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Remaking Health Care in America: The Evolution of Organized Delivery Systems / Edition 2

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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-Permanente

The 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, the country's foremost health services management researcher, examines the progress of nine health care delivery systems that were analyzed in the book's first edition. On the basis of this recent research, the authors reveal the successes, failures, and lessons learned and take on important and timely health care concerns such as the public backlash against managed care and the challenges of providing care to people with chronic illness.
The book is filled with a wealth of illustrative cases and practical recommendations. In addition, the authors identify the key factors for implementing a new model of delivering health care services in a cost-effective way to individuals and communities.

[Back Jacket]


A new prescription for curing the ills of our ever-changing health care system

Stephen Shortell, one of the country's leading health care management authorities, and his team of experts use the most current data available to update their classic book Remaking Health Care in America. This expanded second edition includes a clear conceptual framework for health care leaders who must develop more integrative systems of care to meet the challenge of the evolving health care industry. The book also provides practical suggestions and myriad recommendations for developing cost-effective delivery systems across the United States.

"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

Reviews authors' 1996 study & disc. recent accom- plishments, failures, lessons learned & future plans.

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Editorial Reviews

From the Publisher
"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)
Examines the progress of nine health care delivery systems and discusses health care concerns such as the public backlash against managed care and the challenges of providing care to people with chronic illness. Of interest to health services executives, insurers and payers, policy makers, and researchers. This second edition contains updated information on the need for greater accountability and stronger links between health systems and their communities. Shortell teaches health policy and management and organization behavior at the University of California-Berkeley. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780787948238
  • Publisher: Wiley
  • Publication date: 7/7/2000
  • Series: Jossey-Bass Health Care Series
  • Edition description: REV
  • Edition number: 2
  • Pages: 368
  • Sales rank: 1,078,839
  • Product dimensions: 9.00 (w) x 6.00 (h) x 0.94 (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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Table of Contents

Preface; Acknowledgments; Chapter One: The Problem and the Challenge; Chapter Two: An Idealized Health Care System; Chapter Three: Participants, Framework, and Approach; Chapter Four: Functional Integration; Chapter Five: Physician-System Integration; Chapter Six: Clinical Integration; Chapter Seven: Managing and Governing the Organized Delivery System; Chapter Eight: Moving Forward: The Policy Issues and Implementation: Challenges: Resources; References

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