Bruce W. Goldberg - Health Reform Policy to Practice : Oregon As a Case Study for a Path to a Comprehensive and Sustainable Health Delivery Model download PDF, EPUB
9780128098288 English 0128098287 Countries around the world are looking to reform health care systems to make them more efficient and work to produce a high level of quality care for all citizens. Health Reform Policy to Practice offers a real world example of an innovative, successful, and comprehensive program conducted by the U.S. State of Oregon. In 1991 Oregon embarked on a journey to improve health for all of its citizens by radically re-thinking how to approach health care comprehensively for long-term benefits. Over more than two decades Oregonians have participated in a dialogue to create a new approach to solve the dilemma of providing high quality health care that is affordable and effective. Traditionally, health care reform looked at cutting people from care, cutting provider rates or cutting services. Oregon's approach is unique in that it built a new system of delivery from the ground (community) up, rather than looking at cutting, creating a comprehensive health plan that focused on preventative care and serviced people without access to traditional insurance or coverage as well as improving the health care received by people in the traditional system. The Oregon model took a "Fourth Path" to health care by redesigning the clinical delivery system through reducing waste, improving individual health and prevention, and therefore reducing utilization of services, creating local accountability, aligning financial incentives and creating fiscal accountability. This is not only an Oregon story, but a national one as other states, payers and purchasers implement health care reform. Health Reform Policy to Practice describes the key components to developing a state and community-focused health policy, the Affordable Care Act influence and implications for impacting other states, purchasers and payers. It outlines the areas of focus for Oregon health transformation, implementation tactics, and the cross-cutting strategies and describes methods for evaluation and continuous improvement of the coordinated care model. Health Reform Policy to Practice will be essential reading for students, researchers and policy makers in public health, as well as doctors, nurses, and all those interested in health care reform. Written by content experts who have been actively involved in health care reform efforts. Provides clear translation of current information and experience to implementation Explores the potential impact of the Oregon experience on national and international health care reform efforts
9780128098288 English 0128098287 Countries around the world are looking to reform health care systems to make them more efficient and work to produce a high level of quality care for all citizens. Health Reform Policy to Practice offers a real world example of an innovative, successful, and comprehensive program conducted by the U.S. State of Oregon. In 1991 Oregon embarked on a journey to improve health for all of its citizens by radically re-thinking how to approach health care comprehensively for long-term benefits. Over more than two decades Oregonians have participated in a dialogue to create a new approach to solve the dilemma of providing high quality health care that is affordable and effective. Traditionally, health care reform looked at cutting people from care, cutting provider rates or cutting services. Oregon's approach is unique in that it built a new system of delivery from the ground (community) up, rather than looking at cutting, creating a comprehensive health plan that focused on preventative care and serviced people without access to traditional insurance or coverage as well as improving the health care received by people in the traditional system. The Oregon model took a "Fourth Path" to health care by redesigning the clinical delivery system through reducing waste, improving individual health and prevention, and therefore reducing utilization of services, creating local accountability, aligning financial incentives and creating fiscal accountability. This is not only an Oregon story, but a national one as other states, payers and purchasers implement health care reform. Health Reform Policy to Practice describes the key components to developing a state and community-focused health policy, the Affordable Care Act influence and implications for impacting other states, purchasers and payers. It outlines the areas of focus for Oregon health transformation, implementation tactics, and the cross-cutting strategies and describes methods for evaluation and continuous improvement of the coordinated care model. Health Reform Policy to Practice will be essential reading for students, researchers and policy makers in public health, as well as doctors, nurses, and all those interested in health care reform. Written by content experts who have been actively involved in health care reform efforts. Provides clear translation of current information and experience to implementation Explores the potential impact of the Oregon experience on national and international health care reform efforts