Table of Contents

Opening Keynote: The Quality Challenge in American Medicine: What Is the Hospital Board to Do?



  • Robert K. Smoldt, Chief Administrative Officer
    Mayo Clinic

Presentation on The Quality Challenge in American Medicine: What is a Hospital Board to Do?

Discussion points:
  • U.S. record on quality healthcare: Same U.S. health system produces some of the best results in the WORLD – but also some poor results (“Islands of excellence … surrounded by a sea of mediocrity”)
  • We need to improve quality: Should we track processes or outcomes? (Mayo view: Process is very important … to achieve outcomes)
  • P4P more about processes than quality results
  • Mayo stressed need for more efficiency
  • COST is important
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