6. 20 0TH ANNIVERSARY ARTICLE
The Burden of Disease and the Changing Task of Medicine
David S. Jones, M.D., Ph.D., Scott H. Podolsky, M.D., and Jeremy A. Greene, M.D., Ph.D.
n engl j med 366;25 nejm.org june 21, 2012
7. Tackling Rising Health Care Costs in Massachusetts
John Z. Ayanian, M.D., M.P.P., and Philip J. Van der Wees, Ph.D.
n engl j med 367;9 nejm.org august 30, 2012
8. Two Hundred Years of Hospital Costs and Mortality — MGH
and Four Eras of Value in Medicine
Gregg S. Meyer, M.D., Akinluwa A. Demehin, M.P.H., Xiu Liu, M.S., and Duncan Neuhauser, Ph.D.
n engl j med 366;23 nejm.org june 7, 2012
9. When the Cost Curve Bent — Pre-Recession Moderation
in Health Care Spending
Charles Roehrig, Ph.D., Ani Turner, B.A., Paul Hughes-Cromwick, M.A., and George
Miller, Ph.D.
13. ………opportunities that did not exist even a decade ago
(with associated sophistication of information technology)
has become affordable and widely available. This capability makes it possible to
harvest useful information from actual patient care (as opposed to one-time studies),
something that previously was impossible.
• · allows that power to be accessed in real time virtually anywhere by
professionals and patients, permitting unprecedented diffusion of information
cheaply, quickly, and on demand.
• · Progress in human and can
improve the reliability and efficiency of care, permitting more scientific deployment
of human and technical resources to match the complexity of systems and institutions.
• · Increasing unleashes the potential for their participation, in
concert with clinicians, in the prevention and treatment of disease—tasks that
increasingly depend on personal behavior change.
14. Value-Based Purchasing — National Programs to Move
from Volume to Value
Jordan M. VanLare, A.B., and Patrick H. Conway, M.D.
n engl j med 367;4 nejm.292 org july 26, 2012
15. Escaping the EHR Trap — The Future of Health IT
Kenneth D. Mandl, M.D., M.P.H., and Isaac S. Kohane, M.D., Ph.D.
Only a small subset of loosely coupled
Information technologies need to be
highly specific to health care.
Many components can be generic.
n engl j med 366;24 nejm.2240 org june 14, 2012
16. Unraveling the IT Productivity Paradox — Lessons
for Health Care
Spencer S. Jones, Ph.D., Paul S. Heaton, Ph.D., Robert S. Rudin, Ph.D., and Eric C.
Schneider, M.D.
Studies of the IT productivity paradox
suggested
that the productivity payoff
of an IT investment did not follow quickly
but required periods of intensive process
reengineering
n engl j med 366;24 nejm.org june 14, 2012
32. Resumint:
• Adaptive systems to complexity
– Hospitals & Primary care role
– PPP
• Patient-centered
– Value versus volume
• The empowered patient role (engaging patients,
families & community)
• The continuous learning organizations approach
• ICT + BPM + DSS
• Big data