James R. Langabeer II | |
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Nationality | American |
Occupation(s) | Decision scientist, academic, and entrepreneur |
Academic background | |
Alma mater | Baylor University, Waco, Texas The University of Houston The University of Lancaster |
Academic work | |
Institutions | The University of Texas Health Science Center at Houston (UTHealth Houston) Boston University |
James R. Langabeer II is an American decision scientist,academic,and entrepreneur known for his theories on strategy and decision-making. He is the Robert H. Graham Professor of Entrepreneurial Biomedical Informatics and Bioengineering at The University of Texas Health Science Center at Houston (UTHealth Houston),and maintains faculty appointments in the department of Emergency Medicine and Psychiatry. [1]
Langabeer is most known for his research on integrated theories of decision-making,collaboration,management strategy,and financial intelligence,especially in medicine and healthcare. [2] He founded the strategy consultancy Yellowstone Research. [3] Langabeer was a finalist for the most influential leader award in 2022 by Success Magazine. [4] He is the author of over 125 scientific articles and five books,entitled The Quest for Wealth:Six Steps for Making Mindful Money Choices,Health Care Operations Management:A Systems Perspective,Performance Improvement in Hospitals and Health Systems:Managing Analytics and Quality in Healthcare,Creating Demand Driven Supply Chains:How to Profit from Demand Chain Management,and Competitive Business Strategy for Teaching Hospitals. [5]
Langabeer was named a Fellow of the American Heart Association [6] and the American College of Healthcare Executives,and is a past Fellow of the Healthcare Information and Management Systems Society.
Langabeer graduated from New Braunfels High School (Texas). He received a Bachelor of Business Administration degree from the University of Texas at San Antonio,a Master of Business Administration from Baylor University,a Doctor of Education in Leadership from the University of Houston,and a Doctor of Philosophy in Management Science from the University of Lancaster in England. His Ph.D. thesis focused on quantitative decision-making models. [1]
Langabeer started his career at Lyondell Chemical (now LyondellBasell). He later joined the consulting arm of Demantra, [7] where he eventually became the Executive Vice President. During this time there,he simultaneously served on the graduate faculty of Boston University. [1]
Langabeer is also well-known as the founding Chief Executive Officer of one of the largest health information exchanges in the U.S. (Healthconnect). [8] He is the Vice Chairman of Population Health in the Department of Emergency Medicine at University of Texas Health Science Center at Houston. [9]
Langabeer has been on the medical school,public health,and informatics faculty at UTHealth Houston since 2007. He has started and led multiple large research centers and programs,including the Center for Emergency Research,Center for Health Systems Analytics,and the Houston Emergency Opioid Engagement System (HEROES),an innovative large-scale behavioral health program for individuals with substance use disorder. [10] [11] [12] He is the past national Chairman of the American Heart Association’s Ambulatory Quality committee. [13]
Langabeer’s medical research focuses on improving medical outcomes through technology and inter-organizational collaboration. He also works on cognitive decision making,behavioral economics,and healthcare quality. [14]
In 2016,Langabeer published the textbook Health Care Operations Management:A Systems Perspective,which is focused on exploring hospital finances,project management,patient flows,performance management,process improvement,and supply chain management. [15] His most highly cited research focuses on technology and processes for quality improvement in healthcare. In 2010,he evaluated the evidences regarding six sigma and lean in the health care industry,and highlighted the significant gaps that existed in the SS/L health care quality improvement literature. [16] Having discussed the gaps,he described the implementation procedures of lean and six sigma quality initiatives in hospitals. He also explored the relationship that exists between goal attainment and quality management,and present descriptive findings about reported usage and adoption of quality initiative. [17] While focusing his research on telehealth-enabled emergency medical services program,he found out the efficacy of mobile technology-driven delivery models in terms of reducing unnecessary ED ambulance transports and increasing EMS unit productivity. [18]
Langabeer has focused a part of his research on improving intelligence and decision making for medicine and healthcare. He has investigated how non-profit organizations create decisions and strategically respond to financial distress when faced with potential for bankruptcy or closure. [19] In 2021,he co-authored insights regarding cardiovascular health (CVH) trajectories in time-series electronic health records with artificial intelligence models,after having an analysis of the predictions of 5 CVH submetrics,including smoking status (SMK),body mass index (BMI),blood pressure (BP),hemoglobin A1c (A1C),and low-density lipoprotein (LDL). [20] His research has also highlighted the impact of politics on federal disaster declaration decision delays. Results of his studies indicated that "the partisan nature of the dyad does influence overall decision delays and more specifically that a Democratic president-Republican governor combination resulted in the shortest mean delays across all declarations." [21] In 2012,he explored how dispositional optimism affects the relationship that exists between rational decision-making processes and organizational performance. [22]
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer,dementia or advanced heart disease than for injury. In popular use,it indicates a disease that will progress until death with near absolute certainty,regardless of treatment. A patient who has such an illness may be referred to as a terminal patient,terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal,although it is generally months or less. Life expectancy for terminal patients is a rough estimate given by the physician based on previous data and does not always reflect true longevity. An illness which is lifelong but not fatal is a chronic condition.
