What Happens to Quality of Care in the Future?

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There is no way this works unless quality of care gets better. And if I think one the things that we're going to be able to do increasingly, we've done it historically, but I think increasingly is to measure quality of care. To measure outcomes, Michael Porter the Harvard Business School professor wrote a book about healthcare a few years ago, and when he talked one of the things he talked about is how in healthcare we tend to measure process result, rather than outcome result.

For example, did the patient get an aspirin when they arrived in the hospital with suspected heart attack. Well that doesn't say whether they had a heart attack or not, that just says did they get an aspirin. It's important we know that aspirin has a value, that it's even more important whether they have a have a heart attack or not.

Right? So if we can start with all of this data that we were talking about before, if we can start to measure the true outcome of the patient who actually did better then backed that up and see okay, what things help them do better? What were the characteristics of these group of patients as patients? What was the characteristics of treatment they got et cetera, that's going to improve the quality because if we can again learn from the ones that did better but it will also reduce the cost by the way as well.

So I think those two are absolutely linked together, and I think it's great that we're just beginning, we're not there yet, but just beginning to actually be able to measure what does quality even really mean.