A Toolkit for Redesign in Health Care: Final Report

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. 

Contents

Introduction
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
System Metrics
Acronyms and Abbreviations
Appendixes
   Appendix A. Review of the Literature
   Appendix B. Definitions
Forms
   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.