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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

Estimated Annualized Savings Gained through Combining Negotiation Strategies and Additional Product Lines.Modified from Figure 1, Keast et al.,32 with permission.
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f8-rmmj-5-3-e0017: Estimated Annualized Savings Gained through Combining Negotiation Strategies and Additional Product Lines.Modified from Figure 1, Keast et al.,32 with permission.

Mentions: Emanuel and colleagues have written that transparency in the cost of care and a focus on improving supply line costs have the potential to reduce the cost of care delivery through competitive bidding strategies.29 In cardiovascular care delivery, pacemakers, defibrillators, coronary catheters, stents, and cardiac valves are a remarkable source of cost. At the University of Michigan, the interventional teams in cardiac surgery, electrophysiology, and coronary intervention have been able to show a substantial reduction in costs through a series of competitive bidding strategies with vendors of various cardiovascular products.30–33Figure 8 shows the analyzed savings gained through negotiation strategies in various cardiovascular product lines over a period of 10 years.


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)

Estimated Annualized Savings Gained through Combining Negotiation Strategies and Additional Product Lines.Modified from Figure 1, Keast et al.,32 with permission.
© Copyright Policy
Related In: Results  -  Collection

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

f8-rmmj-5-3-e0017: Estimated Annualized Savings Gained through Combining Negotiation Strategies and Additional Product Lines.Modified from Figure 1, Keast et al.,32 with permission.
Mentions: Emanuel and colleagues have written that transparency in the cost of care and a focus on improving supply line costs have the potential to reduce the cost of care delivery through competitive bidding strategies.29 In cardiovascular care delivery, pacemakers, defibrillators, coronary catheters, stents, and cardiac valves are a remarkable source of cost. At the University of Michigan, the interventional teams in cardiac surgery, electrophysiology, and coronary intervention have been able to show a substantial reduction in costs through a series of competitive bidding strategies with vendors of various cardiovascular products.30–33Figure 8 shows the analyzed savings gained through negotiation strategies in various cardiovascular product lines over a period of 10 years.

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