A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America’s Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation.

 

The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America’s Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience.

 

Drawing on the wisdom and vision of today’s leading healthcare innovators, America’s Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation. 

 

Between 1910 and 1920, the Chicago Federation of Labor (CFL) inaugurated a massive organizing drive in the city’s meatpacking and steel industries. Although the CFL sought legitimately progressive goals, worked earnestly to organize an interracial union, and made major inroads among both black and white workers, their efforts resulted in a bitter defeat. David Bates provides a clear picture of how even the most progressive of intentions can be ground to a halt.
 
By organizing workers into neighborhood locals, which connected workplace struggles to ethnic and religious identities, the CFL facilitated a surge in the organization’s membership, particularly among African American workers, and afforded the federation the opportunity to aggressively confront employers. The CFL’s innovative structure, however, was ultimately its demise. Linking union locals to neighborhoods proved to be a form of de facto segregation. Over time union structures, rank-and-file conflicts, and employer resistance combined to turn the union’s hopeful calls for solidarity into animosity and estrangement. Tensions were exacerbated by violent shop floor confrontations and exploded in the bloody 1919 Chicago Race Riot. By the early 1920s, the CFL had collapsed.
 
The Ordeal of the Jungle explores the choices of a variety of people while showing a complex, overarching interplay of black and white workers and their employers. In addition to analyzing union structures and on-the-ground relations between workers, Bates synthesizes and challenges previous scholarship on interracial organizing to explain the failure of progressive unionism in Chicago.