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Updated: May 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
People, technology, and process meet the triple aim
Deborah Dahl1, Julie A Reisetter, Nancy Zismann
1Patient Care Innovation, Clinical Innovation, Banner Health, Phoenix, Arizona (Mss Dahl and Zismann); and iCare, Banner Health, Mesa, Arizona (Ms Reisetter).
Abstract:
Banner Health is addressing the Triple Aim (quality care and satisfaction, improved health, and reduced cost) for Medicare beneficiaries by combining the people of one of the largest nonprofit health care systems in the United States (Banner Health) with innovative telehealth technology and leveraging high-reliability, standardized processes. The program, known as Banner iCare, builds on a highly successful tele-ICU program (some of the lowest mortality and length of stay results in the country) and expands the service to progressive care, medical-surgical, and emergency departments. These successes have led to the introduction of a home-based telehealth program with the strengths of the acute care programs. The top 5% high-cost patients with multiple chronic conditions receive coordinated intensive ambulatory care managed by an integrated team of health care professionals using cost-effective telehealth technology. The benefits expected from the proposed project include a reduction in overall costs while improving patient satisfaction through delivery of more personalized and interactive care.
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