July 31, 2009 - This Commonwealth Fund report profiles five safety-net hospitals that made improvements to curb emergency department crowding, reduce long waits, and lower the number of hours spent on ambulance diversion.
November 29, 2004 - Five years ago, the Institute of Medicine galvanized the public and medical community with "To Err Is Human," its report on medical errors. There has been some, but not sufficient, progress in making health care safer, says Robert Wachter, M.D., in this Health Affairs article.
In the Literature
December 2, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Englewood Hospital and Medical Center.
July 3, 2012 - To determine the financial impact of restricting payment to hospitals for patient readmissions, this Commonwealth Fund–supported study assessed the frequency of readmissions at California hospitals that could be tied to avoidable medical complications.
January 30, 2007 - Emerging evidence indicates that targeted efforts to measure and improve the quality of health care may be able to reduce, or even eliminate, disparities, while improving care for all patients. A new Fund report assesses whether safety net hospitals treating large minority populations can use measures adopted by the Hospital Quality Alliance to collect quality data by patients' race and ethnicity.
November 1, 2002 - In this 2002 book, Don Berwick, M.D., the new Centers for Medicare and Medicaid Services administrator, outlines the problems with the health care system--medical errors, confusing and inconsistent information, and a lack of personal attention and continuity in care--and then sketches an ambitious program for reform.
October 8, 2013 - The Federally Qualified Health Center Urban Health Network is a coalition of 10 federally qualified health centers in the Minneapolis–St. Paul area that pursued an accountable care organization (ACO) through a Medicaid demonstration project with Minnesota. This case study explores the state context under which the ACO contract emerged, the origins of the coalition, and more.
March 18, 2013 - The Commonwealth Fund-supported authors of this study recommend using an array of financial and nonfinancial incentives—including performance rankings—to help facilitate a broad "shared-purpose orientation" embraced by all participating clinicians.
August 19, 2010 - The authors of this issue brief find that quality improvement initiatives are rarely reviewed by an institutional review board or another independent body charged specifically with ethical oversight.
December 22, 2005 - A five-nation study of national physician guidelines used for the prevention of cardiovascular disease finds that even slight differences can produce large differences in health consequences and overall costs. Focusing on older patients and using aspirin treatment are among the most cost-effective recommendations, the study revealed.
In the Literature
July 22, 2009 - This Commonwealth Fund issue brief looks at Australia's Pharmaceutical Benefits Scheme, through which most prescription drugs are subsidized.
April 17, 2007 - To address the flaws of traditional payment methods, like fee-for-service and capitation, the authors of this Fund report suggest a new payment model, based on evidence-informed case rates.
June 16, 2008 - A new issue brief reviews an alternative payment model created by Prometheus Payment, called evidence-informed case rates (ECRs), which are designed to create fair payments for all providers delivering care to a patient for a particular condition.
May 23, 2005 - Pay-for-performance has significant potential to benefit the health care sector, Harvard professor Meredith B. Rosenthal, Ph.D, told a May 17th congressional hearing on trends in employer-sponsored health care. But the trend is still new to health care, she noted, and payers face a number of challenges in implementing these programs.
January 1, 2003 - In group discussions with a broad cross-section of adults, researchers found that consumers are able to understand data on various dimensions of physician performance—including effectiveness of care and patient safety.