Quality
Cost, access, and quality have long formed a health policy triad. Over the years, greater attention has been paid to quality at the plan, system, and provider level. From establishing evidence-based treatment guidelines to setting and achieving clinical performance targets, insurers, plan sponsors, federal and state governments, and consumers want to help providers ensure the delivery of high-quality health care. Many believe that health information technology (health IT) capabilities, including electronic health records, health information exchange, and mobile health applications will play an increasingly important role in improving the quality of the health care system, enhancing both the safety and appropriateness of care.
The Forum's work on quality focused on performance measurement and reporting, health IT, medical team training and practice, patient-centered medical homes, goal-oriented care, and provider scope of practice.
Diagnostic Errors: A Threat to Health and Impediment to Health Reform
Forum Session
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March 25, 2016
When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"?
Forum Session
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March 11, 2016
Geriatric-Friendly Emergency Departments: Better Options for Patients and Providers?
Forum Session
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February 19, 2016
Meaningful Use: The Right Path for Health IT?
Forum Session
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December 4, 2015
Meaningful Use of Health Information Technology: Proving Its Worth?
Issue Brief
No. 856
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November 16, 2015
Goal-Oriented Chronic Care: Defining Concepts and Developing Tools
Forum Session
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September 25, 2015
Improving the Quality and Efficiency of Care for Older Adults: Lessons From the Field
Forum Session
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September 18, 2015
Quality Stars: Medicare Advantage Plans and the Star Rating System
Forum Session
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May 8, 2015
The Star Rating System and Medicare Advantage Plans
Issue Brief
No. 854
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May 5, 2015
Annual Report 2014
Annual Report
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April 1, 2015
Incorporating Patient Perspectives in Measuring Quality and Value
Forum Session
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March 13, 2015
Health Policy Essentials 2015
Briefing Book
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February 6, 2015
Community Collaboration to Improve Population Health
Forum Session
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January 30, 2015
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surveys: Assessing Patient Experience
The Basics
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December 18, 2014
Patient-Centered Care, Payment, and Policy: The Leading Edge
Forum Session
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November 17, 2014
Promoting Evidence-Based Interventions: The Maternal, Infant, and Early Childhood Home Visiting Program
Forum Session
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October 10, 2014
Sociodemographic Risk Adjustment: Protecting the Safety Net?
Forum Session
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September 26, 2014
Achieving Health Information Exchange: Vision, Progress, Prospects
Forum Session
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September 12, 2014
Coordinating Chronic Care: Will New Incentives Spur Primary Care-Specialist Collaboration?
Forum Session
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June 6, 2014
Transforming Payment and Health Care Delivery: Early Reports from the State Innovation Model (SIM) Initiative
Forum Session
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April 18, 2014
Telehealth: Into the Mainstream?
Forum Session
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April 11, 2014
Annual Report 2013
Annual Report
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April 1, 2014
Management of Chronic Care Needs: What Will It Really Take to Coordinate Care?
Forum Session
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March 14, 2014
Telehealth: Into the Mainstream?
Issue Brief
No. 853
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March 10, 2014
Medicaid Health Homes: Delivery System Glue for People with Chronic Health Conditions
Forum Session
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December 13, 2013
Seeking Value in Medicare: Addressing Quality and Cost
Forum Session
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November 22, 2013
Implementing Pediatric Medical Homes: Challenges of Improving Primary Care for Children
Forum Session
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November 8, 2013
Seeking Value in Medicare: Performance Measurement for Clinical Professionals
Issue Brief
No. 852
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October 30, 2013
Transforming Behavioral Health Practice, Payment, and Policy: Too Fast, Too Slow, or Just Right?
Forum Session
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September 20, 2013
Replacing the SGR: Changing the Paradigm for Medicare Physician Payment?
Forum Session
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September 20, 2013
Patient-Centered Medical Home: Research Results Mixed, Experience Yields Optimism
Forum Session
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September 13, 2013
Payers and Patients: Searching for Value
Forum Session
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July 12, 2013
The Medicare Hospital Readmissions Reduction Program: Time for an Update?
