Bibliography includes references to scientific papers, book chapters, abstract presentations and other authoritative sources that we feel have long term value and relevance to our work. New thinking and findings, not just current events.
I choose to be an optimist. I can visualize a health care system that is better than the one we have. A system where we function as a coordinated team, learn from day-to-day care, enabled by analytic methods and information technology designed to make that happen. A system where we can measure improvement in patient
Improving health care requires convincing people to make changes. Changing a care process begins with changing the minds of the people involved in that process. But, how can we change people’s minds? I am a person who loves logic and numbers. Therefore, my tendency is to assume that the best way to convince people to
Simon Sinek’s TED talk: Change minds by starting with why, not what Read More »
The vast majority of already-published and currently-underway studies of the effectiveness of the Patient Centered Medical Home (PCMH) model of care are pilot studies with fewer than 50 PCMH practices. Most of these studies report or intend to report reductions in hospitalization rates and savings across the entire population of patients served by the PCMH
After much delay, the Federal Government has finally released the following: 427 page “notice of proposed rule-making” from CMS covering Accountable Care Organizations (ACO) and the associated Medicare Shared Savings Program 26 page document regarding the “waiver designs” for the Shared Savings programs and the Innovation Center A short “perspective” piece in the New England
Links to CMS ACO Proposed Rules and Dr. Berwick’s associated NEJM comments Read More »
Atul Gawande is a general surgeon at Brigham and Women’s Hospital in Boston, and is an amazingly compelling writer about health care issues. He has written a series of articles in the New Yorker, blending stories of individual patients and their care providers with a larger scientific and health policy context. Some of the most relevant of
Atul Gawande’s articles in the New Yorker most relevant to ACOs Read More »
Here is the original reference to the February, 2007, 3-page consensus document that describes the Joint Principles of the Patient Centered Medical Home. It was created by the four professional societies that are focused on primary care: American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), and American Osteopathic Association (AOA). Very
Reference for Joint Principles of the Patient Centered Medical Home, 2007 Read More »
This is probably the single most useful reference regarding Accountable Care Organizations, outlining alternative ways of conceptualizing them and giving a balanced explanation of the pros and cons of alternative models, including structure and reimbursement. David Share, MD, from BCBSM was involved, and the document uses BCBSM’s Physician Group Incentive Program as a case study.
Harold Miller’s Paper: How to Create Accountable Care Organizations Read More »
Note: The following are our favorite “classic” references from before 2000. Looking through this list, most have really stood the test of time, and it is amazing to see how long some of these ideas have been around, despite the relative lack of progress in our health care field in implementing the important ideas presented
Classic Papers before 2000 Read More »
