"If there is one key idea to take from this book it is that the 'on-site clinic' is a catalyst that allows all other programming to 'work better' and to be more coordinated and internally complementary. ! We are buying health care without any clear understanding of how to value health care. We need to take a step back and ask ourselves, as we have with many other production inputs, whether we can simply make it better than we can buy it. ! "Mr. La Penna's book outlines the many aspects of how to think about an on-site program and how to implement one, once the decision is made. These features alone recommend the book as a valuable reference but there are other parts of the book which address important tangents and support programs which complement the employer sponsored on-site clinic. The underlying premise is that the employer must first start, as Toyota did, with planning and design. Hopefully, this book will give those who are embarking on this process a much needed road map." --From the Foreword by Ford Brewer, M.D.,
Medical Director, Toyota Motor Manufacturing of North America The advent of organizations considering an on-site approach to the delivery of health care services increases in direct proportion to the rising of health care costs. This volume is a how-to manual on the design and implementation of an on-site program and presents the challenges and benefits of such a system. Topics discussed include hospital and specialty contracting; employee choice concerns; cost control; ancillary services such as pharmacy, lab work, physical therapy; workers compensation; quality vs. value analysis; and other considerations. An extended case study follows the implementation of a program from inception to introduction.