4. Involve patients and families in decisions regarding healthcare tailored to fit their preferences.
Patients and their families should expect to fully participate in their own care, and clinicians should use informed share decision-making tools. Federal agencies, including the Centers for Medicare and Medicaid Services, should promote and measure patient-centered care through payment models, contracting policies and public reporting programs.
5. Promote community-clinical partnerships and services aimed at managing and improving health at the community level.
Public and private payers should incorporate population health improvement efforts into payment and contracting policies, and measure accountability.
6. Improve coordination and communication within and across organizations.
Health economists, researchers, professional specialty societies should develop and test metrics to monitor care transitions to make sure they improve patient outcomes.
7. Continuously improve health care operations to reduce waste, streamline care delivery and focus on activities that improve patient health.
CMS, the Agency for Healthcare Research and Quality, the Patient-Centered Outcomes Research Institute, quality improvement organizations and improvement leaders should develop a learning consortium that improves effectiveness and efficiency of care. Additionally, organizations should find methods to remove unnecessary burdens on clinicians and staff.