PPOL-640 HEALTH CARE QUALITY: RECENT POLICY ISSUES
Fall for 2017-2018
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 under the Affordable Care Act (ACA); international comparisons; quality post-ACA: health savings accounts and the Quality Payment Program under MACRA and MIPS; (2) Quality measures and the science of ranking and comparing providers; (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; accountable care organizations (ACOs) and other Alternative Payment Models; (4) Protecting the patient: patient safety and medical errors; the Checklist Manifesto; alternative tort reforms, the Apology Initiative; payment policies for hospital-acquired conditions and readmissions; (5) Coordinating care: electronic health records; the medical home model; bundled payment design; end of life care; POLST reforms; (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; (8) Measuring overuse, underuse, waste, and the costs-savings from quality; comparative effectiveness methods; geographical cost and quality variation; (9) Current policy issues in personalized medicine and genomics; and (10) The impact of insurer/provider competition and consolidation on quality. 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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