Achieving Person-Centered Care: The Five Pillars of System Transformation

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This policy brief establishes a basis for the critical system transformation activities necessary to produce a high quality, person-centered system of care for older adults and people with disabilities.

Date Updated: 09/10/2012

In 2001, the Institute of Medicine defined multiple aims for improving the health care system for the 21st century. Among these were to create a more person-centered system that respects and addresses the individual’s preferences and needs and for individual values to guide the clinical care provided. The 2011 National Quality Strategy acknowledges that the health system still has a long way to go to achieve this goal. The current system continues to emphasize specific settings of care and providers without always recognizing the input or preferences of the individual…

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High quality, cost effective health care delivery is all about targeting – the right care, by the right provider, at the right time, in the right place, and for the right cost. It sounds straightforward, almost easy. The challenge to getting it right is understanding the range of variables in a person’s life that drive health care use and costs. Find out more in this week’s Perspectives.

Chances are you know and love an older person with needs. Maybe it’s that neighbor of yours whose trash cans you help bring in once a week. Perhaps it’s your grandparent or even a parent who needs help understanding the bills or getting the groceries up the stairs. The reality is the population of older adults in this country is growing rapidly due in large part to the aging of baby boomers – a demographic shift that affects us all. Advancements in health care and technology have also spurred this phenomenon, yet we know that a longer life also brings a greater likelihood of facing multiple chronic health conditions and possibly needing help with everyday activities.

In this Perspectives, Dr. Chernof reflects on the Foundation’s presence at the 2012 American Society on Aging Conference and how improving long-term care in California will require the long-term strategies and dedication of a social movement.