title: Ten strategies to lower costs, improve quality, and engage patients: the view from leading health system CEOs.
abstract: Patient-centeredness--the idea that care should be designed around patients' needs, preferences, circumstances, and well-being--is a central tenet of health care delivery. For CEOs of health care organizations, patient-centered care is also quickly becoming a business imperative, with payments tied to performance on measures of patient satisfaction and engagement. In A CEO Checklist for High-Value Health Care, we, as executives of eleven leading health care delivery institutions, outlined ten key strategies for reducing costs and waste while improving outcomes. In this article we describe how implementation of these strategies benefits both health care organizations and patients. For example, Kaiser Permanente's Healthy Bones Program resulted in a 30 percent reduction in hip fracture rates for at-risk patients. And at Virginia Mason Health System in Seattle, nurses reorganized care patterns and increased the time they spent on direct patient care to 90 percent. Our experiences show that patient-engaged care can be delivered in ways that simultaneously improve quality and reduce costs.
authors: Cleveland Clinic, Cleveland, Ohio, USA.
authors: Delos M
authors: DM
authors: Cosgrove
authors: Michael
authors: M
authors: Fisher
authors: Patricia
authors: P
authors: Gabow
authors: Gary
authors: G
authors: Gottlieb
authors: George C
authors: GC
authors: Halvorson
authors: Brent C
authors: BC
authors: James
authors: Gary S
authors: GS
authors: Kaplan
authors: Jonathan B
authors: JB
authors: Perlin
authors: Robert
authors: R
authors: Petzel
authors: Glenn D
authors: GD
authors: Steele
authors: John S
authors: JS
authors: Toussaint
mesh_terms: D057189:Checklist; D003363:Cost Control / Q000379:methods*; D003657:Decision Making; D003695:Delivery of Health Care / Q000191:economics / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D017598:Efficiency, Organizational; D019317:Evidence-Based Medicine / Q000379:methods; D006301:Health Services Needs and Demand; D006801:Humans; D010358:Patient Participation / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration*; D011787:Quality of Health Care / Q000592:standards