Health Reform Policy to Practice

Oregon's Path to a Sustainable Health System: A Study in Innovation
Erscheinungsjahr 2017
ISBN: 978-0-12-809827-1
Verlag: Elsevier Science

Buch, Englisch, 362 Seiten, Format (B × H): 152 mm x 229 mm, Gewicht: 590 g

Health Reform Policy to Practice: Oregon as a Case Study for a Path to a Comprehensive and Sustainable Health Delivery Model offers a real world example of an innovative, successful and comprehensive program conducted by the U.S. State of Oregon.

In 1991, Oregon embarked on a journey to improve health for all its citizens by radically re-thinking how to approach health care for long-term benefits. Over more than two decades, Oregonians have participated in a dialogue to create a new approach to solve the dilemma of providing high quality health care that is affordable and effective. Traditionally, health care reform looked at cutting people from care, cutting provider rates or cutting services. Oregon's approach is unique in that it built a new system of delivery from the ground (community) up.

The Oregon model took a "Fourth Path� to health care by redesigning the clinical delivery system through reducing waste, improving individual health and prevention, and therefore reducing utilization of services, creating local accountability, aligning financial incentives and creating fiscal accountability. This is not only an Oregon story, but a national one as other states, payers and purchasers implement health care reform.

Zielgruppe

<p>Health Services researchers; Students in health care professions schools; MHA/MBA/MPH students; Policy makers and academic health leaders such as state Medicaid directors and medical/behavioral health directors, medical school deans; Public Health researchers; others involved in decisions regarding health policy.</p>

Autoren/Hrsg.

Stock, Ronald

Goldberg, Bruce W.

Fachgebiete

• Sozialwissenschaften Politikwissenschaft Regierungspolitik Umwelt- und Gesundheitspolitik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Public Health, Gesundheitsmanagement, Gesundheitsökonomie, Gesundheitspolitik

Inhaltsverzeichnis

1. Foreword: Leveraging State and Federal Health Reform Efforts to Improve Care
2. The Oregon Narrative: How did we get here
3. State-level Design: The Coordinated Care Model
4. The Coordinated Care Organization: Organizing Care to Improve Health
5. Developing a primary care infrastructure
6. Implementation Strategies and Support: The Transformation Center
7. Measuring Success
8. Integration of Care
9. Community Engagement
10. Aligning financial models with healthcare delivery
11. Expanding the Coordinated Care Model beyond Medicaid
12. Creating a future state

Über Autor(innen)

Goldberg, Bruce W.
Dr. Goldberg served two Oregon Governors as the Director of the Oregon Office for Health Policy and Research, the Director of the Oregon Department of Human Services from November 2005 through February 2011, and then led the formation of the Oregon Health Authority from February 2011 through 2013. He led Oregon's nationally recognized health reforms transforming Oregon's Medicaid system to one based on a model of coordinated care. In addition, he led efforts to establish Oregon's Healthy Kids program providing health coverage for all children, improve Oregon's mental health system and transform the delivery of public human services to enhance efficiency and effectiveness.

Dr. Goldberg's experiences span time as an administrator of large complex organizations, a practicing clinician, teacher/academician, a county health officer, medical director for a Medicaid managed care organization, and Director of Community Health Services for the US Public Health Services in Zuni, New Mexico. He has been a faculty member at Oregon Health and Science University for more than 15 years. He is a graduate of the Mount Sinai School of Medicine in New York City and completed his family medicine training at Duke University School of Medicine in Durham, North Carolina.