16,165 research outputs found

    Regional Coalitions for Healthcare Improvement: Definition, Lessons, and Prospects

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    Outlines how regional quality coalitions can collaborate to help deliver evidence-based healthcare; improve care processes; and measure, report, and reward results. Includes guidelines for starting and running a coalition and summaries of NRHI coalitions

    Is There an App for That? Electronic Health Records (EHRs) and a New Environment of Conflict Prevention and Resolution

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    Katsh discusses the new problems that are a consequence of a new technological environment in healthcare, one that has an array of elements that makes the emergence of disputes likely. Novel uses of technology have already addressed both the problem and its source in other contexts, such as e-commerce, where large numbers of transactions have generated large numbers of disputes. If technology-supported healthcare is to improve the field of medicine, a similar effort at dispute prevention and resolution will be necessary

    Public Research Universities: Serving the Public Good

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    Public research universities educate about 20 percent of all students nationwide; among the nation's research universities, they award 65 percent of all master's degrees and 68 percent of all research doctorate degrees. They enroll 3.8 million students, including almost 900,000 graduate students, annually.1 Public research universities produce researchers, educators, entrepreneurs, civic leaders, and the basic research breakthroughs that drive innovation, grow our economy, and benefit the daily lives of all Americans.2 Between 2012 and 2013 alone, research at public universities resulted in more than 13,322 patent applications, 522 start-up companies, and 3,094 intellectual property licenses.Public research universities also support the upward social mobility of large numbers of talented and ambitious young people from low socioeconomic status backgrounds, many of whom are the first in their family to pursue postsecondary education. Public research universities provide a high-quality university education at reduced cost and act as pathways to higher-paying jobs than would otherwise be obtainable for most students. The sizable enrollment of undergraduate students from low-income families reflects the mission of public research universities to serve all facets of U.S. society; 31 percent of undergraduate students who attend public research universities receive Pell Grants, and the eight research universities with the highest shares of students who receive Pell Grants are all public.But there is growing concern about the future of these vital institutions. Over the last decade, and especially following the economic collapse of 2008, nearly every state in the nation has dramatically reduced its investment in higher education, with public research universities receiving the most severe cuts. Since 2008, public research universities have suffered a 26 percent drop in state investment.5 Further, declining federal funds for research have added to the strain, despite the slight rebound afforded by the 2016 omnibus spending measure. The current funding model is broken and getting worse, putting at risk a critical component of the nation's postsecondary education system and research infrastructure.The American Academy of Arts & Sciences has created the Lincoln Project: Excellence and Access in Public Higher Education to study the importance of public research universities, analyze economic trends affecting their operation, and recommend new strategies to sustain and strengthen these critical institutions. This publication, the fourth in a series of five Lincoln Project reports, examines the many ways in which public research universities contribute to their communities, states, regions, and the nation, and provides empirical evidence of their service to the public good

    Prescriptions for Excellence in Health Care Summer 2012 Download Full PDF

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    Commercializing University Innovations: A Better Way

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    With the passage of the Bayh-Dole Act of 1980, the federal government explicitly endorsed the transfer of exclusive control over government-funded inventions to universities and businesses operating with federal contracts. While this legislation was intended to accelerate further development and commercialization of the ideas and inventions developed under federal contracts, the government did not provide any strategy, process, tools, or resources to shepherd innovations from the halls of academia into the commercial market. And more than twenty-five years later, it is clear that few universities have established an overall strategy to foster innovation, commercialization, and spillovers. Multiple pathways for university innovation exist and can be codified to provide broader access to innovation, allow a greater volume of deal flow, support standardization, and decrease the redundancy of innovation and the cycle time for commercialization. Technology Transfer Offices (TTOs) were envisioned as gateways to facilitate the flow of innovation but have instead become gatekeepers that in many cases constrain the flow of inventions and frustrate faculty, entrepreneurs, and industry. The proposed changes focus on creating incentives that will maximize social benefit from the existing investments being made in R&D and commercialization on university campuses.

    Pillars Of Prosperity: Leveraging Regional Assets To Grow Minnesota's Economy

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    Minnesota has always been rich with assets -- a skilled labor force, good jobs in diverse industries, globally competitive companies, and abundant lakes and parks that provide a high quality of life for the people who call it home.However, to maintain its strong economy and quality of life, Minnesota must adapt to fast-changing trends in the global economy, trends that affect each of the state's regions and communities differently.This report explores how the state of Minnesota -- the governor's administration together with the Minnesota Legislature -- can partner with regional networks to foster economic growth and extend prosperity to greater numbers of Minnesotans

    Prescriptions for Excellence in Health Care Summer 2013 Download Full PDF

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    A Scientific Roadmap for Antibiotic Discovery: A Sustained and Robust Pipeline of New Antibacterial Drugs and Therapies is Critical to Preserve Public Health

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    In recent decades, the discovery and development of new antibiotics have slowed dramatically as scientific barriers to drug discovery, regulatory challenges, and diminishing returns on investment have led major drug companies to scale back or abandon their antibiotic research. Consequently, antibiotic discovery—which peaked in the 1950s—has dropped precipitously. Of greater concern is the fact that nearly all antibiotics brought to market over the past 30 years have been variations on existing drugs. Every currently available antibiotic is a derivative of a class discovered between the early 1900s and 1984.At the same time, the emergence of antibiotic-resistant pathogens has accelerated, giving rise to life-threatening infections that will not respond to available antibiotic treatment. Inevitably, the more that antibiotics are used, the more that bacteria develop resistance—rendering the drugs less effective and leading public health authorities worldwide to flag antibiotic resistance as an urgent and growing public health threat
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