Healthcare faces unprecedented global challenges. Rapid advances in genomics, computational sciences, and technology - as well as the new focus on value-based care and an increased trend toward healthcare commercialization - represent disruptive changes to an already-fragmented delivery system. The healthcare establishment has been slow to adapt, and now faces rising cancer-care costs and lags in outcome improvement and genomically informed interventions. Managing Disruptive Change in Healthcare codifies the US National Cancer Institutes lessons from utilizing a public-private partnership with community hospitals to navigate the change needed to increase patient access to high-quality cancer care, and enhance hospitals capacity to conduct and support research initiatives. The treatment of complex diseases requires a delivery system capable of translating scientific advances into care that is coordinated across the full continuum; thisbook offers a blueprint to just such an infrastructure.
Preface; Introduction; Part One: The Challenge of a Changing Science; 1: The Changing Science and the Rationale for a Public-Private Partnership; John Niederhuber and Maureen Johnson; 2: The Turbulent Environment of Cancer Care; Mary Fennell, Donna OBrien and Arnold Kaluzny; Part Two: Improving Cancer Care in the Community: Achieving Sustainability; 3: The NCI Community Cancer Centers Program as a Public-Private Partnership; Arnold Kaluzny, Donna OBrien and Joy Beveridge; 4: Taking Cancer Care to a New Level: Spartanburg Regional Healthcare System; James Bearden, Bruce Holstein and Lucy Gansauer; 5: Hartford at a Crossroads: Becoming a Community Hospital-based Research Resource; Andrew Salner, Jeffrey Flaks, Donna Handley and Robert Siegel; 6: Leveraging a Public-Private Partnership to Implement a National Cancer Service Line: The Experience of Catholic Health Initiatives; Deborah Hood, John DiCola, Richard Deming and Dax Kurbegov; Part Three: Moving Forward: Lessons from a Public-Private Partnership; 7:Transforming Cancer Care in the Community: Key Considerations for Sustainability; Donna OBrien, Mary Fennell and Arnold Kaluzny; 8: Global Implications for a Changing Healthcare Environment; Donna OBrien, David Kerr and Arnold Kaluzny; Epilogue; Arnold D. Kaluzny and Donna M. OBrien; Acknowledgements; Glossary of Terms; Appendix 1: Methodology; Appendix 2: Program-related publications; Appendix 3: Resources and Tools; Index;
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