• care quality and efficiency data with the aim of encouraging value-based payment (Toussaint et al., 2011).
  • All-payer databases are being established in various states around the country.
  • Community-based initiatives include the Aligning Forces for Quality program and the Chartered Value Exchange project.

As these examples illustrate, sustained transformation will require initiatives and partnerships that nurture continuous learning and promote improvement and innovation.

Conclusion 4-3: Innovative public- and private-sector health system improvement initiatives, if adopted broadly, could support many elements of the transformation necessary to achieve a continuously learning health care system.

Related findings:

  • Many states have undertaken productive health system improvement initiatives. States ranging from Massachusetts to Utah to Vermont have introduced initiatives aimed at expanding health insurance coverage, improving care quality and value, and advancing the overall health of their residents.
  • Incentives for the adoption of health information technology may promote learning and yield substantial savings. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides $30 billion in Medicare and Medicaid incentive payments for the meaningful use of health information technology by clinicians and hospitals, which has been estimated to yield savings of $93 billion between 2011 and 2019.


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