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Reforming Cardiovascular Care in the United States towards High-Quality Care at Lower Cost with Examples from Model Programs in the State of Michigan.

Alyeshmerni D, Froehlich JB, Lewin J, Eagle KA - Rambam Maimonides Med J (2014)

Bottom Line: As health care reorganization occurs at the federal level, local and regional efforts can serve as models to accelerate improvement toward achieving better population health and better care at lower cost.Model programs in Michigan have achieved this goal in cardiovascular care through the systematic application of evidence-based care, the utilization of regional quality improvement collaboratives, community-based childhood wellness promotion, and medical device-based competitive bidding strategies.These efforts are examples of the direction cardiovascular care delivery will need to move in this era of the Affordable Care Act.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Diseases, University of Michigan Health System, Ann Arbor, MI, USA; and.

ABSTRACT
Despite its status as a world leader in treatment innovation and medical education, a quality chasm exists in American health care. Care fragmentation and poor coordination contribute to expensive care with highly variable quality in the United States. The rising costs of health care since 1990 have had a huge impact on individuals, families, businesses, the federal and state governments, and the national budget deficit. The passage of the Affordable Care Act represents a large shift in how health care is financed and delivered in the United States. The objective of this review is to describe some of the economic and social forces driving health care reform, provide an overview of the Patient Protection and Affordable Care Act (ACA), and review model cardiovascular quality improvement programs underway in the state of Michigan. As health care reorganization occurs at the federal level, local and regional efforts can serve as models to accelerate improvement toward achieving better population health and better care at lower cost. Model programs in Michigan have achieved this goal in cardiovascular care through the systematic application of evidence-based care, the utilization of regional quality improvement collaboratives, community-based childhood wellness promotion, and medical device-based competitive bidding strategies. These efforts are examples of the direction cardiovascular care delivery will need to move in this era of the Affordable Care Act.

No MeSH data available.


Related in: MedlinePlus

International Comparison of Spending on Health, 1980–2007.PPP; purchasing power parity. Taken from The Commonwealth Fund website, with permission; http://tinyurl.com/n2hvucv. Last accessed June 2014.
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f1-rmmj-5-3-e0017: International Comparison of Spending on Health, 1980–2007.PPP; purchasing power parity. Taken from The Commonwealth Fund website, with permission; http://tinyurl.com/n2hvucv. Last accessed June 2014.

Mentions: The United States spends far more than other Western societies that have excellent health care. By 2012 WHO estimates, the United States spent $8,607 per capita on health care; this is the most in the world and close to two thousand dollars more than the second highest spender, Luxembourg.7 It is projected that if costs are not curbed, as much as 19.8% of the per capita dollars in the United States will be spent on health care by 2020. Figure 1 shows an international comparison of annual spending on health per capita or total expenditures on health as a percent of the gross domestic product from 1980 to 2007.


Reforming Cardiovascular Care in the United States towards High-Quality Care at Lower Cost with Examples from Model Programs in the State of Michigan.

Alyeshmerni D, Froehlich JB, Lewin J, Eagle KA - Rambam Maimonides Med J (2014)

International Comparison of Spending on Health, 1980–2007.PPP; purchasing power parity. Taken from The Commonwealth Fund website, with permission; http://tinyurl.com/n2hvucv. Last accessed June 2014.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4128588&req=5

f1-rmmj-5-3-e0017: International Comparison of Spending on Health, 1980–2007.PPP; purchasing power parity. Taken from The Commonwealth Fund website, with permission; http://tinyurl.com/n2hvucv. Last accessed June 2014.
Mentions: The United States spends far more than other Western societies that have excellent health care. By 2012 WHO estimates, the United States spent $8,607 per capita on health care; this is the most in the world and close to two thousand dollars more than the second highest spender, Luxembourg.7 It is projected that if costs are not curbed, as much as 19.8% of the per capita dollars in the United States will be spent on health care by 2020. Figure 1 shows an international comparison of annual spending on health per capita or total expenditures on health as a percent of the gross domestic product from 1980 to 2007.

Bottom Line: As health care reorganization occurs at the federal level, local and regional efforts can serve as models to accelerate improvement toward achieving better population health and better care at lower cost.Model programs in Michigan have achieved this goal in cardiovascular care through the systematic application of evidence-based care, the utilization of regional quality improvement collaboratives, community-based childhood wellness promotion, and medical device-based competitive bidding strategies.These efforts are examples of the direction cardiovascular care delivery will need to move in this era of the Affordable Care Act.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Diseases, University of Michigan Health System, Ann Arbor, MI, USA; and.

ABSTRACT
Despite its status as a world leader in treatment innovation and medical education, a quality chasm exists in American health care. Care fragmentation and poor coordination contribute to expensive care with highly variable quality in the United States. The rising costs of health care since 1990 have had a huge impact on individuals, families, businesses, the federal and state governments, and the national budget deficit. The passage of the Affordable Care Act represents a large shift in how health care is financed and delivered in the United States. The objective of this review is to describe some of the economic and social forces driving health care reform, provide an overview of the Patient Protection and Affordable Care Act (ACA), and review model cardiovascular quality improvement programs underway in the state of Michigan. As health care reorganization occurs at the federal level, local and regional efforts can serve as models to accelerate improvement toward achieving better population health and better care at lower cost. Model programs in Michigan have achieved this goal in cardiovascular care through the systematic application of evidence-based care, the utilization of regional quality improvement collaboratives, community-based childhood wellness promotion, and medical device-based competitive bidding strategies. These efforts are examples of the direction cardiovascular care delivery will need to move in this era of the Affordable Care Act.

No MeSH data available.


Related in: MedlinePlus