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Health Care Will Not Reform Itself: A User's Guide to Refocusing and Reforming American Health Care de George C. Halvorson

Health Care Will Not Reform Itself: A User's Guide to Refocusing and Reforming American Health Care

Autor George C. Halvorson
en Limba Engleză Hardback – 27 mai 2009
Health care reform is within our reach. According to George Halvorson, CEO of the nation's largest private health care plan, only by improving the intent, quality, and reach of services will we achieve a health system that is economically feasible into the future.                                                                       
This year, Americans will spend 2.5 trillion for health services that are poorly coordinated, inconsistent, and most typically focused on the belated care of chronic conditions. What we have to show for that expenditure is a nation that continues to become more obese, less healthy, and more depressed.
In Health Care Will Not Reform Itself, Kaiser Permanente CEO George Halvorson proves beyond a doubt that the tragically inconsistent care that currently defines the state of U.S. health services is irresponsible, irrational, but more importantly, fixable. With detail that might shock you, he shows why the nonsystem we now use is failing. Then, applying the same sensible leadership that makes Kaiser the most progressive health care organization in the world, he answers President Obama’s mandate for reform with a profound incentive-based, system-supported, goal-focused, care-improvement plan.
Halvorson draws from respected studies, including his own, and the examples of successful systems across the world to show that while good health care is expensive, it is nowhere near as costly as bad health care. To immediately curb care costs and bring us in line with President Obama's projected parameters, he recommends that we:
  • Take a preventive approach to the chronic conditions that account for the lion’s share of medical costs
  • Coordinate patient care through a full commitment to information technology
  • Increase the pool of contributors by mandating universal insurance
  • Rearrange priorities by making health maintenance profitable
  • Convene a national committee to "figure out the right thing" and "make it easy to do"
While this book offers sage advice to policy makers, it is also written to educate the 260 million stakeholders and invite their participation in the debate that is now shaping. What makes this plan so easy to understand and so compelling is that it never strays from a profound truth: that the best health system is one that actually focuses on good health for everyone.
All royalties from the sale of this book go to Oakland Community Voices: Healthcare for the Underserved
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Specificații

ISBN-13: 9781439816141
ISBN-10: 143981614X
Pagini: 184
Ilustrații: 25 b/w images and BOOK IS PERFECT BOUND - NOT CASE
Dimensiuni: 152 x 229 x 15 mm
Greutate: 0.4 kg
Ediția:1
Editura: Taylor & Francis
Colecția Productivity Press
Locul publicării:Oxford, United Kingdom

Public țintă

Professional Practice & Development

Cuprins

Health Care Won’t Reform Itself. Why Are Health Care Costs Going Up? Set Goals and Improve Care. Connectors Are Magic. The Perfect System. We Need Universal Coverage, Care System Reform, and Care System Competition. Risk Sharing Works Quite Well, Thank You. Focus, Tools, and Better Health. Health May Be the Highest Priority. We Also Need to Set Goals to Directly Reduce Costs.

Recenzii

When running for office, President Obama pledged to expand health insurance coverage while reducing the cost of care by $2500 per year for the average family. Skeptics scoffed that industry insiders would block this goal in defense of their interests. Now George Halvorson, CEO of the nation’s largest health care delivery system, says reducing costs while expanding coverage not only should be done, but can be done, and tells us how. His book highlights the important role and many forms of connectivity in health care: electronic medical records for patients and physicians, registries and care coordination programs for chronic illness, mandates and exchanges for health insurance, the alignment of culture and incentives among the many contributors to the wellbeing of patients.
— Dr. James Robinson, PhD, MPH Professor of Health Economics, UC Berkeley
Clear, concise, and compelling, George Halvorson’s latest contribution clarifies why we must change, how we must change, what we must change, and when we must change. The answer is now. Drawing on the learnings from Kaiser Permanente’s transformation to a fully digitally enabled, integrated system of care, George Halvorson shows all of healthcare how to focus on the right goals and improve our performance in reaching those goals.
 — Ian Morrison Futurist; Author of  The Second Curve: Managing the Velocity of Change and Healthcare in the New Millennium
George Halvorson offers a timely and compelling prescription to addressing the chronic ills of our health care system. One doesn’t have to agree with every proposal to appreciate the extraordinary contribution he has made here. Students of health reform would do well to consider this book as an invaluable text for our national public policy debate.
—Tom Daschle, Former U.S. Senate Majority Leader
George Halvorson’s timing couldn’t be better and his message couldn’t be more valuable. He documents in clear, vivid prose why the health care system won’t reform itself which all employers and payers need to understand so they don’t miss this pivotal moment to dramatically reform health care. He offers information, evidence and practical solutions for aggressively attacking the "crushing burden of health care costs," as President Obama described our national challenge. Halvorson also provided ways we can sharply improve quality and safety, as well as save substantial dollars. He reminds us again, through many excellent examples, how essential it is to have electronic health records for effective, appropriate care at a reasonable cost. This book provides a great checklist for healthcare reform for the public and the private sector. I strongly recommend it.
— Helen Darling President, National Business Group on Health
Halvorson’s simple, direct writing style is remarkable for its clarity. He takes complex problems and makes them understandable. Halvorson’s experience as leader of one of the world’s largest and most successful implementations of health information technology makes his insights into that subject particularly valuable.
— Dr. Alain C. Enthoven, PhD Marriner S. Eccles Professor of Public and Private Management, Stanford University

Notă biografică

George Halvorson has been the chief executive officer of health plans, hospital systems, and care delivery systems in the United States for over three decades. He has also helped start health plans in Jamaica, Chile, Nigeria, Spain and Uganda.He is the current chair of the International Federation of Health Plans and he also served as chair of the Health Governors for the 2009 World Economic Conference in Davos, Switzerland.Kaiser Permanente, his current employer, is the largest not-for-profit health plan and care system in America — with over eight and a half million members, 160,000 employees and roughly forty billion dollars in annual revenue.He is the past chair of the American Association of Health Plans and has served on the Board of Directors for the American Diabetes Associations, The Alliance of Community Health Plans, and Safest in America.He also currently chairs the Alliance for Quality — and serves on the Commonwealth Commission for a High Performing Health System.He is a long time proponent of health care reform — regularly writing articles and books and making presentations advocating reform. Recent books include Epidemic of Care (Jossey-Bass, San Francisco) and Health Care Reform Now! (Jossey-Bass, San Francisco).Kaiser Permanente has been a pioneer in the use of electronic medical records and computer connectivity between patients and caregivers — successfully completing a four billion dollar project to computerize the medical information for its members and patients.He is a husband, father of five sons, and grandfather to five wonderful grandchildren. He is headquartered in Oakland, California.

Descriere

Written by one of the leading authorities in the industry, this book provides a basic primer on the American health care system. Using simple-to-understand language supplemented by insightful anecdotes and examples, the author cuts through the thicket of health care reform rhetoric to offer a step-by-step blueprint for achieving real improvements in health care delivery, as well as putting curbs on growing health care costs. He explains how health insurance works in the U.S. compared with the rest of the world and outlines the barriers to American reform. He also discusses why health care costs are going up so rapidly and sets realistic goals for care improvement.
 
"George Halvorson offers a timely and compelling prescription to addressing the chronic ills of our health care system … ."
—Tom Daschle, Former U.S. Senate Majority Leader
"George Halvorson, CEO of the nation’s largest health care delivery system, says reducing costs while expanding coverage not only should be done, but can be done, and tells us how … ."
—Dr. James Robinson, Professor of Health Economics, UC Berkeley