The Richard and Hinda Rosenthal Lectures 2002 Fostering Rapid Advances in Health Care (2003) / Chapter Skim
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Discussion
Discussion
Pages 21-29
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From page 21... ...
They include communities on the cutting edge, and they include communities just barely starting to address the problems that they face locally in their health care delivery system. The report also emphasizes the importance of learning collaboratives and building upon what is learned, spreading that information to other communities, and building upon the idea that there will be ongoing evaluation throughout the process in each one of these areas.
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From page 22... ...
Third, we believe these five areas we selected, if done right, could really make a difference. I want to thank lanes Corrigan, who is the director of the project and of the Board on Health Care Services; Ann Greiner, who assisted her, who serves as deputy director of the Board on Health Care Services; and Sherri Erickson, a research associate, who worked on this project.
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From page 23... ...
Fifteen years or so ago, when I was at the Health Care Financing Administration, I remember the staff coming forward one day with the suggestion that we undertake a series of demonstration projects, comprising ideas that could possibly be done to advance the health policy agenda. For a set of complicated reasons, that idea didn't go anywhere.
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From page 24... ...
But it is neither the AMA's wish list nor the American Trial Lawyers Association's wish list. Both sides would find something to object to in it and the political debate would again have to be more inclusive.
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From page 25... ...
So, in fact, that presumption is that there would be federal financial support indefinitely. As you learn from these different models being tried, you would roll them out in other states and move to a system of permanent support from the federal government, but using state flexibility to design different models that work in different states for covering people.
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From page 26... ...
People have been talking about standards all the time, but there are emerging standards being adopted in many areas having to do with interoperability by the various vendors that are out there in the health care information systems world. So, the biggest issues often are being addressed at the level of vocabulary in terminology, which is an area where we do not yet have good comprehensive solutions and where I think there is clearly an opportunity for a federal role in convening and providing credibility to that process.
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From page 27... ...
My favorite example actually comes from long-term care. The DHHS report on malpractice shows that over roughly a six-year period ending last year, average nursing home liability cost per bed rose approximately one hundredfold.
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From page 28... ...
has gone from a really residential population of very old people staying for a very long period of time, receiving almost nothing in the way of technologically sophisticated care, having nice longterm relationships with their care providers, and, frankly, being almost no liability risk. The transformations in health care system in terms of what hospitals do, what nursing facilities are expected to provide, and the people who undergo these services have changed really dramatically in the intervening decades.
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From page 29... ...
DISCUSSION 29 on Sunday and Monday. I am sure that we will begin to see some reaction to the report.
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