Forum Session
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June 21, 2013
EMS "Hot Spotting": San Diego's Experience Creating a System of Care for Frequent Users of Emergency Medical Services
Forum Session
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June 14, 2013
Health Information Exchange: Promise, Practice, Prospects
Small-Group Session
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May 22, 2013
Annual Report 2012
Annual Report
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April 1, 2013
Pursuing High-Quality Care for an Aging Population: Challenges and Opportunities
Forum Session
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March 29, 2013
The "Coopetition" Model: Caring for San Diego's Low-Income Population
Site Visit
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February 19–20, 2013
Family Caregivers: The Primary Providers of Assistance to People with Functional Limitations and Chronic Impairments
Background Paper
No. 84
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January 11, 2013
Safety Net Integration: Tackling Fragmentation While Improving Access to Care and Efficiency
Forum Session
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December 7, 2012
Assisted Living Facilities and Their Growing Role in Long-Term Services and Supports (LTSS)
Forum Session
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November 30, 2012
Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery
Forum Session
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October 19, 2012
Technologies, Games, Incentives: Patient Engagement and Cost Containment
Forum Session
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September 21, 2012
Bundled Payment in Medicare: Promise, Peril, and Practice
Forum Session
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April 20, 2012
Caesar's Ghost: The Effect of the Rising Rate of C-Sections on Health Care Costs and Quality
Forum Session
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March 30, 2012
Beacon Communities: Signaling Success in Health Information Exchange?
Forum Session
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March 2, 2012
Mission Possible II: Reducing Health Care Costs Through Administrative Simplification
Forum Session
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February 24, 2012
Bridging the Silos: Care Coordination for Kids with Serious Behavioral Health Conditions
Forum Session
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December 16, 2011
Mission Possible? Saving on Health Care Costs by Reducing Unnecessary Services
Forum Session
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December 2, 2011
Feverish Activity: Global, National, and Local Lessons Learned from the 2009 H1N1 Flu Pandemic
Forum Session
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November 18, 2011
Preventing Hospital Readmissions: How Can Care Transitions for Medicare Beneficiaries Be Improved?
Forum Session
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October 28, 2011
Reengineering Health Care Delivery: What Lies Ahead?
Special Briefing
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October 14, 2011
Who’s Using Whom? Experience with User Fee Programs at FDA
Forum Session
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September 23, 2011
Aligning Graduate Medical Education with Public Policy
Background Paper
No. 82
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September 14, 2011
Medical Care for the Elderly Living at Home: Home-Based Primary Care (HBPC) and Hospital-at-Home Programs
Forum Session
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July 22, 2011
Tiered Provider Networks: Steps to Cost Containment?
Forum Session
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June 24, 2011
Still Smoking After All These Years: Tobacco Control Update
Forum Session
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June 10, 2011
Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Site Visit
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May 31–June 2, 2011
Home, but Not Alone: Evidence-Based Maternal, Infant, and Early Childhood Home Visitation
Issue Brief
No. 843
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May 26, 2011
Medicare's Vision of Accountable Care Organizations: Will Providers Have the Same View?
Forum Session
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May 20, 2011
Pioneering Transformation: Treating Chronic and Complex Disease in Underserved Areas
Forum Session
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April 8, 2011
The Hospitalist: Better Value in Inpatient Care?
Issue Brief
No. 842
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March 30, 2011
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations
Forum Session
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March 18, 2011
Oral Health Update: Ten Years After the Surgeon General’s Report
Forum Session
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January 21, 2011
Insurer-Provider Payment Negotiations: Implications for Health Spending
Forum Session
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December 10, 2010
Health Impact Assessments: What, Why, How, Who, Where?
