AtlanticLIVE Forum of Health Care: Building a Better Health System
Read the second part of our recap AtlanticLIVE Forum of health care, "health care tomorrow."
As the landscape of healthcare is changing and the implementation of the Affordable Care Act progresses, many wonder what lies ahead for the health care system in the States -United. Recently, the Atlantic brought together leaders in medicine, public health and finance for AtlanticLIVE Healthcare Forum to discuss issues related to health law and obstacles facing the reform of health care . Experts on "Building a better health care system" Panel reviewed the current challenges of the health care system and possible solutions, the progress of the Affordable Care Act is to reform the system and influence the emerging health IT.
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Panel
Steve Clemons Atlantic served as moderator of the panel. Clemons is Washington Editor in general for the Atlantic and AtlanticLIVE editor, where he writes about politics and foreign affairs. He is also principal investigator and founder of the American Strategy Program at the New America Foundation.
Dr. James L. Madara is the current CEO and executive vice president of the American Medical Association (AMA) and assistant professor of pathology at the Feinberg School of Medicine from Northwestern University. Dr. Madara has earned national and international acclaim for its more than 0 original publications and has been named one of the most influential physician executives in the nation by Modern Healthcare .
Dr. Sam Nussbaum is the executive vice president and medical director of WellPoint, Inc. He oversees the programs of the public health policy of WellPoint, clinical quality programs medical policy and corporate pharmacy. Dr. Nussbaum is working to improve patient care through collaboration with industry leaders, doctors, hospitals and political organizations and national healthcare.
Dr. Kavita Patel Merkin's a boy for reform of finance and clinical leadership, managing director for clinical transformation and delivery to the Engelberg Center for Healthcare Reform and principal investigator in economic studies at the Brookings Institution. She was senior adviser to President Barack Obama that the former director of the Office of Intergovernmental Affairs policy and public participation in the White House. In this role, Dr. Patel was critical for the development and evaluation of policy initiatives related to the reform of health care.
We must stop thinking #healthcare in a state of illness and the place #AtlanticHealth overall wellbeing @TheAtlantic
- MHA @ GW (@GWonlineMHA) March 27 , 2014
key Insights
The panelists discussed a range of critical issues. Here is a look at the main highlights.
The challenges of the current health system
- The health care system must shift from a focus on the treatment of acute illness and the rather emphasis on chronic disease prevention. One way in which healthcare organizations can facilitate this change is in partnership with community organizations to participate in health programs and wellness. Dr. Madara said the partnership with the YMCA WADA diabetes as an example of prevention, noting the community organization has a reach beyond medical facilities that is well suited for health programs and well-being.
- professional training of medical students is mainly determined by the time spent in school rather than measures of competence, which can inhibit new doctors to become adequately prepared to treat common diseases. The transition to assessments based on the skills required.
We need to align payment models with a value ... from one model and approach that pays for services to those who pay for the results [and] better health. - Dr. Sam Nussbaum
The Affordable Care Act
- "[An] important area that has happened since the ACA was development ... care coordinators, browsers care [and] of community health workers, "Dr. Patel noted, adding:" You should not use doctors like me to try to run after patients and understand their behavior. You must use people who understand the communities that people live in, as well as role models. "
- in addition, the growing demand for these types of positions can stimulate economy and strengthen the structure of the health care system in the integration of service providers that support community health outside the medical community
- Since open enrollment, insurance providers report individuals of all ages and disease states have registered - .. we think many be new to the health care system
health iT
- Big data can help eliminate practices that are wasteful, poor or not scientifically proven to create funds that can be invested in innovation for the future.
- While electronic medical records have made improvements in some health systems, technology continues to evolve to best meet the needs of patients and care practitioner with guide. For example, Dr. Nussbaum explained how WellPoint "takes our vast amount of data and is delivered at the point of care" to alert potential gaps providers in patient care such as drug interactions or prevention services during the patient-provider interaction.
You should not use doctors like me to try to go after patients and understand their behavior. You must use people who understand the communities that people live in, as well as role models. - Dr. Kavita Patel
Final Takeaways
Some Final Thoughts panelists:
- Although access to health care and insurance increased with the implementation of the affordable care Act, Dr. Patel warned that it is important to recognize the access gaps that remain, particularly among undocumented workers and immigrant populations .
- Health technology continues to evolve and has the potential to deliver more efficient health care more accessible to patients through innovations ranging from telehealth to "intelligent systems" for glucose levels monitoring at home and delivering diabetes management messages via smartphones.
All panelists agreed that the care system health is unsustainable in its current state, but the implementation of the Law on affordable care and IT health advances are moving health care before significantly. professionals such as public health MHA @ GW students and graduates will play an essential role in the evolution towards a more technologically advanced health care system that focuses on prevention. Dr. Nussbaum said, "Four billion people worldwide lack access to health care by doctors, but they have iPhones." Although this access is an excellent opportunity to improve public health, questions remain on issues like equal access, cost effectiveness and health literacy issues.
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