The Preventive Care Ecosystem

American healthcare spends more than any system in the world, yet the preventive services that keep people healthy still fail to reach the patients who need them. The knowledge is not missing. Screening guidelines exist, quality measures exist, and dashboards multiply every year. What fails is execution. Eligible patients are identified but not reached, care gaps are documented but not closed, and quality is measured after the fact instead of managed while there is still time to act.

The Preventive Care Ecosystem reframes preventive care as an operating discipline rather than an aspiration. Drawing on the Consolidated Framework for Implementation Research (CFIR) and RE-AIM, Paul Arthur Osaroejii sets out a complete execution architecture built on a seven-step operating sequence, Identify, Prioritize, Engage, Route, Close, Measure, and Improve. Across 23 chapters, the book examines the American prevention paradox, the preventive visit as the front door of care, screening orchestration, care-gap closure as an operating core, patient activation, health equity as a real-time discipline, predictive quality management, population health as a command system, workforce readiness, and the policy and research agendas a national preventive care ecosystem requires.

Written for health services researchers, healthcare executives, policymakers, population health and quality leaders, implementation scientists, primary care administrators, and graduate students, this is a rigorous, fully referenced blueprint for a healthcare system that finds people before crisis does.