■医疗保健系统正在积极努力创新其护理交付模式,寻求提高服务质量,提高患者和提供者的满意度,并降低成本。
■通过批判性地评估我们迄今为止的经验,本文重点介绍了系统在尝试重新设计医疗保健过程中可能面临的挑战,并提供了有关如何应对障碍的见解。我们确定了快速促进的障碍和最终的方法,可扩展,可持续,和变革性护理的重新设计。
■专用电子健康记录IT和分析支持,以及持续的领导参与和沟通,在重新设计工作中发挥重要作用。灵活,但引导,创新支持帮助团队保持责任感和积极性,同时适应新的项目需求和方向。了解变化的生态系统,并持续评估和分享成果,使团队能够根据需要进行调整。便利和支持有助于实现多样化的价值,敬业的团队;新颖的方法和技术引出创新的观点,促进创造性思维。
■虽然没有详尽的挑战或克服这些挑战的策略列表,我们希望这些见解将有助于创新文化,并支持其他机构的医疗保健重新设计计划。
UNASSIGNED: Healthcare systems are actively working to innovate their care delivery models, seeking to improve service quality, improve patient and provider satisfaction, and reduce cost.
UNASSIGNED: By critically evaluating our experiences to date, this article highlights challenges systems may face in the process of trying to redesign healthcare and offers insights on how to navigate hurdles. We identify barriers to-and ultimately approaches to promote-rapid, scalable, sustainable, and transformative care redesign.
UNASSIGNED: Dedicated electronic health record IT and analytic support, and ongoing leadership engagement and communication, play a valuable role in enabling redesign efforts. Flexible, but guided, innovation support helps teams stay accountable and motivated, while accommodating new project needs and directions. Understanding the change ecosystem and evaluating and sharing outcomes on an ongoing basis, enables teams to adapt as needed. Facilitation and support help realize the value of diverse, engaged teams; novel approaches and techniques draw out innovative perspectives and promote creative thinking.
UNASSIGNED: Although not an exhaustive list of challenges or strategies to overcome them, we hope these insights will contribute to a culture of innovation and support other institutions in their healthcare redesign initiatives.