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Achieving the Quadruple Aim in a Technology-Driven Transformed Health System: Better Care, Improved Health, Lower Costs and Decreased Medical Liability
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Authors: James B. Couch, M.D., J.D., FACPE (Senior Physician Executive, The JHD Group, Inc.) 
Book Description:
America’s $3 trillion healthcare system is undergoing its most tumultuous changes in a half century. Although covering the uninsured and the individual mandate to purchase insurance has received the most attention, these are not the most important developments driving change. Rather, it is the rapidly accelerating movement from a volume to a value based healthcare financing system that will be most responsible for creating a very different healthcare industry by the end of this decade. Unsustainable cost pressures have been mounting on the government and employers as the ultimate purchasers of healthcare. Left unabated, these forces will render our nation economically destitute and our companies globally uncompetitive in the years and decades ahead. Although the Great Recession provided a five year respite, with the growing economic recovery and the addition of millions of previously uninsured to the marketplace, healthcare cost increases are returning. What can be done to prevent a return to double-digit healthcare inflation in a national economy, business and consumer environment that can no longer sustain that?

The “Quadruple Aim” is a one goal enhancement (i.e. decreasing medical liability) to that of the better known “Triple Aim”, which seeks better care, improved individual and population health and lower costs. The Triple Aim has served as the North Star toward which all reform efforts at least should be pointed. But can achievement of the Triple Aim also result in accomplishing the Quadruple Aim (simultaneously decreasing the risks and actualities of medical liability)? Conversely, what will likely be the enduring value of achieving the Triple Aim if accomplishing the Quadruple Aim is not possible? The overarching theme of this book addresses those questions in the context of a technology-driven, rapidly transforming healthcare industry. (Imprint: Nova)


Book Reviews

David B. Nash, M.D., M.B.A. Dean; Jefferson School of Population Health; Thomas Jefferson University (quotes from his review):

  • “With some fresh thinking and keen new insights, Dr. Couch has made a major contribution to our “toolkit” to fix our broken healthcare system.”
  • “With keen new insights, Dr. Jim Couch proposes an innovative, Quadruple Aim, linking reform of the medical/legal system to a more comprehensive reform of our ailing healthcare system. Kudos to Couch!”
  • “In a candid and surprisingly easy to read text, Dr. Couch delivers the goods! His innovative Quadruple Aim distills the core requirement of fixing our medical/legal system before we can fix our broken healthcare system.”
  • “Dr. Jim Couch has done it this time! With fresh thinking and keen new insights, he delivers the goods by introducing us to the Quadruple Aim and making us think about reform of the medical/legal system and its link to reform of our ailing healthcare system.”

"This brilliantly written book should become required reading by the directors and staffs of medical liability insurance companies and all residency directors to use some of its main messages to help break the cycle of wasteful defensive medicine practices often perpetuated by senior physician mentors." Charles Aswad, M.D., President Emeritus, Medical Society of the State of New York, Board Member, Medical Liability Mutual Insurance Company (MLMIC)

"Clear; concise; accurate; understandable and optimistic. No quibbles. I like it, a lot!" George D. Lundberg, M.D., Former Editor in Chief of the Journal of the American Medical Association.

Paul Anderson, Editor and director of ECRI Institute's risk management and patient safety publications. To read the review, click here.


Table of Contents:
Preface pp.xi-xii

Foreword: Jeffrey Lerner, Ph.D., President & CEO, ECRI Institute pp.xiii-xiv

About the Author pp.xv-xvi

Chapter One: The Evolving Post Reform Healthcare Landscape pp.1-12

Chapter Two: Information Technologies Driving Healthcare Delivery and Financing Transformation pp.13-28

Chapter Three: Medical Liability in a Technology-Driven Post-Reform Healthcare Marketplace pp.29-44

Chapter Four: The Shifting Focus of Medical Liability in a Value-Driven Healthcare System pp.45-58

Chapter Five: How to Use Electronic Health Records to Optimize Care Value and Minimize Medico-Legal Risk pp.59-80

Chapter Six: Medical Legal Risk Implications of Analytics Technologies and Methodologies pp.81-94

Chapter Seven: New Methods to Predict and Prevent Medical Liability Actions pp.95-116

Chapter Eight: How Must the Liability System Change for the Quadruple Aim to be Achievable? pp.117-126

Chapter Nine: Conclusion pp.127-132

Chapter Ten: Epilogue: Achieving the Quadruple Aim in the Next Decade and Beyond pp.133-136

Index pp.137-141



   Series:
      Health Care in Transition
   Binding: Softcover
   Pub. Date: 2015 - 2nd Quarter
   Pages: 158. 6x9 - (NBC-HS)
   ISBN: 978-1-63482-140-7
   Status: AV
  
Status Code Description
AN Announcing
FM Formatting
PP Page Proofs
FP Final Production
EP Editorial Production
PR At Prepress
AP At Press
AV Available
  
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Achieving the Quadruple Aim in a Technology-Driven Transformed Health System: Better Care, Improved Health, Lower Costs and Decreased Medical Liability