title: Patient safety: solutions in managed care organizations?
abstract: Despite the growing acknowledgment of the necessity for patient safety initiatives to address medical errors, the role of managed care organizations (MCOs) in these programs has only recently been challenged. Managed care quality improvement programs have mainly focused upon pay-for-performance initiatives, largely ignoring specific patient safety efforts. To effectively reduce medical errors, MCOs must leverage their unique positions to influence and educate both providers and consumers. This article describes MCOs' self-implemented barriers to quality improvement, and early initiatives by MCOs to encourage safe practices, including pay-for-performance. An approach for MCOs to facilitate progress and inspire a culture of patient safety is discussed. Avenues for strengthening the organizational and technological infrastructure of the health care system from a managed care perspective are examined, and strategies for implementing best practices within the constraints of managed care are explored. System-wide solutions that address the critical areas of culture, infrastructure, and best practices are necessary to continue to make significant strides in reducing medical errors and prioritizing patient safety.
authors.affiliation: College of Medicine, University of Illinois at Chicago, IL 60601, USA. cnowin1@uic.edu
authors.forename: Caralynn V
authors.initials: CV
authors.lastname: Nowinski
authors.forename: Ross M
authors.initials: RM
authors.lastname: Mullner
mesh_terms: D006279:Health Maintenance Organizations; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D015279:Organizational Culture; D011785:Quality Assurance, Health Care; D012380:Role; D017751:Safety Management; D014481:United States