Economics of Medical Care - Lawrence University
Economics of Medical Care
M. Finkler
Policy Paper #2
Topic: The Quality of Medical Care
Although many analysts suspected that American health care featured a variety of defects, the 1999 Institute of Medicine (IOM) report To Err is Human crystallized this concern as follows: “There is abundant evidence that serious and extensive quality problems exist throughout American medicine resulting in harm to many Americans.” The report claimed that “…At least 44,000 people and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have been prevented…”
Your paper on the quality of health care in the U.S. aims to inform a benefits director, legislator, or purchasing coalition manager, through the use of economic arguments and evidence, about the characterand potential responses to health care quality concerns.
Class on Monday, October 12th and paper #2 will be devoted to the following topics:
1) Defining and measuring the quality of care
2) Understanding why the deficiencies in health care quality persist
3) Analyzing policies to improve the quality of care
As with cost containment, a burgeoning literature has attempted to grapple with the above topics. Useful resources can be found at:
• The Rand Corporation: health/
• The Institute of Medicine: iom.edu
• The National Committee for Quality Assurance:
• The Leapfrog Initiative:
• The Agency for Healthcare Research and Quality: qual/
• Wisconsin Collaborative for Health Care Quality
• Bridges to Excellence
Students will be expected to have read the following background material:
• Rand Health Research Highlights “The First National Report Card on Quality of Health Care in America”
• Institute of Medicine, “Medicare’s Quality Improvement Organization Program”
• Neumann, PJ and Greenberg D, “Is the United States Ready for QALYs?,” Health Affairs, September/October 2009. (See .)
• Miller, TP, Brennan, TA, and Milstein, A, “How Can We Make More Progress in Measuring Physicians’ Performance to Improve the Value of Care,?” Health Affairs, September/October 2009. (See .)
• Paulus, RA, Davis,K, and Steele, GD, “Continuous Innovation in Health Care: Implications of the Geisinger Experience,” Health Affairs, September/October 2008. (See .)
The mechanics regarding this paper remain the same as the first paper. Papers are due on Friday, October 16, 2009 by 4:00 P.M.
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