NYMC Faculty Publications
Strategic Re-Design of Team-Based Patient-Focused Health Care Services
Author Type(s)
Faculty
DOI
10.1108/s1474-823120140000016000
Journal Title
Advances in Health Care Management
First Page
3
Last Page
22
Document Type
Article
Publication Date
1-1-2014
Department
Medicine
Keywords
Disease Management, Electronic Health Records, Humans, Interprofessional Relations, Leadership, Organizational Innovation, Patient Care Team, Patient Participation, Patient-Centered Care, Professional Role, Quality Improvement, Systems Integration
Disciplines
Medicine and Health Sciences
Abstract
PURPOSE: This paper proposes an organizational change process to prepare physicians and other health professionals for their new roles in patient-centered medical homes (PCMHs). It provides physician-centered tools, models, concepts, and the language to implement transformational patient-centered medical care.
DESIGN/METHODOLOGY/APPROACH: To improve care delivery, quality, and patient engagement, a systems approach to care is required. This paper examines a systems approach to patient care where all inputs that influence patient interactions and participation are considered in the design of health care delivery and follow-up treatment plans. Applying systems thinking, organizational change models, and team-building, we have examined the continuum of this change process from ideation through the diffusion of new methods and behaviors.
FINDINGS: PCMHs make compelling business sense. Studies have shown that the PCMH improves patient satisfaction, clinical outcomes and reduces underuse and overuse of medical services. Patient-centered care necessitates transitioning from an adversarial to a collaborative culture. It is a transformation process predicated on strong leadership able to align an organization toward a vision of patient-centered care, creating a collaborative culture committed to health-goal achievement.
ORIGINALITY/VALUE: This paper proposes that the PCMH is a rigorous team-building transformational organizational change, a radical departure from the current hierarchical, silo-oriented, medical practice model. It requires that participants within and across health care organizations learn new skills and behaviors to achieve the anticipated quality and efficiency improvements. It is an innovative health care organization model of the future whose success is premised on teams supplanting the individual as the building block and unit of health care performance.
Recommended Citation
Tahara, D. C., & Green, R. P. (2014). Strategic Re-Design of Team-Based Patient-Focused Health Care Services. Advances in Health Care Management, 16, 3-22. https://doi.org/10.1108/s1474-823120140000016000
