by Laura DeStefano | Apr 27, 2012 | Discussion Paper, Perspectives
Introduction The gap between the growing demand for evidence to inform practice and our current state of knowledge calls for serious consideration about the best approach to developing a workforce capable of meeting those demands. As referenced in the discussion paper...
by Laura DeStefano | Apr 20, 2012 | Commentary, Perspectives
Four years ago, UCLA’s medical center was ranked as an honor-roll hospital by U.S. News and World Report—but our patients would seldom “refer us to a friend.” We skillfully performed today’s health care miracles: organ transplants, complex neurosurgical repairs, and...
by Laura DeStefano | Apr 20, 2012 | Discussion Paper, Perspectives
Introduction Over the past decade, the symbiotic relationship between the clinical trials enterprise (CTE) and the health care delivery system has been subject to increasing amounts of stress. During this period, the CTE has primarily focused on process improvement,...
by Laura DeStefano | Apr 6, 2012 | Commentary, Perspectives
With all the attention being paid to emerging accountable care organizations throughout the country, a California model is delivering measurable results. Catholic Healthcare West (CHW) (now Dignity Health), Hill Physicians Medical Group, and Blue Shield of California...
by Laura DeStefano | Mar 23, 2012 | Commentary, Perspectives
The health care field is filled with committed and passionate professionals from all disciplines delivering and improving patient care every day in our country. And over the last several years, the volume of innovation and the creation of new best practices have been...
by Laura DeStefano | Mar 9, 2012 | Commentary, Perspectives
A basic aim of effective and efficient health care is ensuring the right match between the patient’s condition and the setting for the patient’s care. With that aim in mind, the U.S. Department of Veterans Affairs (VA) recently implemented the Surgical Complexity...
by Laura DeStefano | Feb 24, 2012 | Commentary, Perspectives
Amidst the politicized and polarized debate on health care policy, it is encouraging to know that the goal of this discussion remains unchanged; Republicans, Democrats, conservatives, and liberals all seem to agree that we should be working to create a high-value,...
by Laura DeStefano | Feb 10, 2012 | Commentary, Perspectives
Despite past efforts to improve patient safety—and there has been effort and activity aplenty—routine safety processes continue to fail routinely. Poor hand hygiene remains a major vector of health care-associated infection. Medication errors lead to adverse drug...
by Laura DeStefano | Jan 28, 2012 | Commentary, Perspectives
I am pleased to introduce Perspectives, a new category of written products from the Institute of Medicine (IOM). Perspectives comprise two forms—commentaries and discussion papers—both of which offer observations and opinions of leading experts on developments in...
by Laura DeStefano | Jan 27, 2012 | Commentary, Perspectives
The challenging economics of health care require today’s innovators to demonstrate value against a number of criteria, including access to care, the current standard of care, and the economic capacity of payers. One way innovators have sought to address the paradox of...
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