To achieve the diverse health care goals of the United States, health care value must increase. The capacity to create value through innovation is facilitated by an integrated delivery system focused on creating value, measuring innovation returns, and receiving market rewards. This paper describes the Geisinger Health System's innovation strategy for care model redesign. Geisinger's clinical l...

Lisa A. Lowenthal is an Occupational Therapy Graduate Student, Quinnipiac University, Hamden, CT. Primary care is a key theme in the Patient Protection and Affordable Care Act (ACA; 2010). But what does the term mean? Is there a difference between primary care and primary health care? Does primary care encompass occupational therapy? What are the possible roles for occupational therapy in prima...

BACKGROUND Pain is common in older people, particularly those in residential aged care facilities (RACF) and those with dementia. However, despite 20 years of discourse on pain and dementia, pain is still undetected or misinterpreted in people with dementia in residential aged care facilities, particularly those with communication difficulties. METHODS A topical survey typology with semistruc...

AIMS Good end-of-life communication and decision-making are important to patients with advanced heart failure (HF) and their families, but their needs remain unmet. In this pilot study, we describe the feasibility and performance of a novel questionnaire aimed at identifying barriers and solutions to improve communication and decision-making about goals of care for hospitalized patients with ad...

The design of authentication methods raises crucial questions on how to solve conflicts between security and usability goals, that are at opposite ends of a "see-saw". As a matter of fact, the usability of security systems has become a major issue in research on the efficiency and user acceptance of security systems. An authentication is more strong as more tokens are involved in authentication...

This paper adds to research on girls' growing educational advantage by examining gender differences in career paths. Using baseline data from an intervention study (TRY-IT!) targeting 265 sixth-graders in Title I schools, our research traces adolescent career aspirations by gender, race and class. Additionally, we investigate whether girls and boys exhibit differential sensitivity to environmen...

The usability of user interfaces is crucial for the success of an application. Model driven user interface (UI) development speeds up the production of UIs and improves the maintainability of UIs. However, the usability evaluation of UIs is usually conducted by end-users or experts after UIs are generated. Such a user centric evaluation is usually time consuming and expensive, especially when t...