How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices
Abstract Large- and small-scale transformation of healthcare delivery toward improved patient experience through promotion of patient-centered and coordinated care continues to be at the forefront of health system efforts in the United States. As part of a Quality Improvement (QI) project at a large...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08623-w |
| _version_ | 1811315420330721280 |
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| author | Kaitlyn Simpson Wilson Nham Josh Thariath Hannah Schafer Margaret Greenwood-Eriksen Michael D. Fetters David Serlin Timothy Peterson Mahshid Abir |
| author_facet | Kaitlyn Simpson Wilson Nham Josh Thariath Hannah Schafer Margaret Greenwood-Eriksen Michael D. Fetters David Serlin Timothy Peterson Mahshid Abir |
| author_sort | Kaitlyn Simpson |
| collection | DOAJ |
| description | Abstract Large- and small-scale transformation of healthcare delivery toward improved patient experience through promotion of patient-centered and coordinated care continues to be at the forefront of health system efforts in the United States. As part of a Quality Improvement (QI) project at a large, midwestern health system, a case series of high-performing organizations was explored with the goal of identifying best practices in patient-centered care and/or care coordination (PCC/CC). Identification of best practices was done through rapid realist review of peer-reviewed literature supporting three PCC/CC interventions per case. Mechanisms responsible for successful intervention outcomes and associated institutional-level facilitators were evaluated, and cross-case analysis produced high-level focus items for health system leadership, including (1) institutional values surrounding PCC/CC, (2) optimization of IT infrastructure to enhance performance and communication, (3) pay structures and employment models that enhance accountability, and (4) organizing bodies to support implementation efforts. Health systems may use this review to gain insight into how institutional-level factors may facilitate small-scale PCC/CC behaviors, or to conduct similar assessments in their own QI projects. Based on our analysis, we recommend health systems seeking to improve PCC/CC at any level or scale to evaluate how IT infrastructure affects provider-provider and provider-patient communication, and the extent to which institutional prioritization of PCC/CC is manifest and held accountable in performance feedback, incentivization, and values shared among departments and settings. Ideally, this evaluation work should be performed and/or supported by cross-department organizing bodies specifically devoted to PCC/CC implementation work. |
| first_indexed | 2024-04-13T11:29:44Z |
| format | Article |
| id | doaj.art-892464b811b64714b6f42c2fed1e79af |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T11:29:44Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-892464b811b64714b6f42c2fed1e79af2022-12-22T02:48:35ZengBMCBMC Health Services Research1472-69632022-11-0122111710.1186/s12913-022-08623-wHow health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practicesKaitlyn Simpson0Wilson Nham1Josh Thariath2Hannah Schafer3Margaret Greenwood-Eriksen4Michael D. Fetters5David Serlin6Timothy Peterson7Mahshid Abir8Acute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganMichigan Mixed Methods Program, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAcute Care Research Unit, Institute for Healthcare Policy and Innovation, University of MichiganAbstract Large- and small-scale transformation of healthcare delivery toward improved patient experience through promotion of patient-centered and coordinated care continues to be at the forefront of health system efforts in the United States. As part of a Quality Improvement (QI) project at a large, midwestern health system, a case series of high-performing organizations was explored with the goal of identifying best practices in patient-centered care and/or care coordination (PCC/CC). Identification of best practices was done through rapid realist review of peer-reviewed literature supporting three PCC/CC interventions per case. Mechanisms responsible for successful intervention outcomes and associated institutional-level facilitators were evaluated, and cross-case analysis produced high-level focus items for health system leadership, including (1) institutional values surrounding PCC/CC, (2) optimization of IT infrastructure to enhance performance and communication, (3) pay structures and employment models that enhance accountability, and (4) organizing bodies to support implementation efforts. Health systems may use this review to gain insight into how institutional-level factors may facilitate small-scale PCC/CC behaviors, or to conduct similar assessments in their own QI projects. Based on our analysis, we recommend health systems seeking to improve PCC/CC at any level or scale to evaluate how IT infrastructure affects provider-provider and provider-patient communication, and the extent to which institutional prioritization of PCC/CC is manifest and held accountable in performance feedback, incentivization, and values shared among departments and settings. Ideally, this evaluation work should be performed and/or supported by cross-department organizing bodies specifically devoted to PCC/CC implementation work.https://doi.org/10.1186/s12913-022-08623-wPatient centered careCare coordinationHealthcare deliveryHealth system transformationQuality improvementCase series analysis |
| spellingShingle | Kaitlyn Simpson Wilson Nham Josh Thariath Hannah Schafer Margaret Greenwood-Eriksen Michael D. Fetters David Serlin Timothy Peterson Mahshid Abir How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices BMC Health Services Research Patient centered care Care coordination Healthcare delivery Health system transformation Quality improvement Case series analysis |
| title | How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices |
| title_full | How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices |
| title_fullStr | How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices |
| title_full_unstemmed | How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices |
| title_short | How health systems facilitate patient-centered care and care coordination: a case series analysis to identify best practices |
| title_sort | how health systems facilitate patient centered care and care coordination a case series analysis to identify best practices |
| topic | Patient centered care Care coordination Healthcare delivery Health system transformation Quality improvement Case series analysis |
| url | https://doi.org/10.1186/s12913-022-08623-w |
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