The above links will take you to the Center for the Health Professions
site.
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| From the Director Archive | ||||||
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To read the From the Director Archive from 2001, click here. |
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June 2008 |
Our system of health care needs fundamental reform. How can hospitals meet this challenge without destructively impacting the ongoing delivery of health care services? This month, Ed O'Neil identifies the critical characteristics of successful innovations that can improve hospitals incrementally, without harming patient care in the interim. To read this essay, click here.
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May 2008 |
Hospitals play such a crucial role in the US health care system that changing them is often seen as a complex and daunting undertaking. This month Ed O'Neil identifies the three most fundamental challenges hospitals face today to respond to the changing health care environment. To read this essay, click here.
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April 2008 |
Many changes to the US health care system are imminent, and providers from hospitals to health care professions will need to adapt. This month Ed O'Neil identifies five forces that are driving changes in health care and discusses their implications for providers and consumers. To read this essay, click here.
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March 2008 |
In spite of the current campaign pledges, universal access to the current system is not an answer - a new paradigm is needed. This month Ed O'Neil outlines a leadership agenda for the nursing profession. In subsequent months, leadership agendas for other professions will be discussed. To read this essay, click here.
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February 2008 |
Despite
the addition of 1.6 million jobs in the healthcare workforce, the US will
face a shortage of health care workers across many professions. This month
Ed O'Neil outlines three ideas for addressing this problem without stealing
health care professionals away from their home countries who need them.
To read this essay, click here. |
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January 2008 |
This
month Ed O'Neil discusses the impact of poorly drawn lines between public
and private actions on the US health care system and asserts that a new
framework that allows public and private worlds to work together is needed
to promote efficient provision of care.
To read this essay, click here. |
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December 2007 |
This
month Ed O'Neil challenges health care providers to leave old paradigms
behind so we are free to create solutions to the problems that plague the
US health care system. How do we create a new paradigm for our health care
system?
To read this essay, click here. |
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November 2007 |
Health
care reform often focuses on expanding coverage while ignoring the real
problem - the system as it stands is wasteful, inefficient and costly. This
month, Ed O'Neil outlines four interrelated problem areas that need reform:
acute care for chronic disease, underinvestment in primary care, misaligned
funding and lack of public engagement.
To read this essay, click here. |
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October 2007 |
Conflict
is common and inevitable in the highly interdependent and diverse world
of health care. Health care leaders need to create environments in which
conflict can be used creatively to produce the best possible outcomes. This
month, Ed O'Neil outlines four steps of managing conflict and announces
a half-day course on the topic.
To read this essay, click here. |
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September 2007 |
The
current US health care system is no longer sustainable for consumers, providers
or payers - the locked up system is cracking. This month Ed O'Neil discusses
the changes necessary to transform health care into a viable system that
meets the needs of these groups.
To read this essay, click here. |
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August 2007 |
California
is home to over 600 community clinics that provide an essential set of services
to populations that are often most at risk. This month Ed O'Neil examines
how the structure, financing and care delivery model of community clinics
differ from those of the broader health system.
To read this essay, click here. |
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| This
month, Ed O'Neil reminds us that 60% of the cost of care is attributable
to the health care workforce and he outlines four reasons not to forget
this fact.
To read this essay, click here. |
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June 2007 |
The
innovation of ATMs in the banking industry led to a smaller, more efficient
and better skilled workforce in commercial banking. This month Ed O'Neil
considers how this innovation in banking could translate into reduced costs
and improved quality in health care.
To read this essay, click here. |
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May 2007 |
Over
the past five years the US health care system created 1.7 million new jobs.
This workforce opportunity, however, will not continue indefinitely. This
month Ed O’Neil discusses the need for three sectors of health care
– management, labor and education – to work together now to change
the opportunities in the future.
