4/25/16

Overview of Patient Care Delivery System

Concept Application Project:

Healthcare Delivery
Information and Health Technology

Patient Care Delivery Process

Supporting Processes
o Scheduling
o Diagnostic Tests
o Medications/Billing
o Medical Records

Whitney Mudd
!

Carondelet!Health!Network!(2015).!Billing&assistance.&Retrieved!from!h<p://www.carondelet.org/paBentsDvisitors/billingDassistance.aspx!!

Microsystem Mode
Organizational Culture and Support

Microsystem Model: Leadership

Leaders are supportive and available to staff,
however leadership fail to provide opportunity for
staff to be included in decisions regarding the care
system.
Examples:
o Voceras
o Nurses role clearly defined
o Lack of staff involvement and overall goals

St Josephs hospital provides resources and

technology to support the labor and delivery unit
and the staff.
Example:
o Recognition
o Information
o Resources

Foster,!T.!C.,!Johnson,!J.!K.,!Nelson,!E.!C.,!&!Batalden,!P.!B.!(2007).!Using!a!Malcolm!Baldrige!framework!to!understand!highDperforming!clinical!microsystems.!Quality&and&Safety&in&Health&Care,!
16(5),!334D341.!

Nelson,!E.!C.,!Batalden,!P.!B.,!Mohr,!J.!J.,!Godfrey,!M.!M.,!Headrick,!L.!A.,!&!Wasson,!J.!H.!(2002).!Microsystems!in!health!care:!Part!1.!Learning!from!high!performing!frontDline!clinical!units.!The&
Joint&Commission&Journal&on&Quality&and&Pa9ent&Safety,!28(9),!472D493.!

Microsystem Model:
Patient Focus & Staff Focus

Microsystem Model:
Interdependence of Care Team

Staff focus includes insuring

competent hiring, an
adequate orientation
process for new staff

Patient focus involves the

staffs ability to meet
individual patient needs by
caring, listening, and
educating.

Example:

Example:

This area of assessment includes trust, collaboration,

willingness to help other staff, appreciation of
interdisciplinary roles, and consistent respect among
coworkers.
Examples
o Dependence on Nurses
o Nurse Teamwork
o Respect Coworkers experience

o Orientation and
Continued Education
o Staff value
o Workload

o Ample hospital
amenities
o Birth plans
o Provides classes

Carondelet!Health!Network!(2015).!ABer&delivery&and&at&home.&Retrieved!from!h<p://www.carondelet.org/paBentsDvisitors/billingDassistance.aspx!

Johnson,!J.K.,!(2003,!February!02).!Clinical&microsystem&assessment&tool&[PDF&document].!Retrieved!from!!
h<ps://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View!

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Microsystem Model:
Use of Information and Healthcare Technology

Microsystem Model:
Process for Healthcare Delivery Improvement
Empowering staff to make quality changes as
well as consistent monitoring and assessing
areas in need of improvement.
Examples
o Implementation of barcoding
o Benchmarking
o Patient Satisfaction Rates

Information Technology:
Technology facilitates
effective communication to
keep all parties involved in
patient care.
Examples:
o EHR
o Paper Chart
o Transition to Cerner

Information: The
connector between staff,
patients and patient
needs.
Examples:
o Patients
o Providers
o Staff

Carondelet!Health!Network!(2015).!Billing&assistance.&Retrieved!from!h<p://www.carondelet.org/paBentsDvisitors/billingDassistance.aspx!

Microsystem Model: Staff Performance

Patterns:
Performance results focus on improving patient
outcomes through feedback, positive competition,
benchmarking, and constructive criticism.
Examples:
o Annual Employee Evaluations
o Evidence based questions

Specific Aspect Targeted for Improvement

Information

and information technology,

specifically double charting
oRoom for patient error
oExtended time away from patient care
oAvailable to one health care professional at a
time

Johnson,!J.K.,!(2003,!February!02).!Clinical&microsystem&assessment&tool&[PDF&document].!Retrieved!!

10

Johnson,!J.K.,!(2003,!February!02).!Clinical&microsystem&assessment&tool&[PDF&document].!Retrieved!!

from!h<ps://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View!

Leading the Plan for Health Care Delivery

Improvement
The ultimate goal is to improve efficiency with charting
and reduce the errors that accompany multiple charting
methods. The end result will be only electronic charting.

Carondelet!Health!Network!(2015).!Billing&assistance.&Retrieved!from!h<p://www.carondelet.org/paBentsDvisitors/billingDassistance.aspx!

from!h<ps://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View!

References

Carondelet Health Network (2015). After delivery and at home. Retrieved from
http://www.carondelet.org/patients-visitors/billing-assistance.aspx
Carondelet Health Network (2015). Billing assistance. Retrieved from
http://www.carondelet.org/patients-visitors/billing-assistance.aspx

Review current
system.

Management proposes a
plan for implementation.

Management
ensures all staff can
effectively use
electronic charting.

Shortly after,
newborn charting
will be removed.

Foster, T. C., Johnson, J. K., Nelson, E. C., & Batalden, P. B. (2007). Using a Malcolm Baldrige framework to understand
high-performing clinical microsystems. Quality and Safety in Health Care, 16(5), 334-341.
Johnson, J.K., (2003, February 02). Clinical microsystem assessment tool [PDF document]. Retrieved from
https://d2l.arizona.edu/d2l/le/content/467633/viewContent/3724145/View
Nelson, E. C., Batalden, P. B., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in health care:

Gather data via

employee survey.

Staff provides
feedback on
implementation.

Initially we will
remove mother
paper charting.

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Evaluate staff
opinions on
change, and revise
as needed.

Part 1. Learning from high performing front-line clinical units. The Joint Commission Journal on Quality and Patient Safety,
28(9), 472-493.

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