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Quality Guru John Wennberg MD Targets Health Economics
By Staff Reporters
According to the New England Journal of Medicine, and as reported by blogger Matthew Holt in December 2008, the Dartmouth Atlas team has offered an “Agenda for Change” which laid out some practical tactics – for reducing medical practice variation – leading to more standardized care patterns and rational economic spending.
Link: http://www.healthcarefinancenews.com/news/controlling-variations-spending-critical-healthcare-reform
The Original Pioneer
Written by oft cited John Wennberg MD (the godfather of medical practice variation research), Shannon Brownlee [author of the seminal book “Overtreated”] and colleagues, the “Agenda” includes financial incentives for Medicare providers that would share savings resulting from better organizing patient care and improving outcomes and efficiencies especially for people managing chronic conditions.
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Note: Efficiency here means the best outcomes and quality at the lowest cost and resource utilization; and we might add at the most appropriate venue, delivery vehicle and time.
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Assessment
Until now, experts have blamed the healthcare growth in spending on advances in medical technology, but Elliott Fisher MD, another one of the study’s authors, says that differences in financial growth rates across regions show that advancing technology is only part of the explanation.
IOW: Controlling financial variations in spending, like those clinical variations in medical care via EBM, is critical to any type of healthcare reform.
Be sure to download and read the 25 page report here.
Link: http://www.dartmouthatlas.org/topics/agenda_for_change.pdf
Conclusion
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Filed under: Uncategorized | Tagged: Agenda for Change, david marcinko, Elliott Fisher MD, John Wennberg MD, Matthew Holt, NEJM, Shannon Brownlee, www.certifiedmedicalplanner.com, www.healthcarefinancials.com, www.healthdictionaryseries.com, www.medicalbusinessadvisors.com | Leave a comment »
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