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How Physicians Can Fix Health Care

Author: Chris Trimble
Publisher:
ISBN: 9780982548288
Size: 56.32 MB
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How Physicians Can Fix Health Care: One Innovation at a Time Professor Chris Trimble Dartmouth College Penicillin, wonder drug of the 1940s, delivered a dramatic double win. It improved medical outcomes and simultaneously slashed costs. Today's cheap and curative elixirs, however, are not pills. They come instead in the form of innovations in the way care is delivered. Fee-for-service medicine has stood as a formidable barrier to these innovations for decades. Now, thanks to the ongoing transition to value-based payments, there are tens of thousands of opportunities for dramatic double wins. They are found in every hospital, in every clinic and in every medical condition. Policymakers have done their part. The rest is up to innovators on the front lines. Innovators will emerge from every health profession. There will be little progress on the largest opportunities, however, without one essential ingredient: physician leadership. For years, many physicians have felt like mere captives in the game of fixing health care. Physicians are no longer pawns, they are prime movers. A groundswell of physician innovators, determined to rebuild care one step at a time, is exactly what the system needs. The innovations that have the greatest potential are of a certain minimum size. They are characterized by the creation of small multidisciplinary teams - a few people to a few dozen - that are dedicated full time to a single effort to redesign care from scratch for a particular patient population. They deploy providers in nontraditional ways. They sometimes invent entirely new roles and team structures for health care delivery. How Physicians Can Fix Health Care: One Innovation at a Time is the essential step-by-step guide for physician innovators, their teams and the senior leaders in their organizations. Chris Trimble has dedicated his career to studying innovation inside of established organizations. This is his sixth book.

Reverse Innovation

Author: Vijay Govindarajan
Publisher: Harvard Business Press
ISBN: 142218398X
Size: 54.21 MB
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The gap between rich nations and emerging economies is closing. As a result, the global dynamics of innovation are changing. No longer will innovations traverse the globe in only one direction, from developed nations to developing ones. They will also flow in reverse. Authors Vijay Govindarajan and Chris Trimble of the Tuck School of Business at Dartmouth explain where, when, and why reverse innovation is on the rise, and why the implications are so profound—for nations, for companies, and for individuals. The authors focus in particular on a traditional pillar of rich-world economic vitality: successful and long-established multinational corporations. All are now seeking explosive growth in emerging economies, and all must learn new tricks in order to succeed. Reverse Innovation shows leaders and senior managers how to make innovation in emerging markets happen, and how such innovations can unlock opportunities throughout the world. The book highlights the tribulations and triumphs of some of the world’s leading companies (including GE, Deere & Company, P&G, and PepsiCo), illustrating exactly what works and what does not. The new reality is that the future lies far from home. Whether you are a CEO, financier, strategist, marketer, scientist, engineer, national policymaker, or even a student forming your career aspirations, reverse innovation is a phenomenon you need to understand. This book will help you do that.

The Company That Solved Health Care

Author: John Torinus
Publisher: ReadHowYouWant.com
ISBN: 1459607236
Size: 78.54 MB
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Explains how employers can take control of the increasing burden of health care costs, using the approach taken by Serigraph, a company that focused on consumer responsibility, primary care, and centers of value, as a model for improving health care while lowering the cost.

Unaccountable

Author: Marty Makary
Publisher: Bloomsbury Publishing USA
ISBN: 1608198383
Size: 50.71 MB
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A New York Times Bestseller

Reverse Innovation In Health Care

Author: Vijay Govindarajan
Publisher: Harvard Business Press
ISBN: 1633693678
Size: 53.36 MB
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Health-Care Solutions from a Distant Shore Health care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for value-based health-care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by health-care organizations in the United States to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how value-based delivery can be made to work in the United States. This "bottom-up" change doesn't require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the health-care system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.

