Dr. David Au Talks About Integrated Approaches to Systems of Care
David Au, MD, Professor, Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, says that hospital systems represent only one aspect of care delivery for patients who have been hospitalized. Systems of care can focus on the hospital experience, discharge processes, outpatient transitions, and more to improve readmission rates. Dr Au also addresses the role of the policy maker in hospital readmissions. He says that the policy maker should drive behavior that encourages healthy behavior in the home environment and an integrated approach to healthcare.
This video was taken on May 19, 2013, at the ATS 2013 International Conference in Philadelphia, PA.
Status in the States, the series in The American Journal of Managed Care’s news publication, Evidence-Based Oncology, took a look at cancer care in New Jersey two years after a high-profile reorganization of the state’s higher education system. The overhaul has improved collaboration within research units and with nearby pharmaceutical giants, and a new medical school reports a bumper crop of applicants.
Yesterday’s announcement that Pennsylvania will become the 27th state to expand Medicaid under the Affordable Care Act was closely watched in both healthcare and political circles, for it shows further accommodation to both local health needs and political considerations. Will Pennsylvania’s deal with the Centers for Medicare and Medicaid Services be the last, coming after Arkansas and Iowa? Or is it a sign that Medicaid, which has always combined federal mandates with some local flavor, will continue to shift with the political winds in the states?
Balancing health care tailored to the individual with a modern reimbursement scheme based on population health is the challenge that awaits the nation’s healthcare system. Based on a study in The American Journal of Managed Care, it can be done, even among patients like seniors who use more healthcare than most.