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The Innovator's Prescription: A Disruptive Solution for Health Care Hardcover – December 25, 2008

ISBN-13: 978-0071592086 ISBN-10: 0071592083 Edition: 1st

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Product Details

  • Hardcover: 496 pages
  • Publisher: McGraw-Hill; 1 edition (December 25, 2008)
  • Language: English
  • ISBN-10: 0071592083
  • ISBN-13: 978-0071592086
  • Product Dimensions: 6.4 x 1.4 x 9.3 inches
  • Shipping Weight: 1.9 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (94 customer reviews)
  • Amazon Best Sellers Rank: #28,259 in Books (See Top 100 in Books)

Editorial Reviews

From the Back Cover

MEET THE CURE TO AMERICA'S HEALTH CARE ILLS

"Clayton Christensen has done it again, writing yet another book full of valuable insights. The Innovator's Prescription might just mark the beginning of a new era in health care."
Michael Bloomberg, Mayor, New York City

"Clear, entertaining, and provocative, The Innovator's Prescription should be read by anyone who cares about improving the health and health care of all."
Dr. Risa Lavizzo-Mourey, President and CEO, Robert Wood Johnson Foundation

"Comprehensive in its vision, astute in its diagnosis, and clear in its guidance, The Innovator's Prescription offers strong medicine for a health care system that is far from well."
Dr. Harvey V. Fineberg, President, Institute of Medicine

"A wealth of insights--with new ideas and revelations in every chapter. Read it, and you will be armed with solid ideas for making health care better."
George Halvorson, Chairman and CEO, Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals

"The Innovator’s Prescription is a well researched, clearly organized road map to a sustainable health care system."
Michael O. Leavitt, Secretary of Health and Human Services

"The Innovator's Prescription is an important and timely contribution to the national debate on health system reform. We would do well to consider it carefully."
Tom Daschle, former Senate Majority Leader and Distinguished Senior Fellow, Center for American Progress

"Clayton Christensen has helped many businesses—including our own--find new growth opportunities through deeper insights into the future of health and the health care system. I can think of no one better equipped to lead this comprehensive global assessment."
Bill Weldon, Chairman and CEO, Johnson & Johnson

Clayton M. Christensen's bestselling books are:

"REQUIRED READING."BusinessWeek

"ABSORBING."The New York Times

"THOUGHTFUL."Fortune

"BRILLIANT."Michael R. Bloomberg

"VISIONARY."Publishers Weekly

About the Author

Clayton M. Christensen is the Robert and Jane Cizik Professor of Business Administration at the Harvard Business School. Christensen is also co-founder of Innosight, a management consultancy; Rose Park Advisors, an investment firm; and Innosight Institute, a non-profit think tank. He is the author or coauthor of five books including the New York Times bestsellers The Innovator's Dilemma, The Innovator's Solution and most recently, Disrupting Class. He also serves as a leader in the Church of Jesus Christ of Latter-day Saints.

The late Jerome H. Grossman, M.D., was the Director of the Harvard/Kennedy School Health Care Delivery Policy Program. A nationally recognized health care policy expert and a pioneer in health informatics, his leadership spanned business and health care. He served as CEO of a major medical center, chaired the Federal Reserve Bank of Boston, and co-founded four successful companies.

Jason Hwang, M.D., is an internal medicine physician and senior strategist for the Healthcare Practice at Innosight LLC, an innovation and strategy consulting firm. He also co-founded and serves as the Executive Director of Healthcare at Innosight Institute, a non-profit social innovation think tank. Previously, Dr. Hwang was a chief resident and clinical instructor at the University of California, Irvine. He received his M.D. from the University of Michigan and M.B.A. from Harvard Business School.


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Customer Reviews

Great book - dense but very valuable and worth reading.
Chris B. Saxon
The output is this fabulous book and it should be a must read for anyone interested in the evolution of the American health care system.
SDB
The Innovator's Prescription is an excellent analysis of the systemic problems we see in health care in the United States.
R. Brush

Most Helpful Customer Reviews

90 of 92 people found the following review helpful By William Whipple III VINE VOICE on February 18, 2009
Format: Hardcover Verified Purchase
It is a commonplace that the U.S. healthcare system is broken, but the discussion often degenerates into a debate about who is responsible. This book takes a different approach, focusing on what is wrong with the healthcare system and needs to change so it can work better.

