How can a simple, systemwide framework empower 20,000 frontline staff and leaders across Scripps Health to boost retention, ...

Effective board governance in complex health systems requires structured approaches that cascade quality and safety ...

The initiative across multiple hospitals of BJC HealthCare to improve goals-of-care discussion efforts included enhanced mortality risk prediction using machine learning, efficient clinical workflows ...

Generative AI in health care is rapidly enlarging the already substantial environmental footprint of this sector. The massive energy needs, water consumption, metal use, and e-waste generation of AI ...

Some common medical services vary greatly in cost depending on the facility or specialist. This study examines ways to incentivize physicians to refer to sites that offer lower cost and equivalent ...

The global health care sector faces unprecedented financial strain from increasing complexity and the drive for better care. In response, health care systems are increasingly adopting value-based ...

Many patients with serious illness prioritize comfort over the prolongation of life in the final days and weeks prior to death. Goals-of-care discussions (GOCDs) can provide patients with the ...

A novel group metric productivity model implemented in 2018 through a bottom-up effort by physicians at the Brown University Health Department of Neurosurgery has been associated with increased cli ...

An economic model for a population health initiative focused on reducing cardiovascular disease risk, in order to examine the cost and revenue factors that influence financial sustainability.

This issue of NEJM Catalyst Innovations in Care Delivery includes articles, case studies, and research reports on improving stroke management, incenting high-value referrals, modeling the financial ...

The August 2025 issue of NEJM Catalyst Innovations in Care Delivery demonstrates health systems’ continued commitment to improving value through redesigning care, aligning incentives, and ensuring ...