Healthcare faces unprecedented global challenges. Rapid advances in genomics, computational sciences, and technology - as well as the new focus on value-based care and an increased trend toward healthcare commercialization - represent disruptive changes to an already-fragmented delivery system. The healthcare establishment has been slow to adapt, and now faces rising cancer-care costs and lags in outcome improvement and genomically informed interventions. Managing Disruptive Change in Healthcare codifies the US National Cancer Institute's lessons from utilizing a public-private partnership with community hospitals to navigate the change needed to increase patient access to high-quality cancer care, and enhance hospitals' capacity to conduct and support research initiatives. The treatment of complex diseases requires a delivery system capable of translating scientific advances into care that is coordinated across the full continuum; this book offers a blueprint to just such an infrastructure.

Focusing on evaluation as a tool for improved decision making for health services organizations and practitioners, Veney and Kaluzny, both affiliated with the School of Public Health at the University of North Carolina-Chapel Hill, offer a framework for decision making that stresses the importance of evaluation in the entire managerial process of p

This is a reprint of a 1995 book that involves 6 papers delivered at a Nov. 1993 health conference in Chapel Hill, N.C. on strategic alliances, rural hospital networks and integrated delivery systems for health care.