disease patients will use it all the time. And some people will use it while they are in treatment periods and forget it when not.  The experience has be tailored for each of these types of users.
  • Information display – you have to “deliver and display the information in a way which is most intelligible and actionable to patients and caregivers.” She shows an example of test results that show the results, but provide no context or guidance about what the results mean.  A better approach is lay out the results so they are easier to consume, provide context (i.e. this number is too high), and are more graphical for the lay person.
  • Use appropriate language.  This applies to all healthcare portals too.  Providers and insurance companies tend to speak in their language or medical terms too often.  Lay people may not understand that when they want to see an eye doctor that they have to look up Ophthalmology, which is even spelled funny.
  • Anticipate obstacles for patients.  As mentioned before you will have all different types of users, some who may be very familiar with your portal and others who are not.  Find out what are the barriers that people encounter and come up with a plan to fix them.

Finally, I presented “Healthcare Portals: 5 Core Needs for a Great Experience” at two IBM conferences in 2014.  You can see the slides referenced here in a blog post by Michael Porter.


Via Plus91
Edgardo Vazquez's insight:

Algunos principios y referencias para desarrollar un portal para los pacientes

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Radiologia en Internet: Documento de recomendaciones de SERAM de exploraciones radiológicas que no deben realizarse

Radiologia en Internet: Documento de recomendaciones de SERAM de exploraciones radiológicas que no deben realizarse | Calidad e Innovación en el Consultorio Médico | Scoop.it
Edgardo Vazquez's insight:

Sociedad Cientifica resume las recomendaciones de los estudios radiologicos que NO deben ser solicitados o efectuados

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International Survey of Older Adults Finds Shortcomings in Access, Coordination, and Patient-Centered Care

International Survey of Older Adults Finds Shortcomings in Access, Coordination, and Patient-Centered Care | Calidad e Innovación en el Consultorio Médico | Scoop.it
Compared with their counterparts in other developed countries, older adults in the United States are sicker, see more doctors, take more prescription drugs, and have a harder time affording the care they need, according to a new Commonwealth Fund survey of people age 65 and up.
Edgardo Vazquez's insight:

Los adultos mayores padecen internacionalmente mas dificultades para acceder y coordinar el cuidado de su salud. En USA estan mas enfermos y reciben mas prescripciones.

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A Framework for Measuring Integration of Behavioral Health and Primary Care| The Academy

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Un marco de referencia para integrar salud mental y atencion primaria

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