LEADER 04727nam 2200769Ia 450 001 9910812566803321 005 20200520144314.0 010 $a0-262-25836-6 010 $a1-282-69463-4 010 $a9786612694639 010 $a0-262-25903-6 024 8 $a9786612694639 035 $a(CKB)1000000000806048 035 $a(OCoLC)646833376 035 $a(CaPaEBR)ebrary10331674 035 $a(SSID)ssj0000120004 035 $a(PQKBManifestationID)11141763 035 $a(PQKBTitleCode)TC0000120004 035 $a(PQKBWorkID)10074290 035 $a(PQKB)11446037 035 $a(MiAaPQ)EBC3339067 035 $a(OCoLC)460168024 035 $a(MdBmJHUP)muse26697 035 $a(OCoLC)460168024$z(OCoLC)646833376$z(OCoLC)692289080$z(OCoLC)707217738$z(OCoLC)740992362$z(OCoLC)961618700$z(OCoLC)961622440$z(OCoLC)962602249$z(OCoLC)962625568$z(OCoLC)1035760272$z(OCoLC)1037533291$z(OCoLC)1055355269$z(OCoLC)1063976427$z(OCoLC)1081214324 035 $a(OCoLC-P)460168024 035 $a(MaCbMITP)8277 035 $a(Au-PeEL)EBL3339067 035 $a(CaPaEBR)ebr10331674 035 $a(CaONFJC)MIL269463 035 $a(PPN)170237753 035 $a(EXLCZ)991000000000806048 100 $a20090407d2009 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aChaos and organization in health care /$fThomas H. Lee, M.D. and James J. Mongan 205 $a1st ed. 210 $aCambridge, MA $cMIT Press$dc2009 215 $a1 online resource (295 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-262-51762-0 311 $a0-262-01353-3 320 $aIncludes bibliographical references and index. 327 $aThe problem is chaos -- Chaos -- Progress -- Fragmentation -- The solution is organization -- What does organization in healthcare look like? -- What kind of systems improve healthcare? -- Tightly structured healthcare delivery organizations -- Organizing the mainstream of American medicine -- What can payers, employers, and patients do? -- How do we get there? -- Evolution or revolution? -- Provider change -- Payment change -- Market change -- Accelerating evolution. 330 $aTwo leading physicians' prescription for solving our health care problems: organizing the fragmented system that delivers care.One of the most daunting challenges facing the new U.S. administration is health care reform. The size of the system, the number of stakeholders, and ever-rising costs make the problem seem almost intractable. But in Chaos and Organization in Health Care, two leading physicians offer an optimistic prognosis. In their frontline work as providers, Thomas Lee and James Mongan see the inefficiency, the missed opportunities, and the occasional harm that can result from the current system. The root cause of these problems, they argue, is chaos in the delivery of care. If the problem is chaos, the solution is organization, and in this timely and outspoken book, they offer a plan.In many ways, this chaos is caused by something good: the dramatic progress in medical science--the explosion of medical knowledge and the exponential increase in treatment options. Imposed on a fragmented system of small practices and individual patients with multiple providers, progress results in chaos. Lee and Mongan argue that attacking this chaos is even more important than whether health care is managed by government or controlled by market forces. Some providers are already tightly organized, adapting management principles from business and offering care that is by many measures safer, better, and less costly. Lee and Mongan propose multiple strategies that can be adopted nationwide, including electronic medical records and information systems for sharing knowledge; team-based care, with doctors and other providers working together; and disease management programs to coordinate care for the sickest patients. 606 $aMedical care$zUnited States 606 $aHealth care reform$zUnited States 606 $aHealth facilities$zUnited States$xAdministration 606 $aChaotic behavior in systems 606 $aOrganizational behavior 615 0$aMedical care 615 0$aHealth care reform 615 0$aHealth facilities$xAdministration. 615 0$aChaotic behavior in systems. 615 0$aOrganizational behavior. 676 $a362.1/04250973 700 $aLee$b Thomas H$0606708 701 $aMongan$b James J$01645224 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910812566803321 996 $aChaos and organization in health care$93991557 997 $aUNINA