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.