Publications: Health Care Quality

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International Learning on Increasing the Value and Effectiveness of Primary Care (I LIVE PC)

4/3/2012 - This article, based on a Commonwealth Fund/Agency for Healthcare Research and Quality international conference on primary care, shows how strong primary care can provide the groundwork for efforts to improve overall care and population health while also controlling costs.

In the Literature

Public Reporting Helped Drive Quality Improvement in Outpatient Diabetes Care Among Wisconsin Physician Groups

3/30/2012 - Public reporting seems to have driven early adoption of diabetes care improvement interventions and the adoption of multiple, simultaneous interventions over time.

In the Literature

International Perspectives on Patient Engagement: Results from the 2011 Commonwealth Fund Survey

3/29/2012 - An international survey of adults with complex health care needs found wide variations in the degree to which patients are engaged in their own care, from self-managing a health condition to actively participating in treatment decisions.

In the Literature

The Role of Care Coordinators in Improving Care Coordination: The Patient's Perspective

3/20/2012 - Using data from the 2010 Commonwealth Fund International Health Policy Survey, encompassing more than 11,000 adults in 11 countries, the authors of this Archives of Internal Medicine study reported the effects that having a care coordinator, better access to primary care, and strong health care provider–patient communication have on care coordination.

In Brief

How Report Cards on Physicians, Physician Groups, and Hospitals Can Have Greater Impact on Consumer Choices

3/5/2012 - In this Commonwealth Fund-supported study, researchers synthesize the views of experts and stakeholders on what needs to be done to make physician report cards more useful and the challenges that must be overcome to improve them.

In the Literature

Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes

2/27/2012 - The patient-centered medical home has been proposed as a model for transforming primary care and improving efficiency and effectiveness in the health care system. This report outlines and describes the changes that most medical practices would need to make to become patient-centered medical homes.

Fund Report

Who Are We Reaching Through the Patient Portal: Engaging the Already Engaged?

2/21/2012 - This Commonwealth Fund–supported study investigated the common assumption that such online access can engage patients and encourage them to take active roles in their health and care.

In Brief

Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes

2/21/2012 - This Commonwealth Fund–supported study sought to investigate the extent to which patient activation, as assessed by the Patient Activation Measure (PAM), is related to health and utilization outcomes among a large group of insured patients.

In Brief

Overuse of Health Care Services in the United States: An Understudied Problem

2/21/2012 - Overuse of health care services contributes to poor-quality care and drives up medical costs. In this Commonwealth Fund–supported study, researchers conducted a literature review to better understand the scope of overuse and spot trends over time.

In Brief

The Relationship Between Geographic Variations and Overuse of Health Care Services: A Systematic Review

2/21/2012 - In this Commonwealth Fund–supported study, researchers conducted a review of the professional literature to examine the relationship between geographic variations and overuse of health care services.

In Brief

Incorporating INTERACT II Clinical Decision Support Tools into Nursing Home Health Information Technology

1/23/2012 - This Commonwealth Fund–supported study examined some of the steps necessary to incorporate the the INTERACT clinical transition tools into nursing homes' health information technology systems.

In Brief

Wellness Incentives, Equity, and the Five Groups Problem

1/20/2012 - This Commonwealth Fund–supported study explores the equity concerns associated with wellness incentives, an increasingly popular way for employers to encourage participation in prevention programs, which can both improve workers' overall health and reduce costs.

In Brief

Monarch HealthCare: Leveraging Experience in Population Health Management to Attain Accountable Care

1/13/2012 - Monarch HealthCare, a physician-led independent practice association in Orange County, Calif., is one of the provider groups participating in the Brookings–Dartmouth ACO Pilot Program to form accountable care organizations, which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved.

Case Study

Norton Healthcare: A Strong Payer-Provider Partnership for the Journey to Accountable Care

1/13/2012 - This case study explores the characteristics of Norton and its partners, including the insurer Humana, that have contributed to the development of the ACO, including: a strong payer–provider relationship bolstered by a joint ACO implementation committee, a focus on performance measurement and reporting, an expanding heath information technology infrastructure, and an integrated system that facilitates communication and collaboration across the continuum of care.

Case Study

HealthCare Partners: Building on a Foundation of Global Risk Management to Achieve Accountable Care

1/13/2012 - This case study explores: the characteristics of HealthCare Partners and its partner organizations, including the insurer Anthem, that are contributing to the development of the ACO; the rationale behind the decision to develop an ACO; the steps taken to implement the model; milestones achieved; and lessons learned.

Case Study