# Quality of Care * **Definition:** The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge, encompassing aspects such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. * **Taxonomy:** Healthcare Topics / Quality of Care ## News * Selected news on the topic of **Quality of Care**, for healthcare technology leaders * 20K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/12/2025 | [**Ethical Implementation of AI in Mental Healthcare: A Practical Guide**](https://hitconsultant.net/2025/05/12/ethical-implementation-of-ai-in-mental-healthcare-a-practical-guide/) | [[HIT Consultant]] | | 5/12/2025 | [**Mass General Brigham to invest $400M in primary care**](https://www.beckershospitalreview.com/care-coordination/mass-general-brigham-to-invest-400m-in-primary-care/) | [[Beckers Hospital Review]] | | 4/17/2025 | [**From Cost Center to Profit Driver: How Healthcare Tech is Changing the ROI Game**](https://www.linkedin.com/pulse/from-cost-center-profit-driver-how-healthcare-tech-changing-baracho-d4sye) | [[Linkedin]] | | 4/14/2025 | [**Health Equity eekly Roundup: April 14, 2025**](https://www.ajmc.com/view/health-equity-access-weekly-roundup-april-14-2025) | [[AJMC]] | | 4/3/2025 | [**Lark Joins CVS Caremark PBM for GLP-1 Obesity Management**](https://hitconsultant.net/2025/04/03/lark-joins-cvs-caremark-pbm-for-glp-1-obesity-management/) | [[HIT Consultant]] | | 2/11/2025 | [**Digital health company names 6 health system leaders advisers**](https://www.beckershospitalreview.com/ai/digital-health-company-names-6-health-system-leaders-advisers.html) | [[Beckers Hospital Review]] | | 1/30/2025 | [**Sermo Barometer Finds 78f US Physicians Think Health Insurance Companies Have Too Much Influence Over Patient Care Plans; 52lobally**](http://www.businesswire.com/news/home/20250130567857/en/Sermo-Barometer-Finds-78-of-US-Physicians-Think-Health-Insurance-Companies-Have-Too-Much-Influence-Over-Patient-Care-Plans-52-Globally/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 1/30/2025 | [**TriHealth physicians on pediatric mental health and how parents can help**](https://www.bizjournals.com/cincinnati/news/2025/01/31/trihealth-physicians-pediatric-mental-health.html) | [[The Business Journals]] | | 1/29/2025 | [**Healthcare AI Agents: New Opportunities for the High-Tech Industry - Alex G. Lee, Ph.D. Esq. CLP**](https://www.linkedin.com/pulse/healthcare-ai-agents-new-opportunities-high-tech-lee-ph-d-esq-clp-hkl2e) | [[Linkedin]] | | 1/24/2025 | [**Healthcare Services Market to Grow by USD 6.26 Trillion (2024-2028), Driven by Rising Chronic Disease Prevalence, Report Highlights AI-Powered Market Evolution - Technavio**](https://www.prnewswire.com/news-releases/healthcare-services-market-to-grow-by-usd-6-26-trillion-2024-2028-driven-by-rising-chronic-disease-prevalence-report-highlights-ai-powered-market-evolution---technavio-302358330.html) | [[PR Newswire]] | | 1/9/2025 | [**Healthcare Workforce - 2025 Health IT Predictions**](https://www.healthcareittoday.com/2025/01/09/healthcare-workforce-2025-health-it-predictions/) | [[Healthcare IT Today]] | | 1/9/2025 | [**Population Health Management Market size to increase by USD 19.40 Billion between 2024 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-size-to-increase-by-usd-19-40-billion-between-2024-to-2029--market-segmentation-by-component-end-user-geography---technavio-302345720.html) | [[PR Newswire]] | | 12/19/2024 | [**mHealth Solutions Market Forecast: Insights on Growth Factors and 13.9AGR through 2031**](https://www.linkedin.com/pulse/mhealth-solutions-market-forecast-insights-growth-factors-8vkbe) | [[Linkedin]] | | 12/18/2024 | [**Key Trends Reshaping The Future Of U.S. Healthcare**](https://www.forbes.com/councils/forbesnonprofitcouncil/2024/12/19/key-trends-reshaping-the-future-of-us-healthcare/) | [[Forbes]] | | 12/16/2024 | [**JAMA**](https://jamanetwork.com/journals/jama/fullarticle/2827918) | [[JAMA Network]] | | 12/13/2024 | [**Title: Navigating the Generative AI Journey: A Strategic Roadmap for Healthcare Organizations**](https://blogs.perficient.com/2024/12/13/title-navigating-the-generative-ai-journey-a-strategic-roadmap-for-healthcare-organizations/) | [[Perficient Healthcare]] | | 12/12/2024 | [**Academic health systems benefitting from for-profit selling spree**](https://www.beckershospitalreview.com/hospital-transactions-and-valuation/academic-health-systems-benefitting-from-for-profit-selling-spree.html) | [[Beckers Hospital Review]] | | 12/9/2024 | [**Patient Engagement Solutions Market to Reach USD 82.35 Billion by 2032, Fueled by ...