The Future of Healthcare: Global Trends Worth Watching
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About this ebook
Rising healthcare costs. Increased mobility of patients and clinicians. An aging population. Staffing shortages. While the United States faces many unique healthcare challenges, we can learn from other countries' successes in facing similar problems. As borders have blurred, the opportunities to benefit from innovations from other countries have increased, and health systems are looking to each other more and more for solutions.
This book draws on reliable, agenda-free sources to predict the impact of emerging global trends on the US healthcare system. It provides timely advice on how to proactively engage in and capitalize on globalization rather than react to it.
Discover what these trends could mean for your organization:
Digital health information Patients traveling for value Global cost competition Rising healthcare costs Establishing uniformity among practices and standards Negotiating on value Balancing primary and specialty care Growing mobility of health professionalsThe book concludes with a case study that illustrates how to incorporate global trends into your strategic planning process.
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The Future of Healthcare - Andrew Garman
The Future of Healthcare: Global Trends Worth Watching
ACHE Management Series Editorial Board
Joseph J. Gilene, FACHE, Chairman
Quorum Health Resources
Mark C. Brown, FACHE
Lake City Medical Center-Mayo Health System
Robin B. Brown Jr., FACHE
Scripps Green Hospital
Frank A. Corvino, FACHE
Greenwich Hospital
Terence T. Cunningham III, FACHE
Shriners Hospital for Children
David A. Disbrow, FACHE
Ohio Cardiac Thoracic and Vascular Surgeons
Kent R. Helwig, FACHE
UT Southwestern Medical Center
Natalie D. Lamberton
Rio Rancho Medical Center
Trudy L. Land, FACHE
Executive Health Services
Greg Napps, FACHE
Bon Secours St. Mary’s Hospital
James J. Sapienza, FACHE
MultiCare Health System
Arthur S. Shorr, FACHE
Arthur S. Shorr & Associates Inc.
Leticia W. Towns, FACHE
Regional Medical Center at Memphis
Your board, staff, or clients may also benefit from this book’s insight. For more information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424–9470.
This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.
The statements and opinions contained in this book are strictly those of the authors and do not represent the official positions of the American College of Healthcare Executives or the Foundation of the American College of Healthcare Executives.
Copyright © 2011 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher.
15 14 13 12 5 4 3 2
Library of Congress Cataloging-in-Publication Data
Garman, Andrew N.
The future of healthcare : global trends worth watching / Andrew N. Garman, Tricia J. Johnson, and Thomas C. Royer.
p. cm.
Includes bibliographical references.
ISBN 978-1-56793-379-6 (alk. paper)
ISBN 978-1-56793-463-2 (ebook)
1. Medical care—Forecasting. 2. Medical innovations. 3. Globalization.
I. Johnson, Tricia J. II. Royer, Thomas C. III. Title.
RA425.G195 2011
362.101’12—dc22
2010052575
The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ™
Acquisitions editor: Eileen Lynch; Project manager: Jennifer Seibert; Cover illustration: Sean Kane; Cover designer: Scott Miller; Layout: Book Comp; Printer: Cushing-Malloy
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CHAPTER 1
Introduction
CHANGE IN THE UNITED STATES
The United States recently signed into law its most sweeping health reform bill since Medicare was enacted in 1965. Most of the press attention has been on the effects these changes will have on healthcare in the United States. For the foreseeable future, these changes will be the day-to-day focus of most healthcare managers. Most consumers in the United States, however, will not care where the legislation came from or how it changes payments to providers and regulation of insurance companies. Mainly they will want to know the effect it will have on their ability to access the providers they need when they need them and their out-of-pocket costs.
So what does the future hold? While there are many questions that only time will answer, in the public opinion a few things do seem certain: Without a sense of the broader context of these reforms, consumers may feel that the decisions were recklessly made; without an understanding of other care models, consumers will readily fear horror stories about such issues as death panels
and six-month waiting lists; and without clarity on the difference between costs and value, they will perceive any effort to hold down costs no differently than efforts to ration care.
Realistically, most of the proposed changes stem from programs and processes with a demonstrated track record somewhere else. For the first time, somewhere else
is outside US borders. These programs and processes have not been discussed much in the media, and for good reason: They often involve a depth of complexity through which few consumers care to wade. Most consumers do not want to learn about economics, geography, and world cultures just to understand where healthcare is going. They simply want good care so they can go on living their lives. Healthcare managers, however, need to understand where these changes are coming from—now and in the future.
FINDING THE ISLANDS OF TRUTH (IN A SEA OF MISINFORMATION)
Throughout this book, we strive to find the most reliable information we can to support our points. The most reliable sources have a vested interest in the accuracy of the data rather than their implications. Agenda-free data are difficult to find, cumbersome to organize, and tricky to interpret. As such they do not often find their way into press releases and