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Are the Drivers of Healthcare Change Changing Healthcare Outcomes?

  • James S. Powers
Chapter

Abstract

The Centers for Medicare and Medicaid Services (CMS) measures success defined as improving the patient’s experience of care within the National Academy of Medicine’s six aims for healthcare improvement: safety, effectiveness, patient centeredness, timeliness, efficiency, and equity. Better health is defined as increasing the overall health of populations. Improved quality of care could reduce overall healthcare cost and the patient’s experience of care.

Keywords

Patient experience of care Healthcare improvement Population health 

References

  1. 1.
    ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3):243–6.CrossRefGoogle Scholar
  2. 2.
    Institute of Medicine (U.S.). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar
  3. 3.
    Fisher ES, Shortell SM, Savitz LA. Implementation science: a potential catalyst for delivery system reform. JAMA. 2016;315:339–40.CrossRefGoogle Scholar
  4. 4.
    Zuckerman RB, Sheingold SH, Orav EJ, Ruhter J, Epstein AM. Readmissions, observation, and the hospital readmissions reduction program. N Engl J Med. 2016;374(16):1543–51.CrossRefGoogle Scholar
  5. 5.
    Werner RM, Bradlow ET. Public reporting on hospital process improvements is linked to better patient outcomes. Health Aff (Millwood). 2010;29:1319–24.CrossRefGoogle Scholar
  6. 6.
    Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M. Comprehensive discharge planning for the hospitalized elderly: a randomized clinical trial. Ann Intern Med. 1994;120:999–1006.CrossRefGoogle Scholar
  7. 7.
    Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822–8.CrossRefGoogle Scholar
  8. 8.
    Brewster AL, Cherlin EJ, Ndumele CD, et al. What works in readmissions reduction: how hospitals improve performance. Med Care. 2016;54(6):600–7.CrossRefGoogle Scholar
  9. 9.
    Hernandez AF, Greiner MA, Fonarow GC, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010;303:1716–22.CrossRefGoogle Scholar
  10. 10.
    Ouslander JG, Bonner A, Herndon L, Shutes J. The interventions to reduce acute care transfers (INTERACT) quality improvement program: an overview for medical directors and primary care clinicians in long term care. J Am Med Dir Assoc. 2014;15:162–70.CrossRefGoogle Scholar
  11. 11.
    Dharmarajan K, Wang Y, Lin Z, et al. Association of changing hospital readmission rates with mortality rates after hospital discharge. JAMA. 2017;318:270–8.CrossRefGoogle Scholar
  12. 12.
    Americus Health Rankings Annual Report, 2017. https://www.americashealthrankings.org/learn/reports/2017-senior-report/executive-summary. Accessed 17 Nov 2017.
  13. 13.
    Wasfy JH, Zigler CW, Choriat C, Wang Y, Dominici F, Yeh RW. Readmission rate after passage of the hospital readmissions reduction program: a pre—post analysis. Ann Intern Med. 2017;166(5):324–31.CrossRefGoogle Scholar
  14. 14.
    Kaiser Family Foundation. Aiming for fewer hospital U-turns: the Medicare hospital readmission reduction program. Washington, DC: Kaiser Family Foundation; 2017.Google Scholar
  15. 15.
    Joynt KE, Orav EJ, Zheng J, Jha AK. Public reporting of mortality rates for hospitalized Medicare patients and trends in mortality for reporting conditions. Ann Intern Med. 2016;165:153–60.CrossRefGoogle Scholar
  16. 16.
    Krumholz HM, Normand SL, Wang Y. Trends in hospitalizations and outcomes for cardiovascular disease and stroke, 1999–2011. Circulation. 2014;130:966–75.CrossRefGoogle Scholar
  17. 17.
