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Making Systems Changes for Better Diabetes Care

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» Microsystems
»  Self-Assessment 
» Practice/Organization Redesign 
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- Assessment Survey
- Best Practice Model
- Chronic Care Model
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Determining Needs and Setting Priorities for Systems Change

Self Assessment

assessment iconSelf-assessment is a diagnostic process rather than a report card. It is a common first step used by businesses and organizations that are seeking to implement change in a variety of complex settings. Self-assessment helps us think through what we are doing, why we are doing it, and what we must do next. The process of self-assessment itself stimulates communication and leads to change. (See the Drucker Foundation Self-Assessment Tool in Resources)

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Note
Self-assessment helps us think through what we are doing, why we are doing it, and what we must do next. The process of self-assessment itself stimulates communication and leads to change.

keyconcept iconWhile our ultimate goal is improved diabetes outcomes such as incidence of complications, self-assessment and the tools discussed here focus on the process of change. Self-assessment provides a roadmap to order priorities, plan change, and direct energies. Self-assessment only becomes useful if it is systematically followed by action steps that are consistent with the observations and that drive forward the effort to change. Consider consulting with the business and management partners in your healthcare system for guidance.
Self-assessment only becomes useful if it is systematically followed by action steps that are consistent with the observations and that drive forward the effort to change.

The medical diagnostic process isn't all that different from the process of health systems change:

  • one gathers available data
  • determines the gaps in needed information
  • seeks consultation to fill those gaps, and
  • follows the patient's progress.

Treatment may be initiated before all the facts are in, but the plan is always incremental and changes are made based on clinical evaluation feedback.

Note
Self-assessment only becomes useful if it is systematically followed by action steps that are consistent with the observations and that drive forward the effort to change.

How Self-Assessment Can Help

administrative iconSelf-assessment for systems change can help you:

  • Get organized
    • Identify immediate tasks and long-term goals
    • Develop insight into unfamiliar aspects of the system
    • Help you prepare for agency accreditation
  • Set priorities
    • Identify areas of weakness and strength
    • Find out what others think are important components of health systems change
  • Coordinate efforts
    • Promote team work and staff development
    • Encourage interdepartmental coordination
  • Monitor change
    • Consider evaluation from the beginning: What are we trying to improve, how will we know that change is an improvement?
    • Monitor progress toward desired goals
  • Identify resources
    • Determine resources, collaborations, or partnerships that you have or need to develop
    • Clarify budget needs and provide data for discussion with administration
    • Identify duplication and wasted effort

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