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David W. Young - Managing integrated delivery systems: a framework for action

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Page i
Managing Integrated Delivery Systems
Page ii
AUPHA Press
HealthAdministrationPress
Editorial Board
Deborah A. Freund, Ph.D., Chair
IndianaUniversity
Peter Butler
MethodistHealthCareSystem
Arthur L. Caplan
UniversityofPennsylvania
Genevieve Chandler
UniversityofMassachusetts,Amherst
Thomas D'Aunno, Ph.D.
UniversityofChicago
R. Paul Duncan
UniversityofFlorida
Arnold Kaluzny
UniversityofNorthCarolina
Donna Lind Infeld, Ph.D.
GeorgeWashingtonUniversity
James Lambrinos, Ph.D.
UnionCollege
Sheila Leatherman
UnitedHealthCareCorporation
Laurence McMahon
UniversityofMichigan
John E. Paul
GlaxoWellcome
Joseph D. Restuccia, Dr. P.H.
BostonUniversitySchoolofManagement
Robert S. Woodward, Ph.D.
WashingtonUniversity
AUPHA Press/Health Administration Press is a cooperative publishing activity of the Association of University Programs in Health Administration and the Foundation of the American College of Healthcare Executives.
Page iii
Managing Integrated Delivery Systems
A Framework for Action
David W. Young
Sheila M. McCarthy
Picture 2
Health Administration Press, Chicago, Illinois
AUPHA Press, Washington, D.C.
Page iv
Copyright 1999 by David W. Young and Sheila M. McCarthy. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. Opinions and views expressed in this book are those of the authors and do not necessarily reflect those of the Foundation of the American College of Healthcare Executives.
Library of Congress Cataloging-in-Publication Data
Young, David W.
Managing integrated delivery systems : framework for action /
David W. Young and Sheila M. McCarthy.
p. cm.
Includes bibliographical references and index.
ISBN 1-56793-093-X
1. Integrated delivery of health care. 2. Integrated delivery of
health care--Case studies. 3. Health services administration.
I. McCarthy, Sheila M. II. Title.
RA971.Y63 1999Picture 3Picture 4Picture 5Picture 698-42820
362.1'068--dc21Picture 7Picture 8Picture 9Picture 10CIP
The paper used in this publication meets the minimum requirements of American National Standard for Information SciencesPermanence of Paper for Printed Library Materials, ANSI Z39.48-1984.Picture 11
Health Administration Press
AdivisionoftheFoundationoftheAmericanCollegeofHealthcareExecutives
One North Franklin Street
Suite 1700
Chicago, IL 60606-3491
312/424-2800
Association of University Programs in Health Administration
1110 Vermont Avenue, NW
Suite 220
Washington, D.C. 20005-3500
Page v
InMemoryofHildaCook
Page vii
Contents
List of Figures and Tables
ix
Preface
xi
Acknowledgments
xv
1 The Context for Integrated Delivery System
1
2 The Cross-Functional Process Framework
19
Introduction to the Case Studies
45
3 Allina Health System
49
4 Legacy Health System
81
5 Lahey Hitchcock Clinic
105
6 The Three IDSs Compared
127
7 Managerial Implications
153
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