With the highest infant mortality rate among the OECD nations, the challenges US faces are humongous. When spending trillions of dollars didn’t help, Obama government’s think-tank came up with Population Health Management. It has shown a lot of promise, but there is a lack of an organized approach.
Population health management real time state-of-health analysispscisolutions
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
The changing landscape of health care in the US -- drivers and outcomesGregory Travis
The United States has the worst health care outcomes among its OECD peers. It also has the highest health care costs within the OECD. What are the reasons for this and what changes can we anticipate going forward?
American Indians and Alaska Natives (AIAN) in National Survey Datasoder145
Workshop presentation by Pamela Jo Johnson at the Great Lakes Inter-Tribal Council's Keeping Native Women & Families Healthy & Strong Conference, April 25 2008.
Analytics-Driven Healthcare: Improving Care, Compliance and CostCognizant
In the face of skyrocketing costs, the healthcare industry is addressing inefficiencies by improving data sharing and collaboration across the industry value chain and applying analytics to improve operations and patient outcomes.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Health Equity Investments: Opportunities and Challenges in 2023Health Catalyst
Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions. Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions.
With the highest infant mortality rate among the OECD nations, the challenges US faces are humongous. When spending trillions of dollars didn’t help, Obama government’s think-tank came up with Population Health Management. It has shown a lot of promise, but there is a lack of an organized approach.
Population health management real time state-of-health analysispscisolutions
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
The changing landscape of health care in the US -- drivers and outcomesGregory Travis
The United States has the worst health care outcomes among its OECD peers. It also has the highest health care costs within the OECD. What are the reasons for this and what changes can we anticipate going forward?
American Indians and Alaska Natives (AIAN) in National Survey Datasoder145
Workshop presentation by Pamela Jo Johnson at the Great Lakes Inter-Tribal Council's Keeping Native Women & Families Healthy & Strong Conference, April 25 2008.
Analytics-Driven Healthcare: Improving Care, Compliance and CostCognizant
In the face of skyrocketing costs, the healthcare industry is addressing inefficiencies by improving data sharing and collaboration across the industry value chain and applying analytics to improve operations and patient outcomes.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Health Equity Investments: Opportunities and Challenges in 2023Health Catalyst
Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions. Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions.
You should respond to at least two of your peers by extending- refutin.docxjosee57
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
Post #1
Jenna Horgan
NUR 420
Professor Roberts
January 12, 2023
Who are the clients in Community Health nursing?
Individuals, families, and groups who live in a specific geographic area and may be at risk for health problems or in need of health services are considered clients in community health nursing. People of all ages, from infants to the elderly, as well as those with physical, mental, or social challenges, may be included. The purpose of community health nursing is to promote the health and well-being of the entire community by addressing the health needs of its individual members (Rector & Stanley, 2021). Community health nurses work with clients to identify and address health risks, provide health and wellness education, and connect clients to suitable health services.
What government resources might they be eligible for?
Individuals and families may be eligible for a variety of government resources depending on their circumstances. Some of these resources are intended specifically for people with low incomes or who are experiencing financial hardship, while others are open to anyone who meets certain criteria. Among the resources available to them are (ISPOR, n.d):
1. Medicaid: It is a federal-state partnership program that provides health insurance to low-income individuals and families. Individuals must meet income and asset limits, as well as other requirements, to be eligible.
2. Children's Health Insurance Program (CHIP): It is a federally funded program that provides health insurance to low-income children that are not eligible for Medicaid but cannot afford private health insurance. It provides coverage for a variety of medical services, such as preventive care, doctor visits, hospital stays, and prescription medications. Eligibility is determined by income and family size.
3. Supplemental Nutrition Assistance Program (SNAP): It is also known as food stamps and it provides financial assistance to low-income individuals and families in order for them to purchase food. Income and assets, as well as other factors, determine SNAP eligibility.
4. Temporary Assistance for Needy Families (TANF): This program helps low-income families with children by providing financial assistance as well as other services such as job training and childcare. Income and assets, as well as other factors, determine TANF eligibility.
5. Low Income Home Energy Assistance Program (LIHEAP): It is program funded by the federal government that provides low-income households with financial assistance to help them pay for home energy costs such as heating and cooling. The Department of Health and Human Services (HHS) administers the program, which is intended to assist households that are struggling to pay their energy bills and may face having their service disconnected. Eligibility is determined by income and family size.
