Strengthening primary and chronic care: state innovations to transform and link small practices

Strengthening primary and chronic care: state innovations to transform and link small practices

Collection:
Health Policy and Services Research
Author(s):
Takach, Mary, author
Gauthier, Anne, author
Sims-Kastelein, Kristin, author
Kaye, Neva, author
Contributor(s):
Commonwealth Fund, issuing body.
National Academy for State Health Policy (U.S.), issuing body.
Publication:
[New York, N.Y.] : Commonwealth Fund, December 2010
Language(s):
English
Format:
Text
Subject(s):
Chronic Disease -- therapy
Health Care Reform
Practice Management, Medical -- organization & administration
Primary Health Care
State Government
United States
Genre(s):
Technical Report
Abstract:
Federal and state governments play a significant role in strengthening the delivery of primary care; current efforts, however, have disproportionally been focused on large or multispecialty practices. This report examines the roles states are playing to reorganize the delivery of primary and chronic care to produce more efficient and effective care for patients and providers, particularly in small practices. Through short case studies developed via interviews with state officials and physicians in Colorado, Michigan, North Carolina, Oklahoma, Pennsylvania, and Vermont, the authors highlight several state-based initiatives that seek to create high-performing health systems by targeting local and regional strengths. Additionally, the authors identify five themes critical to enacting strategic delivery system reforms: leadership and the convening of stakeholders, payment incentives, support for infrastructure, information feedback and monitoring, and certification and recognition.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (xi, 55 pages))
Illustrations:
Illustrations
NLM Unique ID:
101550662 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101550662