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14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Crossroads in quality.
Margaret O'Kane1, Janet Corrigan, Sandra M Foote
1National Committee for Quality Assurance in Washington, DC, USA.
Health Affairs (Project Hope)
|May 14, 2008
Summary
Health reform requires more than expanded insurance coverage; it needs to improve quality and control costs. Key strategies include effectiveness research, accountable care models, value-based payments, and performance measurement for better population health.
Area of Science:
- Health Policy
- Health Services Research
- Healthcare Management
Background:
- Expanding health insurance coverage is a crucial component of health reform.
- However, successful reforms must concurrently address persistent issues of healthcare quality and cost.
- Underlying systemic problems hinder the achievement of a high-performance health system.
Purpose of the Study:
- To identify fundamental components necessary for a high-performance health system.
- To advocate for specific actions to improve healthcare delivery and outcomes.
- To propose a comprehensive strategy for health reform beyond insurance expansion.
Main Methods:
- The study outlines five fundamental building blocks for a high-performance health system.
- It advocates for the creation of a national center for effectiveness research.
- It proposes the development of accountable care models, value-based payment strategies, national performance measurement, and a multistakeholder approach.
Main Results:
- A high-performance health system requires a multifaceted approach.
- Key elements include robust research, integrated care models, and performance measurement.
- Addressing quality and cost is essential for successful health reform.
Conclusions:
- Health reform necessitates a strategic focus on quality and cost alongside insurance expansion.
- Implementing the five identified building blocks can lead to a more effective health system.
- A coordinated, multistakeholder effort is vital for improving population health outcomes.
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