These case studies look at four American hospitals to learn what opportunities exist for all hospitals to achieve greater efficiency. This paper offers a synthesis of lessons from their experiences.
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Changing configuration of health services
Commissioning
Competition and choice
Consultations
Developments in primary and community care
Equality and diversity
Integrated care
Leadership and leadership development
Local authorities, public health and health inequalities
Mental health
New technologies
NHS finances and productivity
NHS measurement and performance
Patient involvement, experience and feedback
Patient safety
Quality of care and clinical outcomes
Regulation, governance and accountability
Social care
Workforce and employment