Related Experiment Video
Updated: Jul 18, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Clinical service lines in integrated delivery systems: an initial framework and exploration
V A Parker1, M P Charns, G J Young
1Center for Health Quality, Outcomes and Economic Research, Bedford Veterans Affairs Medical Center, USA. vaparker@bu.edu
Summary
Integrated healthcare delivery systems (IDSs) are developing clinical service lines to improve coordinated, cost-effective care across multiple sites. This study explores organizational models and implementation challenges of service line management in IDSs.
Area of Science:
- Healthcare Management
- Health Services Research
- Organizational Studies
Background:
- Integrated healthcare delivery systems (IDSs) face pressure to deliver coordinated and cost-effective care.
- Integrating services across multiple care sites is a key challenge for IDSs.
- Clinical service lines are an emerging strategy to address integration needs.
Purpose of the Study:
- To present a conceptual model of clinical service lines.
- To report findings from a descriptive investigation of service line development in IDSs.
- To identify organizational arrangements and implementation issues in service line management.
Main Methods:
- Descriptive investigation of service line development.
- Study conducted among members of a research consortium of IDSs (Industry Advisory Board).
Main Results:
- Service line development involves diverse organizational arrangements.
- Implementation issues vary across different healthcare systems.
- Insights into practical challenges of managing integrated services were gained.
Conclusions:
- Service line management offers a framework for integrating services within IDSs.
- Further research is needed to optimize service line models and implementation strategies.
- Understanding organizational and implementation factors is crucial for successful service line adoption.
Related Concept Videos
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include: