Coverage and Access
by Laura DeStefano | Nov 30, 2012 | Commentary, Perspectives
While there has been an enormous amount of attention paid to the transformation of the United States Health Care delivery system under the Affordable Care Act (ACA), little has been said about the many opportunities in the ACA for population health systems improvement...
by Laura DeStefano | Sep 28, 2012 | Commentary, Perspectives
Family planning is one of the 10 greatest public health achievements of the 20th century, according to the Centers for Disease Control and Prevention (1999). Nearly 75 percent of women of reproductive age in the United States (64 million) receive at least one family...
by Laura DeStefano | Sep 21, 2012 | Commentary, Perspectives
The United States has the most technologically advanced health care system in the world. Although we spend far more on health care than any other country in the world, we perform poorly on many health measures, such as life expectancy and infant mortality, compared...
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 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 | 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 | Apr 20, 2012 | Commentary, Perspectives
Four years ago, UCLA’s medical center was ranked as an honor-roll hospital by U.S. News and World Report—but our patients would seldom “refer us to a friend.” We skillfully performed today’s health care miracles: organ transplants, complex neurosurgical repairs, and...
by Laura DeStefano | Apr 6, 2012 | Commentary, Perspectives
With all the attention being paid to emerging accountable care organizations throughout the country, a California model is delivering measurable results. Catholic Healthcare West (CHW) (now Dignity Health), Hill Physicians Medical Group, and Blue Shield of California...
by Laura DeStefano | Mar 9, 2012 | Commentary, Perspectives
A basic aim of effective and efficient health care is ensuring the right match between the patient’s condition and the setting for the patient’s care. With that aim in mind, the U.S. Department of Veterans Affairs (VA) recently implemented the Surgical Complexity...
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