Crossroads in quality

Margaret O'Kane, Janet Corrigan, Sandra M. Foote, Sean R. Tunis, George J. Isham, Len M. Nichols, Elliott S. Fisher, Jack C. Ebeler, James A. Block, Bruce E. Bradley, Christine K. Cassel, Debra L. Ness, John Tooker

Research output: Contribution to journalArticle


Expanding insurance coverage is a critical step in health reform, but we argue that to be successful, reforms must also address the underlying problems of quality and cost. We identify five fundamental building blocks for a high-performance health system and urge action to create a national center for effectiveness research, develop models of accountable health care entities capable of providing integrated and coordinated care, develop payment models to reward high-value care, develop a national strategy for performance measurement, and pursue a multistakeholder approach to improving population health.

Original languageEnglish (US)
Pages (from-to)749-758
Number of pages10
JournalHealth Affairs
Issue number3
StatePublished - May 2008
Externally publishedYes

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

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    O'Kane, M., Corrigan, J., Foote, S. M., Tunis, S. R., Isham, G. J., Nichols, L. M., Fisher, E. S., Ebeler, J. C., Block, J. A., Bradley, B. E., Cassel, C. K., Ness, D. L., & Tooker, J. (2008). Crossroads in quality. Health Affairs, 27(3), 749-758.