MANAGING CARE: Leading Clinical Change and Transforming Healthcare

by Richard M .J. Bohmer

Overview

Healthcare systems worldwide are swamped with demand, short of resources, and ill-equipped to respond to global health crises like COVID-19. This book is a guide for reforming healthcare delivery.

The way we organize care matters, and the people best positioned to drive this are the clinicians who deliver care. The book offers a framework for transforming healthcare delivery that covers operational design, change management, long-term learning, and organizational environment. It describes the work of leading local operational change; identifies key decisions to be made, actions to be taken, and factors that must be taken into account; and gives clinicians the tools and perspectives they need to lead change.

The challenge of modern healthcare is to develop better organizations capable of delivering compassionate and individualized care on a grand scale while preserving the personal relationship between clinician and patient and the quality of care at the ward, operating room, clinic, or practice. Informed by extensive research and experience with systems all over the world, Richard Bohmer shows how organizations may transform by deploying a new workforce of clinical change leaders and how clinicians can take greater control over their own working environments.

Product Details

ISBN-13:	9781523093540
Publisher:	Berrett-Koehler Publishers
Publication date:	05/18/2021
Pages:	212
Sales rank:	1,078,796
Product dimensions:	6.00(w) x 9.10(h) x 1.20(d)

About the Author

Richard M. J. Bohmer is a New Zealand–educated doctor and a management academic. He has practiced as a hospital and primary physician. He was the Clinical Director for Quality Improvement at Massachusetts General Hospital and then spent 18 years on the faculty of Harvard Business School. He has published in the medical and management literature and is the author of Designing Care. Dr. Bohmer currently works independently with numerous hospitals and health authorities around the world to help them establish clinical leadership and management models and to improve their performance.

Table of Contents

Preface ix

Part 1 Why Transform Healthcare?

Chapter 1 Leading Healthcare Transformation from the Middle 3

Chapter 2 Identifying Value and Defining Purpose 22

Part 2 Designing Systems That Deliver Value to Patients

Chapter 3 Principles of Operations 57

Chapter 4 Levers of Operational Control 90

Chapter 5 Multi-Operating System Models 122

Part 3 Implementing New Systems in Existing Organizations

Chapter 6 Leading Change in a Clinical Environment 149

Chapter 7 Tools for Changing Behavior 196

Chapter 8 Structured Approaches to Improvement and Innovation 230

Part 4 Transforming Organizations

Chapter 9 Learning Systems and Leading Learning 277

Chapter 10 Transformation at Scale 302

Conclusion 335

Notes 341

Acknowledgments 361

Index 362

About the Author 378

Editorial Reviews

A lifetime of wisdom honed through practicing medicine and teaching others how to manage today’s challenging healthcare delivery organizations is now available in this profoundly engaging book. A must read for leaders in healthcare – whether in the C-suite or practicing medicine on the front lines of care delivery.”
—Amy C. Edmondson, PhD, Professor, Harvard Business School, and author of The Fearless Organization
 
 
"Dr. Bohmer, marries his vast experience as a clinician, consultant, teacher, and long-time student of health care delivery to provide a clear guide to effective and efficient medical care."
—David M. Lawrence, MD, MPH, Dean, School of Medicine, Keck Graduate Institute, and former Chairman and CEO, Kaiser Foundation Health Plan and Hospitals
 
 
“This book is a testament to the need for strong clinical leadership during times of uncertainty and conflict. Bohmer outlines a clear path forward for achieving socially responsible outcomes for those we’re dedicated to serve.”
—Marc Harrison, MD, President and CEO, Intermountain Healthcare
 
“With pragmatism and wisdom, Bohmer shows how to reliably translate care design into practice—and more importantly, how to continually learn, modify, and improve as we work to transform healthcare to provide better value for patients. The lessons shared are powerful as illustrated by the experience of the Covid-19 pandemic, but they go far beyond the needs of today by providing a systems approach that will endure.”
—Gregg S. Meyer, MD, MSc, President of the Community Division and Executive Vice President of Value Based Care, Massachusetts General Hospital, and Professor of Medicine, Harvard Medical School
 
 
“I highly recommend this book for all clinician leaders and administrators who see the pressing need for change and are passionate about transforming healthcare systems toward better patient care.”
—Ivy Ng, MD, Group CEO, Singapore Health Services
 
 
“For those who are persuaded that we will never be able to reduce the administrative burdens of healthcare, Bohmer provides a meticulous argument for a way forward. He understands that to improve the effectiveness and efficiencies in healthcare delivery, organizations must include innovation and insight from members of the care team.”
—Jeanette Ives Erickson, RN, DNP, Chief Nurse Emerita and Distinguished Paul M. Erickson Endowed Chair in Nursing, Massachusetts General Hospital

From the Publisher