Transition to 21st Century Healthcare

This book explains why the fundamental structures of 20th century American healthcare failed to keep pace with American industry in terms of quality and cost and how this has led to the introduction of industrial mass production concepts and techniques in American healthcare. After building a historical foundation, the book describes the role of industrialized quality in the breakdown of 20th century assumptions and supplies clear guidance on traversing the ten transitions arising from the breakdown that form the foundation for 21st century healthcare.

Scott Goodwin has 20 years' experience as a healthcare quality professional that includes positions as hospital-based quality vice president and chief quality officer, quality consultant for multiple hospitals, and currently as vice president/chief quality officer. In 2013, he completed his doctorate in leadership studies at Franklin Pierce University. Since 2013 he has been an adjunct professor at New England College in Henniker, New Hampshire, where he designs and teaches a course in Quality and Lean, in addition to courses in organizational ethics, health informatics, and supply chain. He also designed and taught a course at Bay State College, Boston, Massachusetts. In 2014 he received the innovator's award from the New Hampshire Foundation for Healthy Communities, which celebrates extraordinary ingenuity, creativity, and skill in improving health and healthcare access, delivery, or quality. Mr. Goodwin's work as chair of the New Hampshire Health Care Quality Assurance Commission brought him into legislative session to assist elected officials and policy makers in discussions about the complex world of measuring health care quality. And he has worked to support the efforts of quality professionals across New Hampshire to improve delivery of care to patients in hospitals and ambulatory surgical centers. Joining with quality professionals across the state, Goodwin has supported innovative and cost-saving approaches to improving care that include reducing infections, improving surgical safety, and promoting organizational cultures that support high quality. Mr. Goodwin was selected to present at the National Association for Healthcare Quality 2014 conference in Nashville, Tennessee, on the topic, "What's in a Name: The Importance of Metaphors in Quality Improvement."

Introduction. A Brief History of American Healthcare. Healthcare Quality History. Quality-Driven Healthcare. Industrialized Healthcare and Organizational Transitions. A Vision of 21st Century Healthcare. What Does It All Mean to You?