Category Archives: Patient-Centeredness

The Promise of Quality and a Pathway to Equity

One of the six components of quality health care identified by the Institute of Medicine is patient-centeredness. While there has been significant attention on the components of safety, timeliness, effectiveness, efficiency, there has been less attention on the components of equity and patient-centeredness.

I have begun to use patient-centeredness as a key concept to drive change and improvement in our health care systems, as well as a pathway to health equity. To me, patient-centeredness means providing the best care to all patients at all times, based on their individual, contextualized needs and preferences. It means customizing and tailoring health care and services for diverse individuals while expecting and achieving the same (highest) quality outcomes for everyone. If we can really transform our current health care systems into more patient-centered ones where patients really are more engaged as partners in their own health care and their own health, we are likely to see quality improvement, reduction of health care disparities, more engaged clinicians and health care providers, and patients and health care consumers with greatly improved experiences of health care

U.S. Department of Health and Human Services: Final Rule on Patient Access to Lab Results

This final regulation published by the U.S. Department of Health and Human Services in February 2014 clarifies that patients have the right to directly receive their own laboratory results, overcoming rationales that used the 1996 Health Insurance Portability and Accountability … Continue reading

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Blue Shield of California Foundation: Health Care in California – Leveling the Playing Field

This report summarizes research commissioned by the Blue Shield of California Foundation on the experiences and attitudes of low-income patients in California. Among the report’s findings: + Only 49 percent of low-income Californians rate the quality of their care positively … Continue reading

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Blue Shield of California Foundation: Building Better Health Care for Low-Income Californians

“This may yet be the greatest test of our healthcare system – whether we can effectively bring patients into the conversation, instead of leaving the debate to politics, payers, and providers. We hope this report’s findings bring us closer to … Continue reading

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National Quality Forum: Call for Nominations for Committee on Person- and Family-Centered Care

The National Quality Forum (NQF) is seeking nominations for a new standing committee to review and recommend healthcare quality performance measures related to person- and family-centered care for NQF endorsement. Ensuring person and family-centered care is a core concept embedded in … Continue reading

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Health 2.0 v.2013: Integration and Patient Outcomes Are Still Driving Health Technology – But So Should Empathy, Caring, and Communication

I attended my third Health 2.0 conference earlier this week, which was held for the first time in Santa Clara rather than San Francisco [agenda here].  Driving around the neighborhood reminded me that the Silicon Valley is thriving, with companies like … Continue reading

Posted in Health Care Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Mobile Health, Health Care Disparities, Health Care Disparities: Stakeholders Engaged, The iBau Blog, Health Literacy, Patient-Centeredness, Health Care Reform: Payment Reform | 3 Comments

Brookings Institution: Bending the Curve – Person-Centered Health Care Reform

This framework for health care reform from the Engelberg Center for Health Care Reform at The Brookings Institution makes proposals for bending the cost curve of health care while making health care delivery more person-centered and personalized.  The bipartisan authors … Continue reading

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National Committee for Quality Assurance: Patient-Centered Specialty Practice Recognition

The National Committee for Quality Assurance (NCQA) has released standards to recognize specialty practices as “Patient-Centered Specialty Practices”.  These standards complement NCQA’s standards for recognizing primary care practices as Patient-Centered Medical Homes and largely follow the same basic framework.  The … Continue reading

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Commission to End Health Care Disparities: Appropriate Use of Physician’s Non-English Language Skills in Clinical Care

The Commission to End Health Care Disparities has released this publication on the appropriateness of physicians using their language skills in languages other than English while providing clinical care to patients with limited English proficiency (LEP). The Commission comprises more … Continue reading

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What My Father Taught Me About Health and Health Care, About Life and Death

Three months ago, my father Andrew Shih Lun Bau passed away, peacefully, in his own home.  Next week, on Christmas Day, we would have celebrated his 93rd birthday. As someone who now seeks to improve both health and health care … Continue reading

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Information Technology, Language Access, Language Access: Best Practices, The iBau Blog, Patient-Centeredness | 24 Comments

Cautious Patient Foundation: How to Get Best Care as a Hospital Patient

This guide from the Cautious Patient Foundation describes how patients can be better prepared and more engaged as patients admitted to hospitals.  It also provides useful advice about patient safety, infection control, and pain management. The Cautious Patient Foundation was founded by … Continue reading

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