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Public reporting in health care: how do consumers use quality-of-care information? Multistakeholder regional collaboratives have been key drivers of public reporting prostate foods generic 60 ml rogaine 2 otc, but now face challenges prostate cancer treatment radiation rogaine 2 60 ml for sale. Case study: Aetna drives consumer engagement through its member cost estimator tool prostate cancer education order generic rogaine 2 line. How report cards on physicians, physician groups, and hospitals can have greater impact on consumer choices. Noting that the need for such information will be acute as the implementation of the Affordable Care Act expands coverage, the authors observe that state and federal policy should support all-payer claims databases, standards for electronic health records to facilitate sharing of quality data, and a unified approach to presenting information that prioritizes consumer needs. They find that much helpful information is 336 H e a lt h A f fai r s Downloaded from content. She received a doctorate in health services and policy analysis from the University of California, Berkeley. She has particular expertise in the areas of patient and consumer engagement; health care quality and cost reporting; and the development and testing of health education and information materials for patients, families, and clinicians. Her work emphasizes explaining evidence-based information for use in decision making. Carman has led many consumer engagement research and technical assistance projects, and she currently leads multiple projects funded by the Agency for Healthcare Research and Quality and the Robert Wood Johnson Foundation. Developing and implementing quality improvement models that produce and sustain better health and better care at lower costs; Expanding effective models for patient, family, and community engagement in system change, policy development, and patient care; Helping Massachusetts health care stakeholders meet the evolving demands of payment and system reform; and Bringing together the multiple and often disparate perspectives of Massachusetts health care stakeholders in the interest of collaborative action. The report also provided readers with practical information on how to improve their own patient care experience. In a Consumer Reports readership survey, 78 percent of Massachusetts subscribers said that physician group quality information was extremely or very important to them and 68 percent said they would like to see this information published annually. This collaboration represents a mutual commitment to drive innovation and transformation in the delivery of primary care. It is designed to increase communication, understanding, and active engagement among patients and their families in the interest of providing highquality, patient-centered care. By fielding the Patient Experience Survey through the Patient Gateway, the practice can more effectively engage patients in their care and receive rapid feedback that can be acted upon in a timely manner. The Massachusetts Child Health Quality Coalition is focused on developing a comprehensive policy approach to child health and health care quality in the Commonwealth. It includes representation from parents, social and health service providers, doctors, dentists, hospitals, insurers, disease advocacy groups and state and local agencies. Multiple working groups have made important progress identifying gaps in care, exploring new measurement opportunities, and educating policy makers. This pilot project seeks to expand the engagement of Roxbury residents in improving health and health care in their neighborhood. The project will build upon our leadingedge work in using measurement to help practices identify opportunities for improvement where variations and gaps in care occur. Super-utilizers, represent a relatively small number of very sick individuals with complex medical and social needs, who account for an inordinate number of emergency room visits and inpatient hospital stays within a community. The pilot includes technical assistance from Jeffrey Brenner and the Camden Coalition of Healthcare Providers, a group noted for its success in mapping out "hotspots" of high-cost patients in impoverished neighborhoods and developing a community care model that improves health outcomes and lowers costs for these individuals. The goal of the pilot is to test effective models that can be applied, where needed, throughout the Commonwealth. The program partnership includes regional health improvement collaboratives in Pennsylvania, Wisconsin, and Minnesota. Improving the patient care experience is becoming an integral part of quality recognition and compensation programs for provider organizations in Massachusetts. Good patient experience of care matters to patients and their families and correlates with better adherence to medical advice and treatment plans. Measures included prenatal through adolescent inpatient, out-patient, preventive, dental, and mental health care. A key goal of the project was to assess the feasibility of comprehensive measurement program in the future across both public and commercial health insurance programs. The website will be a platform to meet the needs of patients and families for health care quality information that is accessible and easy to understand.
Although this economic incentive is no longer in effect prostate oncology specialist in nashville tn order rogaine 2 60 ml with amex, and rates of deaths from head injuries have returned to prostate cancer images order generic rogaine 2 line their previous levels in states that have reversed their helmet statutes prostate cancer 6 on gleason scale rogaine 2 60 ml lowest price, the association between helmet laws and reduced fatalities confirmed the utility of economic incentives in injury prevention. Insurance companies have clear data on risk-taking behavior patterns, and the payments from insurance trusts; discount premiums are available to those who avoid risk-taking behavior. Educational efforts are relatively simple to implement; they promote the development of constituencies and help bring issues before the public. Without an informed and activist public, subsequent legislative efforts (enforcement) are likely to fail. Although attractive in theory, education in injury prevention has been disappointing in practice. Yet it provides the underpinning for implementation of subsequent strategies, such as that to reduce alcohol-related crash deaths. Mothers Against Drunk Driving is an organization that effectively uses a primary education strategy to reduce alcohol-related crash deaths. Through their efforts, an informed and aroused public facilitated the enactment of stricter drunk-driving laws, resulting in a decade of reduced alcohol-related vehicle fatalities. For education to work, it must be directed at the appropriate target group, it must be persistent, and it must be linked to other approaches. More recent examples are campaigns to prevent distracted driving through legislation outlawing the use of smartphones while driving. Enforcement is a useful part of any effective injuryprevention strategy because, regardless of the type of trauma, some individuals always resist the changes needed to improve outcome-even if the improved outcome is their own. Where compliance with injury prevention efforts is lacking, legislation that mandates certain behavior or declares certain behaviors illegal often results in marked differences. For example, safety-belt and helmet laws resulted in measurable increases in usage when educational programs alone had minimal effect. This may appear self-evident, but both the magnitude and community impact of trauma can be elusive unless reliable data are available. Population-based data on injury incidence are essential to identify the problem and form a baseline for determining the impact of subsequent efforts at injury prevention. Information from death certificates, hospital and/or emergency department discharge statistics, and trauma registry data and dashboards are, collectively, good places to start. After identifying a trauma problem, researchers must define its causes and risk factors. Some trauma problems vary from community to community; however, certain risk factors are likely to remain constant across situations and socioeconomic boundaries. Abuse of alcohol and other drugs is an example of a contributing factor that is likely to be pervasive regardless of whether the trauma is blunt or penetrating, whether the location is the inner city or the suburbs, and whether fatality or disability occurs. Data are most meaningful when the injury problem is compared between populations with and without defined risk factors. In many instances, the injured people may have multiple risk factors, and clearly defined populations may be difficult to sort out. Sometimes it is not possible to determine the effectiveness of a test program, especially if it is a small-scale trial intervention. For example, a public information program on safety-belt use conducted at a school can be assessed by monitoring the incoming and outgoing school traffic and showing a difference, even when safety-belt usage rates in the community as a whole may not change. Nonetheless, the implication is clear-broad implementation of public education regarding safety-belt use can have a beneficial effect in a controlled community population. Telephone surveys are not reliable measures to confirm behavioral change, but they can confirm that the intervention reached the target group. With confirmation that a given intervention can effect favorable change, the next step is to implement injuryprevention strategies. What works in one community may not work in another, and the most effective strategy will fail if the community targeted for intervention does not perceive the problem as important. An effective injury-prevention program linked with an objective means to define its effectiveness can be a powerful message to the public, the press, and legislators. It ultimately may bring about a change in injury rates or a permanent change in behavior. Yet, it is important to remember that a pediatrician in Tennessee was able to validate the need for infant safety seats, and that work led to the first law requiring use of infant safety seats. A New York orthopedic surgeon gave testimony that played an important role in achieving the first safety-belt law in the United States.
