Concept Application Project:

Healthcare Delivery
Information and Health Technology

Macy Dailey
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Overview of Patient Care Delivery System

Patient Care Delivery Process
Supporting Processes
o Scheduling
o Diagnostic Tests
o Medications/Billing
o Medical Records
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Carondelet Health Network (2015). Billing assistance. Retrieved from http://www.carondelet.org/patients-visitors/billingassistance.aspx

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
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 front-line clinical units. The Joint Commission Journal on Quality and Patient Safety, 28(9), 472-493.

Microsystem Mode
Organizational Culture and Support

The 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 high-performing clinical microsystems.
Quality and Safety in Health Care, 16(5), 334-341.

Microsystem Model:
Patient Focus & Staff Focus
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:
o Orientation and
Continued Education
o Staff value

Example:
o Ample hospital
amenities
o Birth plans

o Workload

o Provides classes

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

Microsystem Model:
Interdependence of Care Team
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

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

Microsystem Model:
Use of Information and Healthcare Technology
Information: The
connector between staff,
patients and patient
needs.
Examples:
o Patients
o Providers
o Staff

Information Technology:
Technology facilitates
effective communication to
keep all parties involved in
patient care.
Examples:
o EHR
o Paper Chart
o Transition to Cerner
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Carondelet Health Network (2015). Billing assistance. Retrieved from http://www.carondelet.org/patients-visitors/billingassistance.aspx

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
Carondelet Health Network (2015). Billing assistance. Retrieved from http://www.carondelet.org/patientsvisitors/billing-assistance.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

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

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]. Retrieve

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from https://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.
Review current
system.

Management proposes a
plan for implementation.

Gather data via

employee survey.

Staff provides
feedback on
implementation.

Management
ensures all staff can
effectively use
electronic charting.

Initially we will
remove mother
paper charting.

Shortly after,
newborn charting
will be removed.

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Evaluate staff
opinions on
change, and revise
as needed.

References
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:
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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