What ag.
Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.
2016 16th population health colloquium: summary of proceedings Innovations2Solutions
This paper will discuss the four key ideas discussed at the Colloquium that will have important ramifications as healthcare organizations seek to implement population health strategies:
1. understanding and alleviating Patient fear is Key to Patient experience
2. the Case for a new Population Health Protection agenda as a means to drive down Healthcare Costs
3. using data and technology to improve Healthcare for older adults
4. engage Consumers in Wellness-based Population Health and thrive financially
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
National Juxtapositionsin Healthcare Delivery and Quality
1. National Juxtapositions
in Healthcare Delivery & Quality:
An Overview & Analysis of the
Commonwealth Fund Annual Report
Eric Luellen
American Healthcare System
May 2016
2. Who & What is the Commonwealth Fund?
• “A private foundation that aims to
promote a high performing health
care system.” Advocates for US
healthcare system reform.
• Founded in 1918 by spouse of the
Harkness Family, a Rockefeller family
and Standard Oil Company financier.
• Endowment of $99 million from
1919 to 1959 ($852M today).
• Since 2013, lead by Democratic
political activist David Blumenthal
(former chief healthcare policy
advisor to Dukakis and Obama); and,
COO/CFO/Treasurer/Secretary is a
Hillary Clinton political appointee.
(Commonwealth Fund, 2016)
3. Annual Reports
• Compares the US health care system across 80 metrics in five
categories with 10 of the world’s 195 sovereign nations.
• Began in 2000; however, most known for reports from 2011-2015
• This analysis is based on their 2014 report: “Mirror, Mirror on the
Wall: How the Performance of the U.S. Health Care System Compares
Internationally.”
• Primary “Finding:” The US has the worse health care system in the
world because it lacks universal government health care.
(Commonwealth Fund, 2016)
5. Ratings & Conclusions
The United States spends
the most per citizen on
health care
The United States spends
the most on health care as
a percentage of gross
domestic product
(Commonwealth Fund, 2016)
6. Ratings & Conclusions
The United States
healthcare delivery and
quality has allegedly fallen
from 5th in the world to
11th in the world amongst
11 industrialized nations
The decline is accelerating
(increasing at an increasing
rate) by falling four places
in one year (2013-2014).
(Commonwealth Fund, 2016)
7. The “Worst” Categories & Overall
Definitions
1. Timeliness of Care – A seven-question composite related to whether patients could see a
provider same-day without an appointment, on holidays, emergency waits over two hours,
whether doctors perceive patients have to wait for tests and treatment, specialist waits over
two months, and elective procedure waits over four months. (Karen Davis, 2014)
2. Efficiency – Healthcare efficiency, for the purposes of this report, is defined by analogy thusly:
“an efficient, high-value health care system seeks to maximize the quality of care and
outcomes given the resources committed, while ensuring that additional investments yield net
value over time.” (Karen Davis, 2014)
3. Equity – The World Health Organization defines healthcare equity as “the absence of avoidable
or remediable differences among groups of people, whether those groups are defined socially,
economically, demographically, or geographically.” The WHO is careful to specify that this
includes the degree to which these inequalities are being corrected. (WHO, 2016)
4. Healthy Living – A three-question composite related to “mortality amenable to medical care,”
infant mortality, and predicted life-expectancy at age 60 years. (Karen Davis, 2014)
(Commonwealth Fund, 2016)
8. Improving Timeliness of Care with Health IT
(Kahn, 2015)
Challenges
• Quality control & effectiveness fears
• Regulating quality inter-jurisdictionally
because of Internet and globalization
• Palpitations and contact unavailable.
Telehealth Consultations
• Expands access while overcoming
geographic, economic, and
sociological barriers
• Potential to improve health care by
increasing access to more
knowledgeable specialists
• Has potential to lower health care
costs by reducing travel and overhead.
• Improves timeliness by finding
providers when available, no wait.
