Implementing organized delivery systems: an integration scorecard.
Organized vertically integrated health systems are in a key position to play a major role in present health care reform efforts. To demonstrate a competitive advantage in the new health care environment, however, integration efforts must be successful. Based on a national study of nine organized delivery systems, this article develops measures of three types of integration that occur in vertically integrated health systems--functional, physician-system, and clinical. These measures can be used as a "scorecard" to assess progress toward achieving integration objectives.
Devers
K J
KJ
University of California, Berkeley.
Shortell
S M
SM
Gillies
R R
RR
Anderson
D A
DA
Mitchell
J B
JB
Erickson
K L
KL
D003191:Comprehensive Health Care / Q000458:organization & administration*; D004465:Economic Competition; D017598:Efficiency, Organizational; D018166:Health Care Reform; D006302:Health Services Research; D017146:Models, Organizational; D009096:Multi-Institutional Systems / Q000458:organization & administration*; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care; D011795:Surveys and Questionnaires; D018511:Systems Integration; D014481:United States