the commonwealth fund geographic variation in health system performance: findings from the...
TRANSCRIPT
![Page 1: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/1.jpg)
THECOMMONWEALTH
FUND
Geographic Variation in Health System Performance: Findings fromThe Commonwealth Fund’s
2009 State ScorecardStuart Guterman
Vice President andDirector, Program on Payment System Reform
The Commonwealth Fund
American Hospital AssociationTaskforce on Variation in Health Care Spending
Washington, DCNovember 10, 2009
![Page 2: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/2.jpg)
![Page 3: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/3.jpg)
Access
![Page 4: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/4.jpg)
![Page 5: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/5.jpg)
![Page 6: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/6.jpg)
![Page 7: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/7.jpg)
![Page 8: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/8.jpg)
Treatment and Prevention
![Page 9: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/9.jpg)
![Page 10: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/10.jpg)
![Page 11: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/11.jpg)
![Page 12: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/12.jpg)
![Page 13: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/13.jpg)
Avoidable Hospital Use and Costs
![Page 14: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/14.jpg)
![Page 15: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/15.jpg)
![Page 16: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/16.jpg)
![Page 17: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/17.jpg)
Equity
![Page 18: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/18.jpg)
![Page 19: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/19.jpg)
![Page 20: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/20.jpg)
![Page 21: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/21.jpg)
![Page 22: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/22.jpg)
Healthy Lives
![Page 23: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/23.jpg)
![Page 24: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/24.jpg)
Correlations Among Measures
![Page 25: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/25.jpg)
![Page 26: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/26.jpg)
![Page 27: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/27.jpg)
![Page 28: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/28.jpg)
Implications
• Erosion of insurance coverage puts pressure on all states
• Wide variations across areas indicate potential for improvement
• Areas with poor performance may not have the resources to improve on their own
• But health care does, indeed, seem to be local—and the solutions to the problems our health care system faces also must be implemented to fit the local environment
![Page 29: THE COMMONWEALTH FUND Geographic Variation in Health System Performance: Findings from The Commonwealth Funds 2009 State Scorecard Stuart Guterman Vice](https://reader035.vdocuments.site/reader035/viewer/2022062223/5514f092550346a80c8b4cf1/html5/thumbnails/29.jpg)
Acknowledgements
Heather Drake, Program Associate,Program on Payment System [email protected]
Visit The Commonwealth Fund’s web site atwww.commonwealthfund.org