Americans have always thought their healthcare system was the best in the world. But starting in the late 1990s, shocking reports emerged that showed this was far from the truth. Treatment-related deaths or "complications" were found to be the fifth leading cause of death for Americans, and hundreds of thousands of patients were being harmed by botched medical procedures. Spurred by the quality crisis, a group of visionary physicians led by Donald Berwick and Paul Batalden embarked on a study of industrial "quality improvement" techniques, daring to apply them to the practice of medicine despite resistance from the medical community. The Best Practice tells the story of this burgeoning movement, and of how the medical landscape is being radically transformed -- for the better.

Health care reform is within our reach. According to George Halvorson, CEO of the nation's largest private health care plan, only by improving the intent, quality, and reach of services will we achieve a health system that is economically feasible into the future. &nb

The United States spends more money on health care by far than anyother country and yet nearly 50,000,000 Americans are uninsured atleast part of the time each year. Health Care Reform Now! is written for anyone who caresenough about our health care situation to consider seriousalternatives to the current system. In this book George Halvorson—an internationally knownhealth care leader and author—offers a sensible approach tohealth care reform and universal coverage that can work for allstakeholders. Step by step, George Halvorson outlines a game plan for a trulyworld-class health care system that will appeal to policy makers onboth ends of the political spectrum and will deliver health carewith improved quality, better access, provider accountability,performance transparency, consumer choice, and individualempowerment.

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Risk exposure is a major cause of poverty, deprivation and persistent vulnerability worldwide. This volume analyses individuals' and households' responses to a variety of risks, with an emphasis on health risks. The study adapts the Social Risk Management (SRM) conceptual framework and extends it considerably for academic inquiry. Using household data from Ghana and Malawi, empirical evidence is provided on the complex relationship between high risk exposure and the application of proactive and reactive SRM strategies (inc. health insurance), showing their specific contributions to risk management.

This book presents an in-depth review on the role of health care financing in improving access for low-income populations to needed care, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.

Popular perceptions of a state's legitimacy are inextricably bound to its ability to rule. Vast military and material reserves cannot counter the power of a citizen's belief, and the more widespread the crisis of a state's legitimacy, the greater the threat to its stability. Even such established democracies as France and India are losing their moral claims over society, while such highly illiberal states as China and Iran enjoy strong showings of public support. Through a remarkable fusion of empirical research and theory, Bruce Gilley makes clear the link between political consent and political rule. Fixing a definition of legitimacy that is both general and particular, he is able to study the role of legitimacy as it has been maintained and lost in a diverse selection of societies. He begins by detailing the origins of state legitimacy and the methods governments have used to wield it best. He then considers the habits of less successful states, exploring how the process works across different styles of government. Gilley's unique approach merges a broad study of legitimacy and performance in seventy-two states with a detailed empirical analysis of the mechanisms of legitimation. The results are tested on a case study of Uganda, a country that, after 1986, began to recover from decades of civil war. Considering a range of explanations of other domestic and international phenomena as well, Gilley ultimately argues that, because of its evident real-world importance, legitimacy should occupy a central place in political analysis.