Advocates for Evidence-Based Health Policy Speakers
Category: Quality
The Kaiser Prototype for Health Information Technology
In 2004, Kaiser Permanente implemented KP HealthConnect, a possible prototype for an interoperable health information technology (HIT) system. A retrospective, observational study of one Kaiser Permanente region in the state of Hawaii explored the effects of HealthConnect on the performance Continue Reading …
Competence and capacity: the right practitioner for the right procedure?
British researchers conducted a pragmatic, randomized trial aiming to compare the effectiveness of doctors and nurses performing upper and lower endoscopy. The authors enrolled 29 hospitals comparing 67 doctors to 30 nurses who performed endoscopic procedures on 1888 randomized patients Continue Reading …
The Myth of Care Coordination, Quality, and Cost Savings
An analysis of 15 Medicare Coordinated Care Demonstration projects, covering 18,402 Medicare patients from across the nation, demonstrated limited to no evidence of the benefit of care coordination towards the goal of improving quality or cost-effectiveness of care. Patients in Continue Reading …
A Policy Prescription for 2009
As a new dawn embraces the United States of America, President Barack Obama and the 111th Congress face several seemingly insurmountable challenges. The armed forces are divided between two wars, the economy is in shambles, and the health care system is at Continue Reading …
How Patient Case-Mix Adjustment affects Pay-for-Performance Payments
The Centers for Medicare & Medicaid Services (CMS) has a pay-for-performance pilot program that links hospital process performance to financial incentives. This paper sought to determine whether patient case mix alters overall performance ratings relative to other hospitals and whether adjustments Continue Reading …
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