Monday, April 21, 2008

[EQ] State Health Policies Aimed at Promoting Excellent Systems

State Health Policies Aimed at Promoting Excellent Systems:
A Report on States’ Roles in Health Systems Performance

Catherine Hess, Sonya Schwartz, Jill Rosenthal, Andrew Snyder, Alan Weil
The National Academy for State Health Policy with support from The Commonwealth Fund
April 2008

Available online as PDF file [101p.] at; http://www.nashp.org/Files/shapes_report.pdf

“…..This report presents findings from the State Health Policies Aimed at Promoting Excellent Systems (SHAPES) project undertaken by the National Academy for State Health Policy with support from The Commonwealth Fund.

The project built on the work of the Commonwealth Fund’s Commission on a High Performance Health System to explore the roles that States play in influencing key health system components such as insurance coverage, quality of care, and information and provider infrastructures.

After conducting surveys of multiple agencies in states across the country, as well as reviewing related literature, the authors found that states are pursuing system improvements across the full spectrum of their authority, including health care purchasing, regulation of providers, reporting of performance data, integration of public health with health care approaches, and improving the availability and affordability of health insurance. Despite this activity, this study finds room for states to do much more. The report also concludes that ongoing efforts to track, study and diffuse information on state activities could accelerate adoption of promising polices and practices. …”

A shorter summary report of themes published by The Commonwealth Fund - States' Roles in Shaping High Performance Health Systems - can be found on the Fund's Web site by clicking here.

 

 

TABLE OF CONTENTS

 

Executive Summary

 

Themes and Noteworthy Findings

Conclusion

Introduction

Background

Methods, organization, and content of the study and report

 

Coverage

Providing Affordable Health Coverage

Simplifying Enrollment and Improving Retention

Addressing Benefits for Essential Health Services

Quality, Efficiency, and Value

 

Quality, Efficiency, and Value  

Providing Leadership within Quality Collaboratives, Agendas, and Forums

Publicly Reporting Patient Safety and Health Care Quality Measures

Leveraging Purchasing Power Through Contract Requirements and Joint Purchasing

Joint Purchasing

Health Systems Infrastructure

 

Health Systems Infrastructure

Assuring Access to Providers, Especially for Underserved Populations

Public and Private Coverage of Telehealth Electronic Consultations

Supporting Information Systems and Technology

Health Information Exchange and Technology

Promoting Population Based Health and Disease Prevention


Conclusion

 

Appendix: Methodology

Conceptual Framework and Background Research

Survey Development, Fielding, Follow-up, and Response

Analysis and Report Writing

Limitations

Notes

 

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