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Author: William B. Rouse
Publisher: MIT Press
ISBN: 0262027518
Category : Medical
Languages : en
Pages : 297
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Book Description
An argument that understanding healthcare delivery as a complex adaptive system will help us design a system that yields better health outcomes. Breakthroughs in medical science, innovations in medical technologies, and improvements in clinical practices occur today at an increasingly rapid rate. Yet because of a fragmented healthcare delivery system, many Americans are unable to benefit from these developments. How can we design a system that can provide high-quality, affordable healthcare for everyone? In this book, William Rouse and Nicoleta Serban introduce concepts, principles, models, and methods for understanding, and improving, healthcare delivery. Approaching the topic from the perspectives of engineering and statistics, they argue that understanding healthcare delivery as a complex adaptive system will help us design a system that is more efficient, effective, and equitable. The authors use multilevel simulation models as a quantitative tool for evaluating alternate ways of organizing healthcare delivery. They employ this approach, for example, in their discussions of affordability, a prevention and wellness program, chronic disease management, and primary care accessibility for children in the Medicaid program. They also consider possible benefits from a range of technologies, including electronic health records and telemedicine; data mining as an alternative to randomized trials; conceptual and analytical methodologies that address the complexity of the healthcare system; and how these principles, models, and methods can enable transformational change.
Author: William B. Rouse
Publisher: MIT Press
ISBN: 0262027518
Category : Medical
Languages : en
Pages : 297
Get Book Here
Book Description
An argument that understanding healthcare delivery as a complex adaptive system will help us design a system that yields better health outcomes. Breakthroughs in medical science, innovations in medical technologies, and improvements in clinical practices occur today at an increasingly rapid rate. Yet because of a fragmented healthcare delivery system, many Americans are unable to benefit from these developments. How can we design a system that can provide high-quality, affordable healthcare for everyone? In this book, William Rouse and Nicoleta Serban introduce concepts, principles, models, and methods for understanding, and improving, healthcare delivery. Approaching the topic from the perspectives of engineering and statistics, they argue that understanding healthcare delivery as a complex adaptive system will help us design a system that is more efficient, effective, and equitable. The authors use multilevel simulation models as a quantitative tool for evaluating alternate ways of organizing healthcare delivery. They employ this approach, for example, in their discussions of affordability, a prevention and wellness program, chronic disease management, and primary care accessibility for children in the Medicaid program. They also consider possible benefits from a range of technologies, including electronic health records and telemedicine; data mining as an alternative to randomized trials; conceptual and analytical methodologies that address the complexity of the healthcare system; and how these principles, models, and methods can enable transformational change.
Author: Great Britain: Parliament: House of Commons: Work and Pensions Committee
Publisher: The Stationery Office
ISBN: 9780215035509
Category : Political Science
Languages : en
Pages : 256
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Book Description
Benefits Simplification : Seventh report of session 2006-07, Vol. 2: Oral and written Evidence
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102970036
Category : Social Science
Languages : en
Pages : 40
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Book Description
The Department for Work and Pensions does not yet have enough evidence to demonstrate that its activities to reduce the cost of mistakes by customers have been value for money. Mistakes made by claimants in the information they provide to the Department, termed customer error, are difficult to detect, correct and prevent. The scale of overpayments and underpayments demonstrate a clear imperative for improvement. Mistakes made by customers are difficult for the Department to tackle because they often arise from a change in customers' circumstances, which customers may not realise they have to tell the Department about. Overpayments due to customer error, which are estimated at £1.1 billion in 2009-10, represent a substantial loss to the taxpayer. And underpayments, which were approximately £800 million in 2009-10, can cause hardship for the families affected. The establishment by the Department of the Fraud and Error Council shows a commitment to tackling fraud and error, but there is little evidence that sufficient attention has been paid to reducing losses due to customer mistakes. The Department launched a five year strategy for tackling error in January 2007 but there has been no discernible decrease between 2006-07 and 2009-10 in underpayments and overpayments due to customer error as a percentage of total benefits expenditure. The Department and its agencies do not yet have enough information to target initiatives effectively. Nor is there enough consistently measured data on the costs and benefits of interventions.
Author: Rosalind Armson
Publisher: Triarchy Press
ISBN: 1908009292
Category : Business & Economics
Languages : en
Pages : 368
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Book Description
This book is about dealing with messes. Sometimes known as 'wicked problems', messes (or messy situations) are fairly easy to spot:it's hard to know where to startwe can't define them everything seems to connect to everything else and depends on something else having been done first we get in a muddle thinking about them we often try to ignore some aspect/s of themwhen we finally do something about them, they usually get worse they're so entangled that our first mistake is usually to try and fix them as we would fix a simple problem.
