This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes core changes in health care culture and infrastructure that will be necessary before payment reforms can result in improved patient outcomes and at lower costs.
This study compares health care costs and outcomes for patients with joint replacement or sepsis before and after implementation of a value-drive outcomes program designed to give physicians information about clinical outcomes, costs, and variation.
This Viewpoint discusses Kaiser Permanente’s systems model approach to addressing intimate partner violence using patient messaging, electronic health records, quality improvement, and implementation science.
This cluster randomized trial investigated the effects of a quality improvement intervention comprising checklists, goal setting, and clinician follow-up vs routine care on mortality among adults in Brazilian intensive care units.
In this Viewpoint, Berwick discusses 2 “eras” of the medical profession and offers changes that would be useful to move into a new “moral era.”
This Viewpoint discusses what can realistically be expected from the US health care system and how the nation achieve it.
This Viewpoint defends the use measures in quality improvement initiatives and outlines lessons from past experiences that could make their future use as quality measures more successful.
This Viewpoint describes how the continuous process improvement strategies of manufacturing industries can help physicians drive efforts to improve quality and enhance innovation.
This Viewpoint examines the infrastructure and quality of health systems in West Africa against the backdrop of the Ebola outbreak.
This Viewpoint discusses the evolution of the Centers for Medicare & Medicaid Services’ Pioneer accountable care organization model.
Fonarow and coauthors report on door-to-needle times for tissue plasminogen activator (tPA) administration and clinical outcomes in acute ischemic stroke before and after initiation of a quality improvement initiative. In an accompanying Editorial, Grotta discusses progress in achieving faster treatment with tPA for stroke.