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Leadership in Disruptive Times: The Key to Changing Healthcare.

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  • 1Nancy Howell Agee is president and CEO of Carilion Clinic in Roanoke, Virginia, and was the 2018 chair of the American Hospital Association's board of trustees.

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Summary
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Hospitals are shifting to value-based care to improve patient outcomes and affordability. This involves enhancing care quality, reducing costs, and prioritizing the patient experience for better healthcare value.

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Area of Science:

  • Healthcare Management
  • Health Services Research

Background:

  • Hospitals and health systems prioritize quality and safety, recognizing patient trust during vulnerable times.
  • Patients expect optimal returns on healthcare expenditures, driving the need for enhanced affordability.
  • Evolving market dynamics necessitate transformation in care delivery for patients and staff.

Purpose of the Study:

  • To explore the strategic shift towards value-based care in healthcare systems.
  • To identify key strategies for improving healthcare affordability and patient experience.
  • To highlight the role of integrated delivery systems in driving innovation and change.

Main Methods:

  • Analysis of current healthcare market forces and their impact on service delivery and reimbursement.
  • Examination of progressive hospital and health system initiatives in value-based care.
  • Case study approach focusing on Carilion Clinic's integrated delivery system evolution.

Main Results:

  • Progressive healthcare systems are adopting value-based care models to increase affordability.
  • Key strategies include improving quality, reducing costs, and enhancing the overall patient experience.
  • Integrated delivery systems and national collaborations are crucial for advancing innovation.

Conclusions:

  • The healthcare sector is undergoing significant transformation, driven by the pursuit of value.
  • Hospitals must redefine care delivery to meet evolving patient expectations and market demands.
  • Carilion Clinic exemplifies a commitment to innovation and improved healthcare value through its integrated model.