1st Edition
Mapping the Path to 21st Century Healthcare The Ten Transitions Workbook
The author’s previous book, Transition to 21st Century Healthcare: A Guide for Leaders and Quality Professionals, provides a high-level view of American healthcare as transitioning through a period of industrialization, breaking down the fading structures of 20th century healthcare, and paving the way for 21st century healthcare.
Mapping the Path to 21st Century Healthcare: The Ten Transitions Workbook offers a review of the fundamentals of the transitional structure presented in the first book, but shifts its focus from concepts to practical application, beginning with an industrialization evaluation that serves as preparation for the transitions. This workbook provides a detailed guide to the development and use of the ten transitions that are critically important in assessing your organization's progress in moving towards the 21st century healthcare model.
Divided into four sections, the book progresses from establishing a basis for the ten transitions to providing a deeper analysis of each transition. Section I introduces the concepts that underlie the structure and methodology of the book. Section II offers a historical overview of American healthcare that highlights the fundamental distinctions between 20th century and 21st century healthcare.
Section III focuses on the vital role that industrialization plays in revealing the transitions from 20th century and 21st century healthcare. Section IV presents the structure of each transition. It describes the groups of transitions as well as the categories and characteristics that form the transitions. Section V offers an in-depth look at each of the 10 transitions and explains how they provide an understanding of the movement of healthcare from the 20th century to the 21st century.
The book concludes with an explanation of the value of the generative or guiding and motivating metaphors in the transitions formed through the contrast between the 20th century and 21st century categories.
Introduction
THE GUIDE TO MAPPING THE PATH TO 21ST CENTURY HEALTHCARE
Understanding American Healthcare Development
Seeing the Path Ahead for American Healthcare
AMERICAN HEALTHCARE DEVELOPMENT
20th Century American Healthcare
American Healthcare Industrialization
21st Century American Healthcare
PREPARING TO TRANSITION TO 21ST CENTURY HEALTHCARE
Industrialization: Preparing to Transition
Industrialization Assessment
MAPPING YOUR ORGANIZATION’S TRANSITION TO 21ST CENTURY HEALTHCARE
Transition Groups: Organizational, Process, and Cultural
Transition Categories and Characteristics
Transition Assessment Tools
MAPPING THE 10 TRANSITIONS
Organizational Transition: Structure—Hierarchy to Complex System
20th Century Hierarchy
21st Century Complex System
Organizational Transition: Relationship—Transactional to Emergent
20th Century Transactional Relationship
21st Century Emergent Relationship
Organizational Transition: Leadership—Control to Trust
20th Century Control
21st Century Trust
Organizational Transition: Innovation—Centralized to Adaptive
20th Century Centralized Innovation
21st Century Adaptive Innovation
Process Transition: Production Method—Craftsman to Multidisciplinary Teams
20th Century Craftsman Production
21st Century Multidisciplinary Team Production
Process Transition: Delivery System—Hospital to Continuum of Care
20th Century Hospital Delivery System
21st Century Continuum of Care Delivery System
Process Transition: Information System—Isolation to Network
20th Century Information System Isolation
21st Century Information System Network
Process Transition: Financial—Fee-for-Service to Consumer Health Financing
20th Century Fee-for-Service
21st Century Consumer Health Financing
Cultural Transition: Professional—Autonomy to Integration
20th Century Professional Autonomy
21st Century Professional Integration
Cultural Transition: Metaphor—Scientific Machine to Complex Adaptive System
20th Century Scientific Machine
21st Century Healthcare Complex Adaptive System
FOLLOWING THE MAP TO 21ST CENTURY HEALTHCARE
Signposts and Motivation for the Journey
Next Steps
References
Index
Biography
Scott Goodwin