Michael T Doonan

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CONTEXT Much can be learned from Massachusetts's experience implementing health insurance coverage expansions and an individual health insurance mandate. While achieving political consensus on reform is difficult, implementation can be equally or even more challenging. METHODS The data in this article are based on a case study of Massachusetts, including(More)
Hospital use and spending greatly increased in 2001 and 2002, reversing a long-term trend. In this paper we contend that the forces driving current hospital expenditures are more likely to continue than they are to abate. If current trends continue, real hospital spending per capita will increase 75 percent between 2002 and 2012, and the demand for hospital(More)
Panelists: Senator Harriette Chandler, Co-Chair, Legislative Oral Health Caucus Catherine Hayes, Professor and Chair of the Department of Public Health and Community Services, Tufts University School of Dental Medicine Judith Jones, Professor and Chair of the Department of General Dentistry, Boston University School of Dental Medicine Frank Robinson,(More)
This issue brief outlines five strategies for improving the quality of treatment in Massachusetts: (1) Engaging detoxification clients in a broader continuum of treatment, (2) Improving retention in treatment, (3) Providing client/family-centered services, (4) Increasing the use of evidence-based treatment approaches, and (5) Supporting recovery to address(More)
" The knowledgeable health reporter for the Boston Globe, Betsy Lehman, died from an overdose during chemotherapy. " So begins the Executive Summary of a 1999 Institute of Medicine Report, " To Err is Human " that raised the problem of medical errors onto the national consciousness. The IOM report catalyzed a flurry of activity among health care providers,(More)
Massachusetts is in the midst of a demographic shift that will leave the state with unprecedented ethnic, racial and cultural diversity. In light of this change, health care services in the Commonwealth need to respond to and serve an increasingly multicultural population. The time is now for bold initiatives to reduce behavioral health and health service(More)
On November 30, 2010, the Massachusetts Health Policy Forum will convene a forum to examine models of accountable health care delivery. The forum will showcase organizations from Massachusetts and other states that have taken significant steps toward improving the efficiency and quality of health care delivery through vertically and virtually integrated(More)