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The Richard and Hinda Rosenthal Lectures 2005 Next Steps Toward Higher Quality Health Care (2006) / Chapter Skim
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Discussion
Pages 26-30

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 26...
... Could you give some specific examples of things we could be looking at in targeted populations that would help us significantly improve the quality of health care for lots of people and decrease the costs or at least keep them from going up so fast? Finally, Dr.
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From page 27...
... These events are very frequent and very easily measured. You can see huge differences in utilization rates with almost imperceptible differences in outcomes across delivery systems, suggesting that there are real opportunities to improve efficiency by reducing utilization, and yet sensitive indicators that would let us know when we've cut too close to the bone.
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From page 28...
... We have been working on establishing priorities for our health care system for 10 years. As a result of 10 years of effort on the tobacco priority, for example, tobacco prevalence in our population of 630,000 has fallen from 26 percent to 15 percent, and exposure to second-hand smoke for children has fallen from 23 percent to 8.6 percent.
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From page 29...
... PARTICIPANT: Everyone got a laugh out of Elliott's comment that we could do without one-third of the workforce, as if it would be a silly thing to consider, but we did have the wonderful opportunity at the conjunction of the aging of America and this excess capacity. It would take some moving around among geographies and among specialties, but it still is the case that if one-third of our health care is delivered to us in the last few years of life and we are going to double the number of people who are passing through that stage at the same time within the next 20 years, we have a wonderful conjunction of an excess capacity and a growing need where we actually could conceivably hold the line -- not that we know how to do that, but we wouldn't have to put anybody out of work, so to speak.
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From page 30...
... why no mention of mental and substance abuse conditions and (2) how do we set an agenda that begins to change that and integrates mind and body within the overall system of health care?
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Key Terms

  • heart disease
  • health records
  • electronic health
  • ill patients
  • risk populations

  • abuse conditions
  • seriously ill
  • wonderful opportunity
  • excess capacity
  • targeted populations

  • following heart
  • actual performance
  • health status
  • selected heart
  • actual causes

  • integrates mind
  • reducing utilization
  • service standards
  • sensitive measures
  • key measure

  • applying improvement
  • priority report
  • survival following
  • sensitive indicators
  • mortality rate

  • quality chasm
  • adopting measures
  • statistically significantly
  • medical outcome
  • effective interventions


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