by Laura DeStefano | Aug 10, 2012 | Commentary, Perspectives
As politicians face the disturbing consequences of high health care costs on federal, state, and local budgets, the need to act will likely drive unwise decisions. Typical responses to severe cost pressures, as we have seen in state legislatures and the Congress, are...
by Laura DeStefano | Jul 27, 2012 | Commentary, Perspectives
American health care faces challenges in access, cost, and quality and in marked geographic and socioeconomic variability. While these challenges will require actions by federal and state governments, they also call for action by individual health systems. Actions by...
by Laura DeStefano | Jul 26, 2012 | Discussion Paper, Perspectives
Health care costs have doubled as a share of the economy over the past three decades (Martin et al., 2012), causing stress on family, employer, and government budgets. Furthermore, these expenses contain substantial waste and often do not improve patient health. One...
by Laura DeStefano | Jul 13, 2012 | Commentary, Perspectives
The policy drivers behind meaningful use are improving quality, enhancing safety, and increasing efficiency in our health care system. In my view, health care in the United States lacks “systemness”—instead relying on disconnected hospitals, clinician offices, labs,...
by Laura DeStefano | Jun 29, 2012 | Commentary, Perspectives
During the first decade of this century, the Institute of Medicine (IOM) played a major role in laying out a vision and strategic direction for change at all levels of the health system, including patients engaged as partners in their health and health care;...
by Laura DeStefano | Jun 27, 2012 | Discussion Paper, Perspectives
Introduction Harvey V. Fineberg, MD, PhD President, Institute of Medicine In a discussion paper published in January 2012, a group of us at the Institute of Medicine (IOM) put forward some ideas about the “deadly sins” of public health. At the end, I suggested six...
by Laura DeStefano | Jun 19, 2012 | Discussion Paper, Perspectives
Introduction This paper describes 10 attributes of health literate health care organizations, that is, health care organizations that make it easier for people to navigate, understand, and use information and services to take care of their health. Having health...
by Laura DeStefano | Jun 15, 2012 | Commentary, Perspectives
For decades, using electronic health records (EHRs) and exchanging health information has been viewed as essential for modernizing health care and improving patient care. The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act provided...
by Laura DeStefano | Jun 5, 2012 | Discussion Paper, Perspectives
As leaders of health care organizations, we are acutely aware of the pressures that rising health care costs place on individuals, employers, and the government, as we are of unacceptable shortfalls in the quality and efficiency of care. But we have also learned,...
by Laura DeStefano | Jun 1, 2012 | Commentary, Perspectives
In the next 10 years, data and the ability to analyze them will do for doctors’ minds what X-ray and medical imaging have done for their vision. How? By turning data into actionable information. Take, for instance, IBM’s intelligent supercomputer, Watson. Watson can...
