PDF(Pubmed)
Abstract：
UNASSIGNED: Patient satisfaction and experience are important measures of overall quality of care. In 2017, the National Association of Community Health Centers (NACHC) launched an initiative to facilitate changes across organizational systems within Federally Qualified Health Centers (FQHCs) with the goal of improving value-driven care.
UNASSIGNED: NACHC worked with eight health centers, four in Georgia and four in Iowa, along with their state Primary Care Associations, to apply the Value Transformation Framework (VTF). This framework distills evidence-based practices into practical knowledge for goal-driven systems change. It provides actionable steps to help health centers reach value-driven goals of improved health outcomes, improved patient and staff experience, reduced costs, and improved equity (referred to as the Quintuple Aim goals). This paper reports on the patient and staff experience when applying VTF systems changes to improve colorectal cancer screening rates.
UNASSIGNED: Patient and staff satisfaction and experience remained highly rated even after extensive organizational changes were implemented as part of this project. Implementation of a systems-approach to organizational change, through application of the VTF, did not negatively impact patient or staff experiences.
UNASSIGNED: Patient and staff satisfaction and experience were positive despite the application of the VTF and systems-wide organizational changes. These experience results were alongside improved cancer screening rates, as observed from full project results. Investigators are encouraged that the application of systems change using the VTF may result in the achievement of Quintuple Aim goals without disrupting the experience of patients and staff. Investigators recommend continued exploration of this transformation approach.
UNASSIGNED: NACHC worked with eight health centers, four in Georgia and four in Iowa, along with their state Primary Care Associations, to apply the Value Transformation Framework (VTF). This framework distills evidence-based practices into practical knowledge for goal-driven systems change. It provides actionable steps to help health centers reach value-driven goals of improved health outcomes, improved patient and staff experience, reduced costs, and improved equity (referred to as the Quintuple Aim goals). This paper reports on the patient and staff experience when applying VTF systems changes to improve colorectal cancer screening rates.
UNASSIGNED: Patient and staff satisfaction and experience remained highly rated even after extensive organizational changes were implemented as part of this project. Implementation of a systems-approach to organizational change, through application of the VTF, did not negatively impact patient or staff experiences.
UNASSIGNED: Patient and staff satisfaction and experience were positive despite the application of the VTF and systems-wide organizational changes. These experience results were alongside improved cancer screening rates, as observed from full project results. Investigators are encouraged that the application of systems change using the VTF may result in the achievement of Quintuple Aim goals without disrupting the experience of patients and staff. Investigators recommend continued exploration of this transformation approach.
摘要：
未经评估：患者满意度和经验是衡量整体护理质量的重要指标。2017年，全国社区卫生中心协会（NACHC）发起了一项倡议，以促进联邦合格卫生中心（FQHC）内组织系统的变革，目的是改善价值驱动型护理。
未经评估：NACHC与八个健康中心合作，四个在佐治亚州，四个在爱荷华州，以及他们的州初级保健协会，应用值转换框架(VTF)。该框架将基于证据的实践提取为目标驱动的系统变更的实践知识。它提供了可操作的步骤，以帮助医疗中心实现改善健康结果的价值驱动目标，改善患者和工作人员的体验，降低成本,和提高公平性(称为五重目标)。本文报告了应用VTF系统改变以提高结直肠癌筛查率的患者和工作人员的经验。
UNASSIGNED：患者和工作人员的满意度和经验仍然很高，即使在本项目实施了广泛的组织变革之后。实施组织变革的系统方法，通过VTF的应用，没有负面影响患者或工作人员的经验。
UNASSIGNED：患者和工作人员的满意度和经验是积极的，尽管应用了VTF和全系统的组织变革。这些经验结果伴随着癌症筛查率的提高，从完整的项目结果中观察到。研究人员感到鼓舞的是，使用VTF进行系统更改的应用可能会导致实现五重目标目标，而不会破坏患者和工作人员的体验。调查人员建议继续探索这种转变方法。
未经评估：NACHC与八个健康中心合作，四个在佐治亚州，四个在爱荷华州，以及他们的州初级保健协会，应用值转换框架(VTF)。该框架将基于证据的实践提取为目标驱动的系统变更的实践知识。它提供了可操作的步骤，以帮助医疗中心实现改善健康结果的价值驱动目标，改善患者和工作人员的体验，降低成本,和提高公平性(称为五重目标)。本文报告了应用VTF系统改变以提高结直肠癌筛查率的患者和工作人员的经验。
UNASSIGNED：患者和工作人员的满意度和经验仍然很高，即使在本项目实施了广泛的组织变革之后。实施组织变革的系统方法，通过VTF的应用，没有负面影响患者或工作人员的经验。
UNASSIGNED：患者和工作人员的满意度和经验是积极的，尽管应用了VTF和全系统的组织变革。这些经验结果伴随着癌症筛查率的提高，从完整的项目结果中观察到。研究人员感到鼓舞的是，使用VTF进行系统更改的应用可能会导致实现五重目标目标，而不会破坏患者和工作人员的体验。调查人员建议继续探索这种转变方法。