**](https://finance.yahoo.com/news/patient-engagement-solutions-market-reach-130000245.html) | [[Yahoo Finance]] | | 12/7/2024 | [**With an anticipated CAGR of 7.5the Invasive Blood Pressure Monitoring Sensors Market ...**](https://www.linkedin.com/pulse/anticipated-cagr-75-invasive-blood-pressure-monitoring-ymmbe) | [[Linkedin]] | | 12/2/2024 | [**JAMA**](https://jamanetwork.com/journals/jama/fullarticle/2827395) | [[JAMA Network]] | | 11/12/2024 | [**Healthcare IT Market to Grow by USD 199.8 Billion (2024-2028), Driven by Focus on Service ...**](https://www.prnewswire.com/news-releases/healthcare-it-market-to-grow-by-usd-199-8-billion-2024-2028-driven-by-focus-on-service-quality-and-efficiency-ai-powered-report-highlights-market-transformation---technavio-302301465.html) | [[PR Newswire]] | | 11/11/2024 | [**Population Health Management Market to Grow by USD 22.55 Billion from 2024-2028 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-to-grow-by-usd-22-55-billion-from-2024-2028--driven-by-rising-adoption-of-healthcare-it-report-with-ai-impact-on-trends---technavio-302300769.html) | [[PR Newswire]] | | 11/11/2024 | [**Healthcare Cloud Computing Market to Grow by USD 98.6 Billion from 2024-2028, as Integrated Services Drive Demand with AI-Powered Market Evolution - Technavio**](https://www.prnewswire.com/news-releases/healthcare-cloud-computing-market-to-grow-by-usd-98-6-billion-from-2024-2028--as-integrated-services-drive-demand-with-ai-powered-market-evolution---technavio-302300785.html) | [[PR Newswire]] | | 7/3/2024 | [**Healthcare Revenue Cycle Management Market Advancements Highlighted by Trend ... - WhaTech**](https://www.whatech.com/og/markets-research/it/851632-healthcare-revenue-cycle-management-market-trend-forecast-till-2032) | whatech.com | | 7/3/2024 | [**Healthcare IT Market Poised for Explosive Growth, Projected to Reach $1.83 Trillion by 2031**](https://www.whatech.com/og/markets-research/medical/851706-healthcare-it-market-poised-for-explosive-growth-projected-to-reach-1-83-trillion-by-2031) | whatech.com | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **Accountable Care Organizations (ACOs)**: Groups of healthcare providers that collaborate to improve patient care quality and reduce costs through coordinated efforts. - **ECRI**: A global healthcare safety nonprofit that identifies health technology hazards and promotes safety and quality improvements in healthcare. - **Carle Health**: A healthcare provider collaborating with Lumeris to enhance healthcare delivery and patient outcomes through value-based care. - **Medicare**: A government program that has been a leader in implementing value-based care initiatives to enhance patient outcomes and reduce healthcare costs. - **American Society of Anesthesiologists (ASA)**: Advocates for value-based care (VBC) and emphasizes the role of anesthesia providers in improving patient outcomes and safety. - **Relias**: A company that provides workforce solutions aimed at improving patient care through training and performance management. - **Guidehealth**: A health tech startup focused on supporting healthcare providers in value-based care models. - **Cotiviti**: A company specializing in data analytics to improve healthcare efficiency and quality, recently acquiring Edifecs to enhance interoperability. - **IBM**: Focuses on data analytics for clinical decision-making, enhancing patient outcomes. - **Mike Weed**: CFO of Integris Health, advocating for strategic partnerships to enhance care quality. - **Emory Healthcare**: Expanding population health management efforts through a partnership with Guidehealth to enhance primary care services. - **Nick Barcellona**: A healthcare executive discussing advancements in surgical care. - **Optum**: A significant player in Offsite Medical Case Management, enhancing service delivery through technology. - **Cerner Corporation**: A key player in the population health management market, investing in research and development to enhance healthcare offerings. - **HCA Healthcare**: A major