Care Platforms: A Basic Building Block For Care Delivery

Without significant operational reform within the nation's health care delivery organizations, new financing models, payment systems, or structures are unlikely to realize their promise. Adapting insights from high-performing companies in other high-risk, high-cost, science- and technology-base...

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Bibliographic Details
Published in:Health Affairs 2008-09, Vol.27 (5), p.1336-1340
Main Authors: Bohmer, Richard M.J, Lawrence, David M
Format: Article
Language:English
Subjects:
Accountability
Chronic illnesses
Community
Customer services
Design
Health care delivery
Medical screening
Medical technology
Patients
Primary care
Quality of care
R&D
Reforms
Research & development
Science
Studies
Technological change
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Summary:Without significant operational reform within the nation's health care delivery organizations, new financing models, payment systems, or structures are unlikely to realize their promise. Adapting insights from high-performing companies in other high-risk, high-cost, science- and technology-based industries, we propose the "care platform" as an organizing framework for internal operations in diversified provider organizations to increase the quality, reliability, and efficiency of care delivery. A care platform organizes "care production" around similar work, rather than organs or specialties; integrates standard and custom care processes; and surrounds them with specifically configured information and business systems. Such organizational designs imply new roles for physicians. [PUBLICATION ABSTRACT]
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.27.5.1336