1st Edition

Mapping the Path to 21st Century Healthcare The Ten Transitions Workbook

By Scott Goodwin Copyright 2016
    200 Pages 28 B/W Illustrations
    by Productivity Press

    200 Pages
    by Productivity Press

    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