FACULTY
DEVELOPMENT COMMITTEE
Training Manual
for Interdisciplinary Session Facilitators
Achieving the aims
described in Chapter
2 will require profound changes, beginning with a new framework to guide
those who undertake those changes. This chapter describes ten new rules to
guide the transition to a health system that better meets patients’ needs.
Recommendation 4: Private and public
purchasers, health care organizations, clinicians, and patients should work
together to redesign health care processes in accordance with the following
rules:
1. Care
based on continuous healing relationships. Patients should
receive care whenever they need it and in many forms, not just face-to-face
visits. This rule implies that the health care system should be responsive at
all times (24 hours a day, every day) and that access to care should be
provided over the Internet, by telephone, and by other means in addition to
face-to-face visits.
2. Customization
based on patient needs and values. The system of care
should be designed to meet the most common types of needs, but have the
capability to respond to individual patient choices and preferences.
3. The
patient as the source of control. Patients should be given
the necessary information and the opportunity to exercise the degree of control
they choose over health care decisions that affect them. The health system
should be able to accommodate differences in patient preferences and encourage
shared decision making.
4. Shared
knowledge and the free flow of information. Patients
should have unfettered access to their own medical information and to clinical
knowledge. Clinicians and patients should communicate effectively and share
information.
5. Evidence-based
decision making. Patients should receive care based on the
best available scientific knowledge. Care should not vary illogically from
clinician to clinician or from place to place.
6. Safety
as a system property. Patients should be safe from injury
caused by the care system. Reducing risk and ensuring safety require greater
attention to systems that help prevent and mitigate errors.
7. The
need for transparency. The health care system should make
information available to patients and their families that allows them to make
informed decisions when selecting a health plan, hospital, or clinical
practice, or choosing among alternative treatments. This should include
information describing the system’s performance on safety, evidence-based practice,
and patient satisfaction.
8. Anticipation
of needs. The health system should anticipate patient
needs, rather than simply reacting to events.
9.Continuous
decrease in waste. The health system should not waste
resources or patient time.
10. Cooperation among
clinicians. Clinicians and institutions
should actively collaborate and communicate to ensure an appropriate exchange
of information and coordination of care
Source: http://books.nap.edu/books/0309072808/html/62.html#pagetop
Imogene FosterEdD, RN,
LPC,
Associate Professor and Coordinator of Rural Health Nursing Education
West Virginia University
School of Nursing
ifoster@hsc.wvu.edu