New payment model explicitly consistent with UFT-A principles has
been developed!
Click here for more information.
The need to improve quality in the American health
care system has never been more urgent. Yet current initiatives,
including "pay for
performance" programs, are not yet generating desired
improvement in health care. A major reason is the failure of policy,
markets and regulation to engage physicians,
arguably the most significant drivers of what care is delivered. James L. Reinertsen, M.D. and Alice G. Gosfield Esq., have joined
in a project which unites their unique backgrounds, expertise and
perspectives in an effort to improve health
care through a stronger business case for quality that will engage
physicians. Based on a proposal that posits how to use clinical
practice guidelines to drive physician payment
and many other aspects of the health care system, their theory
is now set forth in a major white paper, "Doing
Well by Doing Good: Improving the Business Case For Quality"
which
proposes five core principles
which can revolutionize health care delivery by creating a unified approach
to payment, documentation, billing, institutional organization,
and more through evidence
based medicine and patient-centered care.
This website was launched in 2003. Some progress
has been made on the issues we address. The five principles
we published then remain relevant:
Physician engagement around quality is still a critical challenge;
but new techniques and approaches to effective engagement,
standardization to science and flexibility in the art of medicine
are emerging.
This website, a listserv,
our publications,
speeches,
available presentations and
consulting are intended to move our theory and the five
principles to application (a “Unified Field Theory –Applied”)
UFT-A. We encourage you to explore our
website and consider how we can improve health care through
this work. We welcome
your participation in this dialogue.
