Remaking Health Care in America: Building Organized Delivery Systems

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Remaking Health Care in America presents the results of a comprehensive four-year study of the response to growing managed care and cost containment pressures among eleven health care systems. The book examines the success and failures of the current system and provides case study examples, practical suggestions, and recommendations for developing and implementing a more integrated, cost-effective delivery system. Written by the country's foremost authority on health services management and a team of experts, the...
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1996 Hard cover New in new dust jacket. Clean and tight-unused copy-Excellent! ! Sewn binding. Paper over boards. 398 p. Jossey-Bass Health. Audience: General/trade.

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Overview

Remaking Health Care in America presents the results of a comprehensive four-year study of the response to growing managed care and cost containment pressures among eleven health care systems. The book examines the success and failures of the current system and provides case study examples, practical suggestions, and recommendations for developing and implementing a more integrated, cost-effective delivery system. Written by the country's foremost authority on health services management and a team of experts, the book challenges the nation to create an environment that will support the evolution of our health care system to provide a more integrated communitywide approach that focuses on alliances, linkages, and partnerships with public health and social service agencies. To accomplish the transformation to an effective community health care management system, the authors present a conceptual framework that shows how to promote the integration of finance, human resources, strategic planning, total quality management, and information systems.

The book contains black-and-white illustrations.

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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.
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.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780787902278
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 9/28/1996
  • Series: Health Series
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 370
  • Product dimensions: 6.31 (w) x 9.26 (h) x 1.16 (d)

Table of Contents

Preface
Acknowledgments
The Authors
1 Beyond Fragmentation: Building a Community of Care 1
2 Working Toward an Ideal System 9
3 An Overview of the Study 37
4 Functional Integration: Coordinating the System's Components 57
5 Physician Integration: Linking Doctors with the System 95
6 Clinical Integration: Maximizing Patient Value 151
7 Governance and Management: Constructing a Solid Foundation 227
8 Moving Forward: Policy Issues and Implementation Challenges 281
Resource A About the Study 317
Resource B Collecting the Data 326
Resource C Some Related Readings 335
References 337
Index 353
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