Briefing Detail Page
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 Reforming the Health Care Delivery System: A Team Approach
Friday, March 27, 2009
Reforming the American health care system is a front-burner topic for many policymakers. One main reason is the desire to extend coverage to some if not all of the more than 45 million uninsured in this country. But there is an emerging consensus that reform must also encompass ways to improve quality and value in the system, and one of the prime targets for reform is the way care is delivered. Advocates, analysts, policymakers, consumers and the business and labor communities are all looking for ways to get more value for their health care dollar – delivering better care at lower cost.
Some health care organizations have combined thoughtful use of technology and better use of personnel to improve preventive care and treatment of chronic disease, obtain better outcomes, and offer additional job satisfaction to their health care workforce. For example, the Colorado unit of Kaiser Permanente reduced the mortality associated by cardiac care by 76 percent, in part through a coordinated and multi-disciplinary team using electronic medical records.
Is this model applicable to other organizations? How can health systems restructure their work force to improve productivity and quality? Who needs to be on the care team? How important is health information technology to the success of the team approach? Is the infrastructure ready?
To address these and related questions, the Alliance for Health Reform, Kaiser Permanente and the AFL-CIO sponsored a March 27 briefing. Panelists were: George Halvorson, president of Kaiser Permanente; Carolyn Clancy, director of the Agency for Healthcare Research and Quality; Susan Kuca, cardiac care coordinator for Kaiser Permanente Colorado; Jon Rasmussen, chief of clinical pharmacy cardiovascular services at Kaiser Permanente Colorado; Rohit Bhalla, director of performance and quality improvement at Montefiore Medical Center; and union representative Maria Castaneda, secretary-treasurer of 1199SEIU. Ed Howard of the Alliance and John Sweeney, president of the AFL-CIO and a member of the Alliance board, co-moderated.
| Speakers |
 Ed Howard, Alliance for Health Reform, Moderator
John Sweeney, AFL-CIO, Moderator
George Halvorson, Kaiser Permanente, Speaker
Carolyn Clancy, Agency for Healthcare Research and Quality, Speaker
Jon Rasmussen, Colorado Kaiser Permanente, Speaker
Susan Kuca, Colorado Kaiser Permanente, Speaker
Maria Castaneda, 1199SEIU United Health Care Workers East , Speaker
Rohit Bhalla, Montefiore Medical Center, Speaker
(Click on the camera icon to see a video of the speaker's presentation.) |
| Transcript, Event Summary and/or Webcast and Podcast |
Transcript: Briefing: Reforming the Health Care Delivery System: A Team Approach (Adobe Acrobat PDF), 3/27/2009
Event Summary: Reforming the Health Care Delivery System: A Team Approach (Adobe Acrobat PDF), 3/27/2009
Full Webcast/Podcast: Reforming the Health Care Delivery System: A Team Approach
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| The transcript, full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.
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| Speaker Presentations |
Clancy Presentation (PowerPoint), 4/27/2009
Rasmussen and Kuca Presentation (PowerPoint), 4/27/2009
Halvorson Presentation (PowerPoint), 4/27/2009
(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)
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| Source Materials |
Agenda (Word Document), , 4/27/2009
Source List (Word Document), , 4/27/2009
Speaker Biographies (Word Document), , 4/27/2009
Montefiore Medical Center (Adobe Acrobat PDF), , 1/1/2009
Training and Employment Funds Tackle Infection Prevention (Adobe Acrobat PDF), Emplyer News, 2/15/2009
Reforming the Health Care Delivery System: A Team Approach (Adobe Acrobat PDF), , 3/27/2009
Selected Experts (Word Document), , 3/27/2009
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| Offsite Materials (briefing documents saved on other websites) |
Hospitalists Use Teamwork To Improve Care, Increase Efficiency in Hospitals, Medical News Today, 11/18/2008
Checklist Reduces Deaths in Surgery, The New York Times, 1/20/2009
Get Organized: How to Streamline Health Care Delivery, The Commonwealth Fund, 4/28/2008
Disease Management: Panacea, Another False Hope, or Something in Between?, Annals of Family Medicine, 5/15/2007
Medicare: The Place To Start Delivery System Reform, Health Affairs, 1/27/2009
Payment Reform Alone Will Not Transform Health Care Delivery, Health Affairs, 1/27/2009
The Health Care Delivery System: A Blueprint for Reform, Center for American Progress, 10/31/2008
Community Care of North carolina: Improving Care Through Community Health Networks, Annals of Family Medicine, 7/15/2008
Accountable Health Organizations Enter Policy Spotlight, The Commonwealth Fund, 4/13/2009
The Teamlet Model of Primary Care (Adobe Acrobat PDF),Annals of Family Medicine, 9/15/2007
Building Teams in Primary Care: Lessons Learned (Adobe Acrobat PDF),California HealthCare Foundation, 7/15/2007
Next Up: Cost Control and Delivery System Reform, WBUR Bostons News Station, 11/12/2008
The Role of Nurses in Hospital Quality Improvement (Adobe Acrobat PDF),Center for Studying Health System Change, 4/1/2008
Reforming the Health Care Delivery System (Adobe Acrobat PDF),MedPAC, 4/10/2009
Innovation in Primary Care -- Staying One Step ahead of Burnout, New England Journal of Medicine, 11/27/2008
Delivery System Reform Action Steps and Pay-for-Value Approaches (Adobe Acrobat PDF),Intermountain Healthcare, Kaiser Permanente, Mayo Clinic, 11/4/2008
Rewarding Quality Performance: The Role of Nursing (Adobe Acrobat PDF),Alliance for Health Reform, 4/15/2007
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George Halvorson, chairman and CEO of the Kaiser Foundation Health Plan, Inc., and Kaiser Foundation Hospitals, describes a vision for reforming health care delivery at the March 27 briefing cosponsored by Kaiser Permanente and the AFL-CIO. (22 min.) |
Carolyn Clancy, director of the Agency for Healthcare Research and Quality, discussed why delivery system reform should be an integral part of health reform at the March 27 briefing, cosponsored by Kaiser Permanente and the AFL-CIO. (10 min.) |
Rohit Bhalla, chief quality officer at Montefiore Medical Center, explains how management and union members are working together in the Bronx to improve patient care. (9 min.) From the March 27 briefing cosponsored by Kaiser Permanente and the AFL-CIO. |
Susan Kuca of Kaiser Permanente Colorado describes how she and her colleagues have improved the quality of care delivered to patients with heart disease, advances that have gained national recognition. (9 min.) From the March 27 briefing cosponsored by Kaiser Permanente and the AFL-CIO. |
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