Advanced primary care models, like patient-centered medical homes, can provide the coordination mechanisms and decision support to improve quality, cost, and satisfaction.
6. Deaths that should not occur in the presence of effective health care Age-Standardized Death Rates (Per 100,000) USA Since we spend more than anyone else…. Should we expect more value? USA in last place on this quality measure Source: Health Affairs, January 2008
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8. “Every system is perfectly designed to achieve the results it gets.” Donald Berwick, M.D. Institute for Healthcare Improvement (IHI)
Why do we need to improve care coordination?We all could probably all share our perspectives on why care coordination is important.The commonwealth fund offers the perspective on the screen.Health care services are fragmentedPoor communications contribute to fragmentationOverall we have a poorly performing systemDon Berwick who leads the IHI reminds us that….Every system is perfectly designed to achieve the results it gets….Maybe it is time to redesign what we call our system
Why do we need to improve care coordination?We all could probably all share our perspectives on why care coordination is important.The commonwealth fund offers the perspective on the screen.Health care services are fragmentedPoor communications contribute to fragmentationOverall we have a poorly performing systemDon Berwick who leads the IHI reminds us that….Every system is perfectly designed to achieve the results it gets….Maybe it is time to redesign what we call our system
A historical perspective – in the 1990’s, managed care was a demand-side strategy developed by plans and employers to decrease inappropriate use of healthcare. Providers found themselves in the role of gatekeeper – not part of their medical training or practice orientation. But – it was a reasonable effort in an attempt to control healthcare costs.Now, PCMH is a supply side strategy developed by plans and providers. Being upstream from the managed care approach, it offers greater potential for improving quality of care and decreasing utilization of high-cost services. Because it is a plan-provider program, employers have been a bit slow to join the effort. Of the published case studies in the PCMH case listing, only two explicitly mention employer involvement – IBM and Roy O Martin Lumber Co in Louisiana.