the commonwealth fund geographic variation in health system performance: findings from the...

THECOMMONWEALTH

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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

Access

Treatment and Prevention

Avoidable Hospital Use and Costs

Equity

Healthy Lives

Correlations Among Measures

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

Acknowledgements

Heather Drake, Program Associate,Program on Payment System Reformhd@cmwf.org

Visit The Commonwealth Fund’s web site atwww.commonwealthfund.org