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Writing Simple Short words that convey the message Short sentences, no run-on sentences Microsoft grammer scale – less than 11 Readable Headings Bullet lists Bold, Underline Use Pictures Figures Tables Graphs. Charts Generate Interest Pictures Quote Boxes Convincing Bold Language
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Writing Simple Short words that convey the message Short sentences, no run-on sentences Microsoft grammer scale – less than 11 Readable Headings Bullet lists Bold, Underline Use Pictures Figures Tables Graphs Charts Generate Interest Pictures Quote Boxes Convincing Bold Language I believe…, It is …, We should… No leading phrases Passion Repetition Introduction, Body, and Conclusion – tell them 3 times Clear Message Ask someone else to read it and tell you what they think you are saying Communication Skills
Legislative vs. Market-driven Reforms • Legislative proposals: try to balance cost, quality, access without risking system strengths to remedy weaknesses. • Primary market goal: contain costs • Public unable to judge benefits/risks of proposed remedies.
Dominant Special Interest Groups • Government - payer, regulator, provider • Employers - Pay for Insurance, lose productivity • Public - AARP, Amer Heart, Amer Cancer, Labor • Major Providor Groups - Doctor, Rx, Hospital • Vendors - IT, Radiology, Premier, VHA
…Unwilling to risk strengths in a radical effort to remedy admittedly serious defects..
Basic Parameters of Healthcare Deliver Cost Quality Access
Access Payment Distance Technology Acceptance Cost Direct Cost Out of pocket Discount Indirect Cost Time Productivity Admistrative Payment System Discounts Bad Debts Consider some measures for each
Quality • Mortality Rate • LOS • QALY • Donabedian Model • Structure • Process • Outcomes