Suchergebnisse

Intro -- Preface -- Acknowledgment -- Contents -- About the Author -- Chapter 1: Value-Based Healthcare Transformation -- With Respect to Access -- With Regard to Quality of Care -- With Regard to Cost Control -- Will the Control of Healthcare Costs Be Lasting? -- References -- Chapter 2: Quality Indicators, Outcomes, and Performance Pay -- Quality in Long-Term Care -- Quality in Home Health Care -- Quality in Hospital Care -- Quality Among Physicians -- Quality in Hospital Care -- Quality Process Measures and Outcome Measures -- References -- Chapter 3: Are the Drivers of Healthcare Change Changing Healthcare Outcomes? -- Forces of Change -- Evidence for Quality Improvement -- Shifting of Risk -- References -- Chapter 4: Value-Based Healthcare Purchasing -- Core Measurements for Healthcare Systems -- Guiding Principles for Quality Outcomes -- Risk Assessment -- Developing the Tools for Evaluation -- Quality Outcomes Assessment: Patient- Reported Outcomes -- References -- Chapter 5: New Models of Healthcare Delivery -- Effective Care -- The Scope of Change -- Delivery Models -- Care Models for High-Need Patients -- References -- Chapter 6: Educating New Healthcare Providers for the Twenty-First Century -- The Landscape -- Educational Strategy -- References -- Chapter 7: The Primary Care Dilemma -- Why Do We Have a Primary Care Problem? -- Predicting the Extent of Need for Primary Care -- Government and Organized Medicine Physician Responses -- Non-physician Approaches -- An Integrated Approach -- Regulatory Approach -- References -- Chapter 8: Transitions of Care -- Scope of the Issue -- Models to Improve Transitions of Care -- Performance Objectives Drive Behavior -- Long-Term Care Insurance -- References -- Chapter 9: Dual Eligibles: Challenges for Medicare and Medicaid Coordination -- Scope of the Problem -- References.

Healthcare Changes Reach Main Street: A Call to Action for Physicians provides guidance, examples, and information on processes and time lines for physicians based on the implementation of The Affordable Care Act (ACA) that was established in 2010. This volume focuses on how geriatricians and other healthcare professionals can be engaged in responding to the roll-out of the ACA in their communities, and through this engagement assume leadership roles in local hospitals, healthcare organizations, and medical societies to advance quality improvement and new models of care for older adults. In-depth chapters provide an update on quality improvement efforts at the state level, as well as changes in Medicaid financing and the significant impact this will have for older adults, particularly dual-eligibles. Many elements of the ACA are yet to be rolled out and many healthcare decisions are yet to be made. Healthcare Changes Reach Main Street: A Call to Action for Physicians will guide healthcare decision makers and help them to play a leadership role in advancing quality care for older adults in our changing healthcare environment.? James Powers, MDAssociate Professor of Medicine, Vanderbilt University School of MedicineAssociate Clinical Director, Tennessee Valley Geriatric Research, Education, and Clinical Center7159 Vanderbilt Medical Center EastNashville, TN 37232