Health Reform Policy to Practice (eBook, ePUB)

Oregon's Path to a Sustainable Health System: A Study in Innovation
Redaktion: Stock, Ronald; Goldberg, Bruce W.

• Format: ePub

Produktbeschreibung

Health Reform Policy to Practice: Oregon as a Case Study for a Path to a Comprehensive and Sustainable Health Delivery Model offers a real world example of an innovative, successful and comprehensive program conducted by the U.S. State of Oregon.

In 1991, Oregon embarked on a journey to improve health for all its citizens by radically re-thinking how to approach health care for long-term benefits. Over more than two decades, Oregonians have participated in a dialogue to create a new approach to solve the dilemma of providing high quality health care that is affordable and effective. Traditionally, health care reform looked at cutting people from care, cutting provider rates or cutting services. Oregon's approach is unique in that it built a new system of delivery from the ground (community) up.

The Oregon model took a "Fourth Path¿ to health care by redesigning the clinical delivery system through reducing waste, improving individual health and prevention, and therefore reducing utilization of services, creating local accountability, aligning financial incentives and creating fiscal accountability. This is not only an Oregon story, but a national one as other states, payers and purchasers implement health care reform.

• Written by content experts who have been actively involved in health care reform efforts
• Provides clear translation of current information and experience to implementation
• Explores the potential impact of the Oregon experience on national and international health care reform efforts

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Produktdetails

• Verlag: Elsevier Science & Techn.
• Seitenzahl: 362
• Erscheinungstermin: 4. August 2017
• Englisch
• ISBN-13: 9780128098288
• Artikelnr.: 48899441

Autorenporträt

Dr. Stock is a geriatrician, family physician, clinical health services researcher, and the former Director of Clinical Innovation at the Oregon Health Authority Transformation Center. With past funding from the John A Hartford Foundation, Robert Wood Johnson Foundation, and AHRQ, he has dedicated his professional career spanning thirty years to improving the quality of health care for vulnerable populations, with a focus on redesigning the primary care delivery system in the community for older adults through an interdisciplinary team model. Before joining Oregon Health & Science University in 2012 as an Associate Professor of Family Medicine, he served as Executive Medical Director of Geriatrics and Care Coordination services, and Medical Director of Education & Research at PeaceHealth Oregon Region. In 2012, he was appointed The Foundation for Medical Excellence John Kitzhaber MD Fellow in Health Policy with special emphasis on studying the impact of medical home and coordinated care organization health care delivery reform on physicians and medical practices in Oregon.

A graduate of the University of Nebraska College of Medicine, Dr. Stock completed his residency and faculty development fellowship in Family Medicine at the Medical University of South Carolina and University of North Carolina-Chapel Hill and has a Certificate of Added Qualifications in Geriatric Medicine. He has been an invited member of numerous technical expert panels that include AHRQ panels on team-based care design and measurement in primary care, the Institute of Medicine (IOM) Best Practices Innovation Collaborative on Team-Based Care, an IOM Task Force exploring the role of "Patients on Teams?, and a former invited member of the National Quality Forum Measurement Applications Partnership Clinicians Workgroup advising HHS on quality measures for public reporting and pay-for-performance.

Inhaltsangabe

1. Foreword: Leveraging State and Federal Health Reform Efforts to Improve Care
2. The Oregon Narrative: How did we get here
3. State-level Design: The Coordinated Care Model
4. The Coordinated Care Organization: Organizing Care to Improve Health
5. Developing a primary care infrastructure
6. Implementation Strategies and Support: The Transformation Center
7. Measuring Success
8. Integration of Care
9. Community Engagement
10. Aligning financial models with healthcare delivery
11. Expanding the Coordinated Care Model beyond Medicaid
12. Creating a future state