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The
Five Rights of
Effective Clinical Process Redesign
Right Culture
The
Clinical Leaders' most important high level task is the creation of the Right
Culture and using it to develop the Right
Consensus. It also services as a critical infrastructure
component for Effective Clinical Informatics Implementation.
The
essential elements are:
Patient
care is delivered through the complex interactions of different
disciplines and systems. Understanding those processes of care
and the myriads of handoffs that routinely happen can clarify points of
failure and inefficiency. Individuals are important elements in the system
of care, but only elements.
Disciplines
are often ignorant of the needs and expectations of other disciplines
even when there is substantial overlap of their work processes. Close
collaboration is essential to optimize how work is done and to develop
mutual safety nets, where partnerships make sure that important details
don't fall through the cracks.
Data
should be the foundation of understanding and discovery. Monitoring data
reveals flaws in processes. Data produces alignment of perspectives and
substitutes for speeches.
Though
these concepts may be brought together under different labels like Six
Sigma or Performance Improvement or a Learning Organization, what
counts is that there are caregiving, problem-solving teams that learn to
work together effectively and trust and value each other.
Developing
an improvement culture requires nurturing, but when
present can greatly accelerate a clinical transformation and result in
the Right Consensus.
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