Redesigning the care of rheumatic diseases at the practice and system levels. Part 1: practice level process improvement (Redesign 101).
Redesigning the delivery-of-care processes for rheumatic diseases within rheumatology practices and health systems is critical to improving the outcomes and costs of care for the patients we serve. This work is best accomplished using Continuous Quality Improvement Methods, also known as Plan-Do-Study-Act (PDSA) cycles that are widely utilized in many other industries, but not often in health care or among physicians. This first of two companion articles provides background on health care redesign, understanding of PDSA methods, and examples of successful rheumatology practice process redesigns based on PDSA. It is offered as a starting point for rheumatologists preparing for this necessary work.
Harrington
J T
JT
Department of Medicine, University of Wisconsin School of Medicine and Public Health, Rheumatology, Madison, WI 53715, USA. tim.harrington@uwmf.wisc.edu
Newman
E D
ED
D003695:Delivery of Health Care / Q000592:standards*; D006801:Humans; D017064:Process Assessment, Health Care / Q000592:standards*; D011364:Professional Practice; D011787:Quality of Health Care; D012216:Rheumatic Diseases / Q000628:therapy*; D011795:Surveys and Questionnaires