title: Blueprint for design: creating models that direct change.
abstract: The need for healthcare system change is overwhelming: broken systems, an inadequate workforce, patient safety failures, and lack of access to healthcare are but a few of the significant problems confronting healthcare today. Most people agree that things need to change, but they are not sure on what to change or how to change them. A well-developed model can serve as the currency for that change. By considering the evidence of what has worked well in the past and marrying that with what the future will require, we can create a strong sustainable model for professional practice. The authors explore that evidence and discuss the structure, process, and outcomes that should be considered in designing care delivery models for the future.
authors.affiliation: Nursing Leadership Program, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA. wolfg@pitt.edu
authors.forename: Gail A
authors.initials: GA
authors.lastname: Wolf
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Greenhouse
mesh_terms: D003659:Decision Making, Organizational; D003695:Delivery of Health Care / Q000458:organization & administration*; D019317:Evidence-Based Medicine; D005544:Forecasting; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D016294:Models, Nursing; D017146:Models, Organizational; D009718:Nurse Administrators / Q000458:organization & administration*; D024802:Nurse's Role; D015401:Nursing Administration Research; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D010934:Planning Techniques; D017009:Professional Autonomy; D011361:Professional Competence; D019984:Quality Indicators, Health Care; D012051:Reimbursement Mechanisms / Q000458:organization & administration; D012201:Reward; D013673:Technology Assessment, Biomedical; D014481:United States