Leading Change in Health Care: Building a Viable System for Today and Tomorrow

Overview

An updated collection of short essays written by Ian Morrison: The essays tell important stories that address the current environment and are organized around overarching themes on how to build viable systems in health care finance and delivery. Readers will find Morrison's wry observations and wicked ideas entertaining, irreverent, thoughtful, and inspiring. His analysis offers lively starting points for provocative and memorable board room discussions. The essays were written for Hospitals & Health Networks...

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Overview

An updated collection of short essays written by Ian Morrison: The essays tell important stories that address the current environment and are organized around overarching themes on how to build viable systems in health care finance and delivery. Readers will find Morrison's wry observations and wicked ideas entertaining, irreverent, thoughtful, and inspiring. His analysis offers lively starting points for provocative and memorable board room discussions. The essays were written for Hospitals & Health Networks (H&HN) magazine and its online editions, H&HN Weekly and H&HN Daily and cover a decade's worth of health care change, with sensitivity to our current reform environment. The chapters are organized into overarching themes that address the need for structural change in the way health care is delivered and financed. Each essay encourages you to question the status quo and to look at the details of our delivery system a bit differently. They will inspire you to renew the ideals and leadership commitments you set for yourself. You and your board will find plenty to chuckle about as Ian skewers the often painful logic and convoluted thinking behind our national health care policies. Yet, he manages to introduce original thinking on alternative management practices, policy analysis, and solutions to problems that vex health care leaders every day.

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Product Details

  • ISBN-13: 9781556483837
  • Publisher: American Hospital Association
  • Publication date: 6/1/2011
  • Edition number: 1
  • Pages: 216
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.40 (d)

Table of Contents

About the Author ix

Preface xi

On thinking about the future

The Median and the Edge 3

Pearl Harbor, the Tipping Point, and Glacial Erosion 5

If Bernie Madoff Ran Health Care 9

On patient care

Compassion, Connection, and Concern 17

Being on 60 Minutes 19

Pimp My Ride 22

Simple Care 25

With Mayo 29

Ohio 34

On benefits and spending

Wary of Choices 39

The Old Course and the MRI 41

Price Transparency and the American Hospital 43

Dogs and Doctors 45

Tiers, Transparency, and Transformation 47

Choice, Security, and Stuff 51

The Fallacy of Excellence 55

Explanation of Benefits 53

On the building blocks of health reform

The 20 Percent Solution 63

Tax Policy as Health Policy 65

First Class 69

Care, Not Coverage 74

Mandated Competition 78

Rich Man, Poor Man 81

On politics and policy in the moment-a window on the time

The 2008 Election 89

The New American Compromise 91

Meltdown 95

Obama's Re-election 99

Disinformation, Division, and Delaying the Inevitable 104

On structural change

The Myth of the Electronic Medical Record 111

Time Out 114

The Doctor Conundrum 118

Clinical Reengineering 121

Galapagos 125

On lessons from abroad

Aussie, Aussie, Aussie 131

French Lessons 137

Dr. T and the Canadian Medicine Show 144

On leading and legislating

The Five Pillars of Leadership 153

Government-Run Health Care 155

Flip the Switch 162

The New Math 166

On securing our future

In Search of the Next Economy 173

Chasing Unicorns: The Future of ACOs 184

Index 193

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