Healthcare decision makers in search of the best evidence to inform clinical decisions have come to rely on systematic reviews (SRs) of comparative effectiveness research (CER) to learn what is known and not known about the potential benefits and harms of alternative drugs, devices, and other healthcare services. An SR is a scientific investigation that focuses on a specific question and uses e…
Clinicians can no longer stay abreast of the rapidly expand- ing knowledge bases related to health. The number of random- ized controlled trials published in MEDLINE (a medical literature database) grew from 5,000 per year in 1978–1985 to 25,000 per year in 1994–2001. Furthermore, contentions that much of the literature may be biased and not applicable to important subsets of target populat…
As attention is increasingly devoted to U.S. society’s needs for access to health care and health care delivery, one change that requires immediate attention concerns the many aspects of care that are migrating out of formal medical facilities and into the home. Although the costs of care are one driver of this change, there is also recognition that health care delivered at home is valued by …
The number of people living with HIV/AIDS (PLWHA) in the United States is growing each year largely due both to advances in treatment that allow HIV-infected individuals to live longer and healthier lives and to a steady number of new HIV infections each year. The U.S. Centers for Dis- ease Control and Prevention (CDC) estimates that there were 1.2 million people living with HIV infection in th…
In 2009, the Robert Wood Johnson Foundation asked the Institute of Medicine (IOM) to convene a committee to examine three topics in relation to public health: measurement, the law, and funding. The committee’s complete three-part charge is provided in Box P-1. The IOM Committee on Public Health Strategies to Improve Health explored the topics in the context of contemporary opportunities and c…
The Institute of Medicine (IOM) report To Err Is Human estimated that 44,000-98,000 lives are lost every year due to medical errors in hospitals and led to the widespread recognition that health care is not safe enough, catalyzing a revolution to improve the quality of care.1 Despite considerable effort, patient safety has not yet improved to the degree hoped for in the IOM report Crossing the …
The Miracle of Mindfulness was originally written in Vietnamese as a long letter to Brother Quang, a main staff member of the School of Youth for So- cial Service in South Vietnam in 1974. Its author, the Buddhist monk Thich Nhat Hanh, had founded the School in the 1960s as an outgrowth of "engaged Buddhism." It drew young people deeply commi…
There has been discussion of proposals to engage in the collection of traffic flow measurement information for monitoring and to support charging and accounting
Strategic management, popularized during the 1980s, is a term that covers enterprise – wide strategy formulation, implementation, and evaluation. The subject of strategic management has become integral to the success or failure of organizations, especially now when the business environment demands rapid monitoring, analysis and accurate interpretation.
Despite being introduced into the literature as a potentially exciting development over 20 years ago, there is still little or no agreement about what constitutes strategic management accounting (SMA). The term itself is open to a number of interpretations, something that is reflected in the varied nature of the research associated with it. In our view, however, SMA is best understood as a g…
Because every IT risk creates some degree of business risk, it is important that CAEs thoroughly understand IT change and patch management issues. IT change and patch management can be defined as the set of processes executed within the organization’s IT depart- ment designed to manage the enhancements, updates, incremental fixes, and patches to production systems, which include: • Applic…
Enterprise Risk Management (ERM) has been defined as the discipline by which an organization in any industry assesses, controls, exploits, finances and monitors risks from all sources for the purpose of increasing the organization’s short- and long-term value to its stakeholders. by the Casualty Actuarial Society (2003) and adopted by the Society of Actuaries (2005). Enterprise Risk Mana…
These Guidelines cover the main aspects of devising a policy on the use of derivative. It is based very closely on the „Supervisory Standard on the use Derivatives by Insurance Companies‟ as issued by the International Association of Insurance Supervisors. The implementation of the Guidelines needs to be tailored to the particular circumstances of individual companies. For example, the Cen…
Patients admitted to hospital are at risk of damage to kidney function, termed acute kidney injury (AKI), either from their illness or as a result of subsequent treatment. Kidney injury can lead to serious health issues and even death. It is essential that patients at risk, and those who develop kidney injury, are recognised early and treated effectively. However, the 2009 National Confidential…
Approximately 1000 people sustain a new spinal cord injury (SCI) each year in the UK. These injuries are associated with serious neurological damage, and can result in paraplegia, quadriplegia or death. Currently there are no ‘cures’ for SCI and in the UK there are 40,000 people living with long term disabilities as a result of such injuries. Care of an acutely spinally injured patient is…
Over the past three decades, management tools have become a common part of executives’ lives. Whether trying to boost revenues, innovate, improve quality, increase efficiencies or plan for the future, executives have looked for tools to help them. The current environment of globalization and economic turbulence has increased the challenges executives face and, therefore, the need to find …