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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 Life Expectancy versus Health Care Spending Per Capita.Reused with permission from OECD (2011), “Health spending,” in Society at a Glance 2011: OECD Social Indicators, OECD Publishing; http://dx.doi.org/10.1787/soc_glance-2011-en. Last accessed June 2014. Abbreviations: AUS, Australia; AUT, Austria; BEL, Belgium; CAN, Canada; CHE, Switzerland; CHL, Chile; CZE, Czech Republic; DEU, Germany; DNK, Denmark; ESP, Spain; FIN, Finland; FRA, France; GBR, United Kingdom; GRC, Greece; HUN, Hungary; IRL, Ireland; ISL, Iceland; ISR, Israel; ITA, Italy; JPN, Japan; KOR, Korea; LUX, Luxembourg; MEX, Mexico; NLD, Netherlands; NOR, Norway; NZL, New Zealand; POL, Poland; PRT, Portugal; SVK, Slovak Republic; SVN, Slovenia; SWE, Sweden; TUR, Turkey; USA, United States; UD PPP; United States dollars purchasing power parity.
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f2-rmmj-5-3-e0017: International Comparison of Life Expectancy versus Health Care Spending Per Capita.Reused with permission from OECD (2011), “Health spending,” in Society at a Glance 2011: OECD Social Indicators, OECD Publishing; http://dx.doi.org/10.1787/soc_glance-2011-en. Last accessed June 2014. Abbreviations: AUS, Australia; AUT, Austria; BEL, Belgium; CAN, Canada; CHE, Switzerland; CHL, Chile; CZE, Czech Republic; DEU, Germany; DNK, Denmark; ESP, Spain; FIN, Finland; FRA, France; GBR, United Kingdom; GRC, Greece; HUN, Hungary; IRL, Ireland; ISL, Iceland; ISR, Israel; ITA, Italy; JPN, Japan; KOR, Korea; LUX, Luxembourg; MEX, Mexico; NLD, Netherlands; NOR, Norway; NZL, New Zealand; POL, Poland; PRT, Portugal; SVK, Slovak Republic; SVN, Slovenia; SWE, Sweden; TUR, Turkey; USA, United States; UD PPP; United States dollars purchasing power parity.

Mentions: The troubling fact about health care spending in the United States is that it does not correlate with better outcomes or population health. The average life expectancy in the United States is 78.4 years, ranking fiftieth overall when compared with 221 nations.8Figure 2 illustrates that the United States is an outlier with regard to life expectancy and health care spending per capita. This is despite spending two and sometimes three times more on health care than other developed countries.


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 Life Expectancy versus Health Care Spending Per Capita.Reused with permission from OECD (2011), “Health spending,” in Society at a Glance 2011: OECD Social Indicators, OECD Publishing; http://dx.doi.org/10.1787/soc_glance-2011-en. Last accessed June 2014. Abbreviations: AUS, Australia; AUT, Austria; BEL, Belgium; CAN, Canada; CHE, Switzerland; CHL, Chile; CZE, Czech Republic; DEU, Germany; DNK, Denmark; ESP, Spain; FIN, Finland; FRA, France; GBR, United Kingdom; GRC, Greece; HUN, Hungary; IRL, Ireland; ISL, Iceland; ISR, Israel; ITA, Italy; JPN, Japan; KOR, Korea; LUX, Luxembourg; MEX, Mexico; NLD, Netherlands; NOR, Norway; NZL, New Zealand; POL, Poland; PRT, Portugal; SVK, Slovak Republic; SVN, Slovenia; SWE, Sweden; TUR, Turkey; USA, United States; UD PPP; United States dollars purchasing power parity.
© Copyright Policy
Related In: Results  -  Collection

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

f2-rmmj-5-3-e0017: International Comparison of Life Expectancy versus Health Care Spending Per Capita.Reused with permission from OECD (2011), “Health spending,” in Society at a Glance 2011: OECD Social Indicators, OECD Publishing; http://dx.doi.org/10.1787/soc_glance-2011-en. Last accessed June 2014. Abbreviations: AUS, Australia; AUT, Austria; BEL, Belgium; CAN, Canada; CHE, Switzerland; CHL, Chile; CZE, Czech Republic; DEU, Germany; DNK, Denmark; ESP, Spain; FIN, Finland; FRA, France; GBR, United Kingdom; GRC, Greece; HUN, Hungary; IRL, Ireland; ISL, Iceland; ISR, Israel; ITA, Italy; JPN, Japan; KOR, Korea; LUX, Luxembourg; MEX, Mexico; NLD, Netherlands; NOR, Norway; NZL, New Zealand; POL, Poland; PRT, Portugal; SVK, Slovak Republic; SVN, Slovenia; SWE, Sweden; TUR, Turkey; USA, United States; UD PPP; United States dollars purchasing power parity.
Mentions: The troubling fact about health care spending in the United States is that it does not correlate with better outcomes or population health. The average life expectancy in the United States is 78.4 years, ranking fiftieth overall when compared with 221 nations.8Figure 2 illustrates that the United States is an outlier with regard to life expectancy and health care spending per capita. This is despite spending two and sometimes three times more on health care than other developed countries.

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