Forum Session
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December 3, 2010
The Elder Justice Act: Addressing Elder Abuse, Neglect, and Exploitation
The Basics
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November 30, 2010
Pioneering Transformation: Technology, Data, and Safety Net Outcomes
Forum Session
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November 18, 2010
Calls for Patient-Centered Care: Physician and Hospital Response
Forum Session
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October 22, 2010
Transforming Primary Care: Implications for Practice Design and Workforce
Forum Session
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October 15, 2010
Patient-Centered Care: What Consumers and Families Want
Forum Session
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October 1, 2010
High Hopes: Public Health Approaches to Reducing the Need for Health Care
Background Paper
No. 78
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September 27, 2010
Getting Real: Data Sources, the Evidence Base, and Strategies for Improving the Health of Communities
Forum Session
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September 24, 2010
Implementing Incentives for Health IT: The Meaningful Use Regulation and Beyond
Forum Session
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September 24, 2010
Focus on Reform: Health Care Safety Net-Related Provisions
Forum Session
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July 16, 2010
Focus on Reform: Public Health Provisions
Forum Session
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June 25, 2010
Health Care Cost Drivers in Massachusetts: Lessons for Federal Policymakers
Forum Session
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June 21, 2010
Incorporating Innovations in Health Care: Workforce Implications
Forum Session
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June 11, 2010
Quality Measures for Children’s Health: A Place to Start
Forum Session
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April 23, 2010
Transforming Health Care Delivery: Insights from the New Orleans Safety Net
Forum Session
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April 16, 2010
Information and Incentives: Improving the Health of New York City's Low-Income Population
Site Visit
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April 5–7, 2010
The State Health Insurance Assistance Program (SHIP)
The Basics
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March 29, 2010
Ensuring Nursing Home Quality: Continuing Challenges to Oversight and Enforcement of Nursing Home Reform
Forum Session
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March 25, 2010
CHIPRA One Year Later: Where Does Implementation Stand?
Forum Session
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March 19, 2010
Not Your Father's Drug Approval Process: FDAAA and the Evolving Pharmaceutical Marketplace
Forum Session
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March 12, 2010
Health Information Exchange: Building the Infrastructure for Better Care
Forum Session
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January 14, 2010
Conflicts of Interest in Medicine II: Issues Surrounding Industry Funding of Physician Education
Forum Session
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December 11, 2009
The Role of Ombudsmen in Assuring Quality for Residents of Long-Term Care Facilities: Straining to Make Ends Meet
Background Paper
No. 71
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December 2, 2009
Prevention and Early Detection of Health Care Fraud, Abuse, and Waste
Forum Session
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October 30, 2009
Stimulus Bill Implementation: Expanding Meaningful Use of Health IT
Issue Brief
No. 834
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August 25, 2009
Encouraging Cost-Reducing Innovations in Health Care: New Technology Apps, New Business Models
Small-Group Session
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July 17, 2009
Building the Medical Home: Under Construction in the States
Forum Session
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June 5, 2009
Conflicts of Interest in Medicine: What's the Problem?
Forum Session
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May 15, 2009
Coordinating Care for People with Multiple Chronic Conditions: The Guided Care Model and Other Innovative Approaches
Site Visit
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April 17 & August 7, 2009
Health Care-Associated Infections: Is There an End in Sight?
Forum Session
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April 8, 2009
Promising Models of Care Coordination for Adults with Multiple Chronic Conditions: Getting Closer to the Holy Grail?
Forum Session
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April 3, 2009
Coordinating Care for Adults with Multiple Chronic Conditions: Searching for the Holy Grail
Forum Session
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March 27, 2009
Health Care-Associated Infections: Is There an End in Sight?
Issue Brief
No. 830
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March 13, 2009
Exploring Comparative Effectiveness: Lessons from Across the States and Around the World
Forum Session
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February 27, 2009
Comparative Effectiveness: What Is It? Who Does It? And Where Is It Going?
