title: Leadership transition in the age of paradox.
abstract: The healthcare delivery system is undergoing great upheaval as individual providers respond to market pressures for aggressive cost reduction. Roles, relationships, processes, partnerships, and financing arrangements are on the table in the great race for competitive survival. The IDN department will address issues inherent in the evolution of free-standing acute care centers and private medical staffs into integrated delivery networks. It will globally explore alternative managed care and direct contracting at-risk strategies.
authors.affiliation: Mercy Health System-Greater Cincinnati Region, USA.
authors.forename: K S
authors.initials: KS
authors.lastname: Ehrat
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D007857:Leadership; D017146:Models, Organizational; D009718:Nurse Administrators / Q000458:organization & administration*; D014481:United States