Mapping the Path to 21st Century Healthcare: The Ten Transitions Workbook, 1st Edition (Paperback) book cover

Mapping the Path to 21st Century Healthcare

The Ten Transitions Workbook, 1st Edition

By Scott Goodwin

Productivity Press

188 pages | 28 B/W Illus.

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Description

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.

Table of Contents

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

About the Author

Scott Goodwin, MBA, D.A., CPHQ, LSSBB, has more than 20 years, experience as a healthcare quality professional that includes hospital senior quality leadership positions and quality consulting with multiple hospitals. He is currently the owner/chief innovation officer for AWLG Healthcare Consulting, LLC. Since 2013, he has been an adjunct professor at New England College in Henniker, New Hampshire, where he teaches healthcare quality and Lean and organizational ethics. In 2014, he received the innovator’s award from the New Hampshire Foundation for Healthy Communities, which celebrates extraordinary ingenuity, creativity, and skill in improving health and healthcare access, delivery, or quality. Over the past 10 years, he has studied the influences shaping American healthcare organizations and healthcare quality improvement.

Subject Categories

BISAC Subject Codes/Headings:
BUS070080
BUSINESS & ECONOMICS / Industries / Service Industries
MED002000
MEDICAL / Administration