player in the hospital sector, well-positioned to capitalize on trends in patient care and operational efficiency. - **Google**: Invests in machine learning for diagnostics, contributing to improved healthcare delivery. - **Lumeris**: A technology solutions provider partnering with Carle Health to improve care for Medicare populations. - **Dr. Kristy Ward**: A healthcare professional emphasizing the need for equitable access to robotic surgery. - **Laguna Treatment Center**: Collaborating with Magellan Health on a pilot program implementing a value-based payment model for addiction treatment. ### Partnerships and Collaborations - **Rainfall Health**: Partnered with six health system executives to improve equitable care access. - **Counterpart Health and Duke Connected Care**: Collaboration to enhance decision support for primary care physicians using AI technology to improve patient outcomes. - **Carle Health and Lumeris**: Strategic partnership to integrate technology solutions with clinical expertise to improve care for Medicare populations. - **Emory Healthcare and Guidehealth**: Collaboration to enhance primary care services for over 350,000 patients in Georgia. - **Cotiviti and Edifecs**: The acquisition aims to enhance interoperability and connectivity within the healthcare system, facilitating better collaboration between payers and providers. - **Relias and Feedtrail**: The acquisition of Feedtrail by Relias aims to integrate patient experience capabilities with workforce solutions to enhance healthcare quality. - **Laerdal Medical and American Hospital Association (AHA)**: A partnership aimed at enhancing patient safety and quality in hospitals through simulation programs and quality performance reviews. - **Laguna Treatment Center and Magellan Health**: Working together on a pilot program to implement a value-based payment model for addiction treatment, focusing on measurable treatment metrics. - **athenahealth and Lone Star Family Health Center**: Transition to athenaOne to improve patient access and operational efficiency. - **Ellipsis Health and Ceras Health**: This partnership aims to enhance mental health care by providing real-time severity scores for anxiety and depression through AI-powered voice biomarker technology. - **Lark Health and CVS Caremark**: Collaboration to provide obesity management solutions through digital health platforms. - **athenahealth and SoNE HEALTH**: SoNE HEALTH will implement athenaOne to enhance care coordination and operational efficiency, ultimately improving patient care. - **NTT Data and Amelia**: Partnership aimed at developing healthcare-specific AI solutions for patient engagement. - **SonarMD with LyfeMD and Movement Genius**: Partnerships to provide holistic health support for patients with Inflammatory Bowel Disease. - **Innovaccer and Humbi AI**: Acquisition to enhance capabilities in actuarial and contracting solutions for healthcare. - **Cognizant and Google Cloud**: Collaboration to streamline administrative tasks using large language models. ### Innovations, Trends, and Initiatives - **Clinical Governance**: Framework ensuring high-quality care through collaboration and continuous improvement strategies. - **Value-Based Care**: A healthcare model that rewards providers for delivering high-quality care and improved patient outcomes, focusing on efficiency and effectiveness. - **Value-Based Care Challenges**: Focus on integrating care pathways and addressing challenges like capacity shortages. - **Measurement-Informed Care**: A focus on quality metrics in addiction treatment, as highlighted by the collaboration between Laguna Treatment Center and Magellan Health. - **Value-Based Care Models**: A shift from fee-for-service to value-based care approaches, emphasizing quality-linked payment systems. - **Quality Improvement Program for Missouri (QIPMO)**: A program that has successfully improved care quality in nursing homes across Missouri, advocating for similar programs nationwide. - **Value-Based Care (VBC)**: A healthcare delivery model emphasizing patient outcomes over service volume, utilizing alternative payment models (APMs) like bundled payments and Accountable Care Organizations (ACOs). - **Clinical Documentation Integrity (CDI)**: Evolving from a cost center to a strategic asset, CDI