Despite a rich literature examining the application of organizational learning to engineering and management contexts, learning in the health care sector has received far less empirical attention. These papers collectively address which organizational factors are precursors to learning within quality improvement collaboratives (QICs) and how participation in QICs impacts patient-centered outcomes. The first paper examines the organizational attributes associated with physician practices’ propensity to participate in QICs. The second paper explores the implementation of a shared decision making intervention within the High Value Healthcare Collaborative (HVHC) and investigates its impact upon hip and knee osteoarthritis patients' treatment preferences and decision certainty. Finally, the third paper interrogates whether surgical utilization varies across patients engaged in shared decision making compared with patients receiving usual care within HVHC.

Interprofessional teamwork and collaborative practice are emerging as key elements of efficient and productive work in promoting health and treating patients. The vision for these collaborations is one where different health and/or social professionals share a team identity and work closely together to solve problems and improve delivery of care. Although the value of interprofessional education (IPE) has been embraced around the world - particularly for its impact on learning - many in leadership positions have questioned how IPE affects patent, population, and health system outcomes. This question cannot be fully answered without well-designed studies, and these studies cannot be conducted without an understanding of the methods and measurements needed to conduct such an analysis. This Institute of Medicine report examines ways to measure the impacts of IPE on collaborative practice and health and system outcomes. According to this report, it is possible to link the learning process with downstream person or population directed outcomes through thoughtful, well-designed studies of the association between IPE and collaborative behavior. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes describes the research needed to strengthen the evidence base for IPE outcomes. Additionally, this report presents a conceptual model for evaluating IPE that could be adapted to particular settings in which it is applied. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes addresses the current lack of broadly applicable measures of collaborative behavior and makes recommendations for resource commitments from interprofessional stakeholders, funders, and policy makers to advance the study of IPE.

Health care is a team effort, so why keep training for solo sprints? Introducing Foundations of Interprofessional Collaborative Practice in Health Care - a unique new textbook that will equip you to become an effective member of interprofessional healthcare teams. This completely new textbook is the first on the market to introduce the Interprofessional Education Collaborative (IPEC, 2011, 2016) Core Competencies for Interprofessional Collaborative Practice and to provide practice in applying these competencies to everyday practice. Expertly written by an interprofessional team for a wide variety of health professions students, this textbook provides a solid foundation in the four Core Competencies: Values and Ethics for Interprofessional Practice, Roles and Responsibilities, Interprofessional Communication, and Teams and Teamwork. It then elaborates each Core Competency by defining and describing each Sub-Competency. With a variety of interactive Case Studies, Caselets, and Exemplar Case Studies, it then illustrates the contributions and interconnectedness of each provider's role to demonstrate how Core Competencies would be applied and put into action for improved patient outcomes. - UNIQUE! Three-part units each addressing one of the four IPEC Core Competencies to help you to understand the core competencies and learn how to apply them in your own profession. - UNIQUE! Detailed explorations of each Sub-Competency for all four IPEC Core Competencies thoroughly present the essential elements of each Core Competency for deep understanding of how to collaborate with other professions. - UNIQUE! Case Studies, "Caselets," and Exemplar Case Studies illustrate each competency and provide opportunities for you to apply your understanding of the material. - A variety of Active Learning activities driven by core content are integrated into each chapter. - UNIQUE! Global Perspectives boxes and additional international resources highlight the important work being done internationally in interprofessional education and interprofessional collaborative practice. - Research Highlights help you to understand the reasoning and knowledge behind the Core Competencies. - Learning Outcomes and Key Points outline and review the main takeaways from each chapter.

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

At a time of unprecedented healthcare industry turmoil and growing inroads by competitors from CVS to Amazon, hospital CEOs and senior leaders need an innovative, comprehensive approach to strategic thinking. In Patient-Centered Strategy, Jeff Hunter, a leading healthcare strategic planner for more than 40 years, describes a powerful new system for strategy formulation one that derives value from an in depth understanding of patients needs, and unites senior leaders with frontline caregivers in the creative process. He helps you identify your current strategic issues, formulate solutions, and then determine What must be true to solve problems and explore opportunities. Patient-Centered Strategy describes proven techniques on how to test your solutions quickly and then deploy the results effectively throughout your entire organization for sustained transformation. Jeff shows senior executives: How to shed outdated mental models of strategic planning that inhibit creative thinking and behavior How to discover unmet needs, then create unique and meaningful value for customers How to connect with frontline caregivers in the discovery and creative process How to put real strategy back into strategy deployment How to make meaningful choices to reduce institutional overburden How to use scientific problem-solving to create solutions How to conduct small scale experiments that lead to large-scale transformation How to model the learning process to create more value faster How to use visual management and leader standard work to stay aligned and focused Patient-Centered Strategy is also a powerful story of personal change, tracing Jeff s journey from a conventional planner to an innovative practitioner on the cutting edge of 21st century strategic thinking.

As a contribution to the emerging healthcare quality movement, Patient Advocacy for Healthcare Quality: Strategies for Achieving Patient-Centered Care is distinct from any others of its kind in its focus on the consumer’s perspective and in its emphasis on how advocacy can influence change at multiple social levels. This introductory volume synthesizes patient advocacy from a multi-level approach and is an ideal text for graduate and professional students in schools of public health, nursing and social work.

This book discusses the application of complex adaptive systems theory to the design and evaluation of patient-centered medical homes (PCMHs). The three defining goals of PCMHs are to spread patient-care roles among healthcare team members, focus on disease prevention and include the patient in the healthcare team. It explains why some PCMH pilots are highly successful while others do not show much benefit, covers specific sub-theories that allow for bracketing of different aspects of the clinic system and highlights strategies by which institutions can engage in this process. Inter professional Education in Patient-Centered Medical Homes is a valuable resource for faculty and managers of health professions teaching clinics, deans of medical and health professional schools and medical administrators.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

"This book answers 'why not' and 'how to' for health care accreditation bodies, quality experts, and frontline professionals, moving the reader from timely information, to inspiration, and through patient-centered action with practical tools and potent case studies." Paul vanOstenberg, DDS, MS, vice president, Accreditation and Standards, Joint Commission International "This superb guide from Planetree illustrates that providing high-quality, high-value, patient-centered health care is not a theoretical ideal. The case studies make clear that these goals are attainable; they are being achieved by leading health care organizations worldwide, and there is a clear road map for getting there right here in this book." Susan Dentzer, senior policy adviser to the Robert Wood Johnson Foundation "At IHI, we follow the principle, 'all teach, all learn' the idea that everyone, everywhere has something to teach, and something to learn. This remarkable and indispensable guide is as pure an example of this principle as I've come across." Maureen Bisognano, president and chief executive officer, Institute for Healthcare Improvement "The International Society for Quality in Health Care's mission is to inspire, promote, and support continuous improvement in the quality and safety of health care worldwide. It is in this spirit that we welcome this new book on patient-centered care. As in their previous work, the authors demonstrate just how critical it is to develop an organizational culture that puts patients first." Peter Carter, chief executive officer, International Society for Quality in Health Care