To read this essay, click here. |
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April 2007 |
Without
integrated leadership, well managed aspects of the U.S. health care system
cannot produce high quality, efficient and consumer-responsive care that
is sustainable in the overall economy. This month Ed O’Neil suggests
how to better integrate our system through the creation of a Health Commons.
To read this essay, click here. |
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March 2007 |
Last
month Ed O'Neil outlined how the U.S. health care system could perform more
effectively and efficiently at lower costs by addressing the capacity of
the system, the burden of chronic disease, new practice models and institutional
alignment. This month Ed provides specific recommendations for reform within
these four areas.
To read this essay, click here. |
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February 2007 |
Last
month Governor Schwarzenegger and President Bush both released proposals
for US health care reform, but failed to address the root cause of the dysfunctional
system: cost of care. This month Ed O'Neil explores how the US health care
system could perform more effectively and efficiently at lower costs.
To read this essay, click here. |
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January 2007 |
The
professions of nursing, pharmacy and medicine acknowledge a deep commitment
to serving their patients, but often fail their patients and each other
in the way they work as teams. This month Ed O’Neil describes the challenges
faced by these professions and offers a model to encourage effective interdisciplinary
teamwork.
To read this essay, click here. |
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December 2006 |
While
the U.S. faces shortages in many of the health professions, will creating
more professionals produce the outcomes we desire? This month Ed O'Neil
asks four questions that examine how we might get more value from the professionals
we have instead of continuing to feed a dysfunctional health care system.
To read this essay, click here. |
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November 2006 |
Ed
O'Neil has challenged the recent graduates of the California HealthCare
Foundation’s (CHCF) Leadership Program and their fellow alumni to develop
a change agenda to reform health care in California. To start the process,
this month Ed outlines the top nine issues that need to be addressed.
To read this essay, click here. |
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October 2006 |
While
diversity is an essential element of today's complex health care system,
alignment of diverse perspectives is necessary to function interdependently.
This month Ed O'Neil suggests that without alignment, diverse interests
will continue to sub-optimize the system's performance and leave the American
public with the bill.
To read this essay, click here. |
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September. 2006 |
Building
on last month's article which outlined areas in which new policy and
practice could help promote innovation in health care, this month Ed
O'Neil examines one more equally important barrier to innovation: individual
clinicians’ reluctance to change.
To read this essay, click here. |
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August. 2006 |
While
many agree that the US health care system is in need of comprehensive reform,
changes are typically implemented slowly and unsystematically. This
month Ed O’Neil examines four areas in which new policy
and practice could help promote innovation.
To read this essay, click here. |
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July. 2006 |
The
discipline of cultural competence has not yet established a unified
definition or commonly understood framework. This month Ed O’Neil explores
tensions in the field in order to deepen our awareness of the desire
for cultural competence, to clarify our definitions, and to improve approaches
to patient care.
To read this essay, click here. |
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June. 2006 |
Primary
care has persistently deteriorated over the last half century and, without
intervention, the future for primary care providers looks even more dismal.
This month, Ed O’Neil outlines necessary changes to create a more cost-effective
primary care system that meets the needs of the population.
To read this essay, click here. |
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| Disparities
in health outcomes reflect our nation's intolerable disproportionate burden
of disease, disability and death among particular populations. This month
Ed O’Neil examines education's role in improving health outcomes by
creating a more diverse and culturally competent health workforce.
To read this essay, click here. |
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April. 2006 |
Without
a substantive change in the pharmacy practice model, the US is facing a
long-term shortage of pharmacists and a sub-optimal use of drug products
to manage the nation’s disease burden. This month Ed O’Neil outlines
steps pharmacy can take to align the profession with the changing system
of care.
To read this essay, click here. |
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March. 2006 |
This
month Ed O'Neil examines the concept of nursing professionalism and suggests
that in order to meet the demands of the emerging system of care, the current
nursing practice model needs to not only include the profession's core competencies,
but also further embrace reform and substantial change.
