13,068 research outputs found
Organizing for Higher Performance: Case Studies of Organized Delivery Systems
Offers lessons learned from healthcare delivery systems promoting the attributes of an ideal model as defined by the Fund: information continuity, care coordination and transitions, system accountability, teamwork, continuous innovation, and easy access
Mayo Clinic: Multidisciplinary Teamwork, Physician-Led Governance, and Patient-Centered Culture Drive World-Class Health Care
Describes Fund-defined attributes of an ideal care delivery system, Mayo's model of multidisciplinary practice with salary-based compensation, and best practices, including a shared electronic health record and innovations to implement research quickly
Organizing the U.S. Health Care Delivery System for High Performance
Analyzes the fragmentation of the healthcare delivery system and makes policy recommendations -- including payment reform, regulatory changes, and infrastructure -- for creating mechanisms to coordinate care across providers and settings
New ways of working in acute inpatient care: a case for change
This position paper focuses on the current tensions
and challenges of aligning inpatient care with
innovations in mental health services. It argues that a
cultural shift is required within inpatient services.
Obstacles to change including traditional perceptions
of the role and responsibilities of the psychiatrist are
discussed. The paper urges all staff working in acute
care to reflect on the service that they provide, and
to consider how the adoption of new ways of
working might revolutionise the organisational
culture. This cultural shift offers inpatient staff the
opportunity to fully utilise their expertise. New ways
of working may be perceived as a threat to existing
roles and responsibilities or as an exciting opportunity
for professional development with increased job
satisfaction. Above all, the move to new ways of
working, which is gathering pace throughout the UK,
could offer service users1 a quality of care that meets
their needs and expectations
Driving Value in Medicaid Primary Care: The Role of Shared Support Networks for Physician Practices
Examines the challenges of transforming small primary care practices under healthcare reform and options for Medicaid to drive changes through practice supports to help implement and sustain new models of care or catalyze investments in new systems
Building Medical Homes in State Medicaid and CHIP Programs
Presents strategies, best practices, and lessons learned from ten states' efforts to advance the medical home model of comprehensive and coordinated care in Medicaid and Children's Health Insurance Programs in order to improve quality and contain costs
One Size Does Not Fit All: Meeting the Health Care Needs of Diverse Populations
Proposes a framework for meeting patients' cultural and linguistic needs: policies and procedures that support cultural competence, data collection, population-tailored services, and internal and external collaborations. Includes a self-assessment tool
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Advancing Pharmacist Collaborative Care within Academic Health Systems.
INTRODUCTION:The scope of pharmacy practice has evolved over the last few decades to focus on the optimization of medication therapy. Despite this positive impact, the lack of reimbursement remains a significant barrier to the implementation of innovative pharmacist practice models. SUMMARY:We describe the successful development, implementation and outcomes of three types of pharmacist collaborative care models: (1) a pharmacist with physician oversight, (2) pharmacist-interprofessional teams and (3) physician-pharmacist teams. The outcome measurement of these pharmacist care models varied from the design phase to patient volume measurement and to comprehensive quality dashboards. All of these practice models have been successfully funded by affiliated health systems or grants. CONCLUSIONS:The expansion of pharmacist services delivered by clinical faculty has several benefits to affiliated health systems: (1) significant improvements in patient care quality, (2) access to experts in specialty areas, and (3) the dissemination of outcomes with national and international recognition, increasing the visibility of the health system
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