Document Detail


The future of practice science: challenges and opportunities for neurosurgery.
MedLine Citation:
PMID:  23278269     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Outcomes-directed approaches to quality improvement have been adopted by diverse industries and are increasingly the focus of government-mandated reforms to health care education and delivery. The authors identify and review current reform initiatives originating from agencies regulating and funding graduate medical education and health care delivery. These reforms use outcomes-based methodologies and incorporate principles of lifelong learning and patient centeredness. Important new initiatives include the Accreditation Council for Graduate Medical Education Milestones; the pending adoption by the American Board of Neurological Surgery of new requirements for Maintenance of Certification that are in part outcomes based; initiation by health care systems and consortia of public reporting of patient outcomes data; institution by the Centers for Medicare & Medicaid Services of requirements for comparative effectiveness research and the physician quality reporting system; and linking of health care reimbursement in part to patient outcomes data and quality measures. Opportunities exist to coordinate and unify patient outcomes measurement throughout neurosurgical training and practice, enabling effective patient-centered improvements in care delivery as well as efficient compliance with regulatory mandates. Coordination will likely require the development of a new science of practice based in the daily clinical environment and utilizing clinical data registries. A generation of outcomes science and quality experts within neurosurgery should be trained to facilitate attainment of these goals.
Authors:
Nathan R Selden; Zoher Ghogawala; Robert E Harbaugh; Zachary N Litvack; Matthew J McGirt; Anthony L Asher
Related Documents :
23650489 - Novel computerized health risk appraisal may improve longitudinal health and wellness i...
2585229 - Family support and parenting education in the home: an effective extension of clinic-ba...
24118409 - Financial and medico-legal implications of late-start dialysis: understanding the prese...
23678659 - Supportive design for people with dementia.
24534819 - Integrated care: high-impact mental health-primary care research for patients with mult...
24717569 - Advances in supportive care for multiple myeloma.
17416119 - Discharge criteria: 'just in case'.
19134449 - Credentialing complementary practitioners in a large academic cancer center.
12650729 - Home-birth emergencies in the us and mexico: the trouble with transport.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgical focus     Volume:  34     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E8     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon;
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Outcome science in practice: an overview and initial experience at the Vanderbilt Spine Center.
Next Document:  Orphan Rocker Tracks: A Variant of Friction Melanosis in an Institutionalized Child.