title: Multi-stakeholder collaboration in the redesign of family-centered rounds process.
abstract: A human factors approach to healthcare system redesign emphasizes the involvement of multiple healthcare stakeholders (e.g., patients and families, healthcare providers) in the redesign process. This study explores the experience of multiple stakeholders with collaboration in a healthcare system redesign project. Interviews were conducted with ten stakeholder representatives who participated in the redesign of the family-centered rounds process in a pediatric hospital. Qualitative interview data were analyzed using a phenomenological approach. A model of collaborative healthcare system redesign was developed, which defined four phases (i.e., setup of the redesign team, preparation for meetings, collaboration in meetings, follow-up after meetings) and two outcomes (i.e., team outcomes, redesign outcomes) of the collaborative process. Challenges to multi-stakeholder collaboration in healthcare system redesign, such as need to represent all relevant stakeholders, scheduling of meetings and managing different perspectives, were identified.
authors.affiliation: Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: axie1@jhmi.edu.
authors.forename: Anping
authors.initials: A
authors.lastname: Xie
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA.
authors.forename: Randi
authors.initials: R
authors.lastname: Cartmill
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
authors.forename: Yaqiong
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Cox
authors.affiliation: Patient and Family Advisory Council, University of Wisconsin Hospital and Clinics and American Family Children's Hospital, Madison, WI, USA.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Plotkin
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Kelly
mesh_terms: D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D006804:Ergonomics; D005260:Female; D006801:Humans; D017146:Models, Organizational; D056164:Teaching Rounds
keywords: Family-centered rounds; Healthcare system redesign; Multi-stakeholder collaboration