programs are crucial for accurate clinical documentation and improved reimbursement rates. - **Perioperative Surgical Home Model**: An initiative by ASA to improve care coordination and outcomes in perioperative care. - **AI in Healthcare**: The use of AI and machine learning to enhance clinical decision-making and financial performance, particularly in mid-RCM. - **Telehealth**: Facilitates remote consultations and monitoring, improving access to healthcare services. - **AI Integration**: Transforming healthcare by enhancing diagnostics, patient monitoring, and operational efficiency. - **Patient Experience Technology**: The market is expected to grow significantly, driven by advancements in healthcare IT and a focus on improving patient outcomes. - **Population Health Management (PHM)**: Healthcare systems are investing in PHM applications to improve patient care coordination and address chronic disease management. - **Clinical Intelligence**: Utilizing advanced data analytics and AI to improve clinical decision-making and patient outcomes, with a projected market growth. - **Digital Health Technologies**: Including telemedicine and mobile health applications, aimed at improving patient care and healthcare processes. - **Remote Patient Monitoring**: Increasing demand for telehealth solutions and wearable technology to enhance patient outcomes and reduce hospital readmissions. - **Telehealth Expansion**: Increased adoption of telehealth services to improve access to care, especially post-COVID-19. - **Artificial Intelligence (AI) in Healthcare**: Identified as a top health technology hazard, AI is being integrated into various healthcare processes to enhance decision-making and patient care. ### Challenges and Concerns - **Value-Based Care Implementation**: Challenges include missing patients, quality illusion, and complexity concerns. - **Healthcare Policy Impact**: Changes in healthcare policies can significantly affect the quality and accessibility of care, influencing funding and service delivery. - **Regulatory Compliance**: Healthcare organizations face varying regulatory frameworks that complicate the implementation of quality management solutions. - **Interoperability Issues**: Challenges in integrating different healthcare systems can hinder the effectiveness of quality management solutions. - **Staffing Shortages**: Healthcare systems are grappling with staffing shortages, which impact care quality and patient safety. - **Telehealth Satisfaction Variability**: Mixed results in patient satisfaction with telehealth services, raising concerns about its effectiveness for various types of care. - **Healthcare Costs**: Rising costs and an aging population necessitate urgent innovation to improve patient outcomes and care delivery. - **Access to Care**: Need to expand access to robotic surgery in rural and underserved areas. - **Access Disparities**: Rural healthcare faces unprecedented challenges, including hospital closures and staffing shortages. - **Data Privacy**: Concerns regarding patient data privacy and security are significant challenges in the healthcare technology landscape. - **Healthcare Landscape Complexity**: Necessity for collaboration among stakeholders to address operational challenges. - **Change Management**: Many providers struggle with the necessary change management and expertise to effectively adopt new healthcare technologies. - **Financial Pressures**: Healthcare organizations face challenges with low collection rates and high denial rates in revenue cycle management, impacting financial stability. - **Data Security and Compliance**: As healthcare organizations adopt new technologies, they must navigate regulatory compliance and data security concerns. - **Data Security**: Concerns regarding patient privacy and informed consent in the context of genetic testing and healthcare data sharing. - **Staffing Issues**: Rising salaries and staffing shortages are significant challenges for healthcare providers. - **Data Privacy Concerns**: Regulatory hurdles necessitate robust cybersecurity measures in healthcare AI applications. - **Economic Pressures**: Healthcare systems face economic pressures due to staffing shortages, decreasing reimbursements, and increased administrative burdens. ## Related Topics [[Clinical Care]]