a US cohort in London: Part I
the recent decision of the Supreme Court in king v. Burwell, a historic decision ensuring protection of subsidies under the Act on the Affordable Care reaffirmed that health care is one of the most complex and contentious issues here in the days of the United States only after the decision came down, a group of MHA @ GW students traveled to London, England, with the program director Dr. Leonard Friedman and Dr. Usman Khan, external adviser on the National health research Institute collaboration for leadership in applied health research and care of Northwest London program (CLAHRC) in, to learn about a different - health care system - but equally complex. The travel quid pro quo mind was: In addition to hearing the regulatory, legislative and clinical experts throughout the city, students were also asked to submit to these groups on various aspects of the health care system States STATES, of the Law on affordable care insurance policy to the flow of the emergency room.
The immersion experience in health systems analysis is one of the four required for students enrolled in MHA @ GW, the Executive Master online Master of health administration offered by the Milken Institute school of public health at George Washington University. It is designed to provide students with an understanding first hand, contextual landscape of healthcare in the world as they emerge as leaders in the field of health administration
Kickoff Dinner :. Reuniting abroad
in addition to being a unique educational experience, the trip was a meeting for many students who had become close previous immersions held on the GW campus in Washington, DC; several had even taken a vacation together in Europe in the week before the immersion. Before digging in an intense week of curriculum, faculty, staff and students had the opportunity to catch up informally during a welcome dinner at Pescatori in the West End.
The health care system in the UK perspective
to help prepare students for a busy week of visits with clinical organizations, regulations and policies throughout London, Dr Khan, Professor David Taylor of the University College London (UCL) school of pharmacy and Professor John Wyn Owen CB leads students through the first official day of immersion with classroom sessions on the history, legislation, structures and policies that define the British health care system and differentiate from the American model.
The most important difference often cited is that the national health system of the United Kingdom (NHS) includes a centralized, state-run, single system -Pay, while the United States relies on private insurers. However, the week of conversations and intensive presentations revealed much overlap in terms of health care professional challenges faced, whatever nation they call home. Establish and maintain a high level of care quality is just one example.
"You are only as good as your last interaction, and to be able to achieve not only a quality time with patients, but on an ongoing basis," Dr. Khan said.
chronic diseases Moreover, as the United States, the United Kingdom has seen supplanted infectious as the main causes of death and health primary inhibitors. in addition the NHS has sought to facilitate and support systems for health care that take into account how socioeconomic factors influence individual and community health.
"No health system is right. Each system is very different things do we know the right way to do it. "-? Professor David Taylor, UCL School of pharmacy
Dr. Friedman acknowledged the intensive nature of the programming that the agenda of the day ended -. And assured students that the rate would continue throughout the week
"I realize that this was extraordinarily long day, and many you are running on fumes right now," he said. " We call this immersion for nothing. "
the care commissioning in the NHS
The second day focused on developing care services in the NHS, and included visits to the clinic group Commissioning NHS Camden Service and Caversham group practice clinical commissioning groups. - known colloquially as CCGs - were established by health and welfare Act 2012. CCGs UK negotiating agreements with service providers in the NHS and the private and voluntary sectors to meet the health needs of specific populations. They are responsible for identifying the most pressing health problems in specific areas of the city, and to determine which services should be in place to help meet these concerns. Director of CCG Commissioning Mary Clegg and colleagues presented to students before taking part in an informal lunch and session networking.
Then practice Caversham group presented its work providing services to people in need of health care. Practice partners and GPs Stephen Amiel and Alex Warners discussed the role of Caversham Group as a teaching practice and training in place which clinics offer quick access to NHS services specialist -. without guaranteeing a trip to the hospital
MHA @ GW Director Leonard Friedman program presents a hippopotamus GW Stephen Amiel and Alex Warners
"continuity of care that adheres to the relationship between a registered patient and their GP," Amiel said, is at the heart of why the health care system in the UK is considered one more effective in the world to manage the welfare of its people. As the system continues to undergo transitions, he noted, "continuity of care, but also the continuity of the caregiver" will be key to maintaining a high quality of service.
Quality Improvement and Patient Involvement
to better understand the mechanisms that improve health outcomes and patient experience in the NHS, students had the opportunity Us sit with experts in the field of quality, improvement and patient involvement. They spent the morning in one of the most iconic historical and legislative centers of London: Westminster Palace. Sir Roger Gale, the MP for North Thanet, welcomed the group, and he led a session on legislative health care in the UK
For Learn more about how research informs the quality of care, the students engaged with the staff of the Cooperation for applied research leadership Health and care in north west London (CLACHRC - pronounced "Clark" for short). The organization, part of the National Health Research Institute, conducts research on applied health and helps to translate its findings into beneficial practices for patients. Ganesh Sathyamoorthy, CLACHRC NWL deputy director for partnerships and business development, reminded the students that even a centralized entity such as the NHS is composed of many moving parts, and quality improvement can not occur by through a one-size-fits approach.
"The NHS is like an ecosystem. There are not a lever to pull to improve efficiency in all channels and sub-systems," he said. "Instead, we will consider it in a oriented perspective systems more. I think we need to adopt this notion of complexity."
"The NHS is like an ecosystem. There is no a lever to pull to improve efficiency in all channels and subsystems. "- Ganesh Sathyamoorthy, CLACHRC NWL Deputy Director for Partnerships and Business Development
Meerat Kaur, CLACHRC lead partner for patient and public involvement, presented the findings of her research on patient involvement and public in a quality improvement program. Kaur said that the response to failures of the system throughout the British health care is a matter of changing the work culture instead of blaming people for things that go wrong. "You can not take that person to the system and expect it to be fixed," he said.
The journey does not end there. Learn more about the second half of the immersion of our students across the pond - including a free first hospital visit to London and a sunset cruise on the Thames sun -. In our next post roundup
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