To read this essay, click here. |
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February. 2006 |
One
critical element missing from effective health care reform is a context
for reframing the essential, large-scale aspects of health care such as
finance, delivery, public health, and information. This month Ed O'Neil
presents the concept of a health commons in order to provide a context for
reframing our health care system.
To read this essay, click here. |
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January. 2006 |
This
month Ed O'Neil examines seven key drivers for our future health care system.
While they will manifest themselves in different ways and at different speeds
across health care professions and institutions, understanding them in order
to direct and leverage change will be the key to sustained success over
the next decade.
To read this essay, click here. |
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December. 2005 |
In
light of the aging Baby Boom generation and the estimated 40% size increase
of the U.S. population by 2050, this month Ed O'Neil suggests that we ask
a few fundamental questions about whether our current system of care serves
the nation's interest before building new schools and training programs.
To read this essay, click here. |
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November. 2005 |
Health
care in the U.S. constitutes sixteen percent of the Gross Domestic Product,
three times what we spend on education, and is more expensive than health
care in any other nation. This month Ed O'Neil discusses four integrated
approaches to address the unsustainable cost of care in the U.S.
To read this essay, click here. |
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October. 2005 |
Hurricane
Katrina has inspired many health care professionals to assist with first
response, secondary care, and resettlement. This month Ed O'Neil explores
the opportunity to create a preparedness plan for the entire health professional
community to organize and better prepare the health care workforce for the
next disaster - natural or manmade.
To read this essay, click here. |
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September. 2005 |
Transaction
costs are a major challenge to patient safety and the quality of health
care. This month Ed O'Neil discusses the prevalence of silos in the health
care professions and practices and suggests integration methods to improve
quality and the ways in which patients experience the system as consumers.
To read this essay, click here. |
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August. 2005 |
Primary
care medicine faces the daunting challenge of changing its dominant practice
model. It must become more adaptive to the access, quality, and price demands
of, patients, payers and the public. This month Ed O'Neil offers ten suggested
actions for primary care to begin to change its practice model.
To read this essay, click here. |
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July. 2005 |
Over
the next two decades the majority of employment growth in health care will
be in the workforces on the front line of patient care to an aging population,
such as nursing and long-term care assistants. This month Ed O'Neil explores
labor and management collaboration in order to plan for this growing workforce.
To read this essay, click here. |
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June. 2005 |
This
month Ed O'Neil discusses the importance of teams in and across health professions
education and offers three suggestions to move the team agenda forward in
order to meet the health care challenges of the coming decades. Shifting
toward a more team-orientated reality sounds so seductively simple and desirable
that it is surprising we have not made more progress.
To read this essay, click here. |
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May. 2005 |
The
US health care system is more expensive than any other in the world, produces
50,000 to 100,000 avoidable deaths annually, and leaves over 43 million
individuals uninsured. Instead of continuing to feed a system that's not
working, Ed O'Neil suggests five ways in which we might shape the system
differently in order to produce new types of practitioners.
To read this essay, click here. |
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April. 2005 |
This
month Ed O'Neil discusses the need to train and prepare health care leaders
to effectively change our health care system. Responding to this challenge
will require health care leaders from all settings and professions to concentrate
on the small steps that will eventually lead to significant change.
To read this essay, click here. |
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March. 2005 |
After
twenty years of focusing on leadership development and organizational change,
Ed O'Neil presents four broad domains that are paramount for leadership
in health care: purpose, people, process and personal. Mastery of these
will be essential as leaders address the enormous tasks ahead of remaking
our health care system.
To read this essay, click here. |
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February. 2005 |
New
political realities in California may challenge conventional notions of
how to regulate health care professions and the care they provide. Should
we continue to resist fundamental structural change? Or, is it time to embrace
today's market realities?
To read this essay, click here. |
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January. 2005 |
As
a new year begins, the Director revisits five familiar trends that could
materialize as a bi-product of current economic realities and consumer demands,
having major implications for conventional health care delivery systems
and the workforce.
To read this essay, click here. |
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