ProvenCare: How to Deliver Value-Based Healthcare the Geisinger Way

Praise for ProvenCare and Glenn Steele and David Feinberg "In rural Pennsylvania, an extraordinarily innovative model for the future of the U.S. healthcare system has emerged. In ProvenCare, leaders Glenn Steele and David Feinberg give us the compelling inside story of how they built it and what it will take for the rest of us to do so, too." --Atul Gawande, MD, MPH, Samuel O. Thier Professor of Surgery, Harvard Medical School; and New York Times bestselling author of Being Mortal "Using vivid stories, its visionary leaders Glenn Steele and David Feinberg show us how Geisinger became a national leader in delivering high value care--care so consistently good it is called 'ProvenCare," which comes with a warranty and even refunds if patients are dissatisfied. More important, other healthcare systems can implement the Geisinger formula and achieve the same successful transformation." --Ezekiel J. Emanuel, MD, PhD, Vice Provost of Global Initiatives; Chair, Department of Medical Ethics and Health Policy; and Levy University Professor, University of Pennsylvania "For more than a decade, Geisinger Health System has been showing U.S. healthcare what 'social capital' can mean--the improvements that are possible when clinicians work together in real teams, when 'performance' is clearly defined, and when insurance and provider functions are integrated. Geisinger's innovations and effectiveness were led first by Glenn Steele, and more recently by David Feinberg--two of the best CEOs in modern healthcare. ProvenCare represents their playbook, and a road map for other organizations to follow their lead."--Thomas H. Lee, MD, Chief Medical Officer, Press Ganey; and author of The Epidemic of Empathy in Healthcare "Our health system must achieve better care, better health, lower costs, and the best possible patient experience through innovation and spreading proven results. Drs. Steele and Feinberg eloquently describe the Geisinger journey, and the story serves as a guiding light for everyone in our health system who wants to achieve better results. The book should be read by everyone who is focused on health system transformation, improvement, caring for patients, and innovation." --Patrick Conway, MD, MSc, Deputy Administrator for Innovation and Quality and Director, Center for Medicare and Medicaid Innovation, CMS* "A must-read for anyone interested in understanding how changing the way care is provided can unlock value in healthcare. Written by the former and current CEOs of Geisinger Health Systems, it is a readable explanation of the importance of clinical leadership and integrated health systems in creating value. The discussion and experience with ProvenCare will be especially helpful to clinicians while the financial outcomes of ProvenCare will capture the attention of system CFOs." --Gail Wilensky, PhD, Economist and Senior Fellow, Project HOPE "An aging population with multiple chronic conditions, coupled with increased consumerism as patients become more involved in their healthcare decision making, means hospitals and health systems are examining their care processes as they grapple with these new challenges. David and Glenn provide a how-to manual on improving access to care and the quality of care, while lowering costs, in their extraordinary new book. Their fresh approach is based on their leadership of one of the country's leading health systems. A must-read for everyone interested in advancing health in America." --Rick Pollack, President and CEO, American Hospital Association "Great leaders, to paraphrase Napoleon, must define reality and then give hope. ProvenCare accomplishes both of these objectives, and provides a road map for improving healthcare outcomes that is fact-based, and battle-tested. This is fundamentally a story about leading change in the very complex field of healthcare. The results achieved within the Geisinger system are inspirational, compelling, and relevant." --L. Kevin Cox, Chairman, Health Transformation Alliance; and CHRO, American Express Company " ProvenCare explores common myths about healthcare in America, and exposes the fallacy that more care is better, along with the tragedy of how many in our country are underserved by our medical system. Glenn Steele and David Feinberg argue that the patient must always come first, and demonstrate that it is through coordination and collaboration, as well as a singular focus on outcomes, that we can improve care while lowering costs. This excellent book is both an expose and personal guide that provides powerful support for the collaborative and evidenced-based approach to practicing medicine championed by Geisinger, an approach that is leading the way in the transformation in American healthcare." --Ann Lamont, Managing Partner, Oak Investment Partners " ProvenCare beautifully illustrates how, together, Dr. Steele, Dr. Feinberg, and Geisinger have created proven strategies that balance innovative, integrated technologies with high-touch personal care. ProvenCare , where care and caring go hand-in-hand, is a model for the future that can be implemented today. PeaceHealth looks forward to adopting Geisinger's approach to care delivery to further our own patient-centric focus on transforming the health and wellbeing of our patients and communities." --Liz Dunne, President and CEO, PeaceHealth "Drs. Steele and Feinberg provide a rare blend of visionary thinking and practical and tactical acumen. Our cooperative of America's leading self-insured health plans benefits immensely from Dr. Steele's leadership. This book is focused on our transformational mission, but also zooms in on the healthcare problems of today and offers solutions to solve them." --Rob Andrews, CEO, Health Transformation Alliance "Grounded within the context of our rapidly changing healthcare landscape, Drs. Feinberg and Steele offer a thought-provoking look at Geisinger's pioneering approach to reengineer care management and improve health outcomes for patients. The lessons learned from Geisinger's innovations to truly integrate care offer new insights to help tackle the fundamental challenges of access, quality, and cost in healthcare that have remained with us for decades." --Sheila Burke, RN, MPA, FAAN, Senior Public Advisor, Baker Donelson Bearman Caldwell & Berkowitz; and Adjunct Lecturer in Public Policy, Harvard University "Regardless of what happens in Congress or state legislatures, the healthcare industry is in the throes of massive transformation. For leaders of health systems, as well as clinicians trying to lead successful transformation, ProvenCare is a terrific playbook that shares the insights and passion of Drs. Steele and Feinberg who have positioned Geisinger Health System as a role model for what is needed in American healthcare. The book is full of insights into the who, what, when, why, and how of this transformation. It is not a coincidence that many Geisinger leaders have moved on to have significant impact at many prominent healthcare organizations, and now xG Health Solutions, the Geisinger spinoff, is assisting others. Follow the journey and use the insights gained to help accelerate the transformation taking place across this industry." --Lee B. Sacks, MD, EVP and Chief Medical Officer, Advocate Health Care "Dr. Glenn Steele and Dr. David Feinberg, well known for their creativity and leadership in helping to solve the complexities of providing value and quality in healthcare, have provided valuable insights into the success of Geisinger as a delivery model for today and tomorrow. Beyond telling the story of the success and creation of the care model with thought and creativity, the lessons learned can be adapted not only to larger systems but also to our struggling rural hospitals. Refreshingly straightforward and practical." --Lou Hochheiser, MD, Professor Emeritus, University of Vermont; and former CEO, St. John's Medical Center "Steele and Feinberg have given us a timely and inspiring procedural on how to improve clinical outcomes and patient satisfaction and reduce the cost of healthcare. ProvenCare is a must-read for anyone who desires to fix our broken health system." --George F. Lynn, President Emeritus, AtlantiCare; and former Chairman, American Hospital Association *The quote represents Dr. Conway's personal views and not necessarily the views or policies of the Centers for Medicare and Medicaid Services.