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