Session: Re-Forming Health Care Systems

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APHA Scientific Session and Event Listing

3204.0: Monday, November 06, 2006: 12:30 PM-2:00 PM

Oral

Re-Forming Health Care Systems

With the demise of the national health planning program twenty years ago, health policy and planning have come to function primarily at the programmatic level. But the need for a systemic view of health reform remains. William J. Waters of the Rhode Island Department of Health has held that health care system development is problematic at the state level because of a "lack of consensus on what type of system we want." This session addresses systemic reform in health care financing and delivery. In so doing, it explores the questions: Can we design and organize better delivery systems at the state level? What authority is needed to accomplish this? What are important features of health care systems? What are reinforcing factors and what are barriers to constructing systems? What do political and economic theory contribute to this effort? What economic criteria shape reform efforts? How can Certificate of Need contribute to reform? Can CoN rationalize the distribution of technology? What is the future of CoN and how could it be improved? What other reform efforts are needed to address systemic issues? Presenters will address different aspects of these questions in focusing on the issue of re-forming delivery systems.

Learning Objectives: At the conclusion of this session, participants will be able to: 1. Identify structural features of health care delivery systems 2. List factors that reinforce and factors that obstruct system-building. 3. Assess the role of Certificate of Need in system-building

Organizer(s):

Barbara Bridgman Perkins, PhD

Moderator(s):

Barbara Bridgman Perkins, PhD

12:30 PM

Business Models in Health Reform and Certificate of Need