System-Based Healthcare

Definition: System-Based Healthcare (SBHC) is the national, regional and local infrastructure of integrated, interdependent and interacting clinical delivery services, patient administration services and operations support services that are required to provide high quality, expedicious clinical delivery to its primary client-patient at the lowest cost.

The Problem

"The System" isn't working for its primary client-patient.

Heathgrades[1] found that "an average of 195,000 hospital deaths in each of the years 2000, 2001 and 2002 in the U.S. were due to potentially preventable medical errors." In 2004 AHRQ[2] reported that "With no significant improvement over the last five years, we may have lost an additional 490,000 Americans due to our failure to improve patient safety."

We can only wonder how many hundreds of thousands of patients didn't die yet received less-than-adequate treatment, life-threatening treatment, temporary or permanently disabling treatment.

While JCAHO and other regulatory agencies are raising the standards for every aspect of medical management, clinical delivery and patient care, the "system" is still fragmented.

The Solution:

Pull it all together with System-Based Healthcare

Join us: [Link to ASBHC Application]

ASBHC Goal and Charter

The goal of The ASBHC is:
to promote seamless, high-quality and expeditious
clinical delivery and patient care
throughout all patients' lifetimes no
matter where they receive clinical services,
and
to eliminate apothicomial[3]
patient deaths, accidents,
medical errors, and
patient safety errors.

To do that, you need a system:
System-Based Healthcare

The charter of The ASBHC
is to promote seamless
System-Based Healthcare
throughout America

This site will initially be dedicated to on-line sharing of definitions, information,
resources and content attributed to System-Based Healthcare,
and will eventually include a dedicated bulletin board
for the use of
ASBHC membership
and guests

In October of 2008 we will be celebrating our first
national conference
where the membership
of ASBHC will elect their first officers

The ASBHC is a nonprofit organization (pending) and is managed by
Healthcare Enterprise Development Services

Macro-to-micro System-Based Healthcare
From Jeff Hardy's SBHC 2007/2008 Presentations

The System-Based Healthcare connection with Evidence-Based Medicine

System-Based Healthcare is the overarching network of technologies, facilities, services and service providers that facilitate evidence-based decision-making and patient care planning.

The Centre for Evidence-Based Medicine defines evidence-based medicine (EBM) as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research."

Evidence-Based Medicine needs the integrative structure of System-Based Healthcare in order to assure a high probability of successful patient-client outcomes.

[1] 2005 Annual Report, Healthgrades, Golden, Colorado, www.healthgrades.com

[2] Patient Safety Indicators, Version 2.1, Revision 1. March 2004. Agency for Healthcare Research and Quality (AHRQ), Rockville, PHYSICIAN

[3] "Apothicomial" definition: "System- or facility-based errors that have a direct or indirect adverse affect on customer, patient or user safety." The term derives from two Greek words: apotyhia, meaning "failure," and komial, "to care for." Similar to the term "nosocomial" which has become synonymous with "hospital-acquired infection," "Apothicomial" describes anything that goes wrong with clinical delivery or patient care anywhere in the healthcare system that should not have occurred. The term was first coined by Jeff Hardy at the Patient Administration Conference in Los Angeles in 1990.