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Explore the relationship between coverage, access, quality of care, and efficiency in healthcare. Learn how poor access undermines quality and increases costs, and discover approaches for improvement.
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We Can Be The Best Stephen C. Schoenbaum, MD, MPH Executive Vice President for Programs The Commonwealth Fund www.cmwf.org Bipartisan Congressional Health Policy Conference January 13, 2007
Some Summary Points • Coverage, access, quality of care, and efficiency are all interconnected. • Poor access undermines quality, increases costs of care • Example: Hospitals for ambulatory care sensitive conditions • We can do better – can even approach perfection • Results can include lives saved, lower total costs, improved value
Reid Hospital; Richmond, Indiana *HQA = Hospital Quality Alliance
Improvements in Use of Beta BlockersAfter a Heart Attack Score in 1996: 71 Score in 2005: 97 Source: National Committee for Quality Assurance, TheState of Health Care Quality: 2006, Washington, D.C.: NCQA, 2006.