Health care is on a collision course with patient needs and economic reality. In today's dysfunctional health care competition, players strive not to create value for patients but to capture more revenue, shift costs, and restrict services.At the conclusion of this activity, the learner will be able to do the following: 1. To reform health care, we must reform the nature of competition itself. Describe the the fundamental principles of value-based health care delivery 2. Discuss the need for systems integration. 3. Explore a strategy for US Healthcare Reform