overview-session

							                    MAJOR DEVELOPMENTS IN THE HEALTH SYSTEM AND IN THE SMOKLER CENTER


MAJOR HEALTH SYSTEM DEVELOPMENT            RELEVANT SMOKLER CENTER STUDIES                                  RELEVANT SESSIONS

1. The new physician contract and          Past work on specialties in distress (e.g. general surgery)      MOH Director-General (S)
   efforts to addressing healthcare        Study of the contract's impact on regional and specialty mix     Israel Medical Association (M)
   workforce shortages                     Supply and demand for nurses                                     Asher Elhayani (M)
                                           Changing roles of nurses                                         Nirel-Freed meeting (S)
2. Growth in private financing and         Cluster of studies of private insurance; study of private        MOH Director-General (S)
   private provision                       payment for hospital outpatient care; proposed study of          Clal Insurance (M)
                                           services generating private expenditures; integrative article
3. National effort to narrow disparities   Studying cultural responsiveness in hospital; inter-regional     Elroy-Dubroff meeting
                                           disparities; waiting times for community services; disparities   Askenazi/Rosen-Dubroff meeting (S)
                                           in mental health care; NHI survey                                Waitzberg-Altman meeting (S)
                                                                                                            Nissenholtz-Rosenbaum meetings (T)
4. Revisions to the capitation formula     Proposal to explore how the capitation formula and related       Brammli-Altman meeting (S)
                                           mechanisms can best be used to further societal objectives
5. Publicizing quality data by plan; new   Highlighted need for cautious dissemination; will be             Nissenholtz-Landon meeting (S)
   initiative re: hospital quality         monitoring consumer attitudes                                    Landon with project team (T)
6. Mental health reform                    Large research program to assess impact of the reform on         Internal session (S)
                                           consumers, professionals, health plans, access, utilization,     Samuel-Landon meeting (S)
                                           etc.
7. Dental reform                           Consumer survey to assess the impact of the reform               Ashkenazi-Dubroff meeting (S)


8. Health system response to               Major roles in the Dead Sea Conference                           Was the focus of our most recent
   population aging; long-term care        Participation in key planning bodies                             meeting in New York
   reform efforts                          Inter-organizational coordination at hospital discharge
9. Changes in the environment for          Internal strategic planning process                              Internal strategy session (S)
   health services research