2. Changing Health Care System Economic, political and social forces have moved health services system beyond reactive, acute care to a more holistic paradigm. Shift toward coordinated continuum of services that will enhance the health status of defined populations

3. Nine Forces Influencing Health Care Delivery 1.Capitated payment 2.Performance-based payment 3.Growth of new technology emphasizing outpatient, workplace, and at-home treatment 4.Aging of the population 5.Increased diversity of population

4. Nine Forces Influencing Health Care Delivery 6.Changes in supply and education of health professionals 7.Social morbidity (AIDS, drugs, homicide) 8.Information production and management 9.Globalization and creation of the world economy

5. Transformation of Health Care 1.Emphasis on acute inpatient care 2.Emphasis on treating illness 3.Responsible for treating individual patients 4.All providers are similar 1.Emphasis on continuum of care 2.Emphasis on wellness 3.Accountable for health of defined population 4.Differentiation by ability to add value

6. Transformation of Health Care 5.Success comes from increasing market share 6.Goal is to fill beds 7. Hospitals, physicians and health plans are separate 5.Success comes from keeping people covered and well 6.Goal is to provide appropriate care 7.Integrated health delivery system

7. Transformation of Health Care 8.Managers run organization 9.Managers serve as department heads 10. Managers coordinate services 8.Managers oversee a market 9.Managers operate services across organizational boundaries 10.Managers actively pursue quality and improvement