Seminar on Health Care Systems Innovation

Lectures and Readings

SES #	LECTURE TOPICS AND INSTRUCTORS	LECTURE MATERIALS	READINGS
1	Introduction - Joseph Coughlin		Leisen, Birgit, and Michael R. Hyman. “Antecedents and Consequences of Trust in a Service Provider: The Case of Primary Care Physicians.” Journal of Business Research 57 (2004).
2	Health care systems from a health policy perspective - Stan Finkelstein	Slides (PDF)	Institute of Medicine. “Crossing the Quality Chasm: A New Health System for the 21st century.” Washington, DC: National Academies Press, 2001. (Link to executive summary) Institute of Medicine. “Crossing the Quality Chasm: A New Health System for the 21st Century.” Washington, DC: National Academies Press, 2001. Report Brief: (PDF) Institute of Medicine. “To Err is Human: Building a Safer Health Care System.” Washington, DC: National Academies Press, 2000. (Link to executive summary) Institute of Medicine. “To Err is Human: Building a Safer Health Care System.” Washington, DC: National Academies Press, 1999. Report Brief: (PDF)
3	Health care systems from an engineering systems perspective - Joel Moses	Slides (PDF - 3.9MB)	Grunden, Naida. Chapter 2 in The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods. New York, NY: Productivity Press. ISBN: 9781563273674. National Academy of Engineering and Institute of Medicine. “Building a Better Delivery System: A New Engineering/Healthcare Partnership.” Washington, DC: National Academies Press, 2005. PDF Summary: ( PDF) Spear, Steven J. “Fixing Health Care from the Inside, Today.” Harvard Business Review (2005).
4	Performance measures in health care - Stan Finkelstein	Slides (PDF)	Maybin, Jo. “Briefing: Payment by Results.” London, UK: King’s Fund (October 2007). (PDF) Newhouse, Joseph. Selected excerpts from Free for All? Lessons from the RAND Health Insurance Experiment. Cambridge, MA: Harvard University Press: 1996. ISBN: 9780674319141. Review selected Web sites providing performance measures used in health care. Rosenthal, Meredith B., and R. Adams Dudley. “Pay-for-Performance: Will the Latest Trend Improve Care?” Journal of the American Medical Association 297, no. 7 (2007).
5	Student midterm presentations and class discussion	Decision support team slides (PDF) Courtesy Ralph A. Rodriguez, Vincent Balgos, and Jenny Son. Used with permission. Predictive modeling team slides (PDF) Courtesy Terry Hu, Kangse Kim, Jeongyeon Shim, and Sung Min Yo. Used with permission. Stroke team slides (PDF) Courtesy Rishi Ahuja, Andrea Ippolito, Samira Daswani, Julia Stark, Amparo Canaveras Galdon, Inas Khayal, and Toshikazu Abe. Used with permission.
6	Systems perspectives on safety - Joseph Coughlin and guest Nancy Leveson		Duvall, Tyler. “Unclogging Transportation.” National Affairs, no. 3 (Spring 2010). Leveson, Nancy. “A New Accident Model for Engineering Safer Systems.” Safety Science 42 (2004). (PDF) Leveson, Nancy. “Engineering for a Safer World.” Draft, Section II and III (2010). Expected date of publication by MIT Press: Fall 2011. (Online version) Roy, Avik. “Health Care and the Profit Motive.” National Affairs, no. 3 (Spring 2010).
7	Innovator’s prescription - Video presentation: Clayton M. Christensen
8	Managing process change - Guest Steven J. Spear		Spear, Steven J. Chapters 2 and 3 in Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. New York, NY: McGraw-Hill, 2008. ISBN: 9780071499880.
9	Health care and information technology - Guest Peter Szolovits		Stead, William W., and Herbert S. Lin, eds. “Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions.” National Research Council of the National Academies. (2009).
10	Variation and uncertainty in clinical decision I - Guests Steven J. Spear and Karen Sepucha		Mulley, Albert G. “Accessing Patients’ Utilities: Can the Ends Justify the Means?” Medical Care 27, no. 3 (1989): S269-S281. O’Connor, Annette M., Hilary A. Llewellyn-Thomas, and Ann Barry Flood. “Modifying Unwarranted Variations in Health Care: Shared Decision Making Using Patient Decision Aids.” Health Affairs (2004). Wennberg, John E. “Unwarranted Variations in Healthcare Delivery: Implications for Academic Medical Centres.” British Medical Journal 325 (2002).
11	Variation and uncertainty in clinical decision II - Guest Karen Sepucha		Sepucha, Karen, Floyd J. Fowler, Jr., and Albert G. Mulley. “Policy Support for Patient-Centered Care: The Need for Measureable Improvements in Decision Quality.” Health Affairs (2004). Sepucha, Karen, and Albert G. Mulley. “A Perspective on the Patients’ Role in Treatment Decisions.” Medical Care Research and Review 66, no. 1 (2009).
12	Student final presentations and class discussion	Decision support team report (PDF) Courtesy Ralph A. Rodriguez, Vincent Balgos, and Jenny Son. Used with permission. Predictive modeling team report (PDF) Courtesy Terry Hu, Kangse Kim, Jeongyeon Shim, and Sung Min Yo. Used with permission. Stroke team report (PDF - 1.2MB) Courtesy Rishi Ahuja, Andrea Ippolito, Samira Daswani, Julia Stark, Amparo Canaveras Galdon, Inas Khayal, and Toshikazu Abe. Used with permission.