The Experts below are selected from a list of 1266 Experts worldwide ranked by ideXlab platform
Eugene C. Nelson - One of the best experts on this subject based on the ideXlab platform.
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clinical microsystems part 3 transformation of two hospitals using microsystem Mesosystem and macrosystem strategies
The Joint Commission Journal on Quality and Patient Safety, 2008Co-Authors: Marjorie M. Godfrey, Eugene C. Nelson, Paul B. Batalden, Craig N Melin, Stephen E MuethingAbstract:BACKGROUND: Two hospitals-a large, urban academic medical center and a rural, community hospital-have each chosen a similar microsystem-based approach to improvement, customizing the engagement of ...
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Clinical microsystems, Part 4. Building innovative population-specific Mesosystems.
The Joint Commission Journal on Quality and Patient Safety, 2008Co-Authors: Karen E. Mckinley, Scott A. Berry, Leslie A. Laam, Michael C. Doll, Kenneth P. Brin, Albert E. Bothe, Marjorie M. Godfrey, Eugene C. Nelson, Paul B. BataldenAbstract:Article-at-a-Glance Background In 2005, the Geisinger Health System (Danville, Pennsylvania) developed ProvenCare, first applied to coronary artery bypass graft (CABG), as an innovative provider-driven quality improvement program to promote reliable delivery of evidence-based best practices. A new Mesosystem is created for each ProvenCare model, integrating the care delivery process between contributing microsystems and defining new Mesosystem leadership. The approach has been expanded to many patient populations, including percutaneous coronary intervention (PCI). A New PCI Mesosystem In 2007 clinical microsystem thinking was applied to PCI: understanding the current processes and patterns, assembling the frontline professionals to redesign the processes, and using a beta-test phase to measure the changes and adjust accordingly, until the best process was established. A new Mesosystem team was created to ensure that the right care is delivered at the right time. Refining Implementation In the course of developing the CABG initiative, Geisinger established role definitions to keep teams on track; a comprehensive plan from design through execution and follow-up; and guiding principles established for the teams engaged in designing, developing, and implementing ProvenCare programs. Preliminary Experience For the 40 measurable process elements in the PCI Mesosystem pathway, as of month seven (July 2008) of the beta-test phase, 55% of the patients received 100% of the identified process elements. Conclusion Geisinger Health System has joined different microsystems to form an innovative Mesosystem capable of producing reliable, evidence-based care for patient subpopulations. This approach to embedding evidence-based care into routine care delivery can be adapted by others.
Joseph G. Grzywacz - One of the best experts on this subject based on the ideXlab platform.
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Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class
Population Research and Policy Review, 2017Co-Authors: Michael R. Kramer, Eric B. Schneider, Jennifer B. Kane, Claire Margerison-zilko, Jessica Jones-smith, Katherine King, Pamela Davis-kean, Joseph G. GrzywaczAbstract:Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s Mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in Mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.
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Getting Under the Skin: Children's Health Disparities as Embodiment of Social Class.
Population Research and Policy Review, 2017Co-Authors: Michael R. Kramer, Eric B. Schneider, Jennifer B. Kane, Claire Margerison-zilko, Jessica Jones-smith, Katherine King, Pamela Davis-kean, Joseph G. GrzywaczAbstract:Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s Mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in Mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.
Michael R. Kramer - One of the best experts on this subject based on the ideXlab platform.
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Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class
Population Research and Policy Review, 2017Co-Authors: Michael R. Kramer, Eric B. Schneider, Jennifer B. Kane, Claire Margerison-zilko, Jessica Jones-smith, Katherine King, Pamela Davis-kean, Joseph G. GrzywaczAbstract:Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s Mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in Mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.
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Getting Under the Skin: Children's Health Disparities as Embodiment of Social Class.
Population Research and Policy Review, 2017Co-Authors: Michael R. Kramer, Eric B. Schneider, Jennifer B. Kane, Claire Margerison-zilko, Jessica Jones-smith, Katherine King, Pamela Davis-kean, Joseph G. GrzywaczAbstract:Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s Mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in Mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.
Leanne Wells - One of the best experts on this subject based on the ideXlab platform.
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on the road to value co creation in health care the role of consumers in defining the destination planning the journey and sharing the drive
The Medical Journal of Australia, 2016Co-Authors: Tina Janamian, Lisa Crossland, Leanne WellsAbstract:The role of consumers is now extending beyond being passive health care recipients and even active participants in their own care to involvement in innovation and value co-creation in health care - from being "users and choosers" to becoming "makers and shapers" of services. For active dialogue to occur in co-creation, consumers must become equal partners with health care organisations and providers, with the focus on areas of interest to all parties. The use of value co-creation in health care involves embedding the approach across the whole health care system - from the microsystem level to the Mesosystem and the entire macrosystem.
Pamela Davis-kean - One of the best experts on this subject based on the ideXlab platform.
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Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class
Population Research and Policy Review, 2017Co-Authors: Michael R. Kramer, Eric B. Schneider, Jennifer B. Kane, Claire Margerison-zilko, Jessica Jones-smith, Katherine King, Pamela Davis-kean, Joseph G. GrzywaczAbstract:Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s Mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in Mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.
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Getting Under the Skin: Children's Health Disparities as Embodiment of Social Class.
Population Research and Policy Review, 2017Co-Authors: Michael R. Kramer, Eric B. Schneider, Jennifer B. Kane, Claire Margerison-zilko, Jessica Jones-smith, Katherine King, Pamela Davis-kean, Joseph G. GrzywaczAbstract:Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s Mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in Mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.