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This book contains two Open Access chapters. The 21st volume of
Advances in Health Care Management presents informed commentaries
solicited from leaders across the field of health care management.
Each chapter tackles a specific health care challenge, describing
the state of the research on the challenge, identifying appropriate
organizational innovations to respond to the challenge, and setting
out a future research agenda. Expert authors consider what is
known, what is not known, and what is needed to fill the gaps and
advance knowledge. Responding to The Grand Challenges in Healthcare
Via Organizational Innovation explores in detail varied scenarios
and suggestions for dealing with unexpected crises, improving
diversity, equity and inclusion in health care, building strategic
alliances for inter-sector collaboration, as well as analyzing
organizational governance and physician financial risk models.
The 20th volume of Advances in Health Care Management showcases how
health care management research helps to further understand grand
challenges in health care: what they are, why they exist, the
consequences that they have, and what can be done to address them.
Grand challenges are large, unresolved problems. "Grand health care
challenges" include current events such as the COVID-19 pandemic,
and ongoing challenges related to the quadruple aim of health care:
improving the health of populations, reducing the cost of
healthcare, improving patient care experiences, and improving the
experience of working in health care. The book demonstrates that
these challenges are amenable to organizational and managerial
solutions, and therefore health care management research has many
important lessons to contribute. For this volume, The Contributions
of Health Care Management to Grand Health Care Challenges, we
define health care management as the planning, direction, and
coordination of health services and the management of health care
professionals. Included chapters consider five grand challenges
facing the health care sector: (1) caring for vulnerable
populations; (2) maintaining the health care workforce; (3)
translating innovation into practice; (4) sustaining organizations;
and (5) navigating pandemics. Each challenge is discussed in its
own section and addressed by two chapters that offer different
perspectives and approaches to the challenge. Across chapters a
variety of methodologies are used including ethnographic case
studies, survey data analysis, interviews, literature review, and
informed commentary. Together, the chapters in this volume
synthesize current information in the field, direct future research
efforts, and generate actionable insights for managers and
policymakers.
Shedding light on current transformations in payment mechanisms and
transparency of hospital performance data and prices, this volume
of Advances in Health Care Management presents findings on hospital
profitability, cost, and organizational structures. Divided into
two sections: 'Reimbursement, Cost and Profitability' and 'The Move
Towards Transparency', the chapters employ a variety of research
methodologies to explore the impact of transformation in payment
and debt structures, profitability, and horizontal or vertical
integration on outcomes such as price, clinical outcomes, and
health plan selection. The authors examine recent changes including
the redesign of the U.S. health care system to achieve higher
value, and the establishment of mechanisms that transform
reimbursement models and promote consumerism through transparency
of data. Additionally, the volume takes a look at the emerging
trend of transparency between health care stakeholders such as
patients, health care staff, hospitals, insurance companies, and
the government, providing a valuable insight into how the future
might look.
The mission of healthcare organizations has undergone a remarkable
transformation from curing disease to caring for the well-being of
populations. While health care policy has explored this domain
before, notably in Health Maintenance Organizations, the current
efforts to create Patient-Centered Medical Homes (PCMHs) and
Accountable Care Organizations (ACOs) represent a broader effort to
move organizational responsibilities towards population health and
care management. Volume 16 of AHCM presents papers that explore
this topic across various levels of the healthcare system and
employing multiple research designs including case studies,
theoretical pieces, secondary data analyses, survey research and
qualitative methodologies. Aspects of health care organization
discussed in this volume include the PCMH, ACOs, integration with
the public health and mental health systems, hospital-physician
alignment, and resource planning. Population health management is
presented as a factor driving these organizational changes and as a
mechanism to facilitate this change.
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