ABSTRACT
At Columbia University School of Nursing, excellence in clinical practice has always been a major mission. The upheaval and rapid change in the current health care climate make meeting this goal difficult, especially in implementing educational innovations which might better prepare students for the practice world. This article explores the market forces, professional issues, and collaborative interactions that create both positive and negative influences on educational innovation.
Subject(s)
Diffusion of Innovation , Education, Nursing, Baccalaureate/organization & administration , Health Care Reform , Humans , Marketing of Health Services , Organizational InnovationABSTRACT
To meet rapidly changing industry conditions, successful integrated health care systems must cease to rely on the traditional medical model. No longer can these enterprises reactively deliver care to the sick and injured, but will be forced to transform their model to deliver the value customers demand. This new strategy is based on managing health. In this article on the promise of integrated health care, the author details how the redefined managed care industry--team-based, entrepreneurial primary care offices supported by corporate facilities, specialists and managers--will assume responsibility to redefine the marketplace and manage the health of a population. Key to this evolution, according to Manley, will be organizational revolution of the team structure, information management technology and value-added services that create long-term customer relationships.
