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Can Market-Based Reforms Save Medicare?

Can Market-Based Reforms Save Medicare?

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.”

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Providers & Costs

Finding Value in Health Care

Finding Value in 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.

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The Promise of Accountable Care Organizations

The Promise of Accountable Care Organizations

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.

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Roadmap Suggests Routes for Reducing Health Care Disparities

Roadmap Suggests Routes for Reducing Health Care Disparities

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.

Read the papers and listen to the podcast

Featured

Health IT & Patient Engagement

Health IT & Patient Engagement

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.

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Putting the HIT in Teamwork

Putting the HIT in Teamwork

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.

Read the commentary

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  • Program: Quality/Equality
  • Topic: Patient safety and outcomes
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The Role for Clinician Educators in Implementing Healthcare Improvement

October 1, 2010 | Journal Article

In academic internal medicine departments, clinical educators are responsible for both patient care and the training of residents. They are well-positioned to implement health care improvements and the associated changes to medical education.

Supporting Regional Response Team Learning Networks

June 3, 2010 | Program Result Report

In December 2005 RWJF funded nine hospital associations and health care systems with grants of up to $150,000 apiece for each to work with at least 25 of their member hospitals to establish rapid response teams.

Prevention of Hospital Falls

May 27, 2010 | Program Result Report

IHI published on its Web site a guide with four "promising" approaches to help hospital staff identify patients at risk for serious injury from a fall and to implement interventions to prevent or mitigate fall-related injuries.

Quality Information and Fragmented Markets

October 1, 2009 | Journal Article

Volume-sensitive services are procedures that lead to better outcomes when a health care institution performs a high number of the procedures. This study investigated whether knowing the benefits of high-volume institutions led patients to actively seek care through those providers.

Measuring How Nurses Contribute to Patient Safety and Health Care Quality

January 7, 2010 | Program Result Report

Performance measures tested to determine whether they can assess and improve the ways nurses contribute to patient safety and health care quality in acute care hospitals.

Patient Safety and Quality: An Evidence-Based Handbook for Nurses from AHRQ

November 23, 2009 | Program Result Report

The Agency for Healthcare Research and Quality (AHRQ) produced a handbook on patient safety and quality that nurses can use in their work.

Potentially Avoidable Hospitalizations for COPD and Pneumonia

June 1, 2007 | Journal Article

The Role of Physician and Practice Characteristics.

Consumer Involvement May Improve Patient Safety During Hospitalization

September 1, 2000 | Program Result Report

21st Century Consumer conducted developmental research to be used in the creation of educational programs to help reduce the number of injuries and deaths due to preventable errors during hospitalization.

Large Group Purchasers Have Power to Drive Improvements in Patient Safety

September 1, 2006 | Program Result Report

The University of California, San Francisco, conducted an exploratory case study of innovative practices of large capitated physician organizations aimed at improving patient safety.

Patient Outcomes Mixed in Study of Physicians Trained at Henry Ford's Managed Care College

December 1, 2003 | Program Result Report

From 1994 to 2000, researchers from the Henry Ford Health System evaluated the impact of clinician participation in continuing education on provider attitudes, practice behaviors and patient outcomes.

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