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.
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In a new Health Affairs study, Dartmouth researchers report on how many accountable care organizations, or ACOs, are employing home visits as a strategy to improve care management, identify patients’ needs, and reduce hospital use. The researchers found that 80 percent of ACOs use home visits within 72 hours of hospital discharge for at least some of their patients. The study was supported in part by a six-foundation collaborative that includes the Commonwealth Fund, Peterson Center on Healthcare, Robert Wood Johnson Foundation, SCAN Foundation, John A. Hartford Foundation, and Milbank Memorial Fund.
Many health care challenges are exacerbated in rural areas, such as limited access to services, provider shortages, and the prevalence of avoidable deaths from chronic disease and substance use disorders. These trends are significant enough to affect overall health status measures for the nation, while deeply affecting these communities. This issue brief summarizes information presented at three Milbank Memorial Fund-supported regional meetings of federal and state health officials and health services researchers working on rural health issues.
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Most Recent Publications
Reimagining a Patient-Centered Health Care System
May 11, 2017
Amy Shefrin, New York State Health Foundation
Sharrie McIntosh, New York State Health Foundation
Sparking a Patient Activation Movement
September 15, 2015
Karen Wolk Feinstein, Jewish Healthcare Foundation
August 18, 2015
Eileen Salinsky, Grantmakers In Health