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Related Concept Videos

Integrated Healthcare System01:20

Integrated 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,...
Methods of Documentation VI: Case Management Model01:15

Methods 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...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods Of Healthcare Delivery System01:26

Methods 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...
Introduction To Health Care Delivery System01:18

Introduction 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...
Issues And Trends In Healthcare Delivery System01:29

Issues 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...

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

A case for conceptual competency in an integrated delivery system.

R Spitzer1

  • 1Metro Nashville General Hospital, Nashville, Tennessee, USA.

Nursing Administration Quarterly
|January 16, 2008
PubMed
Summary

Leadership competencies differ across integrated delivery systems. Complex horizontal and combined systems require conceptual leadership skills, drawing parallels from business and healthcare models.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

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Last Updated: Jul 8, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Healthcare Management
  • Organizational Leadership
  • Systems Integration

Background:

  • Integrated delivery systems (IDS) exist in vertical, horizontal, or combined structures.
  • Leadership requirements are contingent upon the specific IDS structure.
  • The congruence between business and healthcare models offers applicable insights.

Purpose of the Study:

  • To explore the varying leadership competencies required for different integrated delivery system structures.
  • To identify the specific conceptual competencies needed for horizontal and combined IDS.
  • To discuss the application of business models to healthcare leadership.

Main Methods:

  • Conceptual analysis of leadership competencies within IDS.
  • Comparative examination of vertical, horizontal, and combined IDS models.
  • Discussion of skills and aptitudes for conceptual competency.

Main Results:

  • Combined and horizontal IDS necessitate advanced conceptual leadership competencies.
  • The complexity of combined systems is amplified by academic and political factors.
  • Business and healthcare models share significant congruencies relevant to leadership.

Conclusions:

  • Conceptual competency is critical for leaders in complex integrated delivery systems.
  • Understanding IDS structures is key to developing effective leadership strategies.
  • Cross-sectoral learning, particularly from industry, can enhance healthcare leadership.