This toolkit presents strategies for comprehensively redesigning and transforming processes of care in a hospital. It includes a discussion of the forces that compel health care systems to embark on redesign or system transformation; a series of steps to be taken in planning for such as redesign or system transformation; and strategies for translating information gathered into proposed projects for implementation.
This toolkit was prepared for the Agency for Healthcare Research and Quality (AHRQ) by Denver Health, a partner in AHRQ's Integrated Delivery System Research Network.
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Description of Denver Health
Forces Which Compel System Redesign/Transformation
Redesign Planning Steps
Step 1. Assess Readiness for Major Redesign
Step 2. Establish the Perspectives for Redesign
Step 3. Create a Structure for the Redesign Process
Step 4. Gather External Data
Step 5. Gather Internal Data
Step 6. Choose the Tools To Enable Redesign Implementation
Strategies for Translating Information Into Proposed Projects for Implementation
Acronyms and Abbreviations
Appendix A. Review of the Literature
Appendix B. Definitions
Form A. Site Visit/Conference Call Questions
Form B. Employee Focus Group Questions
Form C. Confirmation Letter for Patient/Family Focus Group
Form D. Patient/Family Focus Group Facilitator Questionnaire
Form E. Patient/Family Focus Group Consent Form
Form F. Staff Process Flow Observation Form
Form G. Patient Process Flow Observation Form
Form H. Staff Member Consent Form
Form I. Patient Consent Form
Prepared for AHRQ under Contract No. 290-00-0014-7 by Denver Health. The authors of this report are responsible for its content. Statements in this report should not be construed as endorsement by the Agency for
Healthcare Research and Quality or the U.S. Department of Health and Human Services. This document is in the public domain and may be used without permission.
AHRQ Publication No. 05-0108-EF
Current as of September 2005
A Toolkit for Redesign in Health Care. Final Report (Prepared by Denver Health under Contract No. 290-00-0014). AHRQ Publication No. 05-0108-EF, September 2002. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/toolkit/