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Amy Compton-Phillips

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How to benefit from design thinking

In NEJM Catalyst, Amy Compton-Phillips, M.D., and Namita Seth Mohta, M.D., look at how healthcare organizations can best benefit from design thinking. Among their observations:

“NEJM Catalyst Insights Council members say the top organizational issues that would benefit most from design thinking are workflow, for staff and patients alike, and patient-facing activities such as scheduling appointments. In written responses, survey respondents single out scheduling as a poorly designed aspect of care delivery, citing issues with skills of centralized schedulers, the need for provider input on scheduling, and an abundance of inefficiency. More executives (41%) and clinicians (39%) than clinical leaders (29%) rank patient adherence/compliance with therapy among the issues that would benefit most from design thinking approaches.”

To read their whole piece, please hit this link.

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The population-health definition disconnect

Amy Compton-Phillips, M.D., writes in NEJM Catalyst that one of the problems associated with implementing population programs is disagreement over what the term “population health” really means. This leads to mixed and uncertain support for the very concept of population-health management.

She writes: “While executives and clinical leaders believe it is the future path to better care delivery, frontline physicians feel that population health implies a focus on broad interventions aimed at public health, at the expense of the highly personalized care that Americans expect — care centered on their individual needs, values, and preferences.

“This fundamental disconnect in views seems rooted in the ways different constituents define population health. Executives and clinical leaders view the concept as a financial construct — the way that the healthcare system will actually move from volume to value. They focus on paying primary care for the efficacy of preventive care, as measured by reliable primary and secondary prevention metrics, or on creating a medical home with accountability and risk for a defined population. For healthcare executives, population health is all about the money flow and the metrics that evidence-based guidelines say the system should be providing reliably.”

To read her essay, please hit this link.

 


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