Health care is on a collision course with patient needs and economic reality. Without significant changes in health care delivery, the scale of the problem will only get worse. Rising costs, mounting evidence of quality problems, and increasing numbers of Americans without insurance are unacceptable and unsustainable.  We can do better.

How do leaders dramatically improve value for patients and families? The most pressing task to achieve value improvement is to create a new and better structure and organization of care delivery.  These innovations must create solutions for patients and families that are far more effective and efficient than today's patchwork of services.  This improvement in value also enables increased success and professional satisfaction for clinicians, who are now accustomed to working in systems that too often impede efficacy and raise costs.  Centering care around solutions for patients will require clinically integrated interdisciplinary teams, meaningful measurement of results, and new partnerships which result in higher quality and lower cost care.