July 13, 2010 - A new report from eHealth Initiative tracks developments over the past three years in promoting the adoption and use of health IT.
July 7, 2010 - Compared with other hospitals, public hospitals are generally assumed to face multiple barriers to providing high-quality care: lower revenues; sicker patients who may have infrequent contact with the health care system; and an older infrastructure, particularly related to health information technology.
This case study series set out to find how some public hospitals have succeeded in achieving excellence in quality of care, in spite of such challenges.
July 7, 2010 - This case study describes the strategies and factors that appear to contribute to high adherence to "core" quality measures at Memorial Healthcare System. It is part of series of case studies on high-performing public hospitals.
July 7, 2010 - High scores on core measures distinguish the Carolinas Medical Center network hospitals, and Carolinas Medical Center–University as the top performer among them. It is part of series of case studies on high-performing public hospitals.
July 7, 2010 - This case study focuses on Norman Regional Health System's achievement in providing recommended treatment on process-of-care, or "core," measures. It is part of series of case studies on high-performing public hospitals.
June 8, 2010 - The recently passed health reform law establishes new payment initatives to provide incentives for better and more efficient care. For these initiatives to be successful, they will have to produce changes in health care delivery, while allowing for the flexibility to tailor those changes to different circumstances.
June 8, 2010 - The Commonwealth Fund Commission on a High Performance Health System offers payment innovations that the new Center for Medicare and Medicaid Innovation should introduce to reward more-integrated, high-value care.
June 8, 2010 - In this Health Affairs article, Commonwealth Fund experts offer a series of recommendations for the new Center for Medicare and Medicaid Innovation, which was established by the health reform law to develop innovative ways of providing and paying for care that have the potential to reduce costs while preserving or enhancing quality.
In the Literature
May 27, 2010 - Community health centers that are closely affiliated with hospitals have fewer difficulties getting their patients appointments for specialty procedures like X-rays, diagnostic tests, and visits with specialist physicians, according to this Commonwealth Fund survey of community health centers.
May 21, 2010 - This updated analysis, coauthored by Harvard University's David Cutler and The Commonwealth Fund's Karen Davis and Kristof Stremikis, projects the effect of national reform on total national health expenditures and the insurance premiums that American families would likely pay.
May 14, 2010 - An accountable care organization—a model of care being promoted through the new health reform law—is a provider organization that takes on responsibility for meeting the health needs of a defined population, including the total cost of care and the quality and effectiveness of services. This report describes the efforts of three health care provider organizations in Vermont that are planning pilot tests of accountable care organizations, to be launched next year as part of a national learning network.
April 22, 2010 - This case study describes the strategies and factors that appear to contribute to high adherence to “core” measures at Norman Regional Health System. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital during June to October 2009.
April 13, 2010 - The New York State Nursing Home Health Information Technology Demonstration Project is a publicly subsidized initiative to implement comprehensive, point-of-care electronic medical records in 20 New York City nursing homes. This case study looks at the variations between homes regarding: 1) organizational aims for adapting HIT; 2) the technology’s perceived or real effects; and 3) implementation of quality improvement efforts as a result of newly available data.
April 12, 2010 - This case study describes the strategies and factors that appear to contribute to high performance on pneumonia process-of-care measures at Walla Walla General Hospital. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital during October through November 2009.
April 9, 2010 - With a focus on delivering low-cost, high-quality care, several organizations using the group employed model—with physician groups whose primary and specialty care physicians are salaried or under contract—have been recognized for creating a culture of patient-centeredness and accountability.