In March of 2010, President Obama signed the Patient Protection and Affordable Care Act, an ambitious effort to control spiraling costs, improve access to care for 32 million uninsured Americans, and ensure uniformly high quality. To achieve these aims, the Act recommends replacing today’s fractured, fee-for-service system with a managed care model that focuses on illness prevention and structured care management to control costs. To succeed in the new environment, providers must form interdependent, highly coordinated networks that are able to assume medical and financial responsibility for a population.
With its daunting yet promising implications for health care delivery, the Act spurred URMC’s health system to accelerate many of its activities related to quality/safety improvement, patient-centered care, access, and system development. In 2010, reform became a crucial factor in decisions about infrastructure and program investments. Strict measures of efficiency, satisfaction, and outcome guide our success strategies.
Fortunately, with a robust health delivery network, mix of outstanding faculty and private physicians, solid relationships with hospitals throughout the region, and cross-system commitment to quality, safety, and patient-centeredness, URMC has a considerable advantage.