The University of Texas Health Science Center at Houston (UTHealth) is a public academic health science center in Houston,Texas,United States. It was created in 1972 by The University of Texas System Board of Regents. It is located in the Texas Medical Center,the largest medical center in the world. It is composed of six schools:McGovern Medical School,The University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical Sciences,UTHealth School of Dentistry,Cizik School of Nursing,UTHealth School of Biomedical Informatics and UTHealth School of Public Health.
eHealth describes healthcare services which are supported by digital processes,communication or technology such as electronic prescribing,Telehealth,or Electronic Health Records (EHRs). The use of electronic processes in healthcare dated back to at least the 1990s. Usage of the term varies as it covers not just "Internet medicine" as it was conceived during that time,but also "virtually everything related to computers and medicine". A study in 2005 found 51 unique definitions. Some argue that it is interchangeable with health informatics with a broad definition covering electronic/digital processes in health while others use it in the narrower sense of healthcare practice using the Internet. It can also include health applications and links on mobile phones,referred to as mHealth or m-Health. Key components of eHealth include electronic health records (EHRs),telemedicine,health information exchange,mobile health applications,wearable devices,and online health information. These technologies enable healthcare providers,patients,and other stakeholders to access,manage,and exchange health information more effectively,leading to improved communication,decision-making,and overall healthcare outcomes.
Telepsychiatry or telemental health refers to the use of telecommunications technology to deliver psychiatric care remotely for people with mental health conditions. It is a branch of telemedicine.
In medicine,rural health or rural medicine is the interdisciplinary study of health and health care delivery in rural environments. The concept of rural health incorporates many fields,including wilderness medicine,geography,midwifery,nursing,sociology,economics,and telehealth or telemedicine.
Home automation for the elderly and disabled focuses on making it possible for older adults and people with disabilities to remain at home,safe and comfortable. Home automation is becoming a viable option for older adults and people with disabilities who would prefer to stay in the comfort of their homes rather than move to a healthcare facility. This field uses much of the same technology and equipment as home automation for security,entertainment,and energy conservation but tailors it towards old people and people with disabilities.
The doctor–patient relationship is a central part of health care and the practice of medicine. A doctor–patient relationship is formed when a doctor attends to a patient's medical needs and is usually through consent. This relationship is built on trust,respect,communication,and a common understanding of both the doctor and patients' sides. The trust aspect of this relationship goes is mutual:the doctor trusts the patient to reveal any information that may be relevant to the case,and in turn,the patient trusts the doctor to respect their privacy and not disclose this information to outside parties.
End-of-life care (EOLC) refers to health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours,days,or months before a person dies and encompasses care and support for a person's mental and emotional needs,physical comfort,spiritual needs,and practical tasks.
