Archives October 5, 2015

Working Collaboratively to Enhance the Patient Experience

by Barry P Chaiken, MD

Currently patient delivery relies upon an unreliable system formed from poorly integrated and highly variable human parts. To deliver superior patient experiences, professionals need to make changes in what they do and how they do it. In addition, all caregivers must think of themselves as part of a team delivering care rather than a sole actor in a series of clinical handoffs.

Porter, Pabo, and Lee in an article in Health Affairs presented some very innovative ways to improve primary care delivery by a redesign of the all patient delivery care processes. Their approach focused on delivering value for patients as defined as “patient outcomes achieved relative to the amount of money spent.”

The current movement to value-based reimbursement requires a shift from care organized around fee-for-service transactional encounters and services to one that meets a “defined set of patient needs over a full care cycle.”

The authors identified five key areas to transform care. They are:

    • Base primary care on patient needs
    • Integrate delivery models by subgroup
    • Measure value for each subgroup
    • Align payment with value, and
    • Integrate subgroup team and specialty care

Excerpts from: Working Collaboratively to Enhance the Patient Experience. Becker’s Hospital Review, October 5, 2015


Comments 1
  • Most patients might have naleviy thought that the reason for going to the ER in the first place might be carried throughout the extensive records that were created This is really an important concept, as too many patients might have figured that the issue with the arm was taken into account with all the tests, and the patient could have gone home, happily reassured and then could have been struck by disaster.The listening skills of both the patient and doctor are critical, but the imbalance of power in that relationship can mean the patient is intimidated into silence, or assumes all his questions have been answered.

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