Design For Care

Author: Peter Jones
Publisher: Rosenfeld Media
ISBN: 1933820136
Size: 63.92 MB
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The world of healthcare is constantly evolving, ever increasing in complexity, costs, and stakeholders, and presenting huge challenges to policy making, decision making and system design. In Design for Care, we'll show how service and information designers can work with practice professionals and patients/advocates to make a positive difference in healthcare.

Who Killed Healthcare America S 2 Trillion Medical Problem And The Consumer Driven Cure

Author: Regina Herzlinger
Publisher: McGraw Hill Professional
ISBN: 9780071509886
Size: 68.62 MB
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A renowned authority from Harvard Business School confronts America's health care crisis-and how consumer control can fix it PRAISE FOR WHO KILLED HEALTHCARE? “A brilliant analysis... A must-read.” – Bill George, Professor, Harvard Business School and Former CEO of Medtronic “As it becomes more and more obvious to everyone that our current health care system is unsustainable, this is the book that had to be written.” – Daniel H. Johnson, Jr. MD, former president of the American Medical Association “Regina Herzlinger’s ideas to tackle the crisis of the U.S. health care system are based on keen knowledge of the system’s existing difficulties along with insights that introduce the reader to new streamlined choices that have the potential of getting both quantity and cost under control.” – Joseph Kennedy, founder, chairman, and president, Citizens Energy Corporation, CEO, Citizens Health Care, former representative (D-Mass) “Regina Herzlinger... offers a vision of the way things can be, should be, and will be sooner or later. The only question is: how long do we have to wait?” – Greg Scandlen, founder, Consumers for Health Choices “Regi Herzlinger has brilliantly articulated a better way – embracing the principles of competition and innovation that cause every other sector of our economy to thrive. Discharging American health care from the ICU can only happen by putting individual Americans – not politicians and bureaucrats – back in charge of their health care decisioins.” – U.S. Senator Tom Coburn (R-Okla), M.D. “Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her expose of what many who work in the health care industry have felt in their gut. Now it is articulated in an entertaining and must-read portrayal, with you and me as the only way out.” – Dennis White, executive vice president for strategic development, National Business Coalition on Health “A wonderful Orwellian romp through issues which carry a deadly irony. The killers of health care are, of course, the third parties, each of which has an itchy palm and a commitment to profit or power which exceeds the commitment to service, with each engaging the others within a politically shaped box. Rarely has the case for the public been made with so much force, foresight, and wit, and a better way forward shown so clearly.” – James F. Fries, MD, Professor of Medicine, Stanford University School of Medicine “You can practically hear the war chants as Professor Herzlinger sets out her view of what’s wrong with the health care system and how to fix it. You’d best read it so you can decide which side you will be on when the battle is joined.” – Paul Levy, CEO, Beth Israel Hospital, Boston, MA “Regina Herzlinger, the nation’s leading expert on consumer-driven health care, has given us a brilliant analysis of the flaws in our health care system and what it will take to get it back on track. Her latest book is a must-read.” – Bill George, Professor of Management Practice, Harvard Business School, Former CEO, Medtronic, and author of Authentic Leadership “You don’t have to agree with her diagnosis and prescription for the U.S. health care system, but you do have to read her book. Once again, Professor Herzlinger has put together a well researched, well written, and very provocative blueprint for the future of health care.” Peter L. Slavin, MD, President, Massachusetts General Hospital

The Doctor Crisis

Author: Jack Cochran
Publisher: PublicAffairs
ISBN: 1610394445
Size: 42.10 MB
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Calming fears, alleviating suffering, enhancing and saving lives—this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward—amidst jarring changes in our health care system—is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.

Where Does It Hurt

Author: Jonathan Bush
Publisher: Portfolio
ISBN: 1591846773
Size: 78.96 MB
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The CEO of Athenahealth reflects on his journey from ambulance driver to CEO of one of the nation's fastest-growing tech companies to outline a blueprint for improving the current health-care system through innovation, less regulation and a wider range of customer choices.