The 1st Annual Crossing the Quality Chasm Summit A Focus on Communities: Report of a Summit (2004) / Chapter Skim
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8 Condition-Specific Action Plans
8 Condition-Specific Action Plans
Pages 85-96
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From page 85... ...
The IOM has issued several reports on this topic, including Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care and a six-volume compendium on the uninsured (IOM, 2001b, 2002a,b,c, 2003a,b, 2004)
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From page 86... ...
Key Strategies Identified by Condition-Specific Working Groups CONDITION Strategy Asthma Depression Diabetes Heart Failure Pain Control Finance Information and Communications Technology Patient/Family Control Community Collaboration Measurement Training and Education Clinical Engagement Public Awareness Restructuring of Clinical Service Provision Coordinated Leadership 86
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From page 87... ...
This strategy requires working group suggested that national a total transformation of the culture of health organizations and appropriate subspecialty care, characterized by a universal emphasis on providers promote mandatory reporting of a and acknowledgment of the importance of selfdefined set of valid performance measures for management. The group proposed both a asthma care -- including measures of self- national approach -- mainly through standards management -- within 3 years.
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From page 88... ...
. regard, with private-sector funding being primarily employer based and public-sector Major depression is associated with enormous funding spanning multiple agencies, such as clinical and societal burdens in the United Medicare, Medicaid, and state and local States.
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From page 89... ...
This approach for behavioral and primary care services. This would foster integration of such information first year would see pilot collection of these data into electronic health records and other health and conclude with recommendations for a information systems.
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From page 90... ...
Of this total, $92 billion Communications Technology. The working was direct costs, such as personal health care group proposed that patients should own a spending and hospital care, and $40 billion was portable electronic health record, made possible indirect costs, including disability, premature by either "smart card" technology or web-based mortality, and work-loss days.
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From page 91... ...
Reformatting the compensation system to Key Strategies for High-Quality Heart reward team-based care and addressing multiple Failure Care comorbidities among diabetics, such as high The heart failure working group identified blood pressure and depression, are lingering strategies at three levels for overcoming current challenges. barriers to high-quality care: HEART FAILURE · At the community level, community awareness and activation -- creating demand for high-quality heart failure care at the Impact local level.
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From page 92... ...
If current reimbursement the experiences of patients who have heart approaches were redesigned to pay for failure to generate community commitment to performance -- including adhering to established the urgency and value of improving heart failure processes of care, minimizing hospitalizations, care. In addition, efforts should be initiated to and optimizing patients' health status- audit local communities with regard to their providers could have greater flexibility in current state of and commitment to high-quality providing care without the risk of incurring a heart failure care.
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From page 93... ...
For guidelines highlight the importance of this example, if an electronic health record were point. After oncologists employed a multilevel being used, the ability to export some registry- treatment algorithm based on the Agency for like function would be built into its design, so as Healthcare Policy and Research Guidelines for to avoid duplicate data entry and decrease Cancer Pain Management, significant administrative overhead.
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From page 94... ...
The working group suggested the following The working group emphasized the importance strategies for redesigning the way pain control of articulating the following vision of what is provided to cancer patients, focused on could be achieved within a few years if society enhanced continuity, rapid response, and really wanted "no unacceptable pain" to be the availability of expertise: norm: · Round-the-clock accessibility of technical Every person living with cancer pain support and health record information for can count on, and every clinician can patients, their families/caregivers, and promise, that the patient can live to the clinicians end of life without having to endure · Correct prescribing practices -- including for unacceptable cancer pain. opioids -- without retribution · Incorporation of evidence-based prescribing The working group's definition of success was practices into maintenance of certification that within 3 years, 100 percent of cancer and accreditation for clinicians patients would report that their pain was being regularly measured and that they were being Strong, Coordinated Leadership.
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From page 95... ...
1994. The prevalence and distribution of An audience member suggested developing a major depression in a national community detailed charge for the above group that would sample: The National Comorbidity Survey.
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From page 96... ...
2003a. Insuring Health -- A Shared Destiny: New Freedom Commission on Mental Health.
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