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The Richard and Hinda Rosenthal Lectures Spring 2001 Crossing the Quality Chasm (2003) / Chapter Skim
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Discussion
Pages 32-36

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
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From page 32...
... It sounds like this is appealing, but when I hear what you talked about, this involves fundamental changes in the health care system. Don, because Allen has had his chance to talk, what do you see as the challenges in an environment like California?
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From page 33...
... One of the things I was a little bit bothered by was when I saw the note that a majority of people who are in that chronically ill group prefer the passive form, prefer to be treated and be a passive patient as opposed to at least a knowledgeable partner in their care. I think that gives me a little pause.
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From page 34...
... DR. CORRIGAN: I might add the one comment that I have heard a lot, about the report, that as people look at the demographic trends projected there, there is increased realization that the design of the current health care system is really a misfit for the needs of the population and that will only grow worse over the next 5 to 10 to 20 years.
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From page 35...
... You mentioned an obvious fact that maybe the government is the big purchaser of health care in this country. To the extent that our financing system is misaligned with the kind of outcomes that the Chasm report is pointing us towards, what is the prospect of getting Medicare, for example, to do some real demonstration projects, to finance some options to try to get us moving in this direction?
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From page 36...
... DR. SHINE: As you point out, there is a committee chaired by Gil Omen that is responding to a congressionally mandated study to look at quality programs in HCFA, DOD, and DA.
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Key Terms

  • chasm report
  • little bit
  • taking care
  • union membership
  • knowledgeable partner

  • benefit consultants
  • heavily unionized
  • increased realization
  • quality programs
  • conditions straight

  • bit overtime
  • gil omen
  • bargaining table
  • configuration ought
  • maybe seeing

  • benefit plan
  • unionized arena
  • own benefit
  • loss ratio
  • individual patient

  • little nervous
  • demographic shift
  • academic report
  • term commitments
  • step forward

  • medical loss
  • multiple chronic
  • aggregated intelligent
  • nice try
  • design change


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