STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

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CHAPTER 2: Health careThe system needs to make progress in providing theexcellent quality of care that all Americans deserve.We need to increase the rate at which patients receiverecommended services and to reduce the numberof unnecessary services. We also must eliminatepreventable medical errors.Forty-six million Americans do not have healthinsurance. v These individuals may face barriers toobtaining timely and continuous care. Because of theirlimited access to the system, their health problems maybecome more severe and further increase health carecosts in the future.One critical part of HHS’s strategy to address theseproblems is to improve transparency within the healthcare system. Because third parties such as insurancecompanies, employers, and governments finance the vastmajority of health care spending, most Americans do notknow—and do not have access to information about—thecost and quality of health care services in order to decidewhether they want to receive those services.Making health care affordable, accessible, and highquality depends on providing consumers with theknowledge they need to make informed choices abouttheir health care coverage. The Federal Governmentmust lead in accomplishing these objectives. We areencouraged that others in the private sector have joinedin such efforts; we will continue to pursue these goals,which characterize a value-driven health care system.The increasing costs of health care services, ourincreasingly older population with multiple chronicconditions, and an increasingly complex health caresystem challenge us to continue our efforts to developnew strategies to maintain safe and affordable servicesdesigned to meet Americans’ needs in their variousincome, family, and health circumstances. HHS isworking to improve the efficiency and quality of healthcare that it finances and delivers. Promoting greateruse of health information technology will ensurethat accurate and timely information on a patient’scondition is available to all providers involved in thepatient’s care and will reduce unnecessarily redundantdiagnostic tests and office visits that add to healthcare costs. Implementation of value-based purchasingsystems that include incentives to providers fortreatment outcomes, rather than just reimbursementsfor treatments, will again help move the system towardmore efficient and cost-effective provision of careaimed at improving the health and quality of life of thecitizens touched by HHS programs.At the same time, we must ensure that our effortsto reduce the cost of high-quality health care arereflected in more affordable and accessible healthinsurance coverage, to address the problem of theNation’s growing number of citizens without healthinsurance. HHS continues to explore options forincreasing the portability and accessibility of healthinsurance through innovative vehicles such as HealthSavings Accounts coupled with high-deductible healthplans, which have grown in popularity in recent years.Additionally, HHS is working to increase access toprivate health insurance for those who do not yethave it through initiatives such as Affordable Choices.Together, these initiatives will assist individuals inmaintaining their health and prevent health spendingfrom overburdening the economy.Finally, the need to rebuild the health careinfrastructure in New Orleans in the wake of HurricaneKatrina offers the Department and its State and localpartners the challenge of coordinating coverage; systemcapacity; and workforce recruitment, retention, anddevelopment in new ways that result in a revitalizedhealth care system for that community.Strategic Goal 1, Health Care, targets the needfor people to be able to obtain and maintainaffordable health care coverage; receive efficient,high-quality health care services; and accessappropriate information for informed choices. HHS’sAdministration on Aging (AoA), Agency for HealthcareResearch and Quality (AHRQ), Centers for Medicare& Medicaid Services (CMS), Health Resourcesand Services Administration (HRSA), and IndianHealth Service (IHS) have significant roles to play inrealizing this goal. In addition, the Food and DrugAdministration (FDA), Office of the Assistant Secretaryfor Planning and Evaluation (ASPE), Office for CivilRights (OCR), Office on Disability (OD), Office of Public24 HHS Strategic Plan FY 2007-2012
CHAPTER 2: Health careHealth and Science (OPHS), and Substance Abuse andMental Health Services Administration (SAMHSA) playroles in addressing this goal.There are four broad objectives under Health Care:• Broaden health insurance and long-term carecoverage;• Increase health care service availability and accessibility;• Improve health care quality, safety, cost, and value;and• Recruit, develop, and retain a competent healthcare workforce.Below is a description of each strategic objective,followed by a description of the key programs, services,and initiatives the Department is undertaking toaccomplish those objectives. Key partners andcollaborative efforts are included under each relevantobjective. The performance indicators selected for thisstrategic goal also are presented with baselines andtargets. These measures are organized by objective.Finally, this chapter discusses the major externalfactors that will influence HHS’s ability to achieve theseobjectives, and how the Department is working tomitigate those factors.HHS Strategic Plan FY 2007-201225
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CHAPTER 6: Responsible Stewardship
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Appendix h: endnotesXXX.CDC. (2005)
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