Ideas And Opportunities For Bending The Health Care Cost Curve

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada. Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored. This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.

Whatever money is saved through short-term restraint will be lost in panicked spending down the road. That's been the lesson of the past 20 years. The challenge is to bend the cost curve permanently while making the system perform better. What health value do we achieve for what we spend? Improving value for money will require governments, organizations and practitioners to leave their comfort zone of conventional practice.

As information systems become ever more pervasive in an increasing number of fields and professions, workers in healthcare and medicine must take into consideration new advances in technologies and infrastructure that will better enable them to treat their patients and serve their communities. Healthcare Administration: Concepts, Methodologies, Tools, and Applications brings together recent research and case studies in the medical field to explore topics such as hospital management, delivery of patient care, and telemedicine, among others. With a focus on some of the most groundbreaking new developments as well as future trends and critical concerns, this three-volume reference source will be a significant tool for medical practitioners, hospital managers, IT administrators, and others actively engaged in the healthcare field.

Healthcare providers require timely and accurate information about their patients. As such, a great amount of effort and resources are spent to ensure that the right information is presented to the right people at the right time. Research Perspectives on the Role of Informatics in Health Policy and Management focuses on the advancements of Health Information Science in order to solve current and forthcoming problems in the health sector. Managers, policy makers, researchers, and Masters and PhD students in healthcare related fields will use this book to provide necessary insight on healthcare delivery and also to inspire new ideas and practices to effectively provide patients with the greatest quality care.

The Pacific Symposium on Biocomputing (PSB) 2020 is an international, multidisciplinary conference for the presentation and discussion of current research in the theory and application of computational methods in problems of biological significance. Presentations are rigorously peer reviewed and are published in an archival proceedings volume. PSB 2020 will be held on January 3 -7, 2020 in Kohala Coast, Hawaii. Tutorials and workshops will be offered prior to the start of the conference.PSB 2020 will bring together top researchers from the US, the Asian Pacific nations, and around the world to exchange research results and address open issues in all aspects of computational biology. It is a forum for the presentation of work in databases, algorithms, interfaces, visualization, modeling, and other computational methods, as applied to biological problems, with emphasis on applications in data-rich areas of molecular biology.The PSB has been designed to be responsive to the need for critical mass in sub-disciplines within biocomputing. For that reason, it is the only meeting whose sessions are defined dynamically each year in response to specific proposals. PSB sessions are organized by leaders of research in biocomputing's 'hot topics.' In this way, the meeting provides an early forum for serious examination of emerging methods and approaches in this rapidly changing field.

For decades, public service organizations have been under constant and growing pressure from citizens and stakeholders to provide more integrated, effective and accountable programs and services. Governments are beginning to acknowledge that they can’t own every issue and increasingly look to collaboration, networking and consultation at many levels as they design and develop polices, programs and service delivery mechanisms. Building Better Public Services explores the challenges facing public services in the 21st century, including the need for systemic cultural change, enhanced governance, evidence-informed policy and program design, and shared approaches to service delivery. Based on case studies and interviews, supplemented by first person experience, Building Better Public Services will take you inside the world of public services in Canada and the United Kingdom to explore capacity building successes and lessons learned. The book offers insights into innovations that will inform public servants as they work to improve services for citizens and gives directional advice and observations on the importance of public services leadership, an area rarely explored in business leadership literature. “An essential handbook on how to improve public policy and services. This is not yet another book focused primarily on making government smaller or driven by an ideology of austerity. It is rather grounded in a deep appreciation of the importance of public service to our quality of life and well-being and of the great advantages Canada’s professional, nonpartisan public service affords. Drawing on examples across Canada and internationally of what works and what does not, Tony offers concrete recommendations for building a more citizen-centred, open, collaborative public service.” —Alex Himelfarb – Former Clerk of the Privy Council – Government of Canada, and current Chair of WWF-Canada and the Canadian Alliance to End Homelessness. “I hope Tony Dean's reflections bring a long overdue debate to a critical subject - how to make public services work better. Innovation in the public sector is a subject that cries out for real discussion, and Tony has done us all a great favour by analysing these issues with commitment and flair. It's not about cutting things, it's about creativity and getting things done, breaking down silos and making it happen.” —Bob Rae – Lawyer, negotiator, and Ontario’s 21st Premier. “This is a book written by someone who knows the day to day challenges and reality of making governments work. It should be read by both current and future politicians and public servants who want to improve their governments’ focus on outcomes for, and with, citizens. Dean underpins this book with relentlessly wanting to achieve more. He celebrates the passion, commitment and innovation of public servants but is not blind to the need for change.” --Ray Shostak – International Government Adviser and former head of the Prime Minister’s Delivery Unit and Director General, Performance, HM Government (UK)

In 2020 over 1 billion of the world’s population were over the age of 60 years old, and it is expected to double by 2050 according to WHO. Due to the growing population of older adults, there is a focus on healthy aging that will benefit the individuals and the wider communities as older adults will be able to support family members and partake in paid or voluntary work for a longer period of time. Currently a large number of older adults are unable to work, increasing the likelihood of economic instability with fewer streams of income. Economic instability has been proven to have health impacts including declining mental wellbeing, malnutrition, and the inability to afford prescribed medications. Social isolation proves to be another important factor in the overall health of older adults. The CDC reports that poor social interactions have been linked to a higher risk of developing multiple serious medical conditions.

A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.