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THE CALIFORNIA RIGHT CARE INITIATIVE: IMPROVING CARDIOVASCULAR OUTCOMES THROUGH QUALITY IMPROVEMENT IN MANAGED CARE ORGANIZATIONS

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Air date: Wednesday, February 23, 2011, 1:00:00 PM
Time displayed is Eastern Time, Washington DC Local
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Category: BSSR Lecture Series
Runtime: 01:09:36
Description: BSSR Lecture

Efforts to improve the quality of chronic disease care have often failed to improve patient outcomes. Averaged across all practices, patients receive the recommended care only about half the time. In California the performance rates for many standard chronic care quality measures, such as control of high LDL cholesterol or blood pressure, rank substantially below those of other states.



Although protocols for managing these risk factors are known to be effective, the major problem is in achieving application of the protocols by providers and adherence among patients. Not all plans are poor performers and there is substantial variability across California medical plans. The best performing California health plans are among the national quality performance leaders and we have been focusing on high performing plans with the goal of spreading their practices to plans performing less well. This presentation reviews efforts from the NHLBI funded California Comparative Effectiveness and Outcomes Improvement (CEOI) Center, an entity that is developing a sustainable statewide infrastructure for Comparative Effectiveness Research on primary and secondary prevention of cardiovascular disease (CVD) for the 15 million people enrolled in California managed care plans.



Partners in the effort include the State of California, three campuses of the University of California, RAND, and most of the major health plans serving California (Kaiser, Blue Cross, United, Atena). Results from a community wide project in San Diego demonstrate the effects of medical practice design changes on outcome systolic blood pressure, LDL cholesterol, and glycosylated hemoglobin. Methodologies for monitoring high and low performing groups will also be presented.
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NLM Title: The California right care initiative : improving cardiovascular outcomes through quality improvement in managed care organizations [electronic resource] / Robert M. Kaplan,.
Series: BSSR lecture
Author: Kaplan, Robert M.
National Institutes of Health (U.S.). Office of Behavioral and Social Sciences Research.
Publisher:
Other Title(s): BSSR lecture
Abstract: (CIT): BSSR Lecture Efforts to improve the quality of chronic disease care have often failed to improve patient outcomes. Averaged across all practices, patients receive the recommended care only about half the time. In California the performance rates for many standard chronic care quality measures, such as control of high LDL cholesterol or blood pressure, rank substantially below those of other states. Although protocols for managing these risk factors are known to be effective, the major problem is in achieving application of the protocols by providers and adherence among patients. Not all plans are poor performers and there is substantial variability across California medical plans. The best performing California health plans are among the national quality performance leaders and we have been focusing on high performing plans with the goal of spreading their practices to plans performing less well. This presentation reviews efforts from the NHLBI funded California Comparative Effectiveness and Outcomes Improvement (CEOI) Center, an entity that is developing a sustainable statewide infrastructure for Comparative Effectiveness Research on primary and secondary prevention of cardiovascular disease (CVD) for the 15 million people enrolled in California managed care plans. Partners in the effort include the State of California, three campuses of the University of California, RAND, and most of the major health plans serving California (Kaiser, Blue Cross, United, Atena). Results from a community wide project in San Diego demonstrate the effects of medical practice design changes on outcome systolic blood pressure, LDL cholesterol, and glycosylated hemoglobin. Methodologies for monitoring high and low performing groups will also be presented.
Subjects: California
Cardiovascular Diseases--prevention & control
Cardiovascular Diseases--therapy
Quality of Health Care
Treatment Outcome
Publication Types: Lectures
Webcasts
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NLM Classification: WG 120
NLM ID: 101557280
CIT Live ID: 10001
Permanent link: http://videocast.nih.gov/launch.asp?16497