American health care has made great strides in the past hundred years. Life expectancy has increased dramatically and advances in medicine and treatments have eradicated many life-threatening diseases. However, in today's health care arena there is divergence between our health needs, the structure of our health care system, and how health care is delivered and funded.

InForces of Change, David A. Shore has collected the leading thinking from experts in the field on how our health care system can benefit from important lessons from other industries and effect transformational change that truly serves all stakeholders well.

Contributors include Max Caldwell of Towers Watson; Michael J. Dowling of North Shore–Long Island Jewish Medical Health System; John P. Glaser of Siemens Healthcare; Ashish K. Jha of the Harvard School of Public Health; Eric D. Kupferberg of Northeastern University; Lucian Leape of the Harvard School of Public Health; Jeff Margolis of the TriZetto Group, Inc.; and David Shoultz of Philips Electronics.

David A. Shore, PhD, is the founder and director of the Harvard School of Public Health's Forces of Change Program, Trust Initiative, and Project Management in Health Care programs.

Editors Preface viiDavid A. Shore, Harvard School of Public Health

Acknowledgments xiii

The Editor xv

The Contributors xvii

Part One: Can We Get Better? 1

1 Framing the Forces of Change 3David A. Shore

2 The Market Dynamics of Health Care 21Eric D. Kupferberg, Northeastern University, Harvard School of Public Health

3 Transformational Leadership: The Key to Success 35Michael J. Dowling, North ShoreLIJ Health System, Harvard School of Public Health

Part Two: The Elements of Change 49

4 Employee Engagement and the Transformation of the Health Care Industry 51Max Caldwell, Towers Watson

5 Patient Safety in the Era of Health Care Reform 67Lucian Leape, Harvard School of Public Health

6 Health Care Reform and Technological Innovation 85David Shoultz, Philips Electronics

7 Health Care IT: A Critical Enabler for Health Care Transformation 101John P. Glaser, Siemens Healthcare

8 Health Care IT: A Reality Check 115Ashish K. Jha, Harvard School of Public Health

9 A Systematic Solution: Integrated Health Care Management 129Jeff Margolis, The TriZetto Group

Part Three: Reshaping the Organization 147

10 Stakeholder Interactions: Can We Transform Bad Behavior? 149Eric D. Kupferberg

11 The Trust Prescription: How Health Care Organizations Can Win the Confidence and Compliance of Their Key Stakeholders 169David A. Shore

12 A Winning Brand: Leveraging the Power of Intangible Assets 191David A. Shore

13 Implementing Health Care Change through Projects 211David A. Shore

Endnotes 229

Index 253