249920 An Analysis of Healthcare Reform Legislation: A Focus on Quality Improvement Provisions

Tuesday, November 1, 2011: 9:10 AM

Angela Mattie, MPH, JD , School of Business, Management Department, Quinnipiac University, Hamden, CT
Jai Chakrabarti, MD , Norwich Cardiac Medicine, Norwich, CT
Jana Vehbi, BS, MBA-HCM candidate , MBA-Hcm, Quinnipiac University, Hamden, CT
In March 2010, President Barack Obama signed into law The Patient Protection and Affordability Act. This long awaited and much debated legislation promised to improve the quality of care delivered in the United States while decreasing the costs associated with providing that care. This presentation analyzes the strengths and limitations of the healthcare quality initiatives contained in the recently passed healthcare reform legislation. Explored and evaluated are the three major pillars in the legislation focused on improving healthcare quality: significant healthcare insurance coverage expansion to uninsured individuals, efficient use and adoption of healthcare information management, and implementation of payment reform initiatives.

The authors conclude with recommendations for legislative and system initiatives for actual and sustained improvements in the quality of care delivered in the Nation.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Evaluate the healthcare quality provisions contained in the Patient Protection and Affordability Act Explain the strengths and limitations of these provisions in improving healthcare quality Assess how these provisions will impact health administration/public health practice and limitations of these provisions in improving healthcare quality

Keywords: Health Reform, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have experience in graduate course design and teaching in this area, publications related to this area, and professional experience encompassing this area. Below are selected examples: TEACHING IN THIS AREA: I teach a graduate-level course on healthcare quality and a graduate-level course on important legal issues facing healthcare managers. PUBLICATIONS IN THIS AREA: Centers for Medicare and Medicaid Services’ “Never Events”: An Analysis and Recommendations to Hospitals. The Health Care Manager. (Volume 27, Number 4, pp. 338-349). Mattie, Angela; Webster, Barry. (November 2007). “Patient Safety Legislation: A Look at Health Policy Development and Implications for Nursing Practice.” Policy, Politics and Nursing Practice. (Volume. 8, Number 4, 251-261) . Mattie, Angela; Ben-Chitrit, Rosalyn. PROFESSIONAL EXPERIENCE IN THIS AREA: 2001 to 2003 Sisters of Providence Health System; Springfield, Massachusetts Vice-President, Performance Improvement • Oversaw legal, quality, risk management, workers compensation, infection control, HIPAA privacy implementation, and corporate compliance for health system; • September 2000 to October 2001 Office of Senator Jeffords; U.S. Senate Health, Education, Labor & Pensions Committee; Washington, D.C. Robert Wood Johnson (RWJ) Health Policy Fellow • Selected as one of six RWJ Fellows; • Served on Senate Committee staff responsible for major healthcare issues;. July 1997 to October 2001 (Organization Nominated Fellowship 8/2000-10/2001) Anthem Blue Cross & Blue Shield; North Haven, Connecticut Corporate Medical Policy Office • Minimized legal exposure by designing strategies and implementing processes for uniform medical policy across corporation; • 1989 to July 1997 The Connecticut Hospital Association; Wallingford, Connecticut Assistant Vice-President, Quality Improvement Services, 1993 to July 1997 Director, Quality Improvement Services, 1992 to 1993 Coordinator, Quality Improvement Services, 1989 to 1992 • Oversaw statewide clinical outcome program producing reports for improvement in patient care; EDUCATION J.D., Admitted to the Connecticut and Massachusetts Bar. University of Connecticut School of Law; West Hartford, Connecticut ; M.P.H., Yale University School of Medicine, Department of Epidemiology and Public Health; New Haven, Connecticut; B.S., Summa Cum Laude. Quinnipiac University; Hamden, Connecticut. ACADEMIC EXPERIENCE: Associate Professor of Management, Quinnipiac University, School of Business; Department of Management, Hamden, Connecticut School of Business.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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