Author: Sir John Bourn
Publisher: John Wiley & Sons
ISBN: 9780470725344
Category : Business & Economics
Languages : en
Pages : 426
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Book Description
Drawing on 20 years of experience as Comptroller and Auditor General, and head of the United Kingdom National Audit Office, Public Sector Auditing: Is it Value for Money? is Sir John Bourn’s own account of the role and influence value for money auditing has in holding governments to account and in helping public bodies improve the ways in which they deliver services. Key features include: In-depth case studies from UK, US, Canada, China, India and Australia; Detailed analysis of complex areas of public expenditure such as health, education, privatisation, regulation, defence and IT; Examples of how auditing can promote positive outcomes rather than negative post mortems. This book is relevant for people working in both the public and private sectors, and should be essential reading for the staff of public sector audit institutions around the world, as well as commercial accountancy firms and students of accountancy, politics, economics and public management.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215521576
Category : Social Science
Languages : en
Pages : 52
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Book Description
Benefit fraud is a crime and undermines public confidence in the benefits system. In 2006-07, the Department for Work and Pensions estimated that it spent some £154 million on tackling fraud, identifying £106 million of overpaid benefit, against total benefit expenditure of £120 billion. The Department estimates that fraud fell from £2 billion in 2001-02 to £800 million in 2006-07, which is 0.6% of benefit expenditure. But the Department must do more to reverse the rise in official and customer error. Estimated error rose from £1 billion in 2001-02 to £1.9 billion in 2006-07. Benefit complexity is believed to be a major cause of error. Increasing the volume of pre-payment checks and encouraging customers to receive benefit payments directly into their bank accounts has prevented some fraud. The Department now works closely with the police, the Serious Organised Crime Agency and local authorities to prevent, identify and act against fraud. But it could make more effective use of its powers and resources. While the Department successfully prosecutes 90 per cent of the cases it takes to court, the Prosecution Division has lost 17 per cent of its staff since 2003. Debt recovery is an essential part of tackling fraud, yet in 2006-07 the Department only recovered £22 million of fraud debt out of a known fraud debt stock of £339 million. The Department has been slow to improve its management information systems, hampering its ability to measure the cost-effectiveness of counter-fraud activities. It has taken from 2003 until February 2008 to roll out a new national management information system, known as FRAIMS, at a cost of £65 million.
Author: Great Britain: Department for Work and Pensions
Publisher: The Stationery Office
ISBN: 0101710526
Category : Political Science
Languages : en
Pages : 144
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Book Description
Dated May 2007
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 0102942315
Category : Social Science
Languages : en
Pages : 44
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Book Description
The 2002 report Tackling pensioner poverty: encouraging take-up of entitlements (ISBN 0102919577) examined efforts by the Department for Work and Pensions to increase the take-up of benefits by pensioners. It was followed by a report from the Committee of Public Accounts (ISBN 0215009347) that made a number of recommendations. This report looks at the changes the Department have made against those recommendations and the challenges that remain. The overall conclusion is that the Pension Service has made substantial progress in helping pensioners secure their entitlements, using new and thought through approaches. However there is more to be done. This report is accompanied by a technical report that describes the methodology and findings in greater detail.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 0102937184
Category : Political Science
Languages : en
Pages : 88
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Book Description
This NAO report examines the role and cost effectiveness of contact services for customers from the Department for Work and Pensions. During the 2004-05 period the Department spent £190 million on running contact centres. The centres themselves answered more than 33 million incoming calls, and made 7 million outgoing calls, as well as handling 300,000 e-mails, 30,000 faxes and 4 million incoming letters and application forms. The Department serves a wide range of customers, including 28 million pensioners and benefit recipients, paying out £112 billion a year in benefits and pensions. This report sets out a number of recommendations: that the Department should develop its understanding of customer demand and improve its forecasting processes; that the Department should aim to offer a seamless service, by reducing the number of telephone contact points, as well as sharing good practice techniques across such areas as forecasting and training; that contractual arrangements for staff should match the demand needs of customers, and that contact centre targets should therefore focus on customer need; that the Department should advance initiatives to improve its information on costs.
Author: Michael Bamberger
Publisher: SAGE Publications
ISBN: 1483344258
Category : Social Science
Languages : en
Pages : 587
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Book Description
Recognizing that complexity calls for innovative, conceptual, and methodological solutions, Dealing with Complexity in Development Evaluation by Michael Bamberger, Jos Vaessen, and Estelle Raimondo offers practical guidance to policymakers, managers, and evaluation practitioners on how to design and implement complexity-responsive evaluations that can be undertaken in the real world of time, budget, data, and political constraints. Introductory chapters present comprehensive, non-technical overviews of the most common evaluation tools and methodologies, and additional content addresses more cutting-edge material. The book also includes six case study chapters to illustrate examples of various evaluation contexts from around the world.
