Breaking Out of the Health Care Abyss

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It has become routine to see lists of the top challenges CEOs face in the health care industry, often referred to as the "what is keeping me up at night" list. While recognizing these challenges is important for health system leadership teams and boards, it is not enough. Success in today's complex health care environment requires the implementation of effective action plans. This critical need to bridge the gap between knowing and doing has shaped the content of this book. Many health care providers show less than positive performance, both clinically and financially, indicating that successful action plan implementation is often missing from board and leadership processes. The consistency of the yearly challenge lists from CEOs across various health systems over the past decade highlights persistent issues such as a shortage of primary care providers, declining inpatient volumes, reduced profitability, inconsistent clinical outcomes, and fragmented care due to inadequate case coordination. The authors, who have collaborated since 1999 on leadership and governance challenges, aim to guide readers in leading their organizations through the current turmoil in the health care industry, drawing on their foresight regarding the evolving landscape.