In this set of papers, American Enterprise Institute scholars consider various market-based approaches to reforming the fee-for-service Medicare program—the “800-pound gorilla of American health care.”
This report from Avalere Health closely examines the efforts of 18 diverse medical professional societies to identify potential cost-cutting measures, and notes trends across the groups' recommendations.
New health care delivery models that reward providers for coordinating and improving care hold promise to reduce costs when treating the sickest, costliest patients in the health care system, according to a study published in JAMA. Researchers from the Dartmouth Atlas Project and the Dartmouth Institute for Health Policy & Clinical Practice analyzed a similar model and found participants achieved significant savings and improved quality of care—especially for patients covered by both Medicare and Medicaid.
While the need to address racial and ethnic disparities in care is well known, few strategies for reducing disparities have been studied systematically. A supplement to the Journal of General Internal Medicine, organized by researchers at Finding Answers, offers organizations a new "roadmap" for reducing disparities.
The use of patient-facing health information technology (HIT) platforms, such as personal health records (PHRs) and web portals, holds the promise of engaging patients in their own health care with the ultimate purpose of improving overall quality and health outcomes. Several Aligning Forces for Quality (AF4Q) alliances, a national program of the Robert Wood Johnson Foundation, indicated an interest in exploring how these tools may be implemented for specific projects within their communities.
According to a commentary released by the Journal of the American Medical Association, in order for the national implementation of health information technology (HIT) to be successful, more effective models of care must be identified—whether they be accountable care organizations (ACOs), patient-centered medical homes (PCMHs), or some yet to be discovered entity—and the needs of patients and providers must be understood.
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April 1, 2012 | Journal Article
The emphasis that hospitals place on cutting-edge technology and niche specialty services to attract physicians and patients has set the stage for health care's most recent competitive trend: an increased level of targeted, geographic service expansion to "capture" well-insured patients.
May 25, 2012 | Program Result
More and more hospitals are adopting palliative care programs through the work of the Center to Advance Palliative care, which also has led to the National Quality Forum's consensus practices and the Joint Commission's Advanced Certification Program.
April 1, 2011 | Journal Article
This article examines the theoretical and empirical literature on cost shifting since 1996, synthesizes the predominant findings, suggests their implications for the future of health care costs, and puts them in the current policy context.
April 1, 2010 | Journal Article
This study measured changes in the quality of care following adoption of electronic health records among a national sample of U.S. hospitals from 2004 to 2007.
June 1, 2009 | Journal Article
This article captures the creation and impact of the Proclamation of Change, highlighting how three programs came together synergistically to change care in hospitals and outpatient setting.
May 27, 2010 | Program Result
At the M.D. Anderson Cancer Center in Houston, falls constituted the second most frequently reported incident category after medication errors.
May 27, 2010 | Program Result
In 2000, the local hospitals and medical groups in Madison, Wis., organized the Madison Patient Safety Collaborative - a formal effort to develop, share and implement patient safety solutions across the community.
May 27, 2010 | Program Result
Sentara Healthcare, an integrated health care organization with eight acute care hospitals in Virginia, initiated a program in 2001 to prevent inpatient falls and fall-related injuries.
May 27, 2010 | Program Result
Iowa Health System - an integrated system operating in Iowa and western Illinois - implemented fall prevention in pilot units at three of its hospitals.
May 27, 2010 | Program Result
Staff reviewed the previous 22 injury falls in acute care settings at the James A. Haley Veterans' Hospital in Tampa, Fla.