Annals of Internal Medicine · 1996 · 56 citations · 0 references
ManagementHealth Care ManagementHealth SystemsHealth Care Quality ManagementHealthcare Quality ImprovementIntegrated CareHealth Care Change ManagementHealth Care QualityHealth Services EvaluationHealth Systems ManagementPerformance ImprovementQuality Of CareBest Practices ManagementHealth Care EconomicsHealthcare Process RedesignHealthcare Service ImprovementPatient Experience ImprovementPractice RedesignPractice-based Quality ImprovementStructural Reorganization
Without a clear focus on the needs and experiences of individual patients, much of the financial and structural reorganization now rampant in health care will be unlikely to yield improvements that matter to the patients we serve. As we change the system of care, five principles can help guide our investment of energy: 1) Focus on integrating experiences, not just structures; 2) learn to use measurement for improvement, not measurement for judgment; 3) develop better ways to learn from each other, not just to discover "best practices"; 4) reduce total costs, not just local costs; and 5) compete against disease, not against each other.