Med.Care Res.Rev., Vol. 41, No. 1 Suppl. (January 2003), pp. I48-I60.
BACKGROUND: Performance measures and reporting have not been adopted throughout the US health care system despite their central role in encouraging increased participation by consumers in decision-making. Understanding whether the failure of measurement and reporting to diffuse throughout the health system can be overcome is critical for determining future policy in this area. OBJECTIVES: To create a conceptual framework for analyzing the current rate of adoption and evaluating alternatives for accelerating adoption, and to recommend a set of concrete steps that can be taken to increase the use of performance measurement and reporting. RESEARCH DESIGN: Review of three theoretic models (Rogers, Prochaska/DiClemente, Gladwell), examination of the literature on previous experiences with quality measurement and reporting, and interviews with select stakeholders. FINDINGS: The three theoretic models provide a valuable framework for understanding why the use of performance measures is stalled ("the circle of unaccountability") and for generating ideas about concrete steps that could be taken to accelerate adoption. Six steps are recommended: (1) raise public awareness, (2) redesign measures and reports, (3) make the delivery of information timely, (4) require public reporting, (5) develop and implement systems to reward quality, and (6) actively court leaders. CONCLUSIONS: The recommended six steps are interconnected; action on all will be required to drive significant acceleration in rates of adoption of performance measurement and reporting. Leadership and coordination are necessary to ensure these steps are taken and that they work in concert with one another
RS Galvin, EA McGlynn
Using performance measurement to drive improvement: a road map for change
Medicaid News, Syndicated
Comments Off
Mar 012011
Med.Care Res.Rev., Vol. 41, No. 1 Suppl. (January 2003), pp. I48-I60.
For the more than 39 million people currently on Medicare and the million plus who join each year, navigating the murky rules and regulations of health care coverage can be a full-time job. Not anymore. For ten years, Joan Harkins Conklin has guided people through the Medicare maze, and in this straightforward, comprehensive manual, she’ll show you how to sail through the Medicare bureaucracy to access the benefits you need and deserve. Getting doctor bills and hospital accounts paid quickly, making important decisions, knowing your rights, demanding refunds — it’s all here in the only reference that outlines the steps you and your family can take to optimize the program to your benefit. Written by an expert who fully understands the real-life difficulties in dealing with the health care system, Medicare for the Clueless debunks the myths, lays out the facts, and provides clear, efficient steps that put the power of Medicare in your own hands.
Review
“…[A] comprehensive, clear, up-to-date, and definitive picture of the program, its beneficiaries, its politics, and its ongoing policy challenges.” — Robert H. Binstock, professor of aging, health, and society, School of Medicine, Case Western Reserve University”A readable roadmap to sanity and decency in America?s health care system.” — Robert M. Hayes, president, Medicare Rights Center
For some, Medicare is a model of what national health insurance could be in the United States. Despite its low administrative costs and significant contributions to the well-being of America?s oldest and most disabled citizens, some critics assail the program as being out of sync with the needs of many senior citizens, while others often refer to it as “unsustainable” because of its high costs. Physicians and hospital administrators endlessly criticize and debate Medicare, but rely upon it for a substantial share of their revenues. In Medicare: A Policy Pr (more…)
Don’t cut Medicare to pay for ObamaCare
Medicare News, Video
Comments Off
Dec 022009
 |
Jon Kyl, US Senate Republican Whip, speaking on the Senate floor in favor of the McCain Amendment that would prevent the cuts in Medicare outlined in the Senate ObamaCare bill. As it stands, the Democrats' bill will cut at least $450 BILLION from Medicare in order to pay for their new government-run health care system. December 2, 2009. |
From:
SenJonKyl
Views:
301
  13
ratings |
| Time: 10:38 | More in News & Politics |
Recent Comments