Improving Health Care Delivery

NEHI’s research and analysis in care delivery focuses on identifying innovations that increase the value and reduce the costs of health care. Prior NEHI research has demonstrated that waste and inefficiencies in health care account for $800 billion in unnecessary costs, or a full third of the nation’s health care spending, and that eliminating it requires many clinical, systemic and behavioral changes in organizations across health care. Current NEHI projects focus on assessing the impact of comparative effectiveness research on innovation and identifying innovative practices and policy actions in areas such as reducing hospital readmissions, increasing medication adherence, preventing medication errors and improving patient safety.

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Initiatives

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  • Themes Healthcare Spending Health Reform Payment Reform
    Publication Date: September 10, 2009

    Rx for Health Reform

    NEHI has taken a leading role in informing and influencing the health care debate. The core of this initiative is our policy statement, Rx for Health Reform, calling for containing health care costs by preventing illness, managing chronic diseases and strengthening primary care. These goals can be realized by implementing a series of policy changes known as the NEHI Nine. NEHI supports increasing access to health care of uninsured Americans but believes that a lasting and cost conscious solution requires system-wide reform. If we change the way we finance, organize and deliver care, we can improve quality and save costs for all Americans by preventing illness, managing chronic diseases, and strengthening primary care.
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  • Themes Healthcare Spending Medication Adherence
    Publication Date: August 12, 2009

    Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease

    This issue brief addresses the root causes of poor patient medication adherence - a significant contributor to overall health care waste - and offers promising solutions to improve adherence, particularly among chronic disease patients.
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  • Themes Health Behaviors Healthcare Spending
    Publication Date: June 30, 2009

    Healthy People in a Healthy Economy: A Blueprint for Action in Massachusetts

    The Boston Paradox report, published in 2007 by NEHI and the Boston Foundation, demonstrated that Massachusetts has plenty of health care but not enough health. The economic recession has only put challenges related to unhealthy behaviors - and resulting chronic illness - into starker relief. Healthy People in a Healthy Economy offers a blueprint for action that will help connect the missing links between health, healthy behaviors and a healthy economy.
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  • Themes Health Reform Patient Engagement Waste
    Publication Date: May 26, 2009

    Remaking Primary Care: From Crisis to Opportunity

    This report focuses on the factors contributing to the failure of our current primary care system and offers innovative approaches to reform its design and delivery.
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  • Themes Comparative Effectiveness Research Healthcare Spending Health Reform
    Publication Date: April 20, 2009

    Balancing Act: Comparative Effectiveness Research and Innovation in U.S. Health Care

    This white paper, representing the views of a broad range of health care stakeholders, provides a first-of-its-kind framework for designing and implementing a federal CER program that will sustain the unique dynamics of innovation in health care.
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  • Themes Patient Safety Telemedicine Waste
    Publication Date: February 2, 2009

    Saving Lives, Saving Money In Practice: Strategies for Computerized Physician Order Entry in Massachusetts Hospitals

    NEHI's CPOE report, published in partnership with the Massachusetts Technology Collaborative, is designed as a tool kit detailing strategies for implementing CPOE in hospitals.
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  • Themes Healthcare Spending Technology Adoption Waste
    Publication Date: August 1, 2008

    Emergency Department Overuse Backgrounder

    A summary of NEHI's current research project to examine the causes of and potential solutions for the overuse of emergency departments for non-urgent conditions.
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  • Themes Chronic Disease Healthcare Spending Waste
    Publication Date: July 29, 2008

    The Wasteland of Health Care

    This graphic displays the most significant areas of waste in health care as identified by NEHI's research in this area.
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  • Themes Comparative Effectiveness Research Health Reform Payment Reform
    Publication Date: July 21, 2008

    Comparative Effectiveness Research

    A summary of NEHI's work in comparative effectiveness research.
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  • Themes Medication Adherence Patient Safety
    Publication Date: February 25, 2008

    Improving Physician Adherence to Clinical Practice Guidelines

    To address the variance between agreed-upon standards of care and actual care provided by strengthening physician guidelines, we must overcome key barriers to adherence.
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NEHI'S Impact

For Our Members

“NEHI has been a valuable forum to help navigate the changing health care landscape. It has also been a catalyst for informing and influencing the health reform debate and in a number of instances has moved the ultimate decisions to a better place.”
-Josef H. von Rickenbach, Chairman and Chief Executive Officer, PAREXEL International, Inc. 

In the Media

"NEHI President Wendy Everett said she expected to see more and more adoption of best practices in the next few years, spurred by President Obama’s Affordable Care Act, other changes to Medicare and Medicaid and a recognition among doctors and insurers that the current trajectory of health care spending is unsustainable.

'This train’s coming much faster than we thought,' Ms. Everett said. She guessed that within a decade providers being paid for the quality, not quantity, of care would be 'the norm.'"- The New York Times 

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