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      A strengths-based data capture model: mining data-driven and person-centered health assets

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          Abstract

          With health care policy directives advancing value-based care, risk assessments and management have permeated health care discourse. The conventional problem-based infrastructure defines what data are employed to build this discourse and how it unfolds. Such a health care model tends to bias data for risk assessment and risk management toward problems and does not capture data about health assets or strengths. The purpose of this article is to explore and illustrate the incorporation of a strengths-based data capture model into risk assessment and management by harnessing data-driven and person-centered health assets using the Omaha System. This strengths-based data capture model encourages and enables use of whole-person data including strengths at the individual level and, in aggregate, at the population level. When aggregated, such data may be used for the development of strengths-based population health metrics that will promote evaluation of data-driven and person-centered care, outcomes, and value.

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          Most cited references21

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          Successful models of comprehensive care for older adults with chronic conditions: evidence for the Institute of Medicine's "retooling for an aging America" report.

          The quality of chronic care in America is low, and the cost is high. To help inform efforts to overhaul the ailing U.S. healthcare system, including those related to the "medical home," models of comprehensive health care that have shown the potential to improve the quality, efficiency, or health-related outcomes of care for chronically ill older persons were identified. Using multiple indexing terms, the MEDLINE database was searched for articles published in English between January 1, 1987, and May 30, 2008, that reported statistically significant positive outcomes from high-quality research on models of comprehensive health care for older persons with chronic conditions. Each selected study addressed a model of comprehensive health care; was a meta-analysis, systematic review, or trial with an equivalent concurrent control group; included an adequate number of representative, chronically ill participants aged 65 and older; used valid measures; used reliable methods of data collection; analyzed data rigorously; and reported significantly positive effects on the quality, efficiency, or health-related outcomes of care. Of 2,714 identified articles, 123 (4.5%) met these criteria. Fifteen models have improved at least one outcome: interdisciplinary primary care (1), models that supplement primary care (8), transitional care (1), models of acute care in patients' homes (2), nurse-physician teams for residents of nursing homes (1), and models of comprehensive care in hospitals (2). Policy makers and healthcare leaders should consider including these 15 models of health care in plans to reform the U.S. healthcare system. The Centers for Medicare and Medicaid Services would need new statutory flexibility to pay for care by the nurses, social workers, pharmacists, and physicians who staff these promising models.
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            Medical records that guide and teach.

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              Ethics and public health: forging a strong relationship.

              The field of bioethics arose in the late 1960s in response to the emerging ethical dilemmas of that era. The field for many years focused in general on the dilemmas generated by high-technology medicine rather than on issues of population health and the ethical problems of public health programs and regulations. The time has come to more fully integrate the ethical problems of public health into the field of public health and, at the same time, into the field of bioethics. Public health raises a number of moral problems that extend beyond the earlier boundaries of bioethics and require their own form of ethical analysis.
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                Author and article information

                Journal
                JAMIA Open
                JAMIA Open
                jamiao
                JAMIA Open
                Oxford University Press
                2574-2531
                July 2018
                24 May 2018
                24 May 2018
                : 1
                : 1
                : 11-14
                Affiliations
                School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, Minnesota 55455, USA
                Author notes
                Corresponding Author: Grace Gao, DNP, RN-BC, School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, Minnesota 55455, USA ( gaox0004@ 123456umn.edu )
                Article
                ooy015
                10.1093/jamiaopen/ooy015
                6951923
                31984314
                88f7b9be-aca8-479b-bd75-cbfeffe9687e
                © The Author(s) 2018. Published by Oxford University Press on behalf of the American Medical Informatics Association.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                : 31 December 2017
                : 31 March 2018
                : 30 April 2018
                Page count
                Pages: 4
                Funding
                Funded by: Robert Wood Johnson Foundation Future of Nursing Scholar award
                Categories
                Perspective

                strengths,risks,value-based care,health assets,health data
                strengths, risks, value-based care, health assets, health data

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