Health information technology (HIT) is health technology,particularly information technology,applied to health and health care. It supports health information management across computerized systems and the secure exchange of health information between consumers,providers,payers,and quality monitors. Based on a 2008 report on a small series of studies conducted at four sites that provide ambulatory care –three U.S. medical centers and one in the Netherlands,the use of electronic health records (EHRs) was viewed as the most promising tool for improving the overall quality,safety and efficiency of the health delivery system.
Connected health is a socio-technical model for healthcare management and delivery by using technology to provide healthcare services remotely. Connected health,also known as technology enabled care (TEC) aims to maximize healthcare resources and provide increased,flexible opportunities for consumers to engage with clinicians and better self-manage their care. It uses readily available consumer technologies to deliver patient care outside of the hospital or doctor's office. Connected health encompasses programs in telehealth,remote care and disease and lifestyle management,often leverages existing technologies such as connected devices using cellular networks and is associated with efforts to improve chronic care. However,there is an increasing blur between software capabilities and healthcare needs whereby technologists are now providing the solutions to support consumer wellness and provide the connectivity between patient data,information and decisions. This calls for new techniques to guide Connected Health solutions such as "design thinking" to support software developers in clearly identifying healthcare requirements,and extend and enrich traditional software requirements gathering techniques.
Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as their unique cultural and personal beliefs.
West Health is a family of non-profit,nonpartisan organizations that includes the Gary and Mary West Foundation,a private foundation and the West Health Institute,an applied medical research organization,based in San Diego and the West Health Policy Center,based in Washington,D.C. Its mission is to lower healthcare costs to enable seniors to successfully age in place with access to high-quality,affordable health and support services that preserve and protect their dignity,quality of life and independence. West Health is solely funded by entrepreneurs and philanthropists Gary and Mary West.
Remote patient monitoring (RPM) is a technology to enable monitoring of patients outside of conventional clinical settings,such as in the home or in a remote area,which may increase access to care and decrease healthcare delivery costs. RPM involves the constant remote care of patients by their physicians,often to track physical symptoms,chronic conditions,or post-hospitalization rehab.
Scott B. Ransom has worked across the healthcare ecosystem over 30 years as a physician,researcher,teacher,author,executive,strategy consultant and investor.
Healthcare CRM,also known as Healthcare Relationship Management,is a broadly used term for a Customer relationship management system,or CRM,used in healthcare.
Health care quality is a level of value provided by any health care resource,as determined by some measurement. As with quality in other fields,it is an assessment of whether something is good enough and whether it is suitable for its purpose. The goal of health care is to provide medical resources of high quality to all who need them;that is,to ensure good quality of life,cure illnesses when possible,to extend life expectancy,and so on. Researchers use a variety of quality measures to attempt to determine health care quality,including counts of a therapy's reduction or lessening of diseases identified by medical diagnosis,a decrease in the number of risk factors which people have following preventive care,or a survey of health indicators in a population who are accessing certain kinds of care.
Undertreatment of pain is the absence of pain management therapy for a person in pain when treatment is indicated.
Dr. Harold L. Paz is the former executive vice president of health sciences at Stony Brook University and former chief executive officer of Stony Brook University Medicine. He is the former executive vice president and chancellor for health affairs at Ohio State University and chief executive officer of the Ohio State Wexner Medical Center. Prior to that,he served as executive vice president and chief medical officer at CVS Health/Aetna.
Robert D. Kerns is an American clinical psychologist,academic and author. He is Professor Emeritus of Psychiatry,Neurology and Psychology at Yale University and Senior Research Scientist of Psychiatry at the Yale School of Medicine. He is also a Program Director of National Institutes of Health,Department of Defense and Department of Veterans Affairs Pain Management Collaboratory Coordinating Center.
Healthcare research in the United States city of Cincinnati,Ohio has shown development of healthcare programs. Cincinnati Healthcare has also created new innovations in technology,although not all of these projects have been successful. Diversity in Cincinnati Healthcare workplaces has also been researched,and a range of diversity was found. Hospital-at-home services and medical homes in Cincinnati have been researched and developed as well. Non-profit hospitals across the Central Ohio have been found to have an impact on the community in multiple ways.