Ten Simple Rules

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Greenbeard, Mar 24, 2011.

  1. Greenbeard
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    Greenbeard Gold Member

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    One of the more frustrating things about political discussions is the focus on minutia and news cycles over context and perspective. So indulge a brief trip in the Wayback Machine.

    Ten years ago this month, the Institute of Medicine, one of the National Academies, released a groundbreaking report on quality in the U.S. health care system called Crossing the Quality Chasm. This came on the heels of another huge IOM report, To Err is Human, which was a pretty sobering look at patient safety in our system. The overall point of Crossing the Quality Chasm was that we can do a great deal better, but our system needs to evolve--that is, we need to try new approaches. Or, from one of the quality experts and clinicians involved in the work, a better summation of the Institute of Medicine's point:

    That quote comes from an old paper I stumbled over recently, a "user's manual" to understanding that "Quality Chasm" report. But more interesting is the outline in that paper of the vision of a new, improved, smarter health care system. These are the pillars such a system would be based on:

    It's been a decade but the efforts to build an intelligent, coordinated, and evidence-based system that revolves around the needs and input of the patient still have a ways to go. But it's a lovely dream.
     
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    Last edited: Mar 24, 2011
  2. boedicca
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    boedicca Uppity Water Nymph Supporting Member

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    What a bunch of pablum.

    (11) Current: some days it's sunny and some days it's rainy and some days it's foggy and some days it snows. New: The weather is always perfect for whatever the individual wishes it to be that day.
     
  3. Greenbeard
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    Greenbeard Gold Member

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    I take it you're not a fan of patient-centered care. There's quite a bit of irony lurking in there.
     
  4. boedicca
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    boedicca Uppity Water Nymph Supporting Member

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    It's inane:

    (8) Current: The system reacts to needs. New: Needs are anticipated. The health care system should anticipate patients’ needs rather than simply reacting to events.


    WTF does this mean? Is the health care system supposed to be able to predict who might get cancer and need treatment? Or know when one may be in a care accident?

    It's a bunch of feel good nonsense dreamed up by utopian bureaucrats who are willing to destroy what works in order to replace it with their version of the way they think we should live.
     
  5. Oddball
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    Oddball BANNED Supporting Member

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    Who gets to define who is in "need" and who isn't?

    Death panels, anyone?
     
  6. boedicca
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    boedicca Uppity Water Nymph Supporting Member

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    Clearly, if one decides one needs something that the Overseers didn't anticipate, it's not a valid need.
     
  7. Trajan
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    Trajan conscientia mille testes

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    do we have such a system in the offing anywhere on the horizon?


    my way back quote machine asks; do they dream with their eyes open, or shut?
     
  8. Oddball
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    Oddball BANNED Supporting Member

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    It's a pipe dream as long as politicians and bureaucrats are in charge.

    What recommends them to decide what medical procedures I will or won't have performed on me, anyways?
     
  9. Trajan
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    Trajan conscientia mille testes

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    I do......now sit down and don't piss me off.
     
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  10. Greenbeard
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    Greenbeard Gold Member

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    A curious person who has a question like that would refer to the relevant piece of the IOM's report (cough) for context and perspective.

    I'm not sure what someone like you would do. But I really just intended this thread for curious people. Back to the sandbox with you.
     
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