Health Professions Education A Bridge to Quality (2003) / Chapter Skim
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2. Challenges Facing the Health System and Implications for Educational Reform
2. Challenges Facing the Health System and Implications for Educational Reform
Pages 29-44
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From page 29... ...
Estimates of the number of Americans dying each year as a result of medical errors are as high as 9S,000 more than those who die from motor vehicle accidents, breast cancer, or AIDS (Institute of Medicine, 20004. The American public is dissatisfied with chronic care; 72 percent of those surveyed believe it is difficult for people living with chronic conditions to obtain the necessary care from their health care providers (Harris Interactive and ARIA Marketing, 20004.
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From page 30... ...
becoming more popular (Kaiser Family Foundation and Health Research and Educational Trust, 20024. And even though the hospital sector has been consolidating in many markets ofthe 5,000 community hospitals, more than 3,500 belong to some network or system most of these arrangements are focused on administrative rather than clinical integration (American Hospital Association, 2000; Lesser and Ginsburg, 2000~.
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From page 31... ...
In a recent survey, 85 percent of physicians surveyed stated that one or more adverse outcomes result from uncoordinated care, and more than half suggested that a lack of coordination is usually the cause of patients receiving contradictory health information from providers (Partnership for Solutions, 2002b)
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From page 32... ...
At the summit, Mary Naylor described a typical real-life example of the lack of coordination for the chronically ill: A 75-year old woman...had a number of chronic conditions: osteoporosis, hypertension, diabetes, and heart failure, and... was admitted to a hospital as a result of a fall...and fracture....
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From page 33... ...
However, the literature is "replete with evidence of the failure to provide care consistent with well established guidelines for common chronic conditions" (Institute of Medicine, 2001a: 28~. And the lag between the discovery of more effective forms of treatment and their incorporation into routine patient care is, on average, 17 years (Bales, 2001~.
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From page 34... ...
Regulatory requirements governing email use with patients, such as the Health Insurance Portability and Accountability Act, designed to help guarantee the privacy and confidentiality of patient medical records, will help somewhat in this regard. However, the Quality Chasm report emphasizes that in the absence of a national commitment and financial support for building a national health information infrastructure, progress in this area will be painfully slow.
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From page 35... ...
An annual Harris Interactive Survey spanning 1998-2002 shows a steady rise in adults who sometimes look for health information online. One survey showed that individuals span the education and income spectrum (Taylor, 2002)
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From page 36... ...
In another survey, 31 percent expressed worry that they were "burning out" as physicians (Shearer and Toedt,2001~. In Massachusetts, substantial numbers of physicians surveyed were planning to leave the state, change careers, or retire early as a result of the current practice environment (Massachusetts Medical Society Online, 2001~.
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From page 37... ...
effectiveness of a system in responding to patient needs depends upon a variety of factors-facilities, supplies, state of knowledge, information technology but such inputs are meaningless without appropriately educated professionals working within and continually redesigning the system to adapt to ongoing and future challenges. Implementing the agenda set forth in the Quality Chasm report will necessitate fundamental changes in health professions education.
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From page 38... ...
The Quality Chasm report, echoed by each of the plenary speakers at the summit, calls upon the clinical education community to provide transformational leadership in response to the challenges outlined above. At the summit, Don Berwick, Institute for Healthcare Improvement, described the purpose of the health care system initially articulated by the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry as continually reducing the burden of illness, injury, and disability and improving the health status and functioning of the U.S.
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From page 39... ...
2002. "Crossing the Quality Chasm: Next Steps for Health Professions Education; Keynote Address." Online.
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2001. Preparedness for clinical practice: Reports of graduating residents at academic health centers.
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1999. New paradigms for medical decision support and education: The Stanford health information network for education.
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From page 42... ...
2002. "Crossing the Quality Chasm: Next Steps for Health Professions Education; Panel Discussion." Online.
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From page 43... ...
2002. ""Crossing the Quality Chasm: Next Steps for Health Professions Education"; Panel Discussion." Online.
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