National Academy of Medicine

A Bold Proposal for Advancing Population Health

By Stephen M. Shortell
August 08, 2013 | Discussion Paper

In his discussion paper, Stephen Shortell identifies a key requirement to move us from being a culture of sickness and care to being a culture of health: making changes in how we pay for health. To effect this transition, the nation needs partnerships that transcend sector boundaries and cultures, beginning with the three sectors that are most relevant: health care delivery, public health, and community and social services. Although paying for accountable care, as called for in the health care reform legislation, is a start, it is not enough. Dr. Shortell identifies the four components — strategic, structural, cultural, and technical — that need to be addressed in guiding the implementation of paying for population health improvement through cross-sectoral partnerships.

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Disclaimer: The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The paper is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.