Oct. 15: The transformation of health care and the ACA
I’d like to share with you an article shared with me by one of our Trauma-Critical Care Surgeons, Dr. Ara Feinstein. As we continue toward this transformative chapter in health care, we all have to be focused on improving our systems of caring, reducing inappropriate variation and focusing on highly reliable designs to ensure patients get the right care at the right place at the right time for the right reason. Frankly, as this article clearly points out, we can’t afford not to.
As we think about redesigning Banner Good Samaritan around the institute model with multiple centers, let’s design these institutes so they focus on value-based care, ensure that each quality-safety structure measures the right outcomes -- focused on reducing waste and keeping our populations healthy, so only the patients that need to find themselves in a hospital bed end up there.
What great opportunities for each of us to contribute in the transformative era of health care. So many possibilities ...
Steve Narang, MD, is the chief executive officer at Banner Good Samaritan Medical Center.
The Road to a New Medical Order
By John Mauldin
There is no doubt that the single most contentious topic I can bring up in a small group discussion or speech is the Affordable Care Act, otherwise known as Obamacare. You can feel the tension rise, as everyone has an opinion they want to express – most of them based essentially on preconceived philosophical positions, nearly all of which can be can seen through their own eyes as reasonable and consistent with civilized behavior. And the facts that can be trotted out to support their positions, pro and con, could fill up a document almost as long as the original 2,300+ page bill. I have avoided writing about the Affordable Care Act (ACA) for a variety of reasons, but primarily because it is so difficult for us to get our heads around the economic implications.
Today I will try, though some of my readers may conclude that I have failed, to avoid coming to political conclusions about the ACA. Instead, I will aim to dwell simply on the economic ramifications of the implementation of the bill as it exists today. We are changing the plumbing on 17.9 percent of the U.S. GDP in profound ways. Many, if not most, of the changes are absolutely necessary.