PMID: 18714745Aug 22, 2008Paper

Clinical microsystems, part 2. Learning from micro practices about providing patients the care they want and need

Joint Commission Journal on Quality and Patient Safety
John H WassonPaul B Batalden

Abstract

Usual medical care in the United States is frequently not a satisfying experience for either patients or primary care physicians. Whether primary care can be saved and its quality improved is a subject of national concern. An increasing number of physicians are using microsystem principles to radically redesign their practices. Small, independent practices-micro practices-are often able to incorporate into a few people the frontline attributes of successful microsystems such as clear leadership, patient focus, process improvement, performance patterns, and information technology. An exemplary microsystem will (1) have as its primary purpose a focus on the patient-a commitment to meet all patient needs; (2) make fundamental to its work the study, measurement, and improvement ofcare-a commitment to process improvement; and (3) routinely measure its patterns of performance, "feed back" the data, and make changes based on the data. The literature and experience with micro practices suggest that they (1) constitute an important group in which to demonstrate the value of microsystem thinking; (2) can become very effective clinical microsystems; (3) can reduce their overhead costs to half that of larger freestanding practices, enablin...Continue Reading

References

May 12, 2005·Health Affairs·Anne-Marie J AudetStephen C Schoenbaum
Jun 22, 2006·The Journal of Ambulatory Care Management·L Gordon Moore, John H Wasson
Jun 22, 2006·The Journal of Ambulatory Care Management·L Gordon MooreJudith Zettek
Sep 1, 2006·The New England Journal of Medicine·Thomas Bodenheimer
Dec 21, 2006·JAMA : the Journal of the American Medical Association·Steven C Bergeson, John D Dean
Sep 26, 2007·Annals of Family Medicine·Thomas Bodenheimer, Brian Yoshio Laing

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Citations

Dec 24, 2008·The Journal of Ambulatory Care Management·Marie SchallJohn H Wasson
Jul 8, 2011·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Matthew A DavisWilliam B Weeks
Oct 1, 2011·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·William C Torrey, Robert E Drake
Jun 12, 2013·The Journal of Ambulatory Care Management·Lynn HoJohn H Wasson
Dec 17, 2010·The Journal of Ambulatory Care Management·John H WassonTodd Mackenzie
Oct 19, 2012·The Nurse Practitioner·Dian Baker, Victoria Niederhauser
Jun 12, 2013·The Journal of Ambulatory Care Management·Lynn HoUNKNOWN Dartmouth Primary Care Practice Network and Ideal Medical Practices
Jan 10, 2014·Journal of Graduate Medical Education·Patrick T LeeChristine A Sinsky
Dec 20, 2018·Nursing Forum·Gordana Dermody, Jane Tiedt
Jul 9, 2020·Primary Health Care Research & Development·Vanessa AbrahamsonPatricia M Wilson
Dec 24, 2008·The Journal of Ambulatory Care Management·Cory SevinCindy Hupke
Dec 24, 2008·The Journal of Ambulatory Care Management·John H Wasson, Steve Bartels
Nov 6, 2009·The Journal of Ambulatory Care Management·John H Wasson, L Gordon Moore
Dec 23, 2009·The Journal of Ambulatory Care Management·Richard L FullerWilliam P Kelly
Aug 23, 2020·The Journal of Ambulatory Care Management·Rip HollisterUNKNOWN Physicians Foundation

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