Symposia

8.3

Assure coverage for all

7.9

Require all providers to have interoperable electronic medical records by date certain
·    VA system as possible default
·    Provide tax credit
·    Incentives for those who use system
·    Consultants to defray costs

7.7

Implement an independent "Federal Health Reserve" to set rules/standards to promote value in healthcare (for example):
·    Care coordination
·    Define basic benefits package
·    Make rules and establish standards
·    Data requirements
·    Refine standards and best practices
·    Reduce waste/inefficiencies
·    Facilitate inter-agency participation in reform
·    Define a national risk pool
·    Promote reimbursement based on wellness
·    Guarantee portability of healthcare insurance

7.0

Reform Medicare:
·    pay for outcomes/value
·    eliminate geographical disparities
·    remove policies that penalize individual patients

7.0

Promote individual-based insurance as an option along with employer-based insurance

5.9

Center to promote clinical comparative effectiveness research

5.6

Ban direct-to-consumer advertising of pharmaceuticals

5.4

Reform anti-trust and tort laws to remove legal barriers to improving healthcare

5.4

Create adjusted community rate (based on age, gender, location)—no differentiation for pre-existing conditions/disability and eliminate co-pays for preventive care

5.1

Remove obstacles for delivery of home/community-based services and eliminate institutional bias

4.9

Create a national institute of healthcare delivery science (e.g. expand AHRQ's focus on delivery systems)

4.8

Create a nationally accessible repository for medical records with guaranteed privacy protections

4.8

CMS expand health care system (e.g. respite care, day care, palliative care, community-based, complementary medicine etc.)

4.8

Pilot programs for bundled Medicare payments

4.6

Eliminate disparities (racial/ethnic, congress vs. public, beyond universal coverage)

4.5

Direct CMS to remove rules/barriers to care (esp. for those with disabilities)

4.4

Consumer-based electronic platform (e.g. lifespan planning record) to allow integrated healthcare planning for patients to share with providers

4.4

Implement the O'Neill rule: Mandate that every CEO of every hospital, first thing every morning, ask every member of the staff "How many people have we killed in this facility in the last 24 hours?"

4.3

Reform HIPAA:
·    Promote communication of providers in the care of patients
·    HHS—implement national health ID for all consumers

4.2

Give livable wages and benefits for community healthcare workers and personal care assistants

4.0

Study successful healthcare systems outside the U.S. and implement best practice using existing funding mechanisms

3.7

Implement tax-free savings accounts for healthcare (different from HSAs)

3.6

Direct President to choose Secretary of Health and Surgeon General committed to change

3.4

Eliminate business barriers to competition (e.g. licensure requirements)

2.3

Promote advance directives in all insurance

2.1

Ban all health bills, health insurance forms, and all other paperwork which interferes with the care of patients