The Richard and Hinda Rosenthal Lectures 2005 Next Steps Toward Higher Quality Health Care (2006) / Chapter Skim
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George Isham, M.D., M.S. - Health Partners, Minneapolis, MN
George Isham, M.D., M.S. - Health Partners, Minneapolis, MN
Pages 10-17
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From page 10... ...
The Institute of Medicine, in its report Crossing the Quality Chasm, concluded that the American health care delivery system was in need of fundamental change. In its view, current care systems cannot provide the quality of care that is needed, and simply trying harder will not work, but changing the systems of care will.
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From page 11... ...
The third step is to establish standard measures and collection methods. The fourth step is to set performance targets against those standard measures.
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From page 12... ...
We need national technology assessments of new health care technologies, so we know what works and what doesn't. We need evidence on the effectiveness of drugs and devices as compared with alternative treatments because we don't know that today.
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From page 13... ...
There are at least seven different guidelines for preventive care for children in Minnesota, among them one promulgated by the American Academy of Pediatrics, one by the American Academy of Family Practice, one by the U.S. Task Force on Clinical Preventive Services, one by Minnesota Medicaid, and one by the Institute for Clinical Systems Improvement in Minnesota, which is used by 75 percent of the clinicians in the state.
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From page 14... ...
Regional data collection pilots are being talked about that could set up regional data collection agencies that would engage local health care systems and physicians and give feedback for their performance using the measurement standards. I think that kind of national system of regional support organizations would be a useful direction.
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From page 15... ...
A lot of cash is flowing in health care for the wrong thing. Step six is to support improvement.
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From page 16... ...
In my opinion the United States should begin to construct a national seven-step support system to ensure health and safety of patients and the quality of their health care. In other words, the environment needs to be restructured to enable the production of safe, high-quality health care.
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From page 17... ...
Lucian achieved renown and international distinction as a pediatric surgeon and along the way became increasingly interested in the larger issue of safe and good quality health care. For the past 20 years or so, he has been increasingly forceful, effective, and outspoken on the importance of the problem and the specific needs for those in the profession and around it to take steps to improve the safety of care.
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