ABSTRACT

The concepts of this chapter related to the "community of care" came from years of work in healthcare and research into the flaws of the current system. One of the Achilles' heels of the current healthcare system is its reliance on a fee-for-service (FFS) reimbursement model that not only creates but also encourages siloed resources and separation of care into specific, disparate entities. One of the other important Achilles' heels of current system is a current and pending dearth of critical resources. And of course, the lack of health ownership in many parts of society makes changing behaviors and ensuring patient compliance difficult. The chapter argues that there are essential elements in the management of capacity to care and in the management of hospital capacity without which cannot achieve optimization.