RESUMEN
A profound set of changes is occurring all around us in health care. Many of our organizations are going through a merger or consolidation; some are struggling to grow their net revenue; some are prospering in the new competitive environment; others are trying to figure out just how to survive. Our task is to create health care organizations that work, especially in a world where everything constantly seems up in the air. We know that fundamental change is required. The changes that effect our health care organizations can often times have a profound effect on our communities.
Asunto(s)
Planificación en Salud Comunitaria/organización & administración , Relaciones Comunidad-Institución , Planificación en Salud Comunitaria/tendencias , Indicadores de Salud , Objetivos Organizacionales , Estados Unidos/epidemiologíaRESUMEN
Many trustees believe that health care reform must begin in the communities that their organizations serve. To become the visionary leaders that health care needs, trustees must reexamine many long-held beliefs and values, adopt 21st-century principles of governance, embrace the concept of a healthy community, and develop a systematic plan for change. Based on the collective knowledge of boards that have successfully led their organizations through change, the plan described here consists of a systematic six-step process. The process begins with techniques for creating awareness of the need to change and ends with techniques for measuring and sustaining gains (see figure 1 at right).
Asunto(s)
Planificación en Salud Comunitaria/organización & administración , Consejo Directivo/normas , Planificación Hospitalaria/organización & administración , Benchmarking , Planificación en Salud Comunitaria/normas , Participación de la Comunidad , Relaciones Comunidad-Institución , Conducta Cooperativa , Guías como Asunto , Estado de Salud , Planificación Hospitalaria/normas , Evaluación de Resultado en la Atención de Salud , Estados UnidosRESUMEN
Ambulatory surgery, an increasingly popular alternative to hospitalization, will provide an excellent market opportunity for those willing to pursue it. Presented here is an approach to planning, developing, and implementing a freestanding ambulatory surgery center.