Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Role of IT and informatics
Results of current approaches to quality assessment
Slide content:How Can We Achieve a High-Performance Health Care System? Need a learning health care system (Olsen, Aisner , & McGinnis, 2007) Must build infrastructure, including informatics, to learn what works (Olsen, 2010; Friedman, 2010) Should be guided by principles (Shih et al., 2008) Patients have access to care and information but are also accountable System must provide coordination of care and aim for continuous learning and improvement Should we be thinking more of value than quality? (Porter, 2010; Brook, 2010) 20
Slide notes:Finally, how can a high-performance health care provider system be achieved? The Institute of Medicine, the ONC, and others have talked of the need to build a learning health care system. Such a system requires an infrastructure, including informatics, to learn what works. This issue was addressed in a recent report by the Commonwealth Fund, an organization that has been measuring the quality problems in health care. It advocates that the high-performance health care provider be guided by certain principles, detailed in its report, and summarized on this slide. All patients should have access to care and information, but they should also be held accountable for that information and for making appropriate decisions. Health care providers then must provide coordination of care across the patient care continuum and take on this notion of continuous learning and improvement. Some have argued the value of focusing more on the value of care than on its quality. 20