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Guidelines for sites linking to mayoclinic.org| 8.1 | Establish a secure electronic medical system — make the electronic medical record portable, interoperable and broadly available to entire care team (includes X-rays, etc.) |
| 7.7 | Provide complete and accurate information so patients can make informed decisions about their care, includes visibility for adverse events/outcomes. |
| 7.2 | Center care around the individual and families and coordinate all aspects of patient care. Patients must be active participants in this process. |
| 7.1 | Create a simpler system (i.e. medical home), with a defined leader (p. care or specialist) who is accessible to me and coordinates/advocates their care of acute and chronic conditions — advocate to improve quality/efficiency based on evidence. |
| 6.9 | Define a minimum standard benefit package that realigns the health system toward improving health rather than treating disease. |
| 6.6 | Create a simple mechanism (similar to the Federal Employees Health Benefit Plan) to offer private insurance packages to buyers. |
| 6.5 | Create an independent, autonomous, unbiased board similar to federal reserve that would make recommendations re: coverage based on evidence and cost effectiveness. |
| 6.4 | Create a trusted mechanism to synthesize scientific, clinical and medical information for both patients and providers. |
| 5.9 | Move from employer-based insurance to portable, individual-based coverage. Employers could still help finance a portion of their workers' health care expenses and should be encouraged to promote employee wellness. |
| 5.9 | Modify the medical school/CME curriculum to include instruction for how involve patient in decisionmaking. |
| 5.8 | Establish a patient advisory council that works in cooperation with care teams — help patient navigate the system. |
| 5.4 | Remove financial incentives that (victimize) patients associated with delivery of care, possibly through legislation. |
| 5.4 | Broaden the "pediatric annual well check" to adults that anticipates problems/tracks progress. |
| 5 | Define the medical home — advocate, coordinate care cradle to grave — burden is removed from family and provider/improves efficiency/keeper of the medical record. |
| 4.8 | Eliminate cost barriers to entry into clinical trials. |
| 4.3 | Develop and implement a national "media blitz" that empowers patients to take personal responsibility (exercise/obesity) and establish a medical home. |
| 3.8 | Establish/revise high school prevention/wellness and how to navigate the system. |
The system must be user-friendly based on what patients want — providers must communicate at the level of the patient, in a way they can understand/participate in.
Patient care services must be coordinated across people, functions, activities, sites and time in order to increase value. Patients must be active participants in this process.
Make it illegal nationwide to base coverage eligibility or price on medical history.
Limits on cost sharing so appropriate care is affordable
Include development/behavioral considerations as new system of healthcare delivery is established.
Hold all sectors in health care accountable for reducing waste and inefficiencies.
Establish a health outcomes database, that is broadly accessible and gives visibility to negative results.
Develop a definition of value based upon the needs and preferences of patients, measurable outcomes, safety and service, compared to the cost of care over time. Pay for value.
Cultural compentencies to support patient/family communication and decision making
Build consensus among enlightened stakeholders in health reform among all docs/nurses/other providers — demonstrate that there is strong support for major, enlightened reform.
Build a system based on desired outcomes from the perspective of individuals and their families.
Ban consumer advertising of pharmaceuticals.
Value Action Step
A modified system must be accessible to those with physical disabilities.
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