Health Policy and Regulation
by Laura DeStefano | Jan 24, 2013 | Discussion Paper, Perspectives
Introduction In virtually all Institute of Medicine (IOM) reports that have touched on patient safety during the last 15 years, information technology (IT) has played a critical role in the future view of safer patient care. This reflects an emerging view of patient...
by Laura DeStefano | Dec 14, 2012 | Commentary, Perspectives
We have a good concept of the flawed state of health care, the critical need for change, and the future we want. Patient-centered, personalized care, provided by collaborating care teams, is a part of that vision. Many changes will be necessary to achieve that future,...
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 | Nov 16, 2012 | Commentary, Perspectives
More than a decade ago, the board of directors and executive leaders of Virginia Mason (VM) Health System in Seattle, WA, held a series of meetings to determine the future direction of the organization. It was a new century, we had a new CEO, and the Institute of...
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 | Sep 14, 2012 | Discussion Paper, Perspectives
Introduction Electronic health records (EHRs) and other forms of health information technology (IT) hold the promise of transforming the way health care is delivered in the United States, improving quality and safety while lowering costs. But after a decade of...
by Laura DeStefano | Sep 13, 2012 | Discussion Paper, Perspectives
Equity was identified as one of the six core dimensions of a high-performing, high-quality health care system in the landmark Institute of Medicine (IOM) report Crossing the Quality Chasm (2001). The report concluded that health care should be “equitable, (that is)...
by Laura DeStefano | Sep 7, 2012 | Commentary, Perspectives
Pursuit of value-based health care is now the aim of health policy in the United States. But caution is needed to avoid affirming Winston Churchill’s perspective that “you can always count on Americans to do the right thing—after they’ve tried everything else.” The...
by Laura DeStefano | Aug 24, 2012 | Commentary, Perspectives
When the family of Michelle Malizzo Ballog found out that their daughter’s 2008 death had been caused by a preventable medical error, one question trumped all others: How could this have happened? To the family’s surprise and relief, officials at the University of...
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...
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