263093 Strategic re-Design of Team-based Patient-focused Healthcare Services

Tuesday, October 30, 2012 : 1:10 PM - 1:30 PM

Richard Green, MS , The Design Management Program, Pratt Institute, New York, NY
Denise Tahara, PhD , Director, MPH Studies, Department of Health Policy & Management, New York Medical College, Valhalla, NY
Despite evidence that patient-centered medical care can increase the patient's quality of care by emphasizing preventive medicine, and improved communication and coordination among providers, widespread implementation of patient-centered medical homes (PCMH) remains marginalized by our healthcare system. Regardless of advocacy for an organizing framework to effect major improvements in the quality of our healthcare system, it remains a fragmented, hierarchical, silo-oriented, medical practice model that does not support utilization, coordination, continuity and communication across healthcare settings. This paper proposes that the PCMH model is an organizational innovation that promotes a transformational vision of improved partnerships and coordinated patient-centered care. We suggest that the PCMH is an innovative healthcare organization model of the future, committed to building a more economical and clinically-aligned relationship that promotes quality and efficient patient care. The delivery of healthcare services must be strategically redesigned around patient-provider teams and the larger care community that includes family and local neighborhoods. These stakeholders need to collaborate toward achieving improved population health and well-being. An alternative team-based approach and a system-wide change model are proposed for leading healthcare organizations through the white water of large-scale transformation. It is a transformation process predicated on strong leadership able to align an organization toward a vision of patient-centered care, creating a collaborative culture committed to health goal achievement. The PCMH necessitates transitioning from an adversarial to a collaborative culture. It requires that participants within healthcare organizations learn new skills and behaviors to achieve the anticipated quality and efficiency improvements through partnership.

Learning Areas:
Administration, management, leadership
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the attributes of the patient-centered medical care change model. Discuss the effects of change on patients and providers. Explain how to create a shared vision and sense of urgency for the Patient-Centered Medical Home that enables others to act. Discuss factors affecting the successful diffusion of the Patient-Centered Medical Home model into the healthcare system including the consequences and management of resistance. Differentiate the linkage between the Patient-Centered Medical Home as a change process, a leaderís personal disposition and organizational culture.

Keywords: Leadership, Organizational Change

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Denise Tahara is currently Program Director, Department of Health Policy and Management at New York Medical College, performing independent research in healthcare management, specifically leadership, teams, patient-focused care, preconception care and quality improvement for the past 15 years. Formerly Dr. Tahara was a management consultant working with both financial services and healthcare organizations on organizational change and systems improvement. She is a CPA with a PhD and MBA from New York University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.