ABSTRACT
The second process transition is the delivery system transition (see Figure 16.1). This transition begins with the 20th century hospital category as the healthcare delivery method that dominated the 20th century. The continuum of this transition ends with the 21st century continuum of care that reflects the diversity of care options proliferating in the 21st century. Within the 20th century hospital category, healthcare organizations identify the characteristics in which their delivery system continues to be hospital based. In the 21st century continuum of care category, the healthcare organizations identify the characteristics that indicate that the delivery system has expanded outside the hospital to encompass a broad range of services and delivery systems. Using the transition assessment chart, the sum of the columns based on the comparison of the characteristics indicates whether the organization reflects the 20th century model or has progressed to a 21st century healthcare organization structure.
