Describes the spine center at Dartmouth-Hitchcock Medical Center, an interdisciplinary unit that offers patients suffering from spine "one-stop" access to several providers, including orthopedic surgeons, neurosurgeons, neurologists, doctors in medicine and physical pain, mental health professionals and occupational and physical therapists. The center was created to address that its founder, James Weinstein, MD, saw the uncoordinated and inefficient delivery of spinal care in the United States. Centre highlighted the use of non-surgical procedures (such as physical therapy and exercise, behavioral modification, analgesics), or as a supplement to or replacement, surgical procedures, and patients were actively involved in the process of determining what type of care to pursue. In addition, Weinstein and his colleagues collected data from clinical center for research on outcomes and cost-effectiveness of different approaches to treatment. The case allows critical analysis spine center unique approach to care delivery and provides the opportunity to explore the applicability of this model to other areas of clinical medicine. "Hide
by Robert S. Huckman, Michael E. Porter, Rachel Gordon, Natalie Kindred Source: Harvard Business School 32 pages. Publication Date: March 11, 2009. Prod. #: 609016-PDF-ENG
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