The Three-Body Agency Problem in Health Care
The Integrated Health System Model Solution
R-evolution: During the 20th Century, medicine evolved at The Johns Hopkins University School of Medicine into a science-based practice grounded in combining clinical care, research, and education all in one setting. Similarly, Kaiser Permanente revolutionized healthcare system organization by integrating the financing and delivery of medical services under the auspices of one accountable entity.
Thinkering: When you attend Dave Lull University (thx2DL), as I have done thankfully for nearly four years now, you start to value cross-pollinating, hybridizing, and other ways of combining thinking and tinkering synergistically--in essence, since I'm a golfer, Dave's like my caddy for thinkering.
Integration Iteration: In the 21st Century, given the ever-increasing complexity of medical science and the delivery of its sophisticated treatments and interventions, I suspect that the role of the academic medical center will grow exponentially. Specifically, I envision this transformation unfolding via the development of a new institution: The Academic Medicine Integrated Health Care System. Currently, The Johns Hopkins Hospital and Health System is coalescing to serve patients in this capacity, as noted in following:
In summing up the day, Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System, made one point very clear: Hopkins is now managing the evolution of an academic medical center, with affiliates, to a true academic health system.
“It is our steadfast commitment to mission-driven growth,” he said, “that will perpetuate transformational medicine that benefits human kind. This is ultimately what Johns Hopkins Medicine is all about.”That is, Johns Hopkins is cross-pollinating with Kaiser Permanente.
It'll be fascinating to see the serendipity that springs from this hybridizing.
Luckily, starting in September, I'll be training at Hopkins as a medical student and will be blessed with the wonderful opportunity to study these dynamics in more depth.
I suspect, I'll be nudged to reflect.
To good health,