Health Care Delivery System Design
The delivery of patient care requires not only determining what care
is needed, but clarifying roles and tasks to ensure the patient gets
the care; making sure that all the clinicians who take care of a patient
have centralized, up-to-date information about the patient’s status;
and making follow-up a part of standard procedure.
Advance Medical Home
Advanced Access - An important part of the delivery system design
is developing a system that provides patients with access to their care
team. The goal of Advanced Access is to build a system in which patients
have the opportunity to see their own providers when they choose.
For more information see the Institute
for Healthcare Improvement website
Planned Care Visits - In a well-designed delivery system, clinicians
plan visits well in advance, based on the patient’s needs and
self-management goals.
For more information see the Institute
for Healthcare Improvement website
Self-Management Support - Effective self-management is very
different from telling patients what to do. Patients have a central
role in determining their care, one that fosters a sense of responsibility
for their own health.
For more information see the Institute
for Healthcare Improvement website
Patient Centered Care – Health care systems must respect
patients’ values, preferences and expressed needs; coordinate
and integrate care across boundaries of the system; provide the information,
communication, and education that people need and want; guarantee physical
comfort, emotional support, and the involvement of family and friends.
For more information see the Institute
for Healthcare Improvement website
Information Systems - A registry, an information system that
can track individual patients as well as populations of patients, is
a necessity when managing chronic illness or preventive care.
For more information see the Institute
for Healthcare Improvement website
Peter Shireman, MD
Quality
Management
>LEAN,
PDSA (Plan, Do, Study, Act), Six Sigma
Where Care is Delivered
>Hospitals
>Physician
Office
>Emergency
vs Urgent Care
>Clinics
>Pharmacy
>Laboratory
>Radiology
>Extended
Care Facility
>Ancillary
Care Providers