Rauh, S.S., Wadsworth, E.B., Weeks, W.B., & Weinstein, J.N. (2011). The Savings Illusion — Why Clinical Quality Improvement Fails to Deliver Bottom-Line Results. The New England Journal of Medicine,365(48). Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp1111662M.
“It has become a core belief in U.S. health care that improving clinical quality will reduce health care costs. It seems intuitive that reducing readmissions, shortening lengths of stay, and building efficiency into clinical processes will reduce resource utilization and thereby lower costs. Certainly, evidence suggests that there is no association between high quality and high costs. Yet true bottom-line savings from improved clinical quality rarely materialize, and costs continue to climb. Manufacturing and service companies around the world have demonstrated the cost benefits of improving product quality and production efficiency. So why haven’t nearly two decades of work on improving health care quality had a measurable effect on health care costs?”