Drivers for Changes in Healthcare

• IOM report

  • Call for error reduction

• Leapfrog Group

  • Criteria for CPOE/CDS

• Variation in care delivery, costs and quality

  • Significant variation within the same DRG:
    • COPD - $4,445 – 8,300
    • Pneumonia - $5,460 - $9,645
    • Heart Failure - $4,497 - $8,400
  • Widespread variation in outcomes and readmission rates

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