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Quality

As noted in the Institute of Medicine’s seminal report Crossing the Quality Chasm: A New Health System for the 21st Century, “health care today harms too frequently and routinely fails to deliver its potential benefits.” For over a decade, foundations have been showcasing to the field that improving health care quality is both needed and possible. GIH recognizes that this work is now an integral part of the health reform law and that bridging the “quality chasm” will require change at all levels of our health care system.

Contact Ann McMillan for more information about our programming in this area.




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Spotlight
May 2017


Regardless of the outcome of the current health reform debate, patients are likely to continue to be asked to take more responsibility for their health care, whether through high-deductible health plans, health savings accounts, or other mechanisms. From a pragmatic perspective, it is time to shift the discussion toward helping patients understand what value actually means in choosing their health care and discharging their financial responsibilities. Any plan that is enacted, whether a full replacement of the Affordable Care Act or “fine-tuning” of the law, will likely require that patients make decisions about what constitutes value. At least two things need to happen to help people meet this challenge.


Spotlight
May 2017


The time patients spend in a doctor’s waiting room prior to a scheduled appointment is an important component of the quality of the overall health care experience. A new study published in Health Affairs analyzed data to measure time spent in the waiting room beyond the scheduled appointment time. After adjustment for patient and appointment characteristics, Medicaid patients were 20 percent more likely than the privately insured patients to wait longer than twenty minutes, with most of this disparity explained by differences in practices and providers they saw. The study complements other work that suggests that Medicaid patients face some additional barriers in the receipt of care.


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