At the Turning Point: Donald Berwick Discusses Health Care Improvement
summary
Defines the triple aim (better care, better health, lower cost) and argues electronic records are necessary but insufficient — meaningful use drives EHR adoption while extraction of actionable knowledge lags. Cites the Alaska nuka system cutting admissions 53%, ED visits 50%, specialty consults 65% and primary care visits 20% while raising quality and staff retention. Estimates roughly one third wasted of US spending, pushes individualized data mining over sole reliance on RCTs, and says single organizations can transform in about five to seven years if payment and culture change. turning the lights on
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chapters (8)
- 0:00Start
- 0:43What Is the Triple Aim
- 0:53Triple Aim
- 15:42Philosophies about How To Cause Improvements
- 18:08The Learning Journey
- 28:31Specialty Care
- 36:26How Does Genomics Play into Changes in Health Care
- 46:47Health Care Is a Human Right
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