Despite significant gains by pediatric collaborative improvement networks, the overall US system of chronic illness care does not work well. A new paradigm is needed: a Collaborative Chronic Care Network (C3N). A C3N is a network-based production system that harnesses the collective intelligence of patients, clinicians, and researchers and distributes the production of knowledge, information, a...

The COVID- 19 pandemic has created many challenges for health care sector around the world. One of these challenges is the increasing need for health care workers, especially nurses. According to the International Nursing Council (ICN) about 6% of COVID-19 cases were among health care workers (range 0 to 18%). Because most nursing activities require direct contact with patients, nurses are more...

Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

with the implementation of the affordable care act (aca), access to insurance and coverage of preventive care services has been expanded. by removing the barrier of shared costs for preventive care, it is expected that an increase in utilization of preventive care services will reduce the cost of chronic diseases. early detection and treatment is anticipated to be less costly than treatment at ...