By Joyce Pulcini, PhD, RN, FAAN, Policy and Politics contributing editor, AJN
The ECRI Institute’s 19th annual conference (November 28–29) looked at system-level innovation and quality in the health care system. It brought together experts from many fields, including medicine, nursing, hospital or health system administration, informatics, health care quality, policy makers, journalists, and academics. ECRI Institute is an independent, nonprofit organization that researches the best approaches to improving the safety, quality, and cost-effectiveness of patient care. The goals of the conference were to address the following:
- What is “systemness”?
- Which elements within mature health care systems result in the best clinical outcomes?
- Are approaches taken by long-established systems transferable to smaller, newer, or less integrated systems?
- Are financial incentives enough to drive change?
- How can electronic health records (EHRs) help improve “systemness”?
- Do transformation units within health care systems produce results?
The conference essentially tried to attack in a creative way the issues around the creation of systems that function optimally. Truly changing culture and providing optimal care delivery should always result in putting the patient at the center of care. The conversation was open and the conference succeeded in fostering important dialogue among the speakers and the audience. A major focus was on creating systems, looking at technological or financial solutions, and measuring outcomes.
The session on team care (“Creating teams to improve inter- and intra-health care systems: Does evidence show a benefit?”) highlighted the vexing issues around how to truly foster optimal teams. Lisa Schilling, RN, MPH, VP National HC Performance Improvement, Director, Center for […]