    Joynt Maddox KE. Readmissions have declined, in mortality has not increased. The importance of evaluating the consequences. JAMA. 2017;318:243–4.CrossRefGoogle Scholar
  18. 18.
    Desai NR, Ross JS, Kwon JY, et al. Association between hospital penalty status under the hospital readmission reduction program and readmission rates for target and nontarget conditions. JAMA. 2016;316:2647–56.CrossRefGoogle Scholar
  19. 19.
    Centers for Medicare and Medicaid Services. Delivering better care at lower cost 9/16/14. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-09-16-2.html?DLPage=6&DLEntries=10&DLSort=0&DLSortDir=ascending. Accessed 17 Nov 2017.
  20. 20.
    Centers for Medicare and Medicaid Services. Bundled payments for care improvement (BPCI) initiative: General information. https://innovation.cms.gov/initiatives/bundled-payments. Accessed 28 Oct 2017.
  21. 21.
    Ryan AM, Krinsky S, Adler-Milstein J, Damberg C, Mauer KA, Hollingsworth JM. Association between hospitals engagement in value-based reforms and readmission reduction in the hospital readmissions reduction program. JAMA Intern Med. 2017;177:862–8.CrossRefGoogle Scholar
  22. 22.
    Nyweide DJ, Lee W, Cuerdon TT, et al. Association of Pioneer accountable care organization vs traditional Medicare fee for service with spending, utilization, and patient experience. JAMA. 2015;313:2152–61.CrossRefGoogle Scholar
  23. 23.
    Medicare Payment Advisory Commission. Data book: Beneficiaries dually eligible for Medicare and Medicaid —June 2017 MedPAC | MACPAC. http://www.medpac.gov/docs/default-source/data-book/jun17_databookentirereport_sec.pdf?sfvrsn=0. Accessed 17 Nov 2017.
  24. 24.
    Gurwitz JH, Bonner A, Berwick DM. Reducing excessive use of antipsychotic agents in nursing homes. JAMA. 2017;318:118–9.CrossRefGoogle Scholar
  25. 25.
    Mendelson A, Kondo K, Damberg C, Low A, Motuapauka M, Freeman M, O’Neil M, Relevo R, Kansagara D. The effects of paper performance programs in health, health care use, and processes of care: a systematic review. Ann Intern Med. 2017;166:341–53.CrossRefGoogle Scholar
  26. 26.
    Newhouse JP, McGuire TG. How successful is Medicare advantage? Milbank Q. 2014;92:351–94.CrossRefGoogle Scholar
  27. 27.
    Casillas GM. What do we know about health care access and quality in Medicare Advantage versus the traditional Medicare program? Kaiser Family Foundation. 2014. http://www.kff.org/medicare/report/what-do-we-know-about-health-care-access-and-quality-in-medicare-advantage-versus-the-traditional-medicare-program/. Accessed 17 Nov 2017.
  28. 28.
    Chen LM, Epstein AM, Orav EJ, Filice CF, Samson LW, Joynt Maddox KE. Association of practice level social and medical risk with performance in the Medicare physician value-based payment modifier program. JAMA. 2017;318:453–61.CrossRefGoogle Scholar
  29. 29.
    Joynt KE, De Lew N, Sheingold SH, Conway PH, Goodrich K, Epstein AM. Should Medicare value-based purchasing take social risk into account? N Engl J Med. 2017;376:510–3.CrossRefGoogle Scholar
  30. 30.
    American Board of Internal Medicine Foundation. Choosing Wisely Campaign. www.choosingwisely.org. Accessed 17 Nov 2017.
  31. 31.
    Song Z, Chokski D. The role of private payers and payment reform. JAMA. 2015;313(1):25–6.CrossRefGoogle Scholar
  32. 32.
    Reinhardt U. Healthcare price transparency and economics dairy. JAMA. 2014;312(16):1642–3.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • James S. Powers
    • 1
  1. 1.Vanderbilt University School of Medicine, Tennessee Valley Healthcare System, Geriatric Research Education and Clinical CenterNashvilleUSA

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