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"Fragmented, disorganized care is still relatively common in today's healthcare system. Patients have to tell their name and address and story again and again to everyone you see, and where no one seems to talk to each other and records are forgotten or unavailable.
Take the example of a car that would use the best of every vehicle - such as the brakes from a Jaguar, the door from a Volvo, the fuel system from a Camaro, or the suspension of a BMW.
But instead of the best car in the world, it would be a car that wouldn't work because the parts don't fit together. A car isn't just a collection of parts; it is a system of interacting parts. That's why cars need designs, and that's why healthcare needs design, too. 'Everyone does their best’ is a bad plan. The right plan is, 'Everyone does their best together.'"
- Donald Berwick, MD,
Administrator of Center for Medicare and Medicaid Services
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