Life expectancy for Americans who have already reached the age of 65 At that point they can expect to live longer than the average in industrialized countries Thats because Americans above age 65 actually have universal health care coverage Medicare Suddenly a diverse population with poc ID: 565985
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Slide1
One American health statistic that is strikingly above average:
Life expectancy for Americans who have already reached the age of 65. At that point, they can expect to live longer than the average in industrialized countries.
That's because Americans above age 65 actually have universal health care coverage: Medicare. Suddenly, a diverse population with pockets of poverty is no longer such a drawback.
Nicholas Kristoff, NYTSlide2
Well……maybe we pay more to get better around the clock serviceSlide3
Surely we get better quality, access and outcomes…….Slide4
4
Coronary Bypass Procedures
per 100,000 Population, 2006
*2005
**2004
Data: OECD Health Data 2008 (June 2008).Slide5
5
Potential Years of Life Lost Due to Diabetes
per 100,000 Population, 2006
*2005
**2004
Data: OECD Health Data 2008 (June 2008).Slide6
We rank 37th in infant mortality (partly because of many premature births) and 34th in maternal mortality
A child in the United States is two-and-a-half times as likely to die by age 5 as in Singapore or Sweden, and
An American woman is 11 times as likely to die in childbirth as a woman in Ireland
An African-American in New Orleans
has a shorter life expectancy than the average person in Vietnam or Honduras.
Canadians live longer than Americans do after kidney transplants and after dialysis
Got any more encouraging/upbeat facts?Slide7
Even when we know what works…..we fail to follow it….Slide8
Time for some positive newsSlide9Slide10
Readmissions are a problem in the US
There is something we are not doingSlide11
But with all the vaunted hospitals, medical schools and physicians in the NYC region, surely
……….
The study's lead author, Dr. David Goodman, suggests that the range in practice is linked to variations among physician and hospitals. "The care that patients receive has less to do with what they want and need and more to do with the hospitals they happen to seek care from," he said, adding,
"Geography is destiny."
Dartmouth Atlas report on “Quality of End of Life Cancer Care”, November 2010Slide12
Nearly 1 of every 4 Medicare admits would need to be eliminated to achieve national practice standards
Slide13
Doing the “Right Thing” for our community… could be very beneficial to our finances
arbitrage opportunitySlide14
Solutions abound
The will to change, on the other hand….Slide15
Medicine is remarkably conservative to the point of being properly characterized as
sclerotic, even ossified.
“Eric Topol, “The Creative Destruction of Medicine”Slide16
“
There are risks and costs to action.
But they are far less than the risks and costs of comfortable inaction.”
– John F. Kennedy