Sessions and Themes
- Shifting the paradigm: Vikas Saini
- Magical thinking and Modern medicine: Harvey Fineberg
- What makes us do it?
- What will it take to get us there?: Don Berwick
- What are the knowledge gaps in avoiding avoidable care?
- Case discussions
- What are the ethical issues?
- Medical journals and the issue of avoidable care
- The schizophrenic life of the hospital CEO
- A reason to change: Shannon Brownlee
- Social responsibility of physicians: Bernard Lown
- Behavior-changing Best practices
- Global dimensions of unnecessary care: Julio Frenk
- Payment mechanisms and the Culture of medicine
- Choosing wisely and beyond: What are the next steps?
- How can patients help drive the needed change?
Commentary on Payment Mechanisms – Dolores Mitchell
Dolores Mitchell, Executive Director, Group Insurance Commission
Purchasers are under enormous pressure to reduce health care costs that increase the cost of their products and services, making companies non competitive and wages stagnant. Purchasers also lack the ability to affect overuse except with tools that often just pass the rising costs to consumers. Utilization review mechanisms breed resentment from employees as well as providers and are only marginally effective. Criticizing doctors or hospitals sis considered taboo,particularly in areas where the medical/pharmaceutical/medical device industries create jobs, even if they have a negative effect on job growth in other sectors of the economy. Purchasers welcome leadership in addressing issues of overuse by physician organizations such as the IOM, THE ABIM and the Lown Foundation.