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Health Care Quality Two-Page Briefs

Do ACOs Raise Anti-Trust Concerns?

Do ACOs Raise Anti-Trust Concerns?

Encouraging physicians and hospitals to come together to form Accountable Care Organizations (ACOs) to serve fee-for-service Medicare patients is a key cost control and quality improvement feature of the Affordable Care Act (ACA).

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Health Care Quality Two-Page Briefs

What is the National Quality Strategy?

What is the National Quality Strategy?

The National Quality Strategy is the first overarching policy designed to lead federal, state and local efforts in improving the quality of Americas health care.

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Health Care Quality Two-Page Briefs

What Are Accountable Care Organizations and How Could They Improve Health Care Quality?

What Are Accountable Care Organizations and How Could They Improve Health Care Quality?

An accountable care organization (ACO) is a group of health care providers (for example, primary care physicians, specialists and hospitals) operating as a single entity with collective responsibility for patient care.

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Health Care Quality Two-Page Briefs

How Does Medicare Value-Based Purchasing Work?

How Does Medicare Value-Based Purchasing Work?

The U.S. health care system still largely pays for the volume of health care services provided rather than the value of that care to patients.

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Health Care Quality Two-Page Briefs

Which Approaches Encourage Patients to Become More Engaged in their Own Health Care?

Which Approaches Encourage Patients to Become More Engaged in their Own Health Care?

Patient engagement is a critical component of improving quality of care.

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Health Care Quality Two-Page Briefs

How Are Local Efforts Improving Health Care Quality?

How Are Local Efforts Improving Health Care Quality?

Groups and individuals across the country are working to improve the quality of care at the local level by designing and implementing changes in the way health care is organized, delivered and paid for in their community.

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Health Care Quality Two-Page Briefs

How can Comparative Effectiveness Research Affect the Quality of U.S. Health Care?

How can Comparative Effectiveness Research Affect the Quality of U.S. Health Care?

Comparative effectiveness research (CER)—studies that compare health care treatment options to inform decision-making—is alternately described as the best or worst idea in the ongoing dialogue about how to fix American health care.

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Health Care Quality Two-Page Briefs

Does Health Information Technology Improve Quality?

Does Health Information Technology Improve Quality?

Increasingly, the federal government has stressed the value of health information technology (HIT) in helping providers to share information quickly, monitor compliance with treatment guidelines and measure and improve their own performance. In 2009, Congress approved $29 billion for a national HIT infrastructure.

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View All Health Care Quality Two-Page Briefs

The Issue

The quality of health care that many Americans receive is inconsistent and often poor. Patients do not always receive the type of known interventions and procedures that are proven to work, which can result in poor outcomes.

Why It Matters

  • Compared to health care in other wealthy countries, care in the United States is high-cost and low-quality. We spend 50 percent more on health care per capita than any other country, but the United States has shorter life expectancies and worse infant mortality rates than most other wealthy countries.
  • Adult patients in the United States receive only about half of the care recommended for their condition—such as giving people with diabetes the right battery of blood tests and eye and foot exams, so that costly and devastating complications are avoided. Nearly 30 percent of the care delivered each year is for tests, procedures, hospital stays and other services that may not improve people’s health, and in some cases can actually harm the patient. Public and private quality improvement and payment reform efforts may help dramatically improve care nationwide.
  • There is a strong public and private investment aimed at getting more value for the money spent on health care—meaning higher quality care provided more efficiently. Increasingly, the government is rewarding providers who give tests, procedures and services that are known to work—a move toward paying for quality of care rather than quantity of services provided.

Policy Context

A core purpose of the Affordable Care Act (ACA) is to increase value in health care through innovations in payment, technology and other tools that have been shown to improve quality and reduce unnecessary spending. The primary vehicle to accomplish health system change is expanded authority given to the Secretary of Health and Human Services to undertake pilot programs related to health care delivery and organization.

Health Care Quality Fast Facts

Finding the Best Quality

Choosing the right doctor or hospital is one of the most important health care decisions consumers will ever make, yet they have little information to guide the decision.

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Preventable Errors

Between 44,000 and 98,000 people die annually from preventable errors, more than from motor-vehicle accidents, breast cancer or AIDS.

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RWJF Program Areas

Quality/ Equality
Quality/ Equality

Most Requested

Feature

Watch the Video, Earn the Credits

Learn how to improve care transitions and prevent avoidable hospital readmissions, and pick up nursing and medical education con-ed credits.

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Feature

Care About Your Care

A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality o...

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Feature

Reducing Racial and Ethnic Disparities

While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.

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Grantee

Aligning Forces for Quality

Aligning Forces for Quality (AF4Q) is the Robert Wood Johnson Foundation’s signature effort to lift the overall quality of health care in ta...

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Blog Posts

TEDMED 2013 Moments

"Burning Man for health aficionados," TEDMED brings together public health advocates, clinicians, biomedical researchers, break-the-mold thi...

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Grantee

Project ECHO

A force multiplier: Spreading medical knowledge, expanding health care capacity.

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Grantee

The Green House Project

Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...

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Feature

Promising Practices for Quality Improvement

A collection of success stories on quality improvement from the front lines of American health care, providing free access to strategies use...

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Feature

TEDMED 2013

RWJF is a proud supporter of TEDMED's 20 Great Challenges of Health and Medicine and several of the innovative thinkers who have shared thei...

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Blog Posts

Meta Care

Nancy Brennan discusses Project ECHO’s re-evaluation of how we share knowledge in health care.

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Grantee

AcademyHealth

Through an RWJF grant, AcademyHealth is looking into ways to advance payment and delivery reform activities.

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Journal Article

The Relationship Between Health Plan Performance Measures and Physician Network Overlap

This article examines the relationship between health plan performance and physician network overlap.

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