The 9th Cicely Saunders Annual International Lecture entitled ‘Got Quality? The urgent need to focus on quality and not solely on costs’, was delivered recently by Dr Joan Teno, Professor of Medicine at Oregon Health and Science University and Adjunct Professor of Health Systems, Practice, and Policy at Brown University School of Public Health. Here at Sobell House we were delighted to participate in the event by hosting local colleagues and providing access to the lecture for colleagues further afield in the UK, Ireland, Africa and the U.S.
The US health care system is undergoing a transition from a fee-for-service payment system, where health care reimbursement is based on procedures, physician visits or hospitalisations, to a payment model based on value. Value is based on both the cost and quality of care. As the USA and other nations make this transition, it is crucial that we develop actionable quality measures which examine patient and family outcomes, not just care processes. The lecture discussed the challenges of measuring the quality of care for seriously ill and dying persons, using lessons learned from developed quality measures for public reporting in the USA.
Dr Teno is a physician health services researcher with over 25 years of experience conducting research that has impacted and transformed end-of-life care in the US. Dr Teno was a hospice medical director for 18 years. In 2018, Dr Teno was named one of the visionaries in hospice and palliative care. Throughout her career, she has been one of the leaders in defining and operationalising how we measure the quality of care for those who are dying through bereaved family member surveys and use of administrative data.
You can access Dr Teno’s slides here.