Practice Redesign Principles

Principles of Practice Redesign Over the years healthcare leaders have worked to develop practice models that best support the needs of patients and communities alike. Practice redesign involves the methodical modification of current practices in order to improve the quality, efficiency, and effectiveness of patient care (Health Care System Redesign, 2015). Clinical decision support, risk stratification, patient engagement, building and tracking relationships, as well as measuring and improving over time are also important principles of practice redesign (Nash et al., 2016). Accessing the right care at the right time is another essential component of practice design. Healthcare delivery systems play an important role in access by ensuring

The use of motivational interviewing techniques by staff facilitates open communication with patients and allows them to ascertain a patient’s willingness and readiness to participate in his or her care. Patient engagement best determined through patient satisfaction surveys and or outcome measures. As in the example above, a patient with a HgbA1C >10, who is pulled into the clinic by the nurse disease manager for education and assisted with coordinating provider follow ups may chose a progressive improvement in their glycemic control. Improved glycemic control is an indicator of patient engagement because the patient is eating better, taking medication appropriately, and likely keeping up with appointments and routine labs.
Building and Tracking Relationships Due to our fragmented healthcare system patients are faced with visiting many different treatment entities. The inability to access information about a patient’s treatment plan makes care complicated to manage for both patients and providers alike. While some healthcare delivery systems have open information exchanges where information is readily available to any service provider within the network the information is not easily shared among those outside its network.
Measuring and

Focused on early chronic disease screenings, proper nutrition, immunizations, and reduction of high-risk behaviors these models curb the onset of costly chronic conditions. More recently these models extend beyond preventive screenings to include other important aspects of preventative care such as access and scheduling (Nash et al., 2016). Preventative health models improve long-term health outcomes and reduce costs associated with complications of chronic illness through active health promotion community outreach initiatives. Chronic care models aim to maintain and improve health for patients with chronic conditions. These models focus on patient centric care through a multidisciplinary team approach with the primary care provider centrally responsible for managing the patient’s care. In chronic care models, it is understood that optimal care is achieved through care balance of primary care, specialty care along with adequate community and family support. Both chronic and preventive health models are centered on proactive patient engagement and promotion of self-care (Nash et. al., 2016). They also rely on clinical support tools and the use of evidence-based guidelines to drive high quality cost-effective care (Nash et. al,