title: Crossroads in quality.
abstract: Expanding insurance coverage is a critical step in health reform, but we argue that to be successful, reforms must also address the underlying problems of quality and cost. We identify five fundamental building blocks for a high-performance health system and urge action to create a national center for effectiveness research, develop models of accountable health care entities capable of providing integrated and coordinated care, develop payment models to reward high-value care, develop a national strategy for performance measurement, and pursue a multistakeholder approach to improving population health.
authors.affiliation: National Committee for Quality Assurance in Washington, DC, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: O'Kane
authors.forename: Janet
authors.initials: J
authors.lastname: Corrigan
authors.forename: Sandra M
authors.initials: SM
authors.lastname: Foote
authors.forename: Sean R
authors.initials: SR
authors.lastname: Tunis
authors.forename: George J
authors.initials: GJ
authors.lastname: Isham
authors.forename: Len M
authors.initials: LM
authors.lastname: Nichols
authors.forename: Elliott S
authors.initials: ES
authors.lastname: Fisher
authors.forename: Jack C
authors.initials: JC
authors.lastname: Ebeler
authors.forename: James A
authors.initials: JA
authors.lastname: Block
authors.forename: Bruce E
authors.initials: BE
authors.lastname: Bradley
authors.forename: Christine K
authors.initials: CK
authors.lastname: Cassel
authors.forename: Debra L
authors.initials: DL
authors.lastname: Ness
authors.forename: John
authors.initials: J
authors.lastname: Tooker
mesh_terms: D003695:Delivery of Health Care / Q000592:standards*; D018166:Health Care Reform; D006302:Health Services Research; D006801:Humans; D007348:Insurance, Health / Q000592:standards*; D008491:Medical Informatics Applications; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards; D014481:United States