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anuraagc

  1. Nelson agrees to be 60th vote http://bit.ly/7x6ebB #healthcarereform
  2. @fodmc not franken's fault, reid told all pres ofcrs to be v. strict on time. McCain did same to Dayton & Byrd in '02: http://bit.ly/4zJejd
  3. Porter: over last year, quality of healthcare debate has elevated - far more people are talking about delivery system reforms
  4. Porter: insurance system reforms alone justify passage, but bill grows coverage fast and doesn't do nearly enough on delivery system reform
  5. @dariustahir not directly - focused more on principles for reforming providers (provider perspective for Cleve clinic audience) than policy
  6. Porter: if you have "crummy process," automating w/ IT just yields "efficient crummy process." we need to use IT to transform process
  7. Porter: right now, if you deliver value, you get penalized - you get paid less. Need bundled payments system
  8. Porter: avg Swedish hospital does only 1 knee procedure per week - not a good idea for every local hospital to provide every service
  9. Porter: 5k hospitals in US, 4k do heart surgery. Too little volume per hospital; with more volume, could get more learning
  10. Porter: W. German Headache Center a model for value: integrated org, aggregates skills for solving patient problem, care coord, 1 admin ctr
  11. Porter: good outcomes drive reduced costs, but we're not even tracking outcomes. Need to measure outcomes to drive value improvements
  12. Porter: competition right now is more about shifting costs, bargaining than about creating value. Need "positive-sum competition on value"
  13. Porter: "miracle how good care is" given how dysfunctional a structure we have
  14. Porter: coverage is important but core issue in healthcare is "value of healthcare delivered" - value lens has historically not been applied
  15. Porter: "healthcare reform is going to have to come from within the provider community"
  16. Porter: "what is fundl challenge in unlocking in this part of society the progress seem in so many other parts?" #healthcare
  17. Clinic CEO Toby Cosgrove introducing Porter, calls him "the single most important strategist working today"
  18. At the Cleveland Clinic to hear Michael Porter (of five forces fame) on healthcare
  19. Heroes of healthcare reform: http://bit.ly/5qPE5Z
  20. RT @JonnyDorsey: Anybody know someone moving 2 NYC who needs a place? Andrew Ehrich, Kathy Lin, & I need a 4th! Short timeline - write fast!