processes, we can make sure that we’re clearly future-oriented as we train health professionals. We can make it clear in our training processes that it’s not just team care, but that it is team care with the patient firmly embedded in the center of the process, and that the learning really draws from the patient.

In the quality and value arena, possibilities include those just mentioned about marshaling information on quality, costs, and value in a more reliable fashion: building the science of transparency. To do that, we are going to have to better marry the processes of gathering cost information with those of gathering quality information, so that we have a more level playing field in sharing information with the public. We need to work on the graphic strategies for communicating information on quality, cost, and value. We should not despair of the fact that our current set of data points on cost and pricing is lacking at this point. We have a fundamental societal obligation to improve those data points. We can’t just ignore them. This may be our most fundamental challenge: doing everything we can to marshal honesty in our information on costs and prices.

In the knowledge-generation arena, we have to develop a communication strategy to better make the case to the public that they can and should be advocates for using their information for care improvement. We need to develop practical, trusted approaches to privacy and consent as we deal with the imperative to draw on clinical data in a seamless fashion for scientific advances. And we need feedback approaches that will bring the utility of the information closer to home and to patients themselves; not just to society as a whole, but to patients themselves.

Moving forward, we will review the transcript to identify common themes and strategies. We urge you to send in any other thoughts that you have, and we will send out an appeal for input on ways in which we can both refine the strategies that are most important, and again, as Art said, develop some priorities around ways in which we can all work together to move forward.

I want to take this opportunity now to again thank Claudia and Julia for the great work that they did in putting this meeting together. I thank each of you, both presenters and participants in the effort, and again thank our Planning Committee who made this meeting possible: Terry Adirim, Leah Binder, Veronica Goff, Mark Gorman, Paul Grundy, Art Levin, Jim Mangia, Lyn Paget, Eric Racine, Susan Reinhard, Craig Robbins, John Santa, Susan Sheridan, Susan Trinidad, and last, but certainly not least, Christine Bechtel. Thank you all very much.

REFERENCES

Bernabeo, E., and E. S. Holmboe. 2013. Patients, providers and systems need to acquire a specific set of competencies to achieve truly patient-centered care. Health Affairs 32:250-258.

Braddock, C. H., K. A. Edwards, N. M. Hasenberg, T. L. Laidley, and W. Levinson. 1999. Informed decision making in outpatient practice: Time to get back to basics. JAMA 282(24):2313-2320.

Forrest, C. B, W. V. Crandall, L. C. Bailey, P. Zhang, M. M. Joffe, R. B. Colletti, J. Adler, H. I. Baron, J. Berman, F. del Rosario, A. B. Grossman, E. J. Hoffenberg, E. J. Israel, S. C. Kim, J. R. Lightdale, P. A. Margolis, K. Marsolo, D. I. Mehta, D. E. Milov, A. S. Patel, J. Tung, M. D. Kappelman. 2013. Comparative effectiveness of anti-TNFα therapy for pediatric Crohn’s Disease. Under review.



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