There will be fundamental change in the Millennium, but not enacted in Washington, D.C. American health care is entering the "post-Managed Care" era in which payers, providers, plans, and patients reconstruct a new, more efficient, and, ultimately, more satisfying health care delivery system. The Millennium landscape of this evolving marketplace will be characterized by the following trends: (1) The "Age Wave" will boost demand: (2) There will be a push from technology; (3) Public/private health reform will be enacted; (4) Employers will use clout; (5) Direct provider contracting will prevail; (6) Government will regulate managed care organizations; (7) Managed Medicare/Medicaid will be restructured; (8) There will be a health plan shakeout; (9) Providers will "push back"; (10) Doctors will get organized; (11) Providers will assume risk; (12) "Report cards" will be widespread; (13) Managing clinical performance will be the core business of providers; and (14) Health consumers will be informed and Internet savvy.

Aged↗

PubMedDate not supplied

Physician executives in the 21st century: new realities, roles, and responsibilities.

This article is based in part on responses from 150 physician executives who participated in an interactive discussion of future trends at the American College of Physician Executives' 1999 Spring Institute and Senior Executive Focus, in Las Vegas, Nevada, on May 13, 1999. The session included electronic polling on 40 predictions, such as the future composition of the clinical workforce and how technology will affect the way that medicine is practiced and the patient-physician relationship. The prediction for physician executives? A growing number of physician executives will find themselves at the top of their careers in the next decade. The physician executive of the future will have a broad array of management opportunities and career choices. More doctors will be managers. Physician executives will work at every level of health care organizations, across the continuum of care, from large complex urban systems to small rural settings.

Attitude of Health Personnel↗

PubMedDate not supplied

The digital transformation of health care.

The arrival of the Internet offers the opportunity to fundamentally reinvent medicine and health care delivery. The "e-health" era is nothing less than the digital transformation of the practice of medicine, as well as the business side of the health industry. Health care is only now arriving in the "Information Economy." The Internet is the next frontier of health care. Health care consumers are flooding into cyberspace, and an Internet-based industry of health information providers is springing up to serve them. Internet technology may rank with antibiotics, genetics, and computers as among the most important changes for medical care delivery. Utilizing e-health strategies will expand exponentially in the next five years, as America's health care executives shift to applying IS/IT (information systems/information technology) to the fundamental business and clinical processes of the health care enterprise. Internet-savvy physician executives will provide a bridge between medicine and management in the adoption of e-health technology.

Attitude to Computers↗

PubMedDate not supplied

Nursing case management in the millennium. Two perspectives.

To prepare case managers for the next millennium, Russell Coile, a noted healthcare futurist, and Pamela Matthews, a respected clinician and consultant, participate in a dialogue. Coile takes a broad view of millennial issues, while Matthews responds to those issues with her clinician's perspective. Case management will face challenges and opportunities as a result of internal and external pressures to the healthcare community. These pressures, both near- and far-term, will simultaneously strengthen and tax the case manager's responsibilities. Developments in technology and demands for more and better access to high-quality patient information will require nursing case managers to expand their knowledge of, and influence over, the application of technology and information systems. Case managers will need to participate in advocating, planning, and deploying these systems. Technological challenges will not change case managers' fundamental roles within an organization, but they will strengthen and support those roles by harnessing the information necessary to allow more efficient outcomes, create standards of care, and increase patient satisfaction.

Case Management↗

PubMedDate not supplied

E-health: reinventing healthcare in the information age.

Explore the source record for details and available documents.

Commerce↗

PubMedDate not supplied

Falling from the top: the fired physician executive.

Today's health care market is volatile, and the job of a physician executive is becoming more risky. Recognizing signs of trouble and taking immediate action is essential. Ten early warning signs that you could be fired are: (1) Net profits dip unexpectedly; (2) investment income can't cover operating losses; (3) bond rating is downgraded; (4) revenues are not rising as fast as costs; (5) senior executives leave the team; (6) wage increases don't improve nursing vacancy rate; (7) unions begin whisper campaign; (8) medical staff elect an SOB; (9) hospital is slapped with a costly lawsuit; and (10) recruiters call to check on your status. Physician executives are quickly learning what it takes to overcome tough challenges and prevent premature job termination: Communication; no-surprise performance; continuous monitoring of key indicators; openness and plain talk; and no-more-business-as-usual attitude. What can you do to make your job loss as painless as possible? (1) Negotiate a contract upfront; (2) don't lose your temper; (3) ask for your wish list quickly; (4) be reluctant to sue your former employer; (5) tell your family as soon as possible; (6) take only a brief vacation; (7) consider a temporary assignment; (8) be prepared to be re-employed by your former employer; and (9) keep a positive attitude.

Career Mobility↗

PubMedDate not supplied

A millennium mindset: the long boom.

Explore the source record for details and available documents.

Aged↗

PubMedDate not supplied

Physician executives straddle the digital divide.

e-Health is here to stay and experts predict that the Internet will become the hub of health care. Rapid advancements in biotechnology and medical research, increasingly curious patients who surf the Internet for medical information, and pressures from managed care companies to contain costs and speed treatments are the central components driving e-health. Despite physician reluctance to embrace the e-revolution, many hospitals and medical groups are employing the Internet and information technology to improve their customer interface, as well as to reduce business costs. This article offers seven e-strategies for health care performance improvement: (1) Supply chain management; (2) e-transactions; (3) care management; (4) improving quality; (5) boosting revenues; (6) outsourcing; and (7) provider networks (Intranets). By helping to incorporate these key e-solutions, physician executives can position their organizations for success in the new millennium.

Attitude of Health Personnel↗

PubMedDate not supplied

Quality pays: a case for improving clinical care and reducing medical errors.

Explore the source record for details and available documents.

Economic Competition↗