Quality & Patient Safety Flashcards
How does the US rank in quality internationally?
7
WHat are the strengths of expertise?
Expertise Pride Focus Efficiency Interest groups
What are the challenges of expertise?
Guilds and egos Hand-offs Lacks holistic view Unwarranted variations Concern about liability
Reasons for high cost & low quality?
Inefficiency and waste
Health system fragmentation
Lack of access, many un- or under-insured
Poor coordination of care across the continuum
Insufficient focus on and funding for preventive care
Reimbursement inequalities
Payment models – perverse incentives
Medical malpractice – defensive medicine
Harm caused by the health care system
Non-standard practice, unnecessary clinical variation
Individualistic & hierarchical culture
Special interest groups (Pharma, Provider lobb, etc.)
Balance of primary care providers to specialists
Excess acute care space with extremely expensive overhead
Cost of technology
Insufficient GME funding
Industry resistance to change
What is the value equation?
value = quality + service/cost
