Health Affairs

Health Affairs, doi: 10.1377/hlthaff.28.2.w205 (Published online January 27, 2009) © 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

This Article Reprint (PDF) From The Editor Table Of Contents Submit a response to this article Comments: View responses Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Corrigan, J. Articles by McNeill, D. Search for Related Content PubMed PubMed Citation Articles by Corrigan, J. Articles by McNeill, D. Related Collections Related Articles

Web Exclusives

Building Organizational Capacity: A Cornerstone Of Health System Reform

Janet Corrigan ¹ Dwight McNeill ^2*

¹ Janet Corrigan is president and chief executive officer of the National Quality Forum in Washington, D.C.
² Dwight McNeill is vice president, Education and Outreach, at the NQF.

^*Corresponding author.

Abstract

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. [Health Affairs 28, no. 2 (2009): w205-w215 (published online 27 January 2009; 10.1377/hlthaff.28.2.w205)]

Key Words: Health Reform, Quality Of Care

                      What's this?

Related Articles

• Charles N. Kahn, III
  Payment Reform Alone Will Not Transform Health Care Delivery
  Health Affairs, March/April 2009; 28(2): w216-w218.
  [Abstract] [Full Text] [PDF]
   
  
• Elliott S. Fisher, Mark B. McClellan, John Bertko, Steven M. Lieberman, Julie J. Lee, Julie L. Lewis, and Jonathan S. Skinner
  Fostering Accountable Health Care: Moving Forward In Medicare
  Health Affairs, March/April 2009; 28(2): w219-w231.
  [Abstract] [Full Text] [PDF]
   
  
• Francis J. Crosson
  Medicare: The Place To Start Delivery System Reform
  Health Affairs, March/April 2009; 28(2): w232-w234.
  [Abstract] [Full Text] [PDF]
   
  
• John Rother
  A Consumer Perspective On Physician Payment Reform
  Health Affairs, March/April 2009; 28(2): w235-w237.
  [Abstract] [Full Text] [PDF]
   
  
• Stuart Guterman, Karen Davis, Stephen Schoenbaum, and Anthony Shih
  Using Medicare Payment Policy To Transform The Health System: A Framework For Improving Performance
  Health Affairs, March/April 2009; 28(2): w238-w250.
  [Abstract] [Full Text] [Figures Only] [PDF]
   
  
• Christopher P. Tompkins, Aparna R. Higgins, and Grant A. Ritter
  Measuring Outcomes And Efficiency In Medicare Value-Based Purchasing
  Health Affairs, March/April 2009; 28(2): w251-w261.
  [Abstract] [Full Text] [PDF]
   
  
• Robert E. Mechanic and Stuart H. Altman
  Payment Reform Options: Episode Payment Is A Good Place To Start
  Health Affairs, March/April 2009; 28(2): w262-w271.
  [Abstract] [Full Text] [PDF]
   
  
• James C. Robinson and Paul B. Ginsburg
  Consumer-Driven Health Care: Promise And Performance
  Health Affairs, March/April 2009; 28(2): w272-w281.
  [Abstract] [Full Text] [PDF]
   
  
• Caroline Lubick Goldzweig, Ali Towfigh, Margaret Maglione, and Paul G. Shekelle
  Costs And Benefits Of Health Information Technology: New Trends From The Literature
  Health Affairs, March/April 2009; 28(2): w282-w293.
  [Abstract] [Full Text] [PDF] [Appendices]
   
  
• Reinhard Busse, Ulrike Nimptsch, and Thomas Mansky
  Measuring, Monitoring, And Managing Quality In Germany’s Hospitals
  Health Affairs, March/April 2009; 28(2): w294-w304.
  [Abstract] [Full Text] [PDF] [Schematic]
   
  

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]

Comments: