Annual Meeting Recordings are now available for purchase
315077
Failure to diagnose: Quality and health reform under Obamacare vs. single-payer H\healthcare
Monday, November 17, 2014
: 1:20 PM - 1:40 PM
Gordon Schiff, MD
,
Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA
While many consider reasons of improved access, universal coverage, and better cost effectiveness as important advantages of single payer vs. our current health system, an additional unexplored advantage is potential for higher quality care, particular improved diagnosis and minimizing diagnostic errors. This presentation will complement the Donadedian awardee’s talk by Dr. Steffie Woolhandler in analyzing a myriad of ways our current system contributes to diagnosis errors and vulnerabilities that increase the risk of these errors. Because diagnostic errors are the #1 cause for malpractice claims against physician, especially in the outpatient setting, and can create a spiral of poor care, defensive medicine, and over-testing, they warrant examination of structural and systematic ways they can be prevented and minimized. Presentation will draw on recent experience with a Massachusetts Statewide primary care randomized controlled trial—the PROMISES (Proactive Reduction of Outpatient Malpractice: Improving Safety, Efficiency, and Satisfaction) Project, and a newly funded Harvard Risk Management Foundation project studying diagnostic pitfalls.
Learning Areas:
Biostatistics, economics
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health
Learning Objectives:
Compare single-payer health care to the recently implemented ACA ("Obamacare")
Identify errors of care and system whose elimination can improve quality of care
Keyword(s): Quality Improvement, Health Care Reform
Presenting author's disclosure statement:Qualified on the content I am responsible for because: Associate Professor Harvard Med School,Associate Director Center for Patient Safety Research Brigham. Longstanding experience studying, speaking on quality improvement and health reform.
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.
