Determining
Needs and Setting Priorities for Systems Change
Microsystems
Clinical
practices can be viewed as microsystems that produce services for
specific patient populations.1
2
3
The Institute of Medicine's Quality Chasm report asserts
that achieving improvement will require redesigns of these small
units of work and suggests the following three comprehensive redesign
principles. Clinical care should be:
- knowledge-based
- patient-centered
- systems-minded.4
Self-assessment
of a clinical practice could be based on achievement of these principles
for redesign.
Website |
IOM
Quality Chasm Report
Description:
The Institute of Medicine's report identifies
major gaps in the quality of today's health care
organizations.
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The
organizations (hospitals, multispecialty group practices, integrated
delivery systems) that house microsystems, need to provide the tools
and the support necessary for the work conducted in the microsystems.
The IOM Quality Chasm report identifies major gaps in the
quality of today's health care organizations. The report recommends
that health care organizations need better designs if microsystems
are to succeed. Self-assessment of health care organizations should
be based on the need for system redesign.
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