Safe
Effective
Patient Centered
Timely
Equitable - ANS Identify elements of a well-functioning health care delivery system
Establish a national focus
Identifying and learning from errors
Raising performance standards and expectations
Implementing safety systems in health care organizations
pay for
performance
penalties for excess readmissions - ANS Describe strategies to increase access to affordable,
high-quality care.
Until recently, physicians were private/solo and had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over hospitals because
they were not employees
Physicians had a lot of power because hospitals depended on physicians to admit patients or
refer them for treatment
The fee-for-service arrangement caused financial incentive for physicians doing more care, not
necessarily better care - ANS Compare and contrast these health care delivery systems:
physicians and hospitals
-Late 1800s, Mayo Clinic founded in Rochester, MN.
-Physicians of different specialties came together and shared income, expenses, facilities, ect.
To provide better, more comprehensive care
-Serve specific communities - ANS Compare and contrast these health care delivery systems:
multispecialty practice groups
-Regionalized services for vulnerable communities, emphasis on primary care and education.
-Goal is for everyone to have access to care regardless of ability to pay.
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