9. Improving Efficiency with Health IT
(William B. Weeks, 2016)
Patient Engagement Platforms
• Complex event processing (CEP) can
proactively monitor & alert behaviors
• Prevents medication non-adherence and
drug-drug interactions
• Coordinates care across disparate team of
health care providers
• Improves patients’ perceptions of care
• Provides big data for knowledge discovery
and evolving health care
• Promotes shared decision making
• Prevents adverse events to reduce cost
and improve value and efficiency – pay
for patient performance
Challenges
• Quality control & effectiveness fears
• Regulating quality inter-jurisdictionally
because of Internet and globalization
• Palpitations and contact unavailable.
10. Improving Equity with Health IT
(Halamka, 2015)
Clinical Decision Support Systems
• Patients anywhere can have
superlative diagnoses quality,
even better than human.
• Reduces gaps or delays between
diagnoses and treatment.
• May be the future of much of
medical diagnoses because of
sequencing and functioning of
genome, biome, and
proteinomics.
Challenges
• Asking the right questions key; limited
patient knowledge is challenging.
• Natural language (NLP) is also
problematic, few standardized terms.
• Adoption by providers challenging
because it evolves their role & power.
11. Commonwealth Fund Reports: Fact or Fiction
Methodological and statistical analysis
reveals that the report is more
appropriately classified as political
propaganda than science;
It relies on statistics that are knowingly
inaccurate to advocate a political
outcome, which is also an inaccurate
conclusion;
In other words, it draws non-factual
conclusions from knowingly inaccurate
data that, even if the data were
accurate, would reasonably lead to
different conclusions.
For example:
• Each country uses different accounting
methods, which the authors fail to reconcile;
• Globally, health care costs are commonly
under reported because provider
incomes are excluded;
• European reimbursement rates in at least
nine countries are known to be off by as
much as 50%;
• One key metric, survival rates, is excluded
from their analysis;
• The conclusion cannot be that countries with
universal health care rank higher because
each of those countries has a different system
of care.
(John Goodman, 2009)
12. Lessons Learned – The Pros & The Cons
The Cons
• The Commonwealth Fund is more of a
political advocacy group than an
objective and independent scientific
authority.
• Its reports distort facts, report facts it
knows or should know are false, and
claim unrelated conclusions to
support their political agenda.
• Different accounting systems make it
difficult to compare national health
systems; however, the WHO has
ranked the US health care system at
37 out of 195, not the lowest.
The Pros
• The US, and many nations, have
significant room for improvement in
the timeliness, efficiency, and equity
of health care delivery.
• Health information technology (HIT)
such as telehealth, patient
engagement systems, and clinical
diagnostic decision support systems
have a probability of significantly
improving these areas.
13. Works Cited
Commonwealth Fund. (2016, May 21). About Us: Foundation History. Retrieved from The Commonwealth Fund: http://www.commonwealthfund.org/about-
us/foundation-history
Halamka, J. D. (2015, December 23). Using Big Data to Make Wiser Medical Decisions. New England Journal of Medicine, pp. http://catalyst.nejm.org/using-
big-data-to-make-wiser-medical-decisions/
John Goodman, L. G. (2009, March 10). Health Care Reform: Do Other Countries Have the Answers? . Retrieved from National Center for Policy Analysis:
http://www.ncpa.org/pdfs/sp_Do_Other_Countries_Have_the_Answers.pdf
Kahn, J. M. (2015). Virtual Visits — Confronting the Challenges of Telemedicine. New England Journal of Medicine, 1684-1685.
Karen Davis, K. S. (2014, June). Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally. Retrieved from
The Commonwealth Fund: http://www.commonwealthfund.org/~/media/files/publications/fund-report/2014/jun/1755_davis_mirror_mirror_2014.pdf
WHO. (2016, May 21). Health Systems: Equity. Retrieved from World Health Organization: http://www.who.int/healthsystems/topics/equity/en/
WHO. (2016, May 21). World Health Organization’s Ranking of the World’s Health Systems. Retrieved from The Patient Factor:
http://thepatientfactor.com/canadian-health-care-information/world-health-organizations-ranking-of-the-worlds-health-systems/
William B. Weeks, J. N. (2016, March 9). Patient-Reported Data Can Help People Make Better Health Care Choices. New England Journal of Medicine
Catalyst, pp. http://catalyst.nejm.org/patient-reported-data-can-help-people-make-better-health-care-choices/
Disclosures
The author is the co-founder of iDok, and currently serves as the Chief Executive Officer of Bioinformatix, LLC, the
developer of Rx&You.