quality

PCMHs in CT – not the “shiny new toy” anymore but moving forward improving care, controlling costs

Ten years ago, patient-centered medical homes (PCMHs) were exotic in Connecticut. PCMHs are one of the best documented innovations to improve health. PCMHs are primary care practices that help keep people well by assessing needs, coordinating care, and giving people the skills and resources to maintain their own health. As a nurse managers told me,…

Read More

New PCMH + plans overlook past problems

Wednesday DSS and Mercer unveiled their thinking about plans for Wave 3 of PCMH Plus, Medicaid’s controversial shared savings program. Results from PCMH Plus’s first year, Wave 1, were disappointing with increased state costs and little evidence of improvement in quality. Based on the problems identified in Wave 1, advocates made recommendations to fix those…

Read More

YNHH transportation plan for controversial primary care shift troubling, concerns remain

Monday, Yale-New Haven Health System answered the state’s eighth set of questions about their controversial application with the Hill Health and Fairhaven Health Centers to move primary care for 25,000 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among many concerns voiced by patients, advocates and community leaders…

Read More

For the Book Club: The Tyranny of Metrics

As the world moves toward data and analytics to evaluate progress (and it should), we need to be careful that the movement is meaningful. This must-read is full of cautionary tales, including a chapter on medicine, of mis-use of metrics to evaluate performance that ended up doing more harm than good and box-checking in place…

Read More

Practical Wisdom – The Right Way to Do the Right Thing

New to the Book Club Why do our institutions and systems, including healthcare, seem to be getting more complex and more costly but not better? This fascinating book argues that we have lost practical wisdom – the ability to balance the need for reasonable rules and standards with doing the right thing. The law of…

Read More

More questions for YNHH about controversial primary care proposal

Yesterday, the state Office of Health Strategy sent their eighth set of questions about the controversial application of Yale-New Haven Health System and their community health center partners to move primary care for 28,500 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among others, critical concerns have been…

Read More
Processing...
Thank you! Your subscription has been confirmed. You'll hear from us soon.
ErrorHere