The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH.
Department of Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Am J Med Qual. 2022;37(4):356-360. doi: 10.1097/JMQ.0000000000000051. Epub 2022 Mar 17.
This article shares initial experiences designing and operating a new health care delivery innovation program at a rural academic medical center. The program was designed with the belief that dedicated team member time, senior leadership engagement, deliberate project/team selection, and robust, tailored project support would enable rapid and transformative health care redesign. Three teams were supported in the initial 1-year funding cycle; all 3 teams successfully designed, implemented, and tested new care models for different serious illness populations. Results demonstrated improved satisfaction, decreased length of stay, and a positive return on investment. Critical evaluation of current structures and processes will help identify refined strategies to support diverse teams that will challenge the norms of health care delivery and explore novel partnerships, approaches, and settings for care delivery. This article helps advance the conversation on how to think strategically and critically about current and future health care innovation efforts.
本文分享了在农村学术医疗中心设计和运营新医疗保健服务创新计划的初步经验。该计划的设计理念是，投入专门的团队成员时间、高级领导层的参与、精心挑选项目/团队以及提供强大、定制的项目支持，将能够实现快速而彻底的医疗保健改革。在最初的 1 年资助周期中，支持了 3 个团队；所有 3 个团队都成功地为不同的重病患者群体设计、实施和测试了新的护理模式。结果显示，患者满意度提高，住院时间缩短，投资回报为正。对现有结构和流程的严格评估将有助于确定支持多样化团队的改进策略，这些团队将挑战医疗服务的常规，并探索新的伙伴关系、方法和医疗服务环境。本文有助于推动关于如何战略性和批判性地思考当前和未来医疗保健创新工作的讨论。
