Pay for performance: the best worst choice.
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Humans↗
Biomedical subjects
M L Millenson
Publications and source records attributed to M L Millenson.
Pushing the profession: how the news media turned patient safety into a priority.
The problem of patient safety has been repeatedly identified in the medical literature since the mid 1950s, but regular revelations about patient deaths and injuries resulting from treatment have had almost no effect on the actual practice of medicine. Only very recently has the medical profession made a systematic effort to reduce or eliminate the many preventable deaths and injuries that occur in hospitals each year. This review traces the diffusion of innovation in medical error reduction to the public shaming of the profession that occurred as a result of stories that appeared in the news media. The focus is on the USA, but news stories about patient safety are sparking a similar process throughout the western world.
Diffusion of Innovation↗
Moral hazard vs. real hazard: quality of care post-Arrow.
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Economic Competition↗
Can purchasers correct the course? New roles, new responsibilities.
A health care analyst-writer explains the critical components for the health care purchasing system of tomorrow and lays out an action plan for effectively facing its challenges.
Data Collection↗
Making accountability key in health care. Interview by Patrick Mullen.
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Cost Control↗
3 forces for change.
For decades, health care has nursed a distrust of comparative clinical data. But what the market wants, it gets. Economics, technology, and the spirit of the times call for computer systems that measure quality.
Attitude to Computers↗
Healthcare already may be getting fair treatment.
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Financing, Government↗
Hospitals are loath to cite satisfactory level of profit.
The healthcare industry likes to talk about the need to earn a reasonable profit, but no one wants to nail down what constitutes a reasonable profit margin for a hospital, says Michael Millenson.
Financial Management↗
Perspectives. A New York state of decline.
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Acquired Immunodeficiency Syndrome↗
Cutting corners undercuts facility's mission.
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Economic Competition↗
Healthcare in America.
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Financing, Government↗
Managed care: will it push providers against the wall?
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Health Maintenance Organizations↗
"Miracle and wonder": the AMA embraces quality measurement.
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American Medical Association↗
The public interest in publishing quality information.
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Consumer Advocacy↗
The new American health system.
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Cost Control↗
R-e-s-p-e-c-t. Managed care makes a name for itself in the years following the 1973 federal HMO Act.
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Aged↗
Stand by me. To thrive as the new American health care system managed care will have to go beyond consumer satisfaction and once again earn the public's trust.
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Community Health Planning↗