Under the Affordable Care Act, 32 million Americans are expected to gain coverage and many will be coming from underserved rural and urban areas, and will have chronic illnesses. How will they be cared for? In last week’s Fixes column, David Bornstein reported on Project ECHO, a model for healthcare delivery that combines video conferencing technology to facilitate weekly case-based training (similar to the teaching approach in medical schools) with collaborative care and careful patient tracking. This is an example of what the Harvard Business School professor Clayton Christensen has called a “disruptive innovation” — an innovation that enables a large number of people who previously lacked resources or skills to do or get something important, often by themselves. What it’s doing is moving complex expertise to the front lines of the health care system, observed Nancy Barrand, a senior adviser at the Robert Wood Johnson Foundation, which has worked closely with Project ECHO.
Posted on: Mon, 16 Jun 2014 13:17:48 +0000
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