Babka J C
Morton Plant Mease Health Care, Clearwater, FL, USA.
Physician Exec. 1997 Apr;23(4):19-23.
Many health care organizations have developed methodologies to improve their processes of care. Most have outputs, such as clinical paths and/or algorithms, that require dozens of meetings over many months to design. Morton Plant Health System has taken a "SWAT team" approach and created a multi-hospital, multi-disciplinary team that develops recommendations and process changes after only three meetings of the entire team over two to three months. The organization has been highly successful, with process changes resulting in improve outcomes and savings in charges (1995 compared to 1994) of more than $22 million. What was the evolution of this process, what is the "SWAT" team approach and how does it work, and why has Morton Plant Health System been so successful in its efforts?
许多医疗保健机构已经开发出改进其护理流程的方法。大多数机构都有诸如临床路径和/或算法之类的成果,这些成果需要在数月内召开数十次会议来设计。莫顿·普兰特健康系统采用了“特警队”方法,组建了一个跨医院、多学科的团队,该团队在两到三个月内仅召开了三次全体会议后就制定了建议并进行了流程变革。该机构取得了巨大成功,流程变革带来了改善的结果,并在费用方面节省了超过2200万美元(与1994年相比,1995年的数据)。这个流程的演变是怎样的,“特警队”方法是什么以及它是如何运作的,还有为什么莫顿·普兰特健康系统在其努力中如此成功?