With healthcare moving inevitably from volume to value, the industry’s lowest-cost setting — homecare and hospice — will become more important than ever. To find out why, listen to this 2011 podcast from Dottie Doremo, CEO of Hospice of Michigan, the largest statewide, non-profit, end-of-life care provider in the nation.

Doremo, the former Chief Nursing Officer of Henry Ford Health System and a true industry visionary, had this to say about the current healthcare transformation:  

“In the ‘80s there was really a cataclysmic transformation from the fee-for-service system that existed since the beginning of Medicare. But the kind of multidimensional change that is occurring now with healthcare reform and the rapid influx of technology is exponentially greater. Fortunately, we have been preparing for this since about 2004 when we foresaw that we’d face greater need with fewer professional caregivers.”

About the author

Todd Stein is editor of It Takes A Community. A former journalist and freelance editor, Stein has worked as a business reporter for The Sacramento Bee and San Francisco Business Times, as producer of HIMSS Newsbreak, contributing editor to California Hospitals and senior writer for NurseWeek. His many articles on healthcare IT and other topics have appeared in dozens of national and regional publications including Healthcare Informatics, Healthcare IT News, Journal of AHIMA, Physicians Practice, The Los Times, San Francisco Magazine and VIA.


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