Measuring Primary Care Practice Performance Within an Integrated Delivery System: A Case Study

2002 ◽  
Vol 47 (4) ◽  
pp. 250-261 ◽  
Author(s):  
Louis J. Stewart ◽  
David Greisler
Keyword(s):  
Primary Care ◽  
Delivery System ◽  
Primary Care Practice ◽  
Care Practice ◽  
System A ◽  
Integrated Delivery System ◽  
Practice Performance ◽  
Integrated Delivery

scholarly journals Physicians’ Voices: What Skills and Supports Are Needed for Effective Practice in an Integrated Delivery System? A Case Study of Kaiser Permanente

2017 ◽  
Vol 54 ◽  
pp. 004695801771176 ◽  
Author(s):  
Benjamin Chesluk ◽  
Laura Tollen ◽  
Joy Lewis ◽  
Samantha DuPont ◽  
Marc H. Klau
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Kaiser Permanente ◽  
Institutional Settings ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery ◽  
High Level ◽  
Cost Awareness

Payers are demanding that US health care become more accountable and integrated, posing new demands for physicians and the organizations that partner with them. We conducted focus groups with 30 physicians in a large integrated delivery system who had previous experience practicing in less integrated settings and asked about skills they need to succeed in this environment. Physicians identified 3 primary skills: orienting to teams and systems, engaging patients as individuals and as a panel, and integrating cost awareness into practice. Physicians also expressed a high level of trust that the system was designed to help them provide better care. This belief appeared to make the new demands and mental shifts tolerable, even welcome, standing in contrast to research showing widespread physician distrust of their institutional settings. Physicians’ new skills and the system features that promote trust are described in the article and should be a focus for systems transitioning to a more integrated, accountable model.

Observation of interprofessional collaboration in primary care practice: A multiple case study

2016 ◽  
Vol 30 (6) ◽  
pp. 787-794 ◽  
Author(s):  
Susan Pullon ◽  
Sonya Morgan ◽  
Lindsay Macdonald ◽  
Eileen McKinlay ◽  
Ben Gray
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Interprofessional Collaboration ◽  
Multiple Case Study ◽  
Care Practice ◽  
Multiple Case

scholarly journals An intern’s case study analysis of the patient transport function

2019 ◽  
Vol 9 (1) ◽  
pp. 11
Author(s):  
Asa B. Wilson ◽  
Zachary Wilkerson ◽  
Leanne Dickinson ◽  
Caitlin M. Young
Keyword(s):  
Health Information System ◽  
Service Needs ◽  
Strategic Positioning ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery ◽  
Wide Transition ◽  
Participant Observer ◽  
Electronic Health Information

Study provides an understanding of a hospital’s patient transportation department (PTD) and its essential function within a complex health care system. A participant-observer case study was accomplished using an intern’s extended exposure to first-hand interactions with managers, directors, and employees. The narrative delineates the importance of patient transportation in a large, expanding, fast-paced integrated delivery system; an environment requiring daily vigilance, continuous improvement, strategic positioning, innovation, and anticipation of future service needs. The departmental challenges and benefits of a facility-wide transition to a new electronic health information system are specified. The intern’s insights into the strategies and data sources that leadership uses to ensure departmental operating effectiveness are identified. Future PTD operations research opportunities are summarized.

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