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Iowa Committee Makes Recommendations to Increase Value in Health Care
Date:10/12/2009

DES MOINES, Iowa, Oct. 12 /PRNewswire-USNewswire/ -- The Iowa Committee for Value in Healthcare today issued a report on five key principles for high-value, fiscally responsible health care that Congress and the Obama administration should consider as they continue discussions over national reform.

The committee found that Iowa, nationally recognized for high-value care, offered many examples of the principles for value-based reform. Health care providers, purchasers, payers, patient advocates and policy analysts advised the committee this year. The committee was formed by The Concord Coalition in partnership with the University of Iowa College of Public Health and the Iowa Healthcare Collaborative.

The five principles:

Principle No. 1: Achieve fiscal sustainability through high-value care. The continued rise in the costs of health care makes the current U.S. system fiscally unsustainable. Without explicitly addressing how to lower costs and increase value in the system, reform proposals will be useless as health care consumes ever more resources in our nation's economy. Continuing to provide insurance coverage to those who have it, let alone all Americans, will necessitate new ways of managing resources so that costs are controlled and value maximized. To that end, the committee believes that specific policy changes to control costs over the long term are necessary to improve value, and that such changes would need to be continually revisited to evaluate their impact.

Iowa makes good use of limited resources by continuous system evaluation. Providers publicly report data and use it to develop initiatives to improve quality, patient safety and cost effectiveness. Hospitals and other health care institutions are encouraged to use "lean" performance improvement models that have traditionally been used in other fields. More than half of Iowa's hospitals currently use lean techniques.

Principle No
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SOURCE The Concord Coalition
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