Fall for 2016-2017
This course provides an introduction to how public policy can be used to improve healthcare quality and the public reporting of quality. Topics include: (1) The Quality Gap; Disparities; The National Quality Strategy; (2) Debates over defining quality and international views: comparative effectiveness research; disease-centered models versus patient-centered models; shared-decision making; end of life care; POLST reforms; (3) Designing incentives for rewarding quality: pay-for-performance models versus behavioral economic models (Nudge theory, default theory, peer group effects, shame); shared-savings models (ACOs); (4) Protecting the patient: Patient safety and medical errors; the Checklist Manifesto; alternative tort reforms, the Apology Initiative; no payment policies for hospital-acquired conditions; (5) Coordinating care: Electronic health records; the medical home model; bundled payment design; (6) Measuring preventive care quality: Debates over screening guidelines; the science of measuring the cost offsets and outcomes of preventive care and pharmaceuticals; (7) Reporting quality: Report cards; consumer use of public reports; physician use of internal reports; the science of quality measures, reports, and rankings. By the end of the course, students should be able to think critically about the key health policy issues related to improving healthcare quality.
Credits: 3
Prerequisites: None

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Fall '16: Encinosa W (file download)
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