Health reform bills could improve quality and efficiency, but fall short of national plan

d quality.

According to the analysis, current bills addressing transparency and health information technology may not be sufficient to achieve a high performance health system. In the case of health information technology, proposals would put in place mechanisms for setting standards, fund a national office for coordinating health information technology and provide modest grant funding, but fall short of removing the financial barriers to widespread adoption of information technology and creation of health information exchange networks.

Proposals selected for inclusion in the report either had the potential to significantly affect quality and efficiency in the nations health care system, had bipartisan support or were unique and innovative. The executive summary and full report are available on the Commonwealth Funds website, www.commonwealthfund.org.


Congressional Health Care Bills, 20052007: Part II, Quality and Efficiency, addresses the major bills introduced over 20052007 designed to advance the quality and efficiency of the health system. They include bills related to:

  • Medicare prescription drug coverage
  • Medicare payment reform
  • Transparency
  • Health information technology
  • Systems to ensure patient safety
  • Medical liability reform
  • Eliminating disparities

The report analyzes these proposals against the dimensions of performance included in The Commonwealth Fund Commission on a High Performance Health Systems National Scorecard on U.S. Health System Performance: the health systems support of healthy lives; health care quality, including the provision of effective care as well as safe, coordinated, and patient-centered care; access to care; efficiency; equity; and the systems capacity to innovate and improve. Health Policy R&D provided detailed side-by-side comparative an

Contact: Mary Mahon
Commonwealth Fund

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