VP Enterprise Medical Director, CareSource, Dayton, Ohio.
Summa Health Senior Health/Geriatrics, Akron, Ohio.
J Am Geriatr Soc. 2020 Jan;68(1):15-22. doi: 10.1111/jgs.16235. Epub 2019 Nov 13.
The US population is aging faster than at any other time in our history. This growth, coupled with a slow adaptive health policy framework, is creating an urgent need to reengineer and improve the quality, safety, and cost-effectiveness of health systems to meet the needs of older adults and embrace the success we have achieved with longevity. Without rapid adoption of evidence-based models that are known to improve safety and health outcomes, we significantly jeopardize the lives of thousands of older adults receiving care under our current health systems' processes and models. This article describes an innovation and operations infrastructure that was successfully tested in two independent and geographically distinct community health systems. This operations and implementation framework can be scaled and used to accelerate the changes needed to improve care for older adults in health systems throughout the United States. J Am Geriatr Soc 68:15-22, 2019.
美国人口老龄化的速度比历史上任何时候都要快。这种增长，加上适应性缓慢的健康政策框架，迫切需要对卫生系统进行重新设计和改进，以满足老年人的需求，并在我们实现长寿方面取得成功。如果不迅速采用已知能提高安全性和健康结果的循证模式，我们就会使目前卫生系统的护理流程和模式下接受治疗的数千名老年人的生命面临严重威胁。本文描述了在两个独立且地理位置不同的社区卫生系统中成功测试的创新和运营基础设施。这个运营和实施框架可以进行扩展和使用，以加快美国各地卫生系统改善老年人护理所需的变革。
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