Which steps must take place to improve the U.S. healthcare system, according to Porter? (Select all that apply.)
A) Measurement and dissemination of health outcomes must be shared.
B) The existing system of delivery of prevention, wellness, screening, and routine health maintenance services must be preserved.
C) Care delivery must be reorganized around the availability of physicians.
D) Providers must compete for nurses on the basis of the quality of the care provided.
E) Clients' involvement in their health must improve and incentives for client involvement should be considered.
Ans: A, E
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Porter lists the following steps that must take place to improve the U.S. healthcare system: 1) measurement and dissemination of health outcomes must be shared; 2) the delivery of prevention, wellness, screening, and routine health maintenance services must be fundamentally restructured (not preserved); 3) care delivery must be reorganized around medical conditions (not around the availability of physicians); 4) a reimbursement program for healthcare professionals as incentives to achieve better outcomes for clients must be established; 5) providers must compete for clients (not nurses) on the basis of the quality of the care provided; 6) all providers must establish electronic medical records; and 7) clients' involvement in their health must improve and incentives for client involvement should be considered.
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