Article Figures & Data
Tables
- Table 1.
The Recommendations for New Care From the Institute of Medicine and the Future of Family Medicine
Institute of Medicine -
Redesign of care processes based on best practices
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Use of information technologies to improve access to clinical information and support clinical decision making
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Knowledge and skills management
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Development of effective teams
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Coordination of care across patient conditions, services, and settings over time
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Incorporation of performance and outcome measurements for improvement and accountability
Future of Family Medicine -
Personal medical home
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Patient-centered care
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Team approach
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Elimination of barriers to access
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Advanced information systems
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Redesigned offices
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Whole-person orientation
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Care provided within a community context
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Emphasis on quality and safety
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Enhanced practice finance
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Commitment to provide family medicine’s basket of services
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Strong visionary leadership
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Patient centered
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Strong support for physician-patient relationship
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Strong group, team, and standardization orientation
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Extensive involvement and engagement of all physicians and staff
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Highly organized change management
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Focused
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Strong change and improvement orientation
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Broad physician sense of ownership and responsibility
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Market driven
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Data-based, transparent, and accountable
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Pride and joy
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Additional Files
The Article in Brief
Background Many studies have focused on ways in which large medical groups and health care systems address the challenges of delivering health care. Fewer studies have shed light on health care delivery in smaller medical groups, in which most doctors work. This case study aims to learn more about the culture and organization of a small medical group that provides its patients with high levels of chronic disease management and preventive medical care.
What This Study Found The authors identify 12 attributes of this practice that appear to be associated with good quality of care. These include a strong focus on patients, capable leaders who successfully involve the entire staff, strong support for the physician-patient relationship, a team approach to care, openness to/systems for making change, and pride and joy in their work.
Implications
- The attributes identified in the study show a path to achieving excellent quality in several aspects of medical care.
- Identifying high-performing medical practices and understanding how they are different from other practices can provide insights into excellent medical care.
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