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344    Part 4   •  Leading
                Case appLICaTIon  1
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                Rx: Teamwork



                      he health-care industry is the fastest growing sector   care” was  designed to enable health-care staffers to work
                      of the U.S. economy, with annual revenues projected     together to make sure that no patient concern, need, preventive
                                                                                                           65
                Tat over $1.6 trillion (that’s 12 zeroes!) and employing   action, or matter was missed or overlooked.  As one indi-
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                over 18 million workers.  Many challenges face the health-  vidual described, staffers often literally chased patients down
                care industry, including changing laws/regulations, changing   hallways to get them to schedule needed screenings. But the
                technologies, an aging population and increase in chronic   team approach is working. After a number of years using this
                disease, and labor shortages (physicians and nurses). But the   model, research on Kaiser’s team model showed significant
                goal is still the same—efficiently and effectively provide qual-  gains in patient medical care across a wide range of stan-
                ity (appropriate and timely)                                                    dardized measures. Getting
                health-care to patients. Given                                                  to that outcome wasn’t easy,
                the challenges, health-care           TEAMING UP for                            however. Departments that
                  organizations are looking for        better outcomes                          were accustomed to working
                better ways to do this.  And                                                    on their own now had to work
                one way is through using a                                                        together. Instead of  focusing
                “team-based care”  approach, which  research studies have   on their own specialties, a team of specialists now worked
                shown can improve  patient outcomes and reduce costs.  together to provide patients with a well-rounded health-care
                    Many hospitals, clinics, and medical practices have   experience. Physicians had to be retrained to view themselves
                  adopted this team-care approach.  What  does  that  entail?  A   as part of a team, supported by other professionals such as
                patient receives  care from  a  team  of  medical professionals   nurses, assistants, and other staff. As the health-care environ-
                who divide up responsibilities for performing tasks that tradi-  ment continues to be challenging, is teamwork the Rx?
                tionally would have been done by a person’s primary physi-
                cian. Although supervising physicians still manage (oversee)   Discussion Questions
                patient care, tasks such as completing prescription refill re-  10-14  What challenges are managers of health-care organizations
                quests,  adjusting medication dosages, helping manage chronic   facing?
                diseases (for example, teaching someone diagnosed with   10-15  How would the way health-care organization managers
                diabetes how to take blood sugar counts and to administer     manage be different in a team-based model?
                insulin), and other routine tasks are now done by a team of   10-16  Explain how roles, norms, status systems, and group cohesive-
                health-care providers. For instance, at Kaiser Permanente, one   ness might influence the success of a team-based model?
                of the largest not-for-profit managed health-care companies   10-17  What are some reasons you think a team-based model has led
                in the United States, a new program model called “complete   to improved patient outcomes and reduced costs?
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