World Cafe True Healthcare Reform
The Good, the Bad, and The Ugly: Transcending the Crisis.
The City Club of Central Oregon in partnership with Clear Choice Health Plans conducted its first in a series of three, Health Care Reform World Cafe gatherings. The graphic below depicts the outcome of the discussion as attendees discussed the components of current healthcare that should be retained in creating a new system, and those that should be discarded. The complete summary list is found below.
Session II will focus on A Vision for Building an Equitable System of Healthcare.
The Cafe will be conducted on September 17th at Clear Choice Health Plans office from 4:00 to 6:30 p.m. There is no cost to attend - but preregistration is required.
SESSION I SUMMARY
Characteristics to Retain:
- Choice by Patients, Consumers and Families
- Access to Technology
- Physician/Patient Relationship
- Scientific Advancement Through Research & Development
- Community Based Hospitals
- Comprehensive Medical Education
- Trauma Systems
- Community Hospice Systems
- Quality of the Acute Care System
- Availability of Continuous Training of Caregivers
Characteristics to Change:
- Access to Needed Healthcare Services
- Cost
- Lack of Emphasis on Prevention and Preventive Services
- Payment for Prevention and Health Promotion
- Degree of Personal Responsibility for Health
- Defensive Medicine Practices
- Disparity in Healthcare Coverage
- Regional Disparity in Payment for Services
- Payment Incentives that Preclude Change of the Health System
- Payment for Medical Acts vs. Results
- Payment that Ignores Quality of Care
- Disparity in Prices/Costs Across the Country
- End of Life Care Provided
- Use of Technology
- Use of Intensive, Hospital Based Care
- Tort & Malpractice Reform
- Lack of Regional & National Leadership in Healthcare Reform
- Equity in Payment to Physicians and Other Caregivers
- Patient Advocacy
- Lack of Integration of Care for the Patient
- Use of Acute Care to Treat Chronic Conditions
- Lack of Public Education on Health Impacts of Life Style
- Lack of Mental Health/Behavioral Services
Observations & Comments:
- Government is Not the Answer
- America Has Great Healthcare in Selected Arenas
- We have Great Health Technology & Poor Management Technology Applications
- As a System, Healthcare is Too Complex to Fix