Remaking Health Care in America: Building Organized Delivery Systems

Remaking Health Care in America: Building Organized Delivery Systems

by Stephen M. Shortell, Robin R. Gillies, David A. Anderson, Karen Morgan Erickson
     
 

Based on a study of eleven health care systems and their response to managed care and cost containment pressures, this provocative book challenges the nation to create a supportive environment for the evolution of our health care system.Written by the country's foremost authority on health services management and a team of experts, Remaking Health Care in America

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Overview

Based on a study of eleven health care systems and their response to managed care and cost containment pressures, this provocative book challenges the nation to create a supportive environment for the evolution of our health care system.Written by the country's foremost authority on health services management and a team of experts, Remaking Health Care in America promotes an integrated approach to health care one that focuses on alliances, linkages, and partnerships with public health and community/social service agencies. As a concrete guide to achieving this transformation, the authors present a conceptual framework for the integration of finance, human resources, strategic planning, total quality management, information systems, physician integration, and clinical integration that will ultimately result in an effective community health care management system.Second Edition Flap copy"This is a must-read book for those interested in understanding the current state of health care delivery organization and the promise and difficulties of creating integrated health care delivery systems. The authors describe the challenging steps that must be taken to convert the nation's fragmented delivery system into an integrated delivery system capable of providing care in a consistent, high quality and safe way."-David Lawrence, M.D., president and CEO, Kaiser-PermanenteThe original edition of Remaking Health Care in America transformed ideas about managed care and systems integration across the health care field and has become a standard reference for building organized delivery systems. To meet the challenge of the changing state of today's health care field this second edition includes updated information on topics such as the need for more clinically integrated care, greater accountability, stronger links between health systems and their communities, and new ways of creating value.This essential resource-written by a team of scholars led by Stephen Shortell

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Editorial Reviews

Doody's Review Service
Reviewer: William R. Hendee, PhD (Medical College of Wisconsin)
Description: This book presents the results and conclusions of a comprehensive four-year study of how 11 major healthcare systems are responding to the cost-containment pressures of managed care. It offers suggestions and recommendations for implementing a more integrated, cost-effective healthcare delivery system oriented to a model of community healthcare management.
Purpose: The purpose is to present the paradigm of organized (i.e., integrated) healthcare systems as an intermediate step in the evolution of community healthcare management systems. The objective is to describe a community-oriented model that (1) overcomes fragmentation that characterizes present delivery systems; (2) shows how to build community; (3) explains the development of competencies and capabilities required for a community healthcare management system; and (4) suggests ways to establish a local and national health policy that supports the transformation to a community model of healthcare delivery.
Audience: The authors denote four major audiences for this book: (1) healthcare policymakers at state and federal levels; (2) health services executives and clinical leaders; (3) insurers and payers; and (4) health service researchers. But almost anyone interested in the direction of healthcare will find the book of interest. Medical students and young physicians would benefit from reading it, because they will be practicing in tomorrow's environment of healthcare delivery. The authors are all expert in their respective fields and as a group are very well qualified to compile the text.
Features: The book is well composed and formatted as might be expected from the publisher, Jossey-Bass. The book contains a few line drawings as illustrations; more illustrations would have helped with some of the more complex concepts. There is an adequate number of references, and they are up-to-date. A comprehensive index is provided, and two appendixes yield brief descriptions of the institutions studied and the types of data collected. The writing is clear and succinct, and the book is a pleasure to read, especially because many of the concepts go well beyond the traditional paradigm of integrated delivery systems as models for managed care.
Assessment: This book presents the challenge of creating an environment that supports the evolution of the nation's healthcare system into a more integrated, community-wide approach that focuses on alliances, linkages, and partnerships with public health and social service agencies. It offers a conceptual framework for promoting the integration of finance, human resources, strategic planning, total quality management, and information systems into a new model of healthcare delivery. Anyone thinking about the future of healthcare and how individuals, institutions, and healthcare systems should position themselves to prepare for it should read this book. It will prove to be an invaluable resource to effective planning for the future.
From the Publisher
"This book is deep in understanding of what it will really take to reform our nation's health care system." —Don Berwick, M.D., president and CEO, The Institute for Healthcare Improvement

"Shortell and colleagues simply know more about organizing and managing delivery systems to produce superior health outcomes. Their vision of the community health management system points the way for realistically creating health value for individuals and populations." —David Kindig, M.D., professor and director, Graduate Programs in Health Services Management, Department of Preventive Medicine, School of Medicine, University of Wisconsin-Madison

"This book will prove a useful tool for anyone who is interested in helping the United States move toward a more integrated, community-oriented health care system." —William C. Richardson, president and CEO, W.K. Kellogg Foundation

"Shortell and colleagues outline some of the underlying requirements for creating value in health care delivery. This second edition provides important information to academics and practitioners and is well worth reading." —Leonard D. Schaeffer, chairman and CEO, Wellpoint Health Networks, Inc.

"The second edition of Remaking Health Care in America is a 'must read' for system CEOs and physician leaders as well as faculty and students in health care management and policy." —Gail Warden, president and CEO, Henry Ford Health System

"A path-breaking work that should be read by policymakers and practitioners alike. The most comprehensive and insightful treatment of integrated health systems available." —Gail Wilensky, John M. Olin senior fellow, Project Hope; and chair, MedPAC

"Remaking Health Care is so rich in strategic analysis, so detailed in its case studies, and so logical in organizing barriers and critical success factors that it cannot help but enlighten every health system leader in America." —Health System Leader

"Steve Shortell once again demonstrates his uncanny ability to recognize significant patterns where others see only chaos. His prescription for the next phase in the evolution of our health care system is clearsighted and based in reality. I hope leaders listen carefully." —Donald M. Berwick, M.D., president and CEO, Institute for Healthcare Improvement

"This is a comprehensive, provocative, and compassionate book. Drawing on recent study and long experience, the authors describe a compelling future of community-focused health care that can be the outgrowth of our current efforts to more effectively integrate health care for patients and populations." —David M. Lawrence, chairman and CEO, Kaiser Permanente

"What distinguishes Shortell's latest work is that he suggests what health systems should do with their resources: improve the health of their communities! If systems follow the authors' advice, perhaps Ands will finally take precedence over means in the delivery of health services." —Jeff Goldsmith, president, Health Futures, Inc.

