Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services

Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services
Author: National Research Council
Publisher: National Academies Press
Total Pages: 192
Release: 2012-01-23
Genre: Medical
ISBN: 0309221978

The Centers for Medicare and Medicaid Services (CMS) is the agency in the Department of Health and Human Services responsible for providing health coverage for seniors and people with disabilities, for limited-income individuals and families, and for children-totaling almost 100 million beneficiaries. The agency's core mission was established more than four decades ago with a mandate to focus on the prompt payment of claims, which now total more than 1.2 billion annually. With CMS's mission expanding from its original focus on prompt claims payment come new requirements for the agency's information technology (IT) systems. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services reviews CMS plans for its IT capabilities in light of these challenges and to make recommendations to CMS on how its business processes, practices, and information systems can best be developed to meet today's and tomorrow's demands. The report's recommendations and conclusions offered cluster around the following themes: (1) the need for a comprehensive strategic technology plan; (2) the application of an appropriate metamethodology to guide an iterative, incremental, and phased transition of business and information systems; (3) the criticality of IT to high-level strategic planning and its implications for CMS's internal organization and culture; and (4) the increasing importance of data and analytical efforts to stakeholders inside and outside CMS. Given the complexity of CMS's IT systems, there will be no simple solution. Although external contractors and advisory organizations will play important roles, CMS needs to assert well-informed technical and strategic leadership. The report argues that the only way for CMS to succeed in these efforts is for the agency, with its stakeholders and Congress, to recognize resolutely that action must be taken, to begin the needed cultural and organizational transformations, and to develop the appropriate internal expertise to lead the initiative with a comprehensive, incremental, iterative, and integrated approach that effectively and strategically integrates business requirements and IT capabilities.

Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services

Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services
Author: National Research Council
Publisher: National Academies Press
Total Pages: 192
Release: 2012-02-23
Genre: Medical
ISBN: 0309221943

The Centers for Medicare and Medicaid Services (CMS) is the agency in the Department of Health and Human Services responsible for providing health coverage for seniors and people with disabilities, for limited-income individuals and families, and for children-totaling almost 100 million beneficiaries. The agency's core mission was established more than four decades ago with a mandate to focus on the prompt payment of claims, which now total more than 1.2 billion annually. With CMS's mission expanding from its original focus on prompt claims payment come new requirements for the agency's information technology (IT) systems. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services reviews CMS plans for its IT capabilities in light of these challenges and to make recommendations to CMS on how its business processes, practices, and information systems can best be developed to meet today's and tomorrow's demands. The report's recommendations and conclusions offered cluster around the following themes: (1) the need for a comprehensive strategic technology plan; (2) the application of an appropriate metamethodology to guide an iterative, incremental, and phased transition of business and information systems; (3) the criticality of IT to high-level strategic planning and its implications for CMS's internal organization and culture; and (4) the increasing importance of data and analytical efforts to stakeholders inside and outside CMS. Given the complexity of CMS's IT systems, there will be no simple solution. Although external contractors and advisory organizations will play important roles, CMS needs to assert well-informed technical and strategic leadership. The report argues that the only way for CMS to succeed in these efforts is for the agency, with its stakeholders and Congress, to recognize resolutely that action must be taken, to begin the needed cultural and organizational transformations, and to develop the appropriate internal expertise to lead the initiative with a comprehensive, incremental, iterative, and integrated approach that effectively and strategically integrates business requirements and IT capabilities.

Management and Leadership for Nurse Administrators

Management and Leadership for Nurse Administrators
Author: Linda Roussel
Publisher: Jones & Bartlett Publishers
Total Pages: 508
Release: 2016
Genre: Medical
ISBN: 1284067629

Management and Leadership for Nurse Administrators, Seventh Edition provides professional administrators and nursing students with a comprehensive overview of management concepts and theories. This text provides a foundation for nurse managers and executives as well as nursing students with a focus on management and administration. This current edition includes 15 chapters, framed around the Scope and Standards for Nurse Administrators, American Organization of Nurse Executive competencies, and current trends in healthcare management. The American Nurses Credentialing Center's focus on magnetism is also integrated into this edition, specifically on transformational leadership, structural empowerment, exemplary professional practice, innovation and improvement, and quality. Management and Leadership for Nurse Administrators, Seventh Edition has a substantive focus on planning and managing evidence-based initiative, phases of implementation, and evaluation methods within the context. Features: Real world examples Case Studies with questions Learning Objectives Leadership Skills Professional Skills Knowledge of Healthcare Environment Skills Future of Nursing: Four Key Messages

