Health care is expensive and we don’t feel like what we receive service that is valuable. We feel trapped. Providers are being forced to take financial responsibility for the outcomes of their population (which I believe is a good idea. It makes no sense to get paid more for doing more and more stuff that has no value to the individual) and are feeling powerless, burnt out, hopeless and maybe even depressed.

A panel of the Institute of Medicine (IOM) estimated in a September 2012 report that $690 billion was wasted in US health care annually, not including fraud.

As the IOM committee reports, every missed opportunity for improving health care results in unnecessary suffering. By one estimate, almost 75,000 needless deaths could have been averted in 2005 if every state had delivered care on par with the best performing state. Current waste diverts resources; the committee estimates $750 billion in unnecessary health spending in 2009 alone.

 

http://iom.nationalacademies.org/Reports/2012/Best-Care-at-Lower-Cost-The-Path-to-Continuously-Learning-Health-Care-in-America/Report-Brief.aspx?page=1

http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=82

The IHI developed a model for improvement called the Triple Aim. Change the experience of care to better care that will decrease per capita cost.

I believe that the way to change the experience of care to better care (less wasteful care) is to personalize it through Person-Centered Care Planning. It is through the process of determining what matters to the individual that we can create a treatment plan that helps the individual focus on what matters to them, we regain trust and eliminate waste.