Fundamentals Briefing
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February 13, 2009
Exploring Comparative Effectiveness: Options for Expanding U.S. Capacity
Forum Session
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December 17, 2008
A Tale of Three Cities: Local Health Care Markets and Health Care Reform
Forum Session
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November 14, 2008
Exploring Comparative Effectiveness: Fundamentals and Controversies of Cost-Effectiveness Analysis
Forum Session
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October 30, 2008
Building the Medical Home: Surveying the Floor Plans
Forum Session
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October 28, 2008
Exploring Comparative Effectiveness: Activities of CDC, VA, and CMS to Advance Evidence-Based Health
Forum Session
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October 3, 2008
Exploring Comparative Effectiveness: Activities of NIH, FDA, and AHRQ to Advance Evidence-Based Health
Forum Session
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September 26, 2008
Working the System: Filling Jobs During Presidential Transitions
Small-Group Session
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September 10, 2008
Medicare's Hospice Benefit: In the Spotlight
Forum Session
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August 1, 2008
Medicare Demonstrations
The Basics
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July 30, 2008
Exploring Comparative Effectiveness: Fundamentals of Evidence-Based Health and Introduction to the Cochrane Collaboration
Forum Session
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July 25, 2008
The Fundamentals of Medicare Demonstrations
Background Paper
No. 63
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July 22, 2008
Building the Medical Home: Evaluating the Blueprints
Forum Session
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June 27, 2008
Competition and Collaboration, Chicago-Style
Site Visit
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March 16–18, 2008
The Physician Group Practice Demo: Where Do We Take What We've Learned?
Forum Session
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March 7, 2008
Shampoo, Sunscreen, and Strep Tests: The Retail Approach to Primary Care
Forum Session
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November 9, 2007
Practicing in Groups: The Way to Quality and Efficiency?
Small-Group Session
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September 14, 2007
Physician Profiling: Can Medicare Paint an Accurate Picture?
Issue Brief
No. 825
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September 10, 2007
Health Information Technology Adoption Among Health Centers: A Digital Divide in the Making?
Background Paper
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July 23, 2007
What Can Physician Profiling Do for Medicare?
Forum Session
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July 13, 2007
Advancing Evidence-Based Health Care: New Tools, New Data, New Opportunities
Forum Session
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June 8, 2007
Children's Health Care Quality: Time to Grow Up?
Forum Session
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April 13, 2007
Competition and Collaboration: The Spirit of St. Louis
Site Visit
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April 3–5, 2007
Review of Access and Quality of Care in SCHIP Using Standardized National Performance Measures
Technical Paper
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April 4, 2007
Health Care Price Transparency and Price Competition
Background Paper
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March 28, 2007
Personal Health Records: The People's Choice?
Forum Session
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March 16, 2007
Personal Health Records: The People's Choice?
Issue Brief
No. 820
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November 30, 2006
Value-Based Coverage Policy in the United States and the United Kingdom: Different Paths to a Common Goal
Background Paper
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November 29, 2006
The Electronic Health Record in Practice: Why, How, and What Next?
Site Visit
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June 23, 2006
LA Story: Improving Care Management for the Chronically Ill and Chronically Underserved
Site Visit
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April 18–20, 2006
Improving Care Management in Los Angeles: A Site Visit Overview
Special Briefing
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April 5, 2006
Caring for “Ryan White”: Balancing Quality, Access, Equity, and Finite Resources
Forum Session
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March 14, 2006
Fitness, Knowledge, Progress: Assessing Physician Qualification
Issue Brief
No. 809
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February 28, 2006
Redesigning Practice to Improve Care Delivery (Boston)
Site Visit
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December 4–6, 2005
The Bean, the Cod and the Medical Establishment: A Boston Market Overview
Special Briefing
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November 30, 2005
Clinical Preventive Services: When Is the Juice Worth the Squeeze?
Issue Brief
No. 806
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August 24, 2005
Caring for "Ryan White": The Fundamentals of HIV/AIDS Treatment Policy
Background Paper
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August 22, 2005
Keeping Track of Care: Quality and Technology at LifeBridge Health System (Baltimore)
Site Visit
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August 5, 2005
Charting the Quality Roadmap: A Conversation with Mark McClellan
Forum Session
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May 20, 2005
Hospital Oversight in Medicare: Accreditation and Deeming Authority
Issue Brief
No. 802
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May 6, 2005
Quality Improvement in Maryland: Partnerships and Progress
Site Visit
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December 9–10, 2004
Electronic Health Records: How Close? How Far to Go?
