Question

What factors should be considered to ensure hospitals meet the six Aims of the IOM?

Answer 1

#. The factors that should be considered to ensure hospitals to meet the six aims of IOM are :-

1. Knowledge enhancement-based strategies

Use of evidence-based clinical practice protocols

Incorporate clinical decision support into EHRs

Enhance application of comparative effectiveness research

Capture and disseminate clinical data to generate new knowledge

2. Care culture and system redesign-based strategies

Enhance team-based care, including community providers, e.g. community health workers, social workers, health educators, dieticians

Implement programs to increase efficiency of hospital and outpatient services, e.g. Lean, Six Sigma

Implement care management programs for patients with multiple chronic diseases

Improve health data exchange including development of Regional Health Information

Organizations, RHIOs

Expand antitrust enforcement

3. Transparency of cost and results

Transparency in Prices

Transparency in comparative value of treatment optiond

Transparency in comparative value of clinicians

Transparency in comparative value of hospitals and integrated delivery systems

Transparency in comparative value of insurance companies

4. Payment and payer-based strategies

Pay for value rather than volume

Pay for care episode or condition

Managed competition or Accountable Care Organizations

Structure insurance prices according to value

Simplify, consolidate payer rules, regulations, systems

5. Community-based and transition of care strategies

Care management for medically complex patients

Palliative care

Community-based health promotion and illness prevention program

6. Entrepreneurial strategies

Reduce scope of practice restrictions for non-physician providers, e.g. nurse practitioners.

Retail clinics and Urgent Care clinics

Technological innovation, including virtual diagnosis and treatment, patient self monitoring, etc