Professor of Health Policy
David B. Nash was named the Founding Dean of the Jefferson College of Population Health (JCPH) in 2008. This appointment caps a 25-year tenure on the faculty of Thomas Jefferson University. He is also the Dr. Raymond C. and Doris N. Grandon Professor of Health Policy. JCPH provides innovative educational programming designed to develop healthcare leaders for the future. Its offerings include Masters Programs in Public Health, Healthcare Quality and Safety, Health Policy, Applied Health Economics and Population Health. JCPH also offers a doctoral program in Population Health Sciences. Read More >
An Introduction to Population Health
How To Improve Healthcare While Lowering Costs
Quality in Healthcare
Much of the healthcare debate is centered on cost - the skyrocketing cost of direct patient care, the cost to insure millions of currently uninsured people, the administrative costs that eat up a large chunk of every healthcare dollar, the cost of defensive medicine to avert malpractice lawsuits. How can it be that we spend more than $700 billion each year on medical care that fails to improve patients' health and often harms them? The problems are cultural. We "know," for example, that modern medicine is largely backed up by solid science. We boast that our delivery system is superior because we offer access to more and newer services than any other country. We've focused a great deal on safety improvement over the past decade. Our physicians and hospitals are paid to deliver the right care. Our medical schools are the envy of the world. All of this we know. Read More >
There is no easy fix to these problems, of course. But there is a best place to look: focus on quality. This is a book about debunking healthcare myths through the lens of quality. Poor healthcare quality derives from uncertainty in clinical decision-making, from persistent unexplained variation in physician practice patterns, from still-inadequate accountability for quality and patient safety, from payment for piecework and from medical training curriculum that is decades behind the curve. Reclaiming quality by addressing each of these deficiencies will transform the economics of our healthcare system.
This is not a utopian critique. It is based on a quality revolution that is already underway and is gradually transforming the way medical care is delivered in the U.S. This is a pivotal moment in American healthcare delivery, marked by tremendous innovation. Much of that innovation is aimed at "busting" our counterproductive myths: improving physician decision-making, building a better research base to compare the effectiveness of different treatments for the same medical condition, devising accountability mechanisms that work, piloting second-generation pay-for-performance models, paying greater attention to quality improvement in medical training curriculum and expanding access to quality care in non-traditional venues.
Even the reader who thinks he or she knows all about some of the topics in this book will appreciate the manner in which DEMAND BETTER! integrates these topics into a cohesive appraisal of core problems and cutting-edge solutions that are of great interest to them. DEMAND BETTER! synthesizes for the healthcare executive the many trends, initiatives, reports, organizations and policies that look beyond our healthcare myths and stand on the front lines of the quality and safety revolution. Read Less ^
Dr. Nash calls on the fields of public health, health administration, medicine, health law, and public policy to improve the quality of health care in the US and participate in the system's transformation. This program offers an overview of current problems and inadequacies; the measures and tools of quality improvement; the role of stakeholders including physicians, employers, and patients; and future possibilities offered by information technology, medical education, and other realms. Read More >
His program compiles the most current information on quality issues, tools and strategies impacting healthcare. His core premise is that the key to effective improvement is centering all efforts on the needs of patients. With the future of healthcare revolving around the patient, the tools from this program prove invaluable. Key points include: Read Less ^
Many hospitals and health systems have shifted their focus from treating patients who need immediate care to improving the overall health of their community. This model, known as population health management (PHM), not only produces better outcomes, but it also helps healthcare organizations deliver higher quality care and increase profitability. While the benefits of population health management are clear, implementation is anything but. There are countless strategies and solutions to consider, and success rates for each one vary from facility to facility. In this presentation Dr. Nash will focus on population health in the context of the system's transformation away from traditional fee-for-service and towards outcomes-driven, value-based healthcare. Discussing population management for improving community wellness, the role of health care providers, and how health reform is yielding new organizational structures and payment models, Dr. Nash will share his insight on what providers need to do to change organizational culture in this new, evolving environment.
Dr. Nash discusses the challenges facing physicians today, the characteristics of an ideal practice, how physicians can improve the quality of their care, how physicians can prepare for pay-for-performance (P4P) and the extra training that physicians might find useful in the new era of medical practice.
"Unfortunately, we have a long way to go before we can depend on safe, effective health care in American hospitals. I’m grateful to thought leaders like David Nash who bring rare clarity to both the problems and the solutions. This is an excellent overview of complex and sensitive issues, and a well-lit roadmap for those of us determined to bring about real change."