ABSTRACT
In 2010, the Organization for Economic Co-operation and Development shared the per capita healthcare spending of the top 15 most developed nations around the world. Regulatory agencies have been very intrusive in dictating to providers how to operate within current and future models of healthcare. As margins continue to thin, healthcare markets have been in flux as organizations vie to position themselves for survival. As the healthcare system began to experience an inability to meet the growing demands of the US population, major payors such as CMS and BCBS were the first to react. The healthcare industry was quick to realize that the current system is much more complicated. Increasingly, organizations have been looking to Performance Improvement methodologies to help information, discipline, and execution become faster and stronger. Performance Improvement functions have been expanding their role beyond expense reduction programs and further into clinical utilization, quality, and patient experience.
