Health Care Delivery
Health care/system redesign involves making systematic changes to primary care practices and health systems to improve the quality, efficiency, and effectiveness of patient care. Frameworks, models, and concepts such as the Chronic Care Model and the Patient-Centered Medical Home (PCMH) can be used independently or together to reorganize care delivery for the purpose of improving patient outcomes.
The redesign of primary care systems and practices includes the following:
AHRQ's work in health care redesign includes the following project areas:
Chronic diseases such as heart disease, stroke, cancer, and diabetes are among the most common, expensive, and preventable health problems Americans experience. According to the Institute of Medicine, evidence has shown that half of these Americans are not receiving good care for chronic diseases. The current structure of America's health care system makes it difficult for patients to access affordable, effective care.
Using models such as the Chronic Care Model and PCMH in health care redesign can produce better care for patients, while improving clinical and financial performance for health systems. These approaches shift the health system's focus from reacting to the acute care needs of individuals to proactively engaging a population of patients and focusing on their health goals, needs, and abilities to achieve desired health outcomes. The models encourage the use of the expertise of all members of the care team, including patients and their families.
Putting health care redesign into action can be done in the following four general phases:
AHRQ resources on health care redesign include:
The following AHRQ Annual Conference presentations on health care/system redesign are also available: