. Aiming Higher: Results from a State Scorecard on Health System Performance Mary Wakefield, Ph.D., R.N. Member, Commission on a High Performance Health.

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Aiming Higher: Results from a State Scorecard on Health System Performance

Mary Wakefield, Ph.D., R.N. Member, Commission on a High Performance Health System Associate Dean for Rural Health and Director, Center for Rural Health

Alliance Briefing, June 15, 2007

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Focus On:

• The Commission on a High Performance Health System

• North Dakota• Systemness• Primary Care

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The overarching mission of a high performance health system is to help everyone, to the extent possible, lead long, healthy, and productive lives.

(Commission on a High Performance Health System)

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Focus on Aiming Higher

A high performance health system is designed to achieve:

1. high quality, safe care2. access to care for all people3. efficient, high value 4. system capacity to improve

HIGH QUALITY, SAFE, COMPASSIONATE,

COORDINATED CARE

ACCESS AND EQUITY FOR ALL

EFFICIENCY

CAPACITY FOR SYSTEM AND WORKFORCE

INNOVATION AND IMPROVEMENT

LONG, HEALTHY, AND PRODUCTIVE

LIVES

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North Dakota

• In top 1/3 of states overall

• 85% of adults are insured

• In top 10 in unnecessary hospitalizations

• Ranked 2nd in Medicare reimbursement per enrollee

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“Our current methods of organizing and delivering care are unable to meet expectations…because the

science and technologies involved in health care – the knowledge, skills,

care interventions, devices and drugs - have advanced more rapidly than

our ability to deliver them safely, effectively, and efficiently.”

(Crossing the Quality Chasm, 2001)

About Systemness

Policy Focus

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About Primary Care

• Health is better in areas where there are more primary care services.

• People who receive primary care are healthier.• Costs of care are lower in areas where there

are more primary care services.(Starfield, et. al. 2005)

Policy Focus

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For more information contact:

Center for Rural HealthUniversity of North Dakota

School of Medicine and Health SciencesGrand Forks, ND 58202-9037

Tel: (701) 777-3848Fax: (701) 777-6779

http://medicine.nodak.edu/crhEmail: [email protected]