Great Health Care presents successful practice management strategies to deliver dependable, quality health care, at the lowest possible cost. The text focuses on the treatment of chronic diseases such as diabetes, obesity, asthma, osteoporosis, and congestive heart failure.
Great Health Care is enlightening and entertaining. It's a must read for physicians, patients, health policymakers and administrators, and the interested public---anyone who wants to understand what great health care is, and how we might build it together.
The authors share their stories and motivations and the methods they have used to transform care for their own patients within their own practices and health systems. They thoughtfully explore how we got into this mess, how we can get out of it, and the barriers to making it happen.
"It is not only the impact of chronic diseases on our health and economy that draws us to this subject. It is the intriguing and rewarding potential for improving the status quo through redesigning how chronic disease care is provided and paid for." (Timothy Harrington, MD)
"You can't do things differently until you see things differently." (Eric Newman, MD)
"We start people on the road to recovery, but the 12 weeks of cardiac rehabilitation is just the warm-up period. The really important part is what happens afterward." (Richard Lueker, MD, Beth McCormick, MS)
"We believe the extra-ordinary efforts of our program coordinators are key to our clients' wellbeing and our unusually low readmission rate." (Kathi Farrell, RN, BSN, PHN, Kathleen Sullivan, RN, MSN)
"In real life, we are not usually given the chance to have a do-over. But we are given the chance to continuously improve. With the right skill sets, and the right partners, we can transform." (Eric Newman, MD)
Prologue : Sooner or Later, We are All Patients - Timothy Harrington and Eric Newman
Section I: Caring for Chronic Diseases - How we got into this mess, and why we need to get out of it Introduction. Timothy Harrington Chapter 1. Why Chronic Diseases? - Timothy Harrington Chapter 2. How Has the U.S. Health System Evolved? - Timothy Harrington Chapter 3. Why has the U. S. Health System Become What It Is? - Timothy Harrington Chapter 4: Making Chronic Disease Care Great - Timothy Harrington
Section II: How to Effect Change in Health Care - If It Doesn't Fit, Use a Larger Hammer Introduction. Eric Newman Chapter 5. Building Systems of Care - Eric Newman Chapter 6 . Problem Solving - Eric Newman Chapter 7 . Testing and Implementing Solutions - Eric Newman
Section III: Managing Chronic Disease - You Can't Do things Differently Until You See Things Differently Introduction. Eric Newman Chapter 8. Managing Complex Processes - Timothy Harrington Chapter 9. Managing Medical Information: Tools, Rules, and What's Cool - Eric Newman Chapter 10. Measuring Processes and Outcomes of Care - Timothy Harrington Chapter 11 . Teaming: Everyone has a Role to Play - Eric Newman Chapter 12. How Providers Should Be Paid - Eric Newman
Section IV. Success Stories Told by Champions - Boldly Going Where Few Have Gone Before Introduction. Timothy Harrington Chapter 13 . Diabetes: Everyone's Number One Priority - Richard Beaser, Kenneth Snow, Jo-Anne Rizzotto, Julie Brown, and Martin Abrahamson Chapter 14 . Osteoporosis: Breaking Bones is Not Inevitable - Richard Dell Chapter 15. Rheumatoid Arthritis: Diagnose Early and Treat to Target - John Cush Chapter 16 . Heart Failure: Reducing Readmissions - Kathi Farrell and Kathleen Sullivan Chapter 17. Chronic Kidney Disease: Changing the Mean by Changing the Mien - Jerry Yee, Mark Faber, and Sandeep Soman Chapter 18 . Asthma: Identifying and Treating High-Risk Patients - Michael Foggs Chapter 19 . Cardiovascular Disease: Reducing Risk Factors - Richard Lueker and Beth McCormick Chapter 20. Obesity: The Elephant in the Room - Karen Cooper, Philip Schauer, Stacy Brethauer, and Sangeeta Kashyap Chapter 21 . Palliative Care & Hospice: Advancing the Science of Comfort, Affirming the Art of Caring - Martha Twaddle
Section V. Controversies in Redesigning Chronic Disease Care Introduction. Timothy Harrington Chapter 22 . Myths and Miscreants - Eric Newman Chapter 23. Improving Care versus Transforming Care - Eric Newman Chapter 24. Translational Research or Industrial Process Improvement: A False Choice - Timothy Harrington Chapter 25 . The Patient Centered Medical Home or System-based Care: Another False Choice - Timothy Harrington Chapter 26. Preparing Physicians with Optimal Processes and Process Improvement Skills - Timothy Harrington Epilogue: Join with Us - Eric Newman and Timothy Harrington
From the reviews:
"This book tackles the complex problems of chronic disease care and healthcare delivery system failures. ... Health professionals, consumers, and policy makers are the intended audience, but the book also can be used by students in the health professions, health policy, or public policy. ... Notable features of the book are the colorful graphs and the human interest stories that illustrate the most salient points. ... This is a good addition to an ever-growing body of literature." (Carole Ann Kenner, Doody's Review Service, March, 2012)
Essential reading for all physicians and health systems managers
Provides prescriptive advice on how health care can be delivered dependably and at the lowest possible cost
Provides models from health care systems which have successfully implemented these positive changes
Illustrates efficient practice strategies for the treatment of resource draining chronic diseases such as diabetes, rheumatoid arthritis, obesity, and congestive heart failure
A call to arms that will transform how health care is delivered