Redefining Health Care: Creating Value-based Competition on Results

Harvard Business Press, 24 apr. 2006 - 528 pagina's
The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets.

In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change.

The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency.

With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

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4 Information hierarchy
4 Effects of innovation in treatment of acute myocardial infarction AMI
Strategic Implications for Health Care Providers
Strategic Implications for Health Plans
Implications for Suppliers Consumers and Employers
Health Care Policy and ValueBased Competition
Setting Standards for Coverage
Implications for Health Care Policy in Other Nations

Oneyear survival rate JanuaryDecember 2002
Total days in the hospital and number of admissions 19802002
How Reform Went Wrong
Principles of ValueBased Competition
Operational effectiveness versus strategic positioning
Making Results Public The Cleveland Clinic
The Care Delivery Value Chain

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Over de auteur (2006)

Michael E. Porter is the Bishop William Lawrence University Professor at Harvard Business School and the author of sixteen books and numerous articles on competition and strategy. Elizabeth Olmsted Teisberg is an associate professor at the University of Virginia’s Darden Graduate School of Business and author of over fifty articles and cases on strategy and innovation.

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