The application of design principles to innovate clinical care delivery.
Clinical research centers that support hypothesis-driven investigation have long been a feature of academic medical centers but facilities in which clinical care delivery can be systematically assessed and evaluated have heretofore been nonexistent. The Institute of Medicine report "Crossing the Quality Chasm" identified six core attributes of an ideal care delivery system that in turn relied heavily on system redesign. Although manufacturing and service industries have leveraged modern design principles in new product development, healthcare has lagged behind. In this article, we describe a methodology utilized by our facility to study the clinical care delivery system that incorporates modern design principles.
Brennan
Michael D
MD
Division of Endocrinology, Metabolism and Internal Medicine, Mayo Clinic College of Medicine, USA. brennan.michael@mayo.edu
Duncan
Alan K
AK
Armbruster
Ryan R
RR
Montori
Victor M
VM
Feyereisn
Wayne L
WL
LaRusso
Nicholas F
NF