21st Century Health Care Delivery System

NEHI’s research and analysis in care delivery focuses on identifying innovations that increase the value and reduce the costs of health care. Prior NEHI research has demonstrated that waste and inefficiencies in health care account for $800 billion in unnecessary costs, or a full third of the nation’s health care spending, and that eliminating it requires many clinical, systemic and behavioral changes in organizations across health care. Current NEHI projects focus on advancing a more “distributed” health care system outside of conventional settings, and identifying innovative practices and policy actions in areas such as reducing administrative costs and waste, and improving patient safety.

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Initiatives

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  • Themes 21st Century Health Care Delivery System Patient Engagement Technology Adoption Telemedicine
    Publication Date: January 22, 2009

    FAST Update: 2008-2009 Candidate Technologies

    The FAST search for promising technologies initiated in 2008 was focused on identifying telemedicine technologies specifically used to treat chronic disease. The FAST team reviewed over 100 health care technologies in this area, narrowing them to the 11 most promising candidates detailed in this report.
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  • Themes 21st Century Health Care Delivery System Chronic Disease Health IT Telemedicine
    Publication Date: January 21, 2009

    Remote Physiological Monitoring: Research Update

    Updated research on RPM technologies, emphasizing the cost effectiveness of RPM use compared to standard care and disease management practices, as well as remaining barriers to its adoption.
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  • Themes 21st Century Health Care Delivery System Healthcare Spending Technology Adoption Waste
    Publication Date: August 1, 2008

    Emergency Department Overuse Backgrounder

    A summary of NEHI's current research project to examine the causes of and potential solutions for the overuse of emergency departments for non-urgent conditions.
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  • Themes 21st Century Health Care Delivery System Chronic Disease Healthcare Spending Waste
    Publication Date: July 29, 2008

    The Wasteland of Health Care

    This graphic displays the most significant areas of waste in health care as identified by NEHI's research in this area.
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  • Themes 21st Century Health Care Delivery System Healthcare Spending Patient Safety Waste
    Publication Date: February 25, 2008

    How Many More Studies Will It Take?

    Published with a grant from Blue Cross Blue Shield of Massachusetts, this compendium presents compelling evidence of waste in health care, with a RAND annotated bibliography and a NEHI compendium of the 460 most reliable sources on waste and inefficiency in health care from 1998 to 2006.
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  • Themes 21st Century Health Care Delivery System Healthcare Spending Patient Safety Waste
    Publication Date: February 25, 2008

    Waste and Inefficiency in the U.S. Health Care System - Clinical Care

    Waste is pervasive in our health care system and must be eliminated by implementing key policy solutions.
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  • Themes 21st Century Health Care Delivery System Patient Safety Telemedicine
    Publication Date: February 14, 2008

    Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals

    NEHI's CPOE study shows that one in ten patients at six representative community hospitals suffered a preventable medication injury and demonstrates how CPOE implementation dramatically decreases these errors
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  • Themes 21st Century Health Care Delivery System Patient Safety Technology Adoption
    Publication Date: March 1, 2007

    Tele-ICUs: Remote Management in Intensive Care Units

    Tele-ICUs address the shortage in supply of intensivists in intensive care units (ICUs) by enabling a relatively small number of intensivists to oversee the care of a large number of ICU patients.
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  • Themes 21st Century Health Care Delivery System Patient Safety Telemedicine
    Publication Date: December 19, 2006

    A Case Study on CPOE: A Blueprint for a Beginning

    The Massachusetts Hospital CPOE Initiative is a groundbreaking and dynamic undertaking that has brought critical people in the state together to accelerate the adoption of this innovative technology.
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  • Themes 21st Century Health Care Delivery System Patient Safety Telemedicine Waste
    Publication Date: September 1, 2006

    Saving Lives, Reducing Costs: CPOE Lessons Learned in Community Hospitals

    A group of chief information officers and project managers from Massachusetts hospitals currently implementing or planning to implement CPOE have identified six focus areas to improve implementation: physician incentives, process redesign, metrics, physician training, governance of clinical decision support and leadership commitment.
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