建立价值:一个支持人口健康的基础结构
Mark E Schario1,2, Peter J Pronovost3,4
1University Hospitals Health System, UH Quality Care Network & UH Accountable Care Organization, Cleveland, Ohio, USA.
实现以价值为基础的护理需要成熟的人口卫生基础设施和系统. 大学医院ACO概述了三大支柱结构 - - 运营,临床设计和数据分析 - - 以支持这种转型.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 人口健康管理 人口健康管理
背景情况:
- 过渡到以价值为基础的护理对于财务可持续性和患者的结果至关重要.
- 随着报销模式的发展,医疗机构面临患者护理和收入的风险.
- 文化,基础设施,技术,分析和领导力的成熟度对于成功采用基于价值的护理至关重要.
研究的目的:
- 描述一个专注于人口健康的临床转型团队的组织结构.
- 概述一个功能模型,在一个可问责护理组织 (ACO) 中管理人口健康.
主要方法:
- 这篇文章详细介绍了大学医院ACO临床转型团队的功能组织结构.
- 它提出了一个支持人口健康倡议的三支柱框架:操作,临床设计以及数据和分析.
主要成果:
- 大学医院 (ACO) 已经制定了一种结构化的方法来管理人口健康.
- 在三个支柱 (操作,临床设计,数据/分析) 中,确定了每个支柱的重点领域.
结论:
- 强大的组织结构是成功管理人口健康和以价值为基础的护理的基础.
- 描述的三支柱模型为卫生系统提供了一个可扩展的框架,以成熟其人口健康能力.
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