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New survey: 82 percent of Americans think health care system needs major overhaul
Date:8/6/2008

  • Payment Reform: Report authors recommend moving away from traditional fee-for-service payments to a system in which providers and hospitals are paid for high quality, patient-centered, coordinated health care.
  • Patient Incentives: Patients should be given incentives to go to the health care professionals and institutions that provide the most efficient, highest quality health care. However, in order for this to work, health care providers and health care systems would need to be evaluated to determine if they are providing high quality, efficient health care and information on performance would need to be publicly available.
  • Regulatory Changes: Regulations should remove barriers that prevent physicians from sharing information that is essential to coordinate care and ensure safe and effective transitions for patients.
  • Accreditation: Providers and health systems should be accredited based on six attributes of an ideal health care system:
    • Patient information is available to all providers and to patients at the point of care;
    • Patient care is coordinated among multiple providers and transitions from one provider to another or from a hospital stay are actively managed;
    • All health care providers involved in a patient's care have accountability to each other, review each other's work and collaborate to deliver good care;
    • Patients can get the care and information they need when and how they need it, including after hours, and providers are culturally competent and responsive to patients' need;
    • There is clear accountability for patient care;
    • The health care system is continuously working to improve quality, value, and patients' experiences.
  • Provider Training: Physicians and health care professionals should be trained to work in the type of team-based environment required for an organized health care system.
  • Government Infrastructure Support: As appropriate, the government shou
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Contact: Mary Mahon
mm@cmwf.org
212-606-3853
Commonwealth Fund
Source:Eurekalert

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