The best care anywhere. Best Care Anywhere: Why VA Health Care Is Better Than Yours by Phillip Longman 2022-10-10
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The best care anywhere is care that is comprehensive, personalized, and accessible. It is care that is delivered by highly skilled and compassionate professionals who are dedicated to helping their patients achieve optimal health and well-being. It is care that is based on the latest evidence and best practices, and that is tailored to the unique needs and preferences of each patient.
One key aspect of the best care anywhere is its comprehensiveness. This means that it addresses all aspects of a patient's health, including physical, mental, and social well-being. It involves a holistic approach that considers the patient's entire medical history, lifestyle, and environment, and that takes into account the multiple factors that can impact a person's health. This may include things like diet, exercise, stress management, sleep, and social support.
Another important aspect of the best care anywhere is its personalized nature. This means that care is tailored specifically to the needs and preferences of each patient. It takes into account the patient's individual goals, values, and preferences, and it involves a close partnership between the patient and their healthcare team. This approach allows patients to feel more engaged in their own care, and it helps ensure that the care they receive is truly meaningful and effective for them.
Finally, the best care anywhere is care that is accessible and convenient. This means that patients are able to easily access the care they need, regardless of where they live or their financial resources. It may involve the use of telemedicine or other innovative technologies that allow patients to receive care remotely, or it may involve the use of community-based clinics and other local resources that are easily accessible to all.
In conclusion, the best care anywhere is care that is comprehensive, personalized, and accessible. It is care that is delivered by highly skilled and compassionate professionals who are committed to helping their patients achieve optimal health and well-being. It is care that is based on the latest evidence and best practices, and that is tailored to the unique needs and preferences of each patient.
Best Care Anywhere
Starting this summer, you'll be able to monitor his medical record, and know exactly what pills he is supposed to be taking. As the health-care crisis worsens, and as more become aware of how dangerous and unscientific most of the U. Amercia's worst hospitals To understand the larger lessons of the VHA's turnaround, it's necessary to pause for a moment to think about what comprises quality health care. There, a well-publicized initiative sponsored by local businesses, hospitals and physicians identified several hospitals as having significantly higher than expected mortality rates, longer than expected hospital stays, and worse patient satisfaction. How does this change the practice of medicine? Serious voices called for simply dismantling the VA system. If they did, they'd be being buying more years of healthy life per dollar than just about any other way they could use their money.
But, as with mass transit, an expanded VHA would offer you a benefit even if you didn't choose to use it. Yes, a hospital may have a business case for purchasing the latest, most expensive imaging devices. Today, they're producing the highest quality care in the country. Decreasing cost and improving quality go hand and hand in industries like autos and computers—but in health care, such a relationship virtually unheard of. Similarly, in the midst of a nationwide shortage of flu vaccine, the system has also allowed the VHA to identify, almost instantly, those veterans who are in greatest need of a flu shot and to make sure those patients have priority. Indeed, what if we said to young and middle-aged people, if you serve you r community and your country, you can make your parents or other loved ones eligible for care in an expanded VHA system? Today, says Craddock, some nurses still insist on getting paper printouts of their orders, but nearly all applaud the computer system and its protocols. These disincentives to reduce costs, improve improve quality and reduce medical errors have all played in a part in the US's failure to systematically adopt electronic health records.
Best Care Anywhere: Why VA Health Care Is Better Than Yours by Phillip Longman
One of the largest recur ring joint military readiness and logistics training exercises in the world, Arctic Care tests the abilities of Air Force, Army and Navy units to deploy and operate as a team in difficult terrain under harsh weather conditions. . The quality of doctors was also very high. But about a third of time, the VHA has found, the root problem isn't that someone mixed up left with right; it's that the surgeon is not operating on the patient he thinks he is. Perhaps if every American had to join one such plan and had to pay a financial penalty for switching plans as, in effect, do most customers of the VHA , then a business case for quality might exist more often in the private health-care market. The practice of medicine in the United States, it turns out, is only loosely based on any scientifically driven standards.
