Jeffrey Brenner of the Camden Coalition of Healthcare Providers describes how he believes healthcare delivery must change in the coming years, primarily through the idea of Accountable Care Organizations (ACOs). According to Brenner, ACOs represent an opportunity to bring the ideas of industrialization and standardization to medicine. The problem with the current model of highly individualized, ad-hoc medicine, he says, is that it is not a model that is suited to handling the volume of care that is needed. The way to increase service capacity, he argues, is to protocolize, standardize, and delegate a large portion of what is done in healthcare, so that doctors can focus on the small percentage of highly complex tasks that require advanced training.

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