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Published - Monday, March 17, 2008

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FSH president part of national health care reform effort


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Insurance for all, care coordination and electronic medical records are some of the recommendations for health care reform made last week at a national symposium sponsored by Mayo Clinic.

Dr. Robert Nesse, president and CEO of Franciscan Skemp Healthcare, was one of more than 300 health care leaders attending the symposium in Washington, D.C., who gathered to make recommendations to the president and Congress.
Nesse, a member of Mayo Clinic Health Policy Center’s advisory panel, said the center convened more than 400 people nationwide over the last two years in four forums and a symposium to help develop the reform ideas.

“We all agreed that these principles are necessary for reform for the future of quality patient care,” Nesse said. “We want these principles to drive public policy.”

Dr. Denis Cortese, Mayo’s president and CEO, will outline the principles this week at the National Press Club in Washington, D.C. Then the symposium recommendations will be presented to community and business leaders in cities throughout the United States.

The first community presentation will be in La Crosse on April 28 when Cortese will present findings of the symposium.

“La Crosse will be the first city where we will be gathering community input on the recommendations,” Nesse said.

Other recommendations include Medicare paying for value, outcomes and prevention initiatives and setting evidence-based standards.

Nesse said the symposium members were patients, patient advocates, health care purchasers, providers of health care and representatives of the three presidential candidates.

“The timing of this is no coincidence,” Nesse said. “We’re interested in influencing the next president, and we are a well-documented voice to change the system.

“It’s going to be difficult for presidential candidates and Congress to ignore these recommendations, which are common principles of all these health reform people.”

One of the key principles is mandating health insurance for everyone with a minimum standard benefits package, Nesse said.

As a moderator of a patient group, Nesse said patients talked about their frustration with the lack of health insurance coverage for all and lack of care coordination.

“I didn’t expect the intensity of the problems they have encountered,” Nesse said.

Both La Crosse medical centers are engaged in health care reform from electronic medical records and coordinated care to value and evidence-based standards.

“But it’s important to reform the financial system to pay for things such as value, outcomes and prevention,” Nesse said.

A Harris Poll, commissioned by Mayo’s Health Policy Center in December 2007, showed more than half of Americans rated quality, coordination and value of health care as fair to poor.

“Our effort has been groundbreaking, and the health care system in the United States is ready for change,” Nesse said. “It will change and must change to ensure the quality of patient care.”

MAYO CLINIC HEALTH POLICY CENTER SYMPOSIUM

Recommended action steps for national health-care reform for the president and Congress:

  • Insurance for all with minimum standard benefits package.

  • Direct Medicare to pay for value, outcomes and prevention initiatives using innovative payment models.

  • Reward care coordination.

  • Require all health-care providers to have interoperable electronic medical records within four to five years with patient accessibility.

  • Establish national care standards using evidence-based medicine for as many conditions as possible.

  • Implement an independent Federal Health Reserve to set rules and standards to promote value in health care.

  • Insurance options. Promote individual-based insurance as an option along with employer-based insurance.

    Terry Rindfleisch can be reached at trindfleisch@lacrossetribune.com, or (608) 791-8227.
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     Comments »

    audifan08 wrote on Mar 17, 2008 7:48 PM:

    " Yes, you do have a right to health care, just as you have a right to food, shelter and property. However, you have no "right" to force others to provide these things for you - All "free" medical care is paid for through taxes stolen from other people. Reject NObamaCare and HillaryCare. "

    drcoles wrote on Mar 17, 2008 1:13 PM:

    " The government caused the entire problem with health care in America by over socializing (with unfunded mandates) medicine to the extent it is not completive. The government allows a monopolistic pharmaceutical environment, and the FDA a federal agency failing American citizens and needs be eliminated or completely re-organized; it’s corrupt, and is causing a major impact on the cost of healthcare in America, and we want to exacerbate the problem? http://www.InteliOrg.com/ "

    Im Jackson wrote on Mar 17, 2008 12:50 PM:

    " Explain to me why an oxyen machine should cost 800.00 a month to rent when it can be purchased for that. They gladly gave my mother 2 of them one for home and one for her sisters house????Its time for reform and common sense.
    Just the oxygen arena of health care alone could be cut by billions. Anyone who has a brain and has had to deal with a long term sick patient can see the double billing and the corporate fraud disquised as billing errors when brought to light ect.These corporate raiders are hauling dump trucks of cash out the back door to their money pits all while owning the healthcare providers who deny treatment to the needy. "

    Im Jackson wrote on Mar 17, 2008 12:44 PM:

    " They could start by stopping all the medical corporate welfare and there asset stealing of the poor for exploited services rendered. Example a tetnus shot for a self paying patient at UNC Chapel Hill NC cost me 149.00 and a 16.50 injection fee. The same shot on medicaid 6.00?(Bulk purchaser)
    I think there could be a better balance here.
    Its also not right that a person works there whole life amasses wealth gets sick and has to sell everything to pay the outrages bills before getting financial asitance from the Govt. THATS WHAT THEY PAID TAXES THERE WHOLE LIFE FOR!Yep now that its been a for profit buisness and they have looted 3 generations lets fix it.Theres so much corporate fraud out there with medicare and nobody cares when you report it.Imagine that! "

    wingdam wrote on Mar 16, 2008 11:39 PM:

    " The first thing we must do is protect our incomes, talk about the fox reforming the henhouse! "


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