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From Co-Design to Quality Improvement: Using the Double Diamond Framework to Develop Primary Care Redesign Priorities
Sonal J Patil1,2, Aleece Caron3,4, Mary Joan Roach3,4,5
1Department of Family Medicine, MetroHealth System and Case Western Reserve University, MetroHealth Community Health Centers, Cleveland, Ohio, USA.
Summary
This study used a co-design approach to identify priorities for improving hypertension care in socially disadvantaged areas. Key findings include enhancing data usability, incorporating patient experiences, and fostering collaboration between health systems and community organizations for better quality improvement.
Area of Science:
- Public Health
- Health Services Research
- Community-Based Participatory Research
Background:
- Sustaining clinic-community linked hypertension interventions in primary care for socially disadvantaged populations remains a challenge.
- Identifying shared priorities for redesigning hypertension care is crucial for effective implementation.
Purpose of the Study:
- To identify shared priorities for redesigning hypertension care using a structured Double Diamond co-design framework.
- To engage health systems and community-based organizations (CBOs) serving high-hypertension prevalence areas in priority setting.
Main Methods:
- Employed a Double Diamond design strategy with four health systems and multiple CBOs.
- Established co-design working groups for data/evaluation and community engagement/health equity.
- Conducted 14 co-design meetings across Double Diamond phases (discover, define, develop, deliver) and utilized thematic analysis, fieldwork, and geospatial data.
Main Results:
- Target census tracts exhibited greater socioeconomic disadvantages.
- Identified actionable priorities: improving data usability and standardization, incorporating patient lived experiences, enhancing CBO resource interoperability, and fostering cross-system team-based care.
Conclusions:
- A multi-component Double Diamond design approach facilitated the development of practical, reality-grounded primary care redesign priorities.
- This approach offers a pathway for transitioning from co-design to measurable quality improvement (QI) efforts in hypertension care.
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