Article Figures & Data
Tables
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A strong foundation is needed for successful redesign
Existing structural capacity (electronic health records, operations management, organizational size, and resources)
Broad organizational support
Previous experience with teams
Financial stability
Focus, commitment, and few distractions
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The process of transformation can be a long and difficult journey
Ambitious and challenging, and requires time
Dynamic and time intensive with ebbs and flows
Requires deep changes in structures and systems
Tensions and trade-offs should be expected
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Approaches to transformation vary
Increased or expanded use of team-based care
Expanded patient access and improved coordination
Data-driven measurement and feedback
Formal or informal learning collaboratives
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Visionary leadership and a supportive culture ease the way for change
Strong leadership with vision for change at all levels
Communication with staff and patients
Cultural attributes (collaboration, respect, accountability)
Alignment of incentives and rewards
Mission-based focus
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Contextual factors are inextricably linked to outcome
National, state, and local policies
Dynamics of the health system or related systems
Influence of the community and other stakeholders
Financial incentives
Staff dynamics and characteristics
Approach to transformation
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Additional Files
Supplemental Table
Supplemental Table 1. Characteristics of the 14 Projects
Files in this Data Supplement:
- Supplemental data: Table - PDF file, 5 pages, 229 KB
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