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Interventions that are too narrow in scope or weak with regard to system change have minimal impact health outcomes and cost, and have, for some, created skepticism about engaging in improving chronic care. , 1999). ). Cost savings may be greatest for congestive heart failure (and for asthma, among populations with high rates of hospitalization), with less short-term returns on investment for diabetes. Revenues generally rise in the fee-forservice environment, since checkups and screenings not routine to acute care can increase billable utilization.
B). 1, creating a community rich in experience for all to draw upon. Detailed resources are available from the sponsoring organizations which can be used “shamelessly” by those with a similar mission. BUSINESS CASE FOR QUALITY IMPROVEMENT? , 2003). Interventions that are too narrow in scope or weak with regard to system change have minimal impact health outcomes and cost, and have, for some, created skepticism about engaging in improving chronic care. , 1999). ). Cost savings may be greatest for congestive heart failure (and for asthma, among populations with high rates of hospitalization), with less short-term returns on investment for diabetes.
JAMA 276(18): 1473–1479. Improving Chronic Illness Care. ). The Chronic Care Model. html. Accessed June 20, 2004. Institute for Healthcare Improvement. -a). Idealized design of clinical office practices: Background on IDCOP. asp. Accessed June 20, 2004. Institute for Healthcare Improvement. -b) Overview of Breakthrough Series Collaboratives. org/collaboratives/ breakthroughseries. Accessed July 2, 2004. Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century.
