By Wes Chapman, Steve Maker, and Mario Martinez
Preface
This is the first of two white papers on ISO 9001 in healthcare. This paper provides a historical perspective, an overview of the purpose and principles of ISO 9001, and a brief look at the potential of ISO 9001 to transform healthcare delivery in the U.S. [...]
Palliative care and patient involvement are critical components of revised treatment pathways that put the focus where it belongs: on the patient.
Criteria for choosing Patient Reported Outcome metrics for use in oncology, plus five PROs the authors found suitable for further study.
A short catalog of the most significant organizations that serve as clearinghouses of clinical pathways and quality metrics for oncology. The article briefly describes what they specifically address, how they interact, and their different approaches to improving oncology care.
The Green Mountain Care Board recently approved a cancer care pilot project in the St. Johnsbury area designed to improve quality, enhance patient satisfaction, and reduce costs. PCD Partners has been retained to provide consulting and to deploy a cloud-based, proprietary ISO-style Quality Management System to support this important initiative. PCD’s process and outcomes data will demonstrate best practice adherence among the participating healthcare providers, and aid the players in designing optimal payment reform that aligns incentives between patients, providers, and payors.
Wes Chapman, President and CEO of PCD Partners, said, “PCD is pleased to be part of this oncology based reform initiative that will rationalize healthcare operations and improve quality of care for Vermont cancer patients,” adding, “Since the program is designed to be scalable to other state and federal initiatives, the project is also capable of significant impact on the quality and cost of healthcare nationally.”
Read the full press release below.
The U.S. healthcare system is the most expensive in the world, yet it does not produce the best outcomes, either in patient expectations or in life expectancy. High costs reflect waste, inefficiency, duplication, and unnecessary services. Three underlying problems contribute to this situation.
The twin marvels of truly awful weather and systemic market meltdowns have a lot in common. First they feed on persistent disequilibria in their respective systems – weather systems feed on temperature and pressure differentials which can only be resolved through long time frames for adjustment or short term violence – storms. Similarly, economic and financial disequilibrium tend to be founded on regulatory or information impediments, leading to persistent positive feedback loops – first running markets up, and then, inevitably, leading to collapse.
Metcalfe’s Law and the Issues of Social Network Valuations
The Great Recession is a rolling disaster that the world economy seemingly stumbled into in the spring of 2008 and continues most colorfully today with the slow motion train wrecks of monetary policy in the United States and the collapsing Euro. This rolling economic Verdun was born many years before in a series of ill-conceived and poorly understood policy initiatives championed by consumer advocates and industry groups alike. These reforms – generally characterized as deregulation – were targeted at the seemingly laudable targets of risk mitigation and fairness, and categorically achieved just the opposite.
The Bankruptcy Reform Act was aimed at changing the trajectory of consumer loan growth, but it probably continued the growth of consumer credit well beyond what was prudent. In reality, this legislative attempt at credit enhancement only served to drive lenders into the arms of the least prudent and credit worthy borrowers.
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