Health, Health Care, and Systems Science: Emerging Paradigm

2017 ◽  
Author(s):  
Ivo Janecka, MD, MBA, PhD
Keyword(s):  
2015 ◽  
Vol 17 (3) ◽  
pp. e64 ◽  
Author(s):  
Taavi Tillmann ◽  
Alexander R Gibson ◽  
Gregory Scott ◽  
Oliver Harrison ◽  
Anna Dominiczak ◽  
...  

2016 ◽  
Vol 32 (3) ◽  
pp. 261-270 ◽  
Author(s):  
Jed D. Gonzalo ◽  
Deanna Graaf ◽  
Bobbie Johannes ◽  
Barbara Blatt ◽  
Daniel R. Wolpaw

To catalyze learning in Health Systems Science and add value to health systems, education programs are seeking to incorporate students into systems roles, which are not well described. The authors sought to identify authentic roles for students within a range of clinical sites and explore site leaders’ perceptions of the value of students performing these roles. From 2013 to 2015, site visits and interviews with leadership from an array of clinical sites (n = 30) were conducted. Thematic analysis was used to identify tasks and benefits of integrating students into interprofessional care teams. Types of systems roles included direct patient benefit activities, including monitoring patient progress with care plans and facilitating access to resources, and clinic benefit activities, including facilitating coordination and improving clinical processes. Perceived benefits included improved value of the clinical mission and enhanced student education. These results elucidate a framework for student roles that enhance learning and add value to health systems.


2020 ◽  
Vol 7 ◽  
pp. 237428951989885 ◽  
Author(s):  
Barbara S. Ducatman ◽  
Alan M. Ducatman ◽  
James M. Crawford ◽  
Michael Laposata ◽  
Fred Sanfilippo

The transition to a value-based payment system offers pathologists the opportunity to play an increased role in population health by improving outcomes and safety as well as reducing costs. Although laboratory testing itself accounts for a small portion of health-care spending, laboratory data have significant downstream effects in patient management as well as diagnosis. Pathologists currently are heavily engaged in precision medicine, use of laboratory and pathology test results (including autopsy data) to reduce diagnostic errors, and play leading roles in diagnostic management teams. Additionally, pathologists can use aggregate laboratory data to monitor the health of populations and improve health-care outcomes for both individual patients and populations. For the profession to thrive, pathologists will need to focus on extending their roles outside the laboratory beyond the traditional role in the analytic phase of testing. This should include leadership in ensuring correct ordering and interpretation of laboratory testing and leadership in population health programs. Pathologists in training will need to learn key concepts in informatics and data analytics, health-care economics, public health, implementation science, and health systems science. While these changes may reduce reimbursement for the traditional activities of pathologists, new opportunities arise for value creation and new compensation models. This report reviews these opportunities for pathologist leadership in utilization management, precision medicine, reducing diagnostic errors, and improving health-care outcomes.


2014 ◽  
Vol 62 (5) ◽  
pp. 313-321 ◽  
Author(s):  
Kathryn A. Lee ◽  
Oliwier Dziadkowiec ◽  
Paula Meek

Sign in / Sign up

Export Citation Format

Share Document