Patient-Centered Innovation in Health Care Organizations: A Conceptual Framework and Case Study Application

Details

• Personal Author:
  Conrad DA ; Hernandez SE ; Marcus-Smith MS ; Reed P ; Watts C
• Description:
  Background: Patient-centered innovation is spreading at the federal and state levels. A conceptual framework can help frame real-world examples and extract systematic learning from an array of innovative applications currently underway. The statutory, economic, and political environment in Washington State offers a special contextual laboratory for observing the interplay of these factors. Purpose: We propose a framework for understanding the process of initiating patient-centered innovations-particularly innovations addressing patient-centered goals of improved access, continuity, communication and coordination, cultural competency, and family- and person-focused care over time. The framework to a case study of a provider organization in Washington State actively engaged in such innovations was applied in this article. Methods: We conducted a selective review of peer-reviewed evidence and theory regarding determinants of organizational change. On the basis of the literature review and the particular examples of patient-centric innovation, we developed a conceptual framework. Semistructured key informant interviews were conducted to illustrate the framework with concrete examples of patient-centered innovation. Findings: The primary determinants of initiating patient-centered innovation are (a) effective leadership, with the necessary technical and professional expertise and creative skills; (b) strong internal and external motivation to change; (c) clear and internally consistent organizational mission; (d) aligned organizational strategy; (e) robust organizational capability; and (f) continuous feedback and organizational learning. The internal hierarchy of actors is important in shaping patient-centered innovation. External financial incentives and government regulations also significantly shape innovation. Practice Implications: Patient-centered care innovation is a complex process. A general framework that could help managers and executives organize their thoughts around innovation within their organization is presented. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Health Care Facilities Workforce And Services Occupational Health Safety
• Keywords:
  Author Keywords: Innovation Health Care Health Services Medical Care Medical Management Guidelines Organizational Change Patient-centered Care Work Organization
• ISSN:
  0361-6274
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; Virginia ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  166-175
• Volume:
  38
• Issue:
  2
• NIOSHTIC Number:
  nn:20056643
• Citation:
  Health Care Manage Rev 2013 Apr-Jun; 38(2):166-175
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Health Care Management Review
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:11fbc6fce952854b3e30591aae4395fc103cda7e14cb4664a80b7f0889c17fb3352c7a4c2899bc88f7e7beba376db30a47e4b4e112faf9c676c0350f11d3b114
• Download URL:
  https://stacks.cdc.gov/view/cdc/214205/cdc_214205_DS1.pdf
• File Type:
  [PDF - 1.85 MB ]