Redefining Health Care: Creating Value-Based Competition on Results
The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums - not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael E. Porter and innovation expert Elizabeth Olmsted Teisberg reveal the underlying - and largely overlooked - causes of the problem and provide a powerful prescription for change.
Primary Care: Proposed Solutions To The Physician Shortage Without Training More Physicians
The adult primary care “physician shortage” is more accurately portrayed as a gap between the adult population’s demand for primary care services and the capacity of primary care, as currently delivered, to meet that demand. Given current trends, producing more adult primary care clinicians will not close the demand-capacity gap.
High-Functioning Integrated Health Systems: Governing a “Learning Organization”
This white paper argues in favor of a transformation of structure and function of governance for community health systems destined for higher levels of clinical and business model integration. A principal goal of these recommended transformations is enhancing the performance of integrated health systems as “learning organizations” that are able to acquire knowledge and innovate fast enough to survive in a rapidly changing environment.
Building high reliability teams: Progress and some reflections on teamwork training
The science of team training in healthcare has progressed dramatically in recent years. Methodologies have been refined and adapted for the unique and varied needs within healthcare, where once team training approaches were borrowed from other industries with little modification. Evidence continues to emerge and bolster the case that team training is an effective strategy for improving patient safety. Research is also elucidating the conditions under which teamwork training is most likely to have an impact, and what determines whether improvements achieved will be maintained over time.
Beyond curriculum reform: Confronting medicine's hidden curriculum
Throughout this century there have been many efforts to reform the medical curriculum. These efforts have largely been unsuccessful in producing fundamental changes in the training of medical students. The author challenges the traditional notion that changes to medical education are most appropriately made at the level of the curriculum, or the formal educational programs and instruction provided to students.
The current state of academic centers for Interprofessional Education
Team-based interprofessional practice plays a central role in new models of care delivery. However, training health professionals for interprofessional practice remains a challenge. Centers for Interprofessional Education (IPE) exist at many academic institutions but have had limited success. The authors conducted telephone interviews with 12 leaders of academic centers for IPE, identified through a key informant method. Qualitative analysis of interview notes for common themes of barriers, successes, and insights.
Interdisciplinary education and teamwork: A long and winding road
Purpose: This article examines literature on interdisciplinary education and teamwork in health care, to discover the major issues and best practices.
Methods: A literature review of mainly North American articles using search terms such as interdisciplinary, interprofessional, multidisciplinary with medical education.
Institutional Change and Healthcare Organizations- From Professional Dominance to Managed Care
Few large institutions have changed as fully and dramatically as the U.S. healthcare system since World War II. Compared to the 1930s, healthcare now incorporates a variety of new technologies, service-delivery arrangements, financing mechanisms, and underlying sets of organizing principles.
The Role of Physician Assistants in Health Care Delivery
Many experts see PAs as important contributors to emerging strategies to deliver health care more efficiently and effectively, but important barriers exist that could slow the growth of the profession. For example, state laws and regulations may not be broad enough to encompass the professional competencies of PAs. In addition, state statutes and regulations impose widely diverse restrictions on physicians’ ability to delegate authority to PAs, which, in some instances, are overly strict.
The Expanding Role of Pharmacists in a Transformed Health Care System
Pharmacists practice in a variety of health care settings. Although they are most often associated with dispensing medications in retail pharmacies, their role is evolving to include providing direct care to patients as members of integrated health care provider teams.