Abstract
BACKGROUND: Clinical microsystems are the essential building blocks of all health systems. At the heart of an effective microsystem is a productive interaction between an informed, activated patient and a prepared, proactive practice staff. Support, which increases the patient's ability for self-management, is an essential result of a productive interaction. This series on high-performing clinical microsystems is based on interviews and site visits to 20 clinical microsystems in the United States. This fourth article in the series describes how high-performing microsystems design and plan patient-centered care. PLANNING PATIENT-CENTERED CARE: Well-planned, patient-centered care results in improved practice efficiency and better patient outcomes. However, planning this care is not an easy task. Excellent planned care requires that the microsystem have services that match what really matters to a patient and family and protected time to reflect and plan. Patient self-management support, clinical decision support, delivery system design, and clinical information systems must be planned to be effective, timely, and efficient for each individual patient and for all patients. CONCLUSION: Excellent planned services and planned care are attainable today in microsystems that understand what really matters to a patient and family and have the capacity to provide services to meet the patient's needs.
Original language | English (US) |
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Pages (from-to) | 227-237 |
Number of pages | 11 |
Journal | Joint Commission journal on quality and safety |
Volume | 29 |
Issue number | 5 |
DOIs | |
State | Published - May 2003 |
Funding
The authors express their gratitude to the 20 clinical systems and to the Robert Wood Johnson Foundation for grant 036103 , which supported their research and learning about clinical microsystems. They would like to thank Connie Davis MN, ARNP, for her insights about planning care in clinical microsystems. They have special appreciation for Coua Early for technical assistance in the design of graphics and to Elizabeth Koelsch for her manuscript assistance.
ASJC Scopus subject areas
- General Medicine