Health Affairs

Health Affairs, 28, no. 2 (2009): w205-w215 (Published online 27 January 2009) doi: 10.1377/hlthaff.28.2.w205 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Building Organizational Capacity: A Cornerstone Of Health System Reform

Janet Corrigan and Dwight McNeill

The U.S. health care delivery system is in need of overhaul. Care is fragmented, unsafe, and inefficient. Achieving higher levels of performance requires organizational capacity, including information technology (IT) and specialized expertise, not present in most settings. Organizational capacity is fortified through the benefits of larger scale and clinical integration. The evolution of new organizational structures will open up opportunities to redesign payment programs and invest capital toward building high-performing systems. A comprehensive policy agenda is needed to encourage growth in organizational capacity, including national priorities and goals, performance measurement and reporting, payment reform, community leadership, IT, and public education.

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This article has been cited by other articles:

				C. N. Kahn III Payment Reform Alone Will Not Transform Health Care Delivery Health Aff., March 1, 2009; 28(2): w216 - w218. [Abstract] [Full Text] [PDF]

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