Congressional Record

Congressional Record
Author: United States. Congress
Publisher:
Total Pages: 1482
Release: 2009
Genre: Law
ISBN:

The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)

Data-Driven Quality Improvement and Sustainability in Health Care

Data-Driven Quality Improvement and Sustainability in Health Care
Author: Patricia L. Thomas, PhD, RN, FAAN, FNAP, FACHE, NEA-BC, ACNS-BC, CNL
Publisher: Springer Publishing Company
Total Pages: 314
Release: 2020-11-19
Genre: Medical
ISBN: 0826139442

Data-Driven Quality Improvement and Sustainability in Health Care: An Interprofessional Approach provides nurse leaders and healthcare administrators of all disciplines with a solid understanding of data and how to leverage data to improve outcomes, fuel innovation, and achieve sustained results. It sets the stage by examining the current state of the healthcare landscape; new imperatives to meet policy, regulatory, and consumer demands; and the role of data in administrative and clinical decision-making. It helps the professional identify the methods and tools that support thoughtful and thorough data analysis and offers practical application of data-driven processes that determine performance in healthcare operations, value- and performance-based contracts, and risk contracts. Misuse or inconsistent use of data leads to ineffective and errant decision-making. This text highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls. In addition, chapters feature key points, reflection questions, and real-life interprofessional case exemplars to help the professional draw distinctions and apply principles to their own practice. Key Features: Provides nurse leaders and other healthcare administrators with an understanding of the role of data in the current healthcare landscape and how to leverage data to drive innovative and sustainable change Offers frameworks, methodology, and tools to support quality improvement measures Demonstrates the application of data and how it shapes quality and safety initiatives through real-life case exemplars Highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls

Vital Signs

Vital Signs
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 245
Release: 2015-08-26
Genre: Medical
ISBN: 0309324963

Thousands of measures are in use today to assess health and health care in the United States. Although many of these measures provide useful information, their usefulness in either gauging or guiding performance improvement in health and health care is seriously limited by their sheer number, as well as their lack of consistency, compatibility, reliability, focus, and organization. To achieve better health at lower cost, all stakeholders - including health professionals, payers, policy makers, and members of the public - must be alert to what matters most. What are the core measures that will yield the clearest understanding and focus on better health and well-being for Americans? Vital Signs explores the most important issues - healthier people, better quality care, affordable care, and engaged individuals and communities - and specifies a streamlined set of 15 core measures. These measures, if standardized and applied at national, state, local, and institutional levels across the country, will transform the effectiveness, efficiency, and burden of health measurement and help accelerate focus and progress on our highest health priorities. Vital Signs also describes the leadership and activities necessary to refine, apply, maintain, and revise the measures over time, as well as how they can improve the focus and utility of measures outside the core set. If health care is to become more effective and more efficient, sharper attention is required on the elements most important to health and health care. Vital Signs lays the groundwork for the adoption of core measures that, if systematically applied, will yield better health at a lower cost for all Americans.

Integrating Social Care into the Delivery of Health Care

Integrating Social Care into the Delivery of Health Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 195
Release: 2020-01-30
Genre: Medical
ISBN: 0309493439

Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Family-Focused Nursing Care

Family-Focused Nursing Care
Author: Sharon A. Denham
Publisher: F.A. Davis
Total Pages: 480
Release: 2015-02-16
Genre: Medical
ISBN: 0803641214

Nurses have a unique role in redefining the way we view partnerships in healthcare— Transitioning from individualized to family-focused care is not only advocated by the Institute of Medicine; it’s becoming a way of life. Families want their perspectives and choices for their loved ones to be heard.

Journal of the House of Representatives of the United States

Journal of the House of Representatives of the United States
Author: United States. Congress. House
Publisher:
Total Pages: 1778
Release: 2004
Genre: CD-ROMs
ISBN:

Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House".