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Reflections on 3 Years of Innovation: Recognizing the Need for Innovation Beyond the Clinical Care Pathway
Shoshana H Bardach1, Amanda N Perry1, Evan T Cavanaugh2
1The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH.
The Levy Healthcare Delivery Incubator fostered successful health care redesign by using diverse teams and a design-thinking curriculum. Key to innovation were nonclinical factors and addressing social determinants of health.
Area of Science:
- Health Services Research
- Healthcare Innovation
- Design Thinking in Healthcare
Background:
- The Susan and Richard Levy Healthcare Delivery Incubator aims to accelerate healthcare redesign.
- Initial cohorts demonstrated success in implementing improvements and innovations.
Purpose of the Study:
- To identify key team processes contributing to the success of healthcare redesign projects.
- To understand factors enabling rapid, sustainable, scalable, and transformational healthcare changes.
Main Methods:
- Analysis of debrief interviews and staff observations from 10 completed projects.
- Examination of processes employed by diverse teams within the Incubator program.
- Focus on cross-project learnings to identify critical success factors.
Main Results:
- Successful implementation of improvements or innovations in all 10 projects.
- Identification of nonclinical aspects of care delivery as critical to project innovation success.
- Demonstration that the Incubator's structure facilitates addressing social and political determinants of health.
Conclusions:
- Healthcare delivery innovation necessitates consideration of social and political determinants.
- The Incubator's process and structure effectively enable teams to identify and respond to diverse health determinants.
- Nonclinical factors are crucial for successful healthcare innovation and redesign.
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