1. Microsystems in health care: Part 2. Creating a rich information environment.
- Author
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Nelson EC, Batalden PB, Homa K, Godfrey MM, Campbell C, Headrick LA, Huber TP, Mohr JJ, and Wasson JH
- Subjects
- Emergency Service, Hospital standards, Humans, Intensive Care Units standards, Leadership, New Hampshire, New Jersey, Organizational Case Studies, Organizational Culture, Patient Care Team standards, Spinal Diseases therapy, Thrombolytic Therapy, Total Quality Management methods, Utah, Wounds and Injuries therapy, Database Management Systems, Hospital Information Systems, Outcome and Process Assessment, Health Care organization & administration, Patient Care Team organization & administration, Systems Analysis, Total Quality Management organization & administration
- Abstract
Background: A rich information environment supports the functioning of the small, functional, frontline units--the microsystems--that provide most health care to most people. Three settings represent case examples of how clinical microsystems use data in everyday practice to provide high-quality and cost-effective care., Cases: At The Spine Center at Dartmouth, Lebanon, New Hampshire, a patient value compass, a one-page health status report, is used to determine if the provided care and services are meeting the patient's needs. In Summit, New Jersey, Overlook Hospital's emergency department (ED) uses uses real-time process monitoring on patient care cycle times, quality and productivity indicator tracking, and patient and customer satisfaction tracking. These data streams create an information pool that is actively used in this ED icrosystem--minute by minute, hourly, daily, weekly, and annually--to analyze performance patterns and spot flaws that require action. The Shock Trauma Intensive Care Unit (STRICU), Intermountain Health Care, Salt Lake City, uses a data system to monitor the "wired" patient remotely and share information at any time in real time. Staff can complete shift reports in 10 minutes., Discussion: Information exchange is the interface that connects staff to patients and staff to staff within the microsystem; microsystem to microsystem; and microsystem to macro-organization.
- Published
- 2003
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