Harkness Project Title: Performance Improvement in Integrated Delivery Systems: Measuring and Delivering Added Value and Improved Care
Mentors: Robert Crane and Louise Liang, M.D.
Placement: Kaiser Permanente, Oakland
Biography at time of Harkness Fellowship: Richard Gleave, a 2007–08 Commonwealth Fund Harkness/Health Foundation Fellow in Health Care Policy and Practice, is Performance Director at the Department of Health in England, where he leads the performance management team responsible for the delivery of the key national performance priorities for the NHS. Previously, he was a hospital manager for 17 years; he held board director posts in Sunderland and Bristol and was the trust Chief Executive in Bath. He also held a joint appointment with the NHS and Newcastle University, where he led a range of teaching, research and consultancy projects in health care management. He holds a master's degree in health economics and management from Sheffield University, and a first class degree from Oxford University.
Project: Gleave described the performance management and improvement systems in integrated delivery systems, exploring how they address the need to improve both the cost efficiency and the clinical and service quality of health care. He conducted four case studies (Kaiser Permanente Colorado, Geisinger Health System, Kaiser Permanente North West, and Health Partners Minnesota), where he undertook document review and interviews with administrative and clinical leaders. He also interviewed managers and physicians in other provider organizations and networks seeking to deliver an integrated model of care.
Current Position: Chief Operating Officer, Public Health England (Updated June 2013)
Gleave R. Across the Pond: Lessons from the U.S. on Integrated Healthcare. The Nuffield Trust, January 2009.
Gleave R. "Richard Gleave on healthcare innovation," Health Services Journal, 29 Sept 2008
Gleave R. "Richard Gleave on rewards and reprimands," Health Services Journal, 7 July 2008
Gleave R. "Richard Gleave on patients as consumers," Health Services Journal, 26 May 2008
Gleave R. "Richard Gleave on healthcare wholesalers," Health Services Journal, 3 Mar 2008
Gleave R. "Richard Gleave on Michael Moore's Sicko," Health Services Journal, 12 Nov 2007