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Practical insights, based on experience, from the experts’ point of view on what’s working in their own organizations and beyond.

Steps for Deploying Nudge Unit in Health Care

Patient Engagement

Nudge Units to Improve the Delivery of Health Care

Key information and important choices are constantly being presented in health care. Yet often the frames or default options used are selected without attention to strategic goals.

2015 and 2016 Gallup Sharecare Well-Being 5 Key Metrics Data for NCH Healthcare System Blue Zones Project Life Expectancy

Care Redesign

Decreasing the Cost of Care by Avoiding Illness

NCH Healthcare System’s success in lengthening life expectancy and improving health and happiness for its community while lowering health care costs for large employers is an example worth emulating.

Optimizing Diversity and Inclusivity Real People Providing Feedback on Precision Medicine Study Design Precision Medicine Initiative for All Community Medicine

Care Redesign

Precision Medicine for Everyone

Until we create an environment where diverse patients are considered participants as partners, the goals of individualized research, prevention, and treatment will be unrealized.

Preventable Contributions to Death in USA Public Health Social Determinants of Health Mental and Behavioral Health

Care Redesign

Up-Streamism: Health in the 21st Century

With a concerted effort that incorporates principles of understanding, engaging, and connecting with diverse communities, health care leaders can impact patients’ lives early on, preventing adverse conditions and improving outcomes.


Leadership and Vision for a Culture of Safety

Leaders must remain committed for the long term, because creating the vision is insufficient; the work to communicate and sustain that vision never really ends.

Care Redesign

Chronic Treatment Is Not “One and Done”

Clinicians need to adopt a holistic approach to care, particularly for older patients with chronic and comorbid conditions.

Volatility Among Top Health Care Spenders

New Marketplace

Consistently High Turnover in the Group of Top Health Care Spenders

Despite the myth of frequent fliers in high-cost health care, most of the top 5% of spenders were not in the top 5% the year before.

Health Care Governance Board Quality Committee Johns Hopkins Medicine Governance Structure and Accountability Process with Inpatient Hospital Area Example


Taking Health Care Governance to the Next Level

To take on the underdeveloped state of accountability in health care, directors need to create a board-level quality committee that functions with the same rigor of governance applied by finance committees.

Proportion of ACOs Achieving Shared Savings under Medicare ACO Programs in the First 3 Years of Payment Contracts

New Marketplace

Explaining Sluggish Savings under Accountable Care

ACOs are as diverse as the U.S. health care system. Developing policy approaches that accommodate this diversity will be important for payment and delivery reform to achieve its potential.

Example Cost of Custom-Built PRO Collection Platform

Patient Engagement

The Cost of Patient-Reported Outcomes in Medicine

Implementation of routine PRO collection is paramount to measuring and maximizing value in health care.


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