Organizing the U.S. Health care consignment scheme for High Performance
Organizing the U.S. Health care Delivery system for High Performance
Health care consignment in the joined States has long been recounted as a “cottage industry,” distinuished by fragmentation at the nationwide, state, community, and perform levels. There is no single nationwide entity or set of policies directing the health care scheme; states split up their responsibilities among multiple agencies, while providers performing in the identical community and nurturing for the same patients often work individually from one another. Furthermore, the fragile prime care scheme is on the verge of collapse. This report from The Commonwealth finance charge on a High presentation Health System examines the difficulty of fragmentation in our wellbeing care delivery scheme, especially at the community grade, and boasts policy recommendations to stimulate larger organization.
Despite the federal government's role as the single largest payer for health care, there is no national entity or set of policies guiding the health care system.1 States divide their responsibilities among multiple agencies, while providers practicing in the same community and caring for the same patients often work independently from one another. Furthermore, the fragile primary care system is on the verge of collapse.2 This report focuses on the organization of health care delivery at the local level, considering the relationships among physicians, hospitals, and other providers in a community. Not surprisingly, fragmentation at this level is often reflected in patients' experiences.
The fragmentation of our delivery scheme is a basic contributor to the poor overall presentation of the U.S. health care system. In our fragmented system:
patients and families navigate unassisted across distinct providers and care backgrounds,
fostering frustrating and dangerous patient experiences; poor communication and lack of clear accountability for a patient among multiple
providers lead to medical errors, waste, and duplication; the absence of peer accountability, quality improvement infrastructure, and clinical
information schemes foster poor general value of care; and high-cost, intensive medical intervention is paid over higher-value prime care,
Including preventive surgery and the administration of chronic illness.
How Do We Want wellbeing Care to Be Delivered?
If we do not desire the status quo, how do we desire health care to be delivered? The Commission has identified six attributes of an ideal health care delivery system, each of which has been demonstrated to be an important driver of high performance: Patients' clinically relevant information is available to all providers at the point of care and
To patients through electrical devices wellbeing record systems. Patient care is coordinated among multiple providers, and transitions across care backgrounds are
Actively managed. Providers (including doctors and other members of care groups) both inside and across
Settings have responsibility to each other, reconsider each other's work, and cooperate to reliably consign high-quality, high-value care.
Patients have very simple get get access to to to appropriate care and information, including after hours; there are multiple points of application to the scheme; and providers are heritage competent and responsive to patients' ...