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4 A Proposal to Bridge the Divide Between Health and Health Care
Pages 21-24

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From page 21...
... I think that is at the heart of our challenge." A key to making that change, said Shortell, is to pay for technologyenabled, team-based systems of care to keep people well. Making this change calls on the health care enterprise to engage people, not just patients, and it also calls for a community-wide population focus that extends beyond individual accountable care organizations (ACOs)
From page 22...
... The delivery system also needs to move from the hospital, clinic, and doctor's office to the home, workplace, and school, and the definition of providers needs to be extended beyond health care professions to include teachers, social workers, architects, urban planners, and community development specialists. Medical homes implementing primary care interventions represent one development providing early evidence that changes in the delivery system can have a significant impact on creating a healthy population rather than treating a sick one.
From page 23...
... The key challenge, he said in closing, will be in building the needed partnerships based on shared goals, shared information, innovations in the use of human resources, and cross-sector, cross-boundary leadership. DISCUSSION During the brief discussion period that followed Shortell's presentation, Mary Pittman, President and Chief Executive Officer of the Public Health Institute and a member of the roundtable, noted that the Centers for Disease Control and Prevention has established the National Leadership Academy for the Public's Health to enable multisector jurisdic
From page 24...
... In California, the Secretary of Health and Human Services has taken the lead. Leaders in the private sector, including the chief executives of the state's large insurance companies and integrated health care organizations, have joined in the effort.


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