Crossroads in quality.
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.
O'Kane
Margaret
M
National Committee for Quality Assurance in Washington, DC, USA.
Corrigan
Janet
J
Foote
Sandra M
SM
Tunis
Sean R
SR
Isham
George J
GJ
Nichols
Len M
LM
Fisher
Elliott S
ES
Ebeler
Jack C
JC
Block
James A
JA
Bradley
Bruce E
BE
Cassel
Christine K
CK
Ness
Debra L
DL
Tooker
John
J
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