Chatfield J Seth, Longenecker Clinton O, Fink Laurence S, Gold Jeffery P
J. Seth Chatfield, PhD, assistant professor of healthcare management, Harry F. Byrd, Jr. School of Business, Shenandoah University, Winchester, Virginia; Clinton O. Longenecker, PhD, distinguished university professor and director, Center for Leadership and Organizational Excellence, College of Business and Innovation, University of Toledo, Ohio; Laurence S. Fink, PhD, professor of management, College of Business and Innovation, University of Toledo; and Jeffrey P. Gold, MD, chancellor, University of Nebraska Medical Center, Omaha; chancellor, University of Nebraska Omaha; and board chair, Nebraska Medicine Health, University of Nebraska-Lincoln.
J Healthc Manag. 2017 Nov/Dec;62(6):371-383. doi: 10.1097/JHM-D-16-00003.
The transition from a delivery model based on volume to a model based on value is underpinning an unprecedented rate of change in healthcare. Our research identifies academic medical centers that have successfully moved their organizations from a volume-based care delivery model to a model that is based on value, achieving top decile performance in the transition. We asked senior leaders about their key imperatives in achieving system-wide healthcare transformations.Major teaching hospitals were sampled using data envelopment analysis to identify hospitals that produced the best value-based purchasing process of care, Hospital Consumer Assessment of Healthcare Providers and Systems scores, and mortality scores with the most efficient utilization of human and financial organizational resources. On-site interviews were conducted with the CEOs of the top-performing hospitals. Content analysis of the transcribed interviews revealed 10 clear imperatives that our sample of CEOs said were essential.
从基于数量的交付模式向基于价值的模式转变，正在推动医疗保健领域前所未有的变革速度。我们的研究确定了一些学术医疗中心，它们已成功地将其组织从基于数量的医疗服务交付模式转变为基于价值的模式，并在转型中取得了前十分之一的绩效。我们询问了高级领导者在实现全系统医疗保健转型方面的关键要务。利用数据包络分析对主要教学医院进行抽样，以确定那些在基于价值的医疗采购流程、医疗服务提供者和系统的医院消费者评估得分以及死亡率得分方面表现最佳，且能最有效地利用人力和财务组织资源的医院。我们对表现最佳的医院的首席执行官进行了现场访谈。对访谈记录的内容分析揭示了我们抽样的首席执行官们所说的至关重要的10项明确要务。
