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Healthcare’s evolution: Key takeaways from 2024

As we close the chapter on 2024, the healthcare industry stands at a crossroads for transformation. The year was marked by challenges, breakthroughs, and a growing need for flexibility amid constant change.

Reflecting now on all the work we’ve done in 2024 and preparing for the challenges to come, I want to share some insights derived from our patient, consumer, health plan member, and employee data. These analyses are augmented by our experiences in every sector of the healthcare marketplace and reveal a central truth: Building social capital is vital to respond to obstacles and seize opportunities.

Lessons from 2024: Navigating pressures and building resilience

As healthcare faces growing challenges, the ability to adapt and thrive depends on fusing human-centered practices with cutting-edge technology. By cultivating trust and collaboration, leveraging AI to drive efficiencies, and prioritizing high reliability, organizations can create sustainable improvements that will help them navigate the future, no matter what the future holds. 

The power of social capital amid financial and workforce pressures

No one needs to be told that healthcare organizations are facing intense financial constraints with personnel shortages. Rising demands have stretched resources thin, forcing leaders to balance operational pressures while maintaining quality. When financial and human capital are constrained, organizations must look behind financial and human capital to build and leverage social capital.

Social capital—rooted in strong, trusting relationships among staff—has emerged as a powerful asset. These internal connections foster collaboration, increase resilience, and support employee well-being and morale. Ultimately, this fuels a virtuous cycle that improves safety, experiences, and patient outcomes. Investing in social capital can help organizations weather unexpected challenges and come out stronger on the other side.

Elevating healthcare standards through safety, high reliability, and trust

The importance of safety and high reliability has never been greater. Healthcare’s growing complexities combined with a broader societal erosion of trust have raised the stakes. Patients, employees, and communities are seeking reassurance. Healthcare organizations must meet this challenge by fostering peace of mind through transparency and high reliability initiatives. 

Fortunately, we see signs of progress: 81.9% of outpatients feel very safe—a jump from 78.1% pre-pandemic. But this improvement tells a story of contrasts: Only 68.5% of hospital patients reported the same, a 5.1% decline. Workplace safety culture is moving in the right direction, rising 1.2% in two years. Still, nearly half of employees report low perceptions of safety culture, with a notable gap between senior management (4.3 on a 5-point scale) and nurses (3.36).

Organizations are not going to achieve transparency and high reliability in isolation. Federal agencies have intensified their focus on healthcare safety and patient well-being. This effort includes a recent White House initiative that brought together leading organizations to advance key priorities, including: reducing preventable harm, promoting equity in care, and fostering a culture of safety in every setting. 

Innovation as an imperative

Healthcare is undergoing a transformation, with legacy organizations rethinking their strategic value propositions in response to increasing competitive pressures. To bridge the gap between where we are and where consumers want us to be, organizations must focus on being human-centered, tech-enabled, and outcome-focused. This involves investing in social capital, leveraging technology like AI, and prioritizing high reliability to drive measurable outcomes.

Artificial intelligence is poised to take center stage. Advanced technologies will unlock new avenues of intervention and revolutionize healthcare by addressing workforce challenges and operational inefficiencies. This shift lets healthcare teams focus on what matters most: delivering value-based care and improved outcomes.

As healthcare organizations adapt to the complexities of the modern landscape, new care delivery models are gaining traction. The rise of home-based care and telemedicine, for example, has reshaped patient expectations around convenience, accessibility, and ease. These models also offer a solution to workforce strain by redistributing care across multiple channels, enabling healthcare professionals to provide compassionate, high-quality care while balancing their workloads more effectively.

As we navigate the winding road ahead, one thing is clear: Success depends on continuous learning, and our ability to be agile in an ever-changing landscape. Technology and innovation may light the way, but we must never lose sight of our core mission: to be compassionate, to be human, and to heal. This unwavering focus will ensure we meet the challenges of the future while staying true to what matters most: each other.

These themes are at the heart of my upcoming book, Social Capital in Healthcare: How Trust and Teamwork Drive Organizational Excellence. Preorder your copy today to explore how social capital can unlock resilience, innovation, and progress for a stronger future in healthcare. 

About the author

As Chief Medical Officer, Tom is responsible for developing clinical and operational strategies to help providers measure and improve the patient experience, with the overarching goals of reducing patient suffering and improving the value of care. Tom has more than three decades of experience in healthcare performance improvement as a practicing physician, a leader in provider organizations, researcher, and health policy expert. An internist and cardiologist, Tom continues to practice primary care at Brigham and Women’s Hospital in Boston.

Profile Photo of Thomas H. Lee, MD