Best Care Anywhere: Why VA Health Care Would Work Better For Everyone, 3rd Edition / Edition 3 by Phillip Longman
Chest X-rays were ambiguous and confusing. But a problem has emerged. Needless to say Fortune didn't want to publish that information and Longman published his article in small-circulation Washington Monthly instead. Because it played a key role, Fletcher explains, in helping him to make a difficult diagnosis. News went through a management shake-up. There are a lot of interesting facts--such as it was the employees at VA that developed VISTA, not some crappy government contractor who overcharges and doesn't get the job done.
Fortune magazine assigned him the task of finding out who had the best solutions to the healthcare crisis. The Annals of Internal Medicine recently published a study that compared veterans health facilities with commercial managed-care systems in their treatment of diabetes patients. On top of the 98,000 killed by medical errors, another 126,000 die from their doctor's failure to observe evidence-based protocols for just four common conditions: hypertension, heart attacks, pneumonia, and colorectal cancer. In fact, many veterans join the VHA's system simply to obtain lower drug prices. Once fully implemented, the plan would allow Americans to avoid skipping from one health-care plan to the next over their lifetimes, with all the discontinuities in care and record keeping and disincentives to preventative care that this entails. Multiple attempts to wean him from mechanical ventilation had failed. The costs are all upfront, but the benefits may take 20 years to materialize.
The article also put it another way: It was like three jumbo jets crashing every other day and killing all on board. Veterans groups tenaciously defend the VHA and applaud its turnaround. Best Care Anywhere is must reading for anyone who wants to understand the health care issues that face the country and wants some understanding of what can be done about it. What Longman found instead was perhaps the most counter intuitive result possible---the VA on the cutting edge medicine! For a general interest book, I thought it was very good. Its customers don't jump from one health plan to the next every few years. Another benefit of electronic records became apparent last September when the drug-maker Merck announced a recall of its popular arthritis medication, Vioxx.
Fletcher explains, has given him permission. It turns out that precisely because the VHA is a big, government-run system that has nearly a lifetime relationship with its patients, it has incentives for investing in quality and keeping its patients well—incentives that are lacking in for-profit medicine. But in the long run, extending eligibility to non-vets may be the only way to ensure that more veterans get the care they were promised and deserve. Consider what vets themselves think. In addition to his work as part of Operation Bushmaster, Colonel Hamm last year volunteered for Operation Arctic Care in rural Alaska.
Best Care Anywhere: Why VA Health Care Is Better Than Yours by Phillip Longman
The results are deadly. By this summer, anyone enrolled in the VHA will be able to access his or her own complete medical records from a home computer, or give permission for others to do so. Meanwhile, what employees value most in health care is maximum choice at minimal cost. We'll have to let the ranks of the uninsured further swell, let health-care costs consume larger and larger portions of payrolls and household budgets, let more and more Americans die from medical errors and mismanaged care, before any true reform of the health-care system becomes possible. Thus we see an enthusiasm for adopting the latest medical technologies with often unproven marginal benefit for patients. He oversaw a radical downsizing and decentralization of management power, implemented pay-for-performance contracts with top executives, and won the right to fire incompetent doctors. Not surprisingly, it is currently being used by public health care systems in Finland, Germany, and Nigeria.
Best Care Anywhere by Phillip Longman: 9781609945176
Between 1999 and 2003, the number of patients enrolled in the VHA system increased by 70 percent, yet funding not adjusted for inflation increased by only 41 percent. With a key stroke, Dr. Part manifesto, part moving memoir, "Best Care Anywhere" offers new hope for addressing a major problem of contemporary society that affects all of us. But in the long run, extending eligibility to non-vets may be the only way to ensure that more veterans get the care they were promised and deserve. By contrast, when making their rounds at the VA Medical Center, they just flip open their laptops when they enter a patient's room. As a law student, I thought that the legal foundation was a bit crude.