Discussion: Transitions in Health Care Delivery

Discussion: Transitions in Health Care Delivery

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At the core of the value transformation is changing the way clinicians are organized to deliver care. The first principle in structuring any organization or business is to organize around the customer and the need. In health care, that requires a shift from today’s siloed organization by specialty department and discrete service to organizing around the patient’s medical condition. We call such a structure an integrated practice unit (IPU). In an IPU, a dedicated
made up of both clinical and nonclinical personnel provides the full care cycle for the patient’s condition.—Michael Porter and Thomas Lee

The impact on value of IPUs is striking. With a dramatic contrast compared to regional averages, patients at Virginia Mason’s Spine Clinic miss fewer days of work (4.3 versus 9 per episode) and need fewer physical therapy visits (4.4 versus 8.8).The shift to value-based health care delivery represents an opportunity to create a
more patient-centered organization as well as a more efficient one. Resource limitations and other pressures place a strain on an organization’s ability to change, and organizations respond to these pressures of change differently.Note: For this Discussion, you are required to complete your initial post before you will be able to view
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