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Biomedical subjects

G Isham

Publications and source records attributed to G Isham.

8 recordsLinked to original sources
PubMed1995

Competing HMOs collaborate to improve preventive services.

BACKGROUND: In July 1993, an unusual collaboration developed between competing managed care plans and with competing primary care clinics as part of a federally funded research grant (IMPROVE from the Agency for Health Care Policy and Research). The goal of this collaboration is to scientifically test the ability of an health maintenance organization (HMO) to improve the delivery of eight adult preventive services by training and facilitating the use of continuous quality improvement and prevention systems by contracted private primary clinics. METHODOLOGY: In order to conduct this effectiveness study, it was necessary for two HMOs to come to a structural and functional understanding of how to operate jointly. Investigators recruited 44 private clinics for a randomized controlled trial in which 22 are being assisted in improving the process used to deliver these preventive services and 22 are being left alone as comparison clinics. The intervention is a train-the-trainer and consultation approach focused on clinics as collaborating customers. The comparison will be based on repeated surveys of patients and clinic personnel as well as chart audits to measure changes in systems and prevention rates. SUMMARY: Although this project was made possible by a number of unusual favorable factors, it can serve as a model for support of the clinician leadership that is essential to true health care delivery reform.

Adult↗
PubMed1994

Beyond report cards: a health profile for HealthPartners Health Plan and the Business Health Care Action Group.

HealthPartners Health Plan and the "Business Health Care Action Group" (a buyer's coalition) operate in a market place increasingly concerned about accountability and quality improvement. Improving the population's health is a strategy that satisfies the mission and business purposes of employers and health care providers alike. Proposed quality measures and "report cards" have focused on clinical performance standards such as procedure rates or adherence to clinical practice guidelines. This paper describes a unique collaboration between an HMO and a purchasing coalition to assess member health status and health risks as a catalyst for increasing consumer involvement in health care.

Community Participation↗
PubMedDate not supplied

Taking on diabetes.

Explore the source record for details and available documents.

Diabetes Complications↗