TY - JOUR T1 - Quality and safety in medical care: what does the future hold? AU - Liang,Bryan A, AU - Mackey,Tim, PY - 2011/10/29/entrez PY - 2011/10/29/pubmed PY - 2011/12/16/medline SP - 1425 EP - 31 JF - Archives of pathology & laboratory medicine JO - Arch Pathol Lab Med VL - 135 IS - 11 N2 - CONTEXT: The rapid changes in health care policy, embracing quality and safety mandates, have culminated in programs and initiatives under the Patient Protection and Affordable Care Act. OBJECTIVE: To review the context of, and anticipated quality and patient safety mandates for, delivery systems, incentives under health care reform, and models for future accountability for outcomes of care. DESIGN: Assessment of the provisions of Patient Protection and Affordable Care Act, other reform efforts, and reform initiatives focusing on future quality and safety provisions for health care providers. RESULTS: Health care reform and other efforts focus on consumerism in the context of price. Quality and safety efforts will be structured using financial incentives, best-practices research, and new delivery models that focus on reaching benchmarks while reducing costs. In addition, patient experience will be a key component of reimbursement, and a move toward "retail" approaches directed at the individual patient may supplant traditional "wholesale" efforts at attracting employers. CONCLUSIONS: Quality and safety have always been of prime importance in medicine. However, in the future, under health care reform and associated initiatives, a shift in the paradigm of medicine will integrate quality and safety measurement with financial incentives and a new emphasis on consumerism. SN - 1543-2165 UR - https://www.unboundmedicine.com/medline/citation/22032568/Quality_and_safety_in_medical_care:_what_does_the_future_hold L2 - https://meridian.allenpress.com/aplm/article-lookup/doi/10.5858/arpa.2011-0154-OA DB - PRIME DP - Unbound Medicine ER -