成功的结构:构建心血管卓越中心的框架
Adam C Powell1,2,3, Ronald C Whiting1, Jacque J Sokolov1
1SSB Solutions, Inc., Scottsdale, AZ.
概括
开发一个心血管卓越中心 (CVCOE) 改善了分散的护理. 这种结构化的框架优化了心血管服务,以获得更好的患者结果和战略整合.
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
- 心血管医学 心血管医学
背景情况:
- 心血管计划面临着高成本,碎片化和不一致的治理方面的挑战.
- 优化心血管服务线路对于改善患者护理和运营效率至关重要.
研究的目的:
- 为开发心血管卓越中心 (CVCOE) 提出一个结构化的框架.
- 为了提高护理质量和在心血管服务线的战略整合.
- 为调整投资与基于证据的护理和组织能力提供路线图.
主要方法:
- 该框架通过三个相互依存的层次来定义CVCOE:基础基础设施,临床支柱和治理.
- 一个由医生领导的临床模型整合了业务和运营策略.
- 两阶段生命周期 (实施和维护) 指导开发和质量改进.
主要成果:
- CVCOE模型提供了一种结构化的方法来优化心血管服务线路.
- 跨不同环境的实施经验证明了它的适用性.
- 该框架促进了结构性投资与护理服务的协调.
结论:
- 拟议的CVCOE框架为医院和卫生系统提供了可复制的模型.
- 在结构上嵌入领导和质量系统是优化心血管服务的关键.
- 这种方法创造了改善患者结果和卓越操作的条件.
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