"The contents of this book speak eloquently to the revolutionary changes taking place in our health care system. Findings regarding integration within systems both define the directions of the future and point out how far we have to go. The information on managing and governing the organized delivery system is 'must' reading for the leaders of today's health care system." —A. Diane Moeller, former CEO, Catholic Health Corporation

"Shortell and his colleagues once again take us into the future. Remaking Health Care in America provides a comprehensive, balanced, and insightful analysis of what might be done to truly achieve clinically integrated systems of care." —Arnold D. Kaluzny, professor, health policy and administration, and senior fellow, Cecil G. Sheps Center for Health Services Research, the University of North Carolina at Chapel Hill

"Our health system has succumbed to a series of ill-fated management fads. Components of the health system 'integrate' just to 'integrate', often without clear, realistic economic and clinical objectives. Remaking Health Care in America offers a thoughtful blueprint against which to measure the current effusion of econo-management babble. A must read also for policy wonks." —Uwe E. Reinhardt, James Madison Professor of Political Economy, Princeton University

"A path-breaking work, exploring the key building blocks of organized delivery systems. The findings, insights, and observations regarding the strategies, structures, operations, and outcomes of these emerging systems will be of critical importance to managers, policy makers, and students." —Howard S. Zuckerman, professor, Arizona State University School Health Administration & Policy, and director, Center for Health Care Management

"[Shortell's] latest book focuses on the turbulence which is currently buffeting health care in America, that it inquires into the creation and effectiveness of 'organized delivery systems,' and that it is a collaborative venture." —Kurt Darr, J.D., Sc.D., FACHE, Department of Health Services Management and Policy, The George Washington University, Inquiry

"The text was well organized. The health-system scenarios were described in an easy-to-read manner. I recommAnd this book for health professionals in leadership positions. It will also be helpful for those involved in the planning and design of new approaches to meet the needs of their patients." —Jean B. Douglas PharmD, Assistant Director of Pharmacy, Moses H Cone Memprial Hospital, Greensboro, NC, Journal of Pharmacy Technology

4 Stars! from Doody
William R. Hendee
This book presents the results and conclusions of a comprehensive four-year study of how 11 major healthcare systems are responding to the cost-containment pressures of managed care. It offers suggestions and recommendations for implementing a more integrated, cost-effective healthcare delivery system oriented to a model of community healthcare management. The purpose is to present the paradigm of organized (i.e., integrated) healthcare systems as an intermediate step in the evolution of community healthcare management systems. The objective is to describe a community-oriented model that (1) overcomes fragmentation that characterizes present delivery systems; (2) shows how to build community; (3) explains the development of competencies and capabilities required for a community healthcare management system; and (4) suggests ways to establish a local and national health policy that supports the transformation to a community model of healthcare delivery. The authors denote four major audiences for this book: (1) healthcare policymakers at state and federal levels; (2) health services executives and clinical leaders; (3) insurers and payers; and (4) health service researchers. But almost anyone interested in the direction of healthcare will find the book of interest. Medical students and young physicians would benefit from reading it, because they will be practicing in tomorrow's environment of healthcare delivery. The authors are all expert in their respective fields and as a group are very well qualified to compile the text. The book is well composed and formatted as might be expected from the publisher, Jossey-Bass. The book contains a few line drawings as illustrations; moreillustrations would have helped with some of the more complex concepts. There is an adequate number of references, and they are up-to-date. A comprehensive index is provided, and two appendixes yield brief descriptions of the institutions studied and the types of data collected. The writing is clear and succinct, and the book is a pleasure to read, especially because many of the concepts go well beyond the traditional paradigm of integrated delivery systems as models for managed care. This book presents the challenge of creating an environment that supports the evolution of the nation's healthcare system into a more integrated, community-wide approach that focuses on alliances, linkages, and partnerships with public health and social service agencies. It offers a conceptual framework for promoting the integration of finance, human resources, strategic planning, total quality management, and information systems into a new model of healthcare delivery. Anyone thinking about the future of healthcare and how individuals, institutions, and healthcare systems should position themselves to prepare for it should read this book. It will prove to be an invaluable resource to effective planning for the future.

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Product Details

ISBN-13:
9780787902278
Publisher:
Wiley
Publication date:
09/28/1996
Series:
Health Series
Edition description:
Older Edition
Pages:
370
Product dimensions:
6.31(w) x 9.26(h) x 1.16(d)

Meet the Author

STEPHEN M. SHORTELL is Blue Cross of California Distinguished Professor of Health Policy and Management and professor of organization behavior, School of Public Health, University of California, Berkeley. ROBIN R. GILLIES is research specialist in the School of Public Health, University of California, Berkeley. DAVID A. ANDERSON is a founding principal of Health Care Futures L.P. in Itasca, Illinois. KAREN MORGAN ERICKSON is a principal with Hamilton HMC, the health services division of the international management consulting firm Kurt Salmon Associates. JOHN B. MITCHELL is a founding principal of Health Care Futures L.P. in Itasca, Illinois.

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