Building Organizational Capacity: A Cornerstone Of Health System Reform

The U.S. health care delivery system is in need of overhaul. Care is fragmented, unsafe, and inefficient. Achieving higher levels of performance requires organizational capacity, including information technology (IT) and specialized expertise, not present in most settings. Organizational capacity is...

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Bibliographic Details
Published inHealth Affairs Vol. 28; no. 2; pp. w205 - 215
Main Authors Corrigan, Janet, McNeill, Dwight
Format Journal Article
LanguageEnglish
Published United States Health Affairs 01.03.2009
The People to People Health Foundation, Inc., Project HOPE
Subjects
Accountability
Capacity building approach
Clinical outcomes
Community-Institutional Relations
Cost control
Evaluation
Health care delivery
Health care policy
Health Care Reform - methods
Health Policy
Humans
Information technology
Leadership
Organizational Innovation
Organizational structure
Patients
Payments
Performance measurement
Reforms
Regional Health Planning
Reimbursement Mechanisms
United States
Unsafe
United States
United States > US
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Summary:The U.S. health care delivery system is in need of overhaul. Care is fragmented, unsafe, and inefficient. Achieving higher levels of performance requires organizational capacity, including information technology (IT) and specialized expertise, not present in most settings. Organizational capacity is fortified through the benefits of larger scale and clinical integration. The evolution of new organizational structures will open up opportunities to redesign payment programs and invest capital toward building high-performing systems. A comprehensive policy agenda is needed to encourage growth in organizational capacity, including national priorities and goals, performance measurement and reporting, payment reform, community leadership, IT, and public education.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.28.2.w205