Forum Session
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October 27, 2004
Lost in Transition: Challenges and Opportunities in Moving Patients Between Health Care Settings
Forum Session
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October 7, 2004
Electronic Health Records: How Close? How Far to Go?
Issue Brief
No. 800
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September 29, 2004
Paying for Performance in Health Care: Getting a Better Deal?
Forum Session
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July 9, 2004
The Economics of Quality: Changing Incentives in Cincinnati
Site Visit
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May 24–25, 2004
Toward a National Health Information Infrastructure: Local, National, and Global Opportunities
Forum Session
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May 21, 2004
Veterans' Health Care: Balancing Resources and Responsibilities
Issue Brief
No. 796
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April 1, 2004
Toward Safer, Better, More Accountable Health Care: A Conversation with George Halvorson
Forum Session
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January 27, 2004
Rural Health Care in the Electronic Age (Danville, PA)
Site Visit
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November 6–7, 2003
Disease Management to Population-Based Health: Steps in the Right Direction?
Forum Session
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June 12, 2003
Disease Management to Population-Based Health: Steps in the Right Direction?
Issue Brief
No. 791
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May 16, 2003
Pursuing Perfection in Health Care Delivery: Insights from Innovators
Forum Session
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February 12, 2003
Converging on Nursing Home Quality
Forum Session
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January 31, 2003
Converging on Nursing Home Quality
Issue Brief
No. 787
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January 9, 2003
Depression: A Decade of Progress, More to Do
Issue Brief
No. 786
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November 22, 2002
Contracting for Quality: Medicare's Quality Improvement Organizations
Forum Session
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September 27, 2002
Contracting for Quality: Medicare's Quality Improvement Organizations
Issue Brief
No. 774
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June 3, 2002
Medicare Coverage: Lessons from the Past, Questions for the Future
Forum Session
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November 2, 2001
Meeting Employees' Information Needs in an Evolving Health Care Marketplace
Background Paper
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November 2001
Medicare Coverage: Lessons from the Past, Questions for the Future
Background Paper
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August 2001
Quality in the Making: Perspectives on Programs and Progress
Background Paper
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April 2001
Bad News/Good News in the Asthma Epidemic: Prevalence Jumps Sharply, But Symptoms Can Be Controlled
Forum Session
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September 26, 2000
The Asthma Epidemic: Prospects for Controlling an Escalating Public Health Crisis
Background Paper
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September 2000
Applying Science to Public Policy: The Context of the Surgeon General's Report on Mental Health
Background Paper
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April 2000
Improving Quality and Preventing Error in Medical Practice
Issue Brief
No. 753
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March 15, 2000
Improving Quality and Preventing Error in Medical Practice
Forum Session
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March 15, 2000
Physician Connectivity: Electronic Prescribing
Issue Brief
No. 752
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February 23, 2000
Physician Connectivity: Electronic Prescribing
Forum Session
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February 23, 2000
Mental Health Coverage Parity: Separating Wheat from Chaff
Issue Brief
No. 745
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July 20, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Forum Session
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July 20, 1999
Reducing Medical Error: Can You Be As Safe in a Hospital As You Are in a Jet?
Issue Brief
No. 740
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May 14, 1999
Reducing Medical Error: Can You Be As Safe in a Hospital As You Are in a Jet?
Forum Session
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May 14, 1999
Substance Abuse Prevention: Could an Improved D.A.R.E. Program Help Bridge the Gap between Research and Practice?
Issue Brief
No. 737
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April 15, 1999
Substance Abuse Prevention: Could an Improved D.A.R.E. Program Help Bridge the Gap between Research and Practice?
Forum Session
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April 15, 1999
Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
Issue Brief
No. 718
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April 14, 1998
Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
Forum Session
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April 14, 1998
Increasing the Federal Cigarette Tax: A Means of Reducing Consumption?
Issue Brief
No. 717
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April 3, 1998
Increasing the Federal Cigarette Tax: A Means of Reducing Consumption?
Forum Session
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April 3, 1998
Authenticating Healthcare Quality: Information and Accountability
Forum Session
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March 6, 1998
Health Care Quality: From Data to Accountability
Background Paper
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February 1998


