A draft framework for measuring progress towards the development of a national health information infrastructure

BACKGROUND: American public policy makers recently established the goal of providing the majority of Americans with electronic health records by 2014. This will require a National Health Information Infrastructure (NHII) that is far more complete than the one that is currently in its formative stage of development. We describe a conceptual framework to help measure progress toward that goal. DISCUSSION: The NHII comprises a set of clusters, such as Regional Health Information Organizations (RHIOs), which, in turn, are composed of smaller clusters and nodes such as private physician practices, individual hospitals, and large academic medical centers. We assess progress in terms of the availability and use of information and communications technology and the resulting effectiveness of these implementations. These three attributes can be studied in a phased approach because the system must be available before it can be used, and it must be used to have an effect. As the NHII expands, it can become a tool for evaluating itself. SUMMARY: The NHII has the potential to transform health care in America – improving health care quality, reducing health care costs, preventing medical errors, improving administrative efficiencies, reducing paperwork, and increasing access to affordable health care. While the President has set an ambitious goal of assuring that most Americans have electronic health records within the next 10 years, a significant question remains "How will we know if we are making progress toward that goal?" Using the definitions for "nodes" and "clusters" developed in this article along with the resulting measurement framework, we believe that we can begin a discussion that will enable us to define and then begin making the kinds of measurements necessary to answer this important question

Environmental capacity in the East Midlands: an evidence base fit for purpose

This report relates to the initial study into the measurement of Environmental Capacity within the East Midlands Region considering what indicators/measures of Environmental Capacity can be put into place in the near future within the region and what are the aspirations regarding longer term indicators / measures of Environmental Capacity in the region. The study involved in depth interviews with relevant employees from local authorities and other key agencies within the region covering the current data collected/used in monitoring and the possible link to the monitoring of Environmental Capacity as well as the interviewees' awareness of and attitudes towards Environmental Capacity as a monitoring tool

City indicators : now to Nanjing

This paper provides the key elements to develop an integrated approach for measuring and monitoring city performance globally. The paper reviews the role of cities and why indicators are important. Then it discusses past approaches to city indicators and the systems developed to date, including the World Bank's initiatives. After identifying the strengths and weaknesses of past experiences, it discusses the characteristics of optimal indicators. The paper concludes with a proposed plan to develop standardized indicators that emphasize the importance of indicators that are measurable, replicable, potentially predictive, and most important, consistent and comparable over time and across cities. As an innovative characteristic, the paper includes subjective measures in city indicators, such as well-being, happy citizens, and trust.Cultural Policy,City Development Strategies,Cultural Heritage&Preservation,ICT Policy and Strategies,Housing&Human Habitats

Sustainable development : fourth annual assessment of progress by the Scottish Government

SDC Scotland’s annual assessment is based on a review of government policy across a range of topics from economy and energy to education, health, waste and biodiversity. The conclusions and recommendations are also based on discussions with expert groups in each policy area, government civil servants and a stakeholder survey.Publisher PD

Tracking Adaptation and Measuring Development in Kenya

Tracking Adaptation and Measuring Development (TAMD) is a twin-track framework that evaluates adaptation success as a combination of how widely and how well countries or institutions manage climate risks (Track 1) and how successful adaptation interventions are in reducing climate vulnerability and in keeping development on course (Track 2). With this twin-track approach, TAMD can be used to assess whether climate change adaptation leads to effective development, and also how development interventions can boost communities' capacity to adapt to climate change. Importantly, TAMD offers a flexible framework that can be used to generate bespoke frameworks for individual countries that can be tailored to specific contexts and used at different scales. This report compiles the results of TAMD feasibility testing phase in Kenya

Towards the integration and development of a cross-European research network and infrastructure:the DEterminants of DIet and Physical ACtivity (DEDIPAC) Knowledge Hub

To address major societal challenges and enhance cooperation in research across Europe, the European Commission has initiated and facilitated ‘joint programming’. Joint programming is a process by which Member States engage in defining, developing and implementing a common strategic research agenda, based on a shared vision of how to address major societal challenges that no Member State is capable of resolving independently. Setting up a Joint Programming Initiative (JPI) should also contribute to avoiding unnecessary overlap and repetition of research, and enable and enhance the development and use of standardised research methods, procedures and data management. The Determinants of Diet and Physical Activity (DEDIPAC) Knowledge Hub (KH) is the first act of the European JPI ‘A Healthy Diet for a Healthy Life’. The objective of DEDIPAC is to contribute to improving understanding of the determinants of dietary, physical activity and sedentary behaviours. DEDIPAC KH is a multi-disciplinary consortium of 46 consortia and organisations supported by joint programming grants from 12 countries across Europe. The work is divided into three thematic areas: (I) assessment and harmonisation of methods for future research, surveillance and monitoring, and for evaluation of interventions and policies; (II) determinants of dietary, physical activity and sedentary behaviours across the life course and in vulnerable groups; and (III) evaluation and benchmarking of public health and policy interventions aimed at improving dietary, physical activity and sedentary behaviours. In the first three years, DEDIPAC KH will organise, develop, share and harmonise expertise, methods, measures, data and other infrastructure. This should further European research and improve the broad multi-disciplinary approach needed to study the interactions between multilevel determinants in influencing dietary, physical activity and sedentary behaviours. Insights will be translated into more effective interventions and policies for the promotion of healthier behaviours and more effective monitoring and evaluation of the impacts of such intervention

Information Society Strategies in the European Context: The Case of Greece

This article sets out to analyze the policies adopted by the Greek government in its effort to accelerate the pace of reform towards a knowledge-based economy. These policies have to take into account the position that the country occupies within the emerging information society and, of course, the opportunities created by EU initiatives that aim to promote economic competitiveness and reduce regional disparities. Within this framework Greek policy makers have recognized the need for a coordinated, coherent and integrated approach, which attempts to diminish inequalities both within the country and with respect to other European Union economies. What emerges as a distinctive feature of the Greek information society strategy is the emphasis placed on the pivotal role of the state and the adoption of active interventionist policies

East Midlands regional economic strategy 'creating a flourishing region together' - consultation document 2005.

This consultation document supports the development of the RES: A flourishing Region published in 2006