The proposed solution is to discard the current fee for healthcare service model, in which healthcare providers are systematically paid to treat illness without recompense for fostering welfare, and create a three-track system:

(1) Fee for service would continue to apply to diagnostic services, where - due to the nature of the patient's condition and the state of medical knowledge - there is a high need for intuitive investigation versus results-based treatment for conditions that are well understood. (The process described brings to mind episodes of House, a TV show in which a brilliant but irascible doctor challenges a team of colleagues to find the problem before the patient dies.)

(2) Fee for result would apply for treating conditions that are well understood and have a clearly defined solution -- colonoscopies, laser eye surgery, implantation of stents, etc.

(3) User networks for patients with chronic conditions/ unhealthy practices to learn how they can help themselves and be motivated to do so.

As is pointed out again and again, disruptive changes will be needed to get from A to B. Thus, hospitals must be redirected to focus on diagnostic services and cede provision of standardized care and wellness coordination to specialized clinics and other agencies. Primary care physicians (the traditional "family doctor") should concentrate on diagnostic services at a lower level rather than acting as "gatekeepers" for referrals to specialists.
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26 of 28 people found the following review helpful By Davis Liu on February 18, 2009
Format: Hardcover Verified Purchase
The decade worth of research spent understanding, studying, and ultimately offering solutions to make the health care system more accessible, higher quality, and affordable is clear. Unlike other books, the authors avoid the traps the plague most other solutions by taking a completely different perspective by looking at other industries where products and services offered were "so complicated and expensive that only people with a lot of money can afford them, and only people with a lot of expertise can provide or use them." Yet convincingly through plenty of examples, it shows how telephones, computers, and airline travel moved from only accessible to those with the resources to become available and affordable to all.

The book tackles every aspect of health care and asks how will those in health care be disrupted and subsequently surpassed by other providers which deliver care that is more convenient, higher quality, and lower cost.

What will hospitals need to do as increasingly more surgical procedures are performed in high volume specialty hospitals?

How will doctor practices sustain themselves as new diagnostic tools and research makes the identification and treatment of problems more precise that nurse practitioners with clear protocols can deliver care previously required by physicians?

What mechanisms exist to streamline and integrate the various players of health care (doctors, hospitals, purchasers, insurers) so that all are focused on the benefit of wellness and outcomes of patient care rather than maximizing each of their own financials? (Hint: large employers will integrate health care and others will only purchase care delivered by integrated healthcare delivery systems).
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63 of 76 people found the following review helpful By Thomas M. Loarie VINE VOICE on February 2, 2009
Format: Hardcover Verified Purchase
I have been an active participant in healthcare developing and commercializing over twenty medical technologies across nine medical specialties since the 1970's. I have also lectured on the medical industry as an Assistant Professor of Surgery at Creighton University Medical Center and as a guest lecturer at Anderson School of Management (UCLA), Haas School of Business (University of California), and Graziadio Business School (Pepperdine University), and spent significant time in the 1990's on FDA reform.

I have been privileged to have had a front-row seat observing the major changes that have shaped today's healthcare system - industry consolidation for both the supplier (pharma, med-tech, and diagnostic) and delivery (hospital, clinics, physician practice) segments; the move from unregulated fee-for-service to regulated fee-for-service; the growth of medical malpractice and its impact on the cost of healthcare; the use and misuse of technology; the draconian regulatory burden (FDA and CMS) associated with developing new life-improving or life-saving technologies; and, as a result, the growth of healthcare as a share of GDP from 6% to 16%. To this industry insider, healthcare is a system in critical condition and needs radical surgery.

Clayton Christensen who authored one of the best books on innovation ("The Innovator's Dilemma") has now teamed up with Jerome Grossman, M.D. and Jason Hwang, M.D. to bring well-researched insights into a disruptive solution for effective value-added health care in "The Innovator's Prescription." Christensen and company outline the technological enablers of disruption then show us how various aspects of the healthcare system can be effectively disrupted to produce better, more cost-effective healthcare for all Americans.
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