Macrosystem

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Eugene C Nelson - One of the best experts on this subject based on the ideXlab platform.

  • quality by design a clinical microsystems approach
    2010
    Co-Authors: Eugene C Nelson
    Abstract:

    List of Tables, Figures, and Exhibits. Foreword by Donald M. Berwick. Preface. Acknowledgments. Introduction. The Editors. The Contributors. PART ONE: CASES AND PRINCIPLES. 1. Success Characteristics of High-Performing Microsystems: Learning from the Best (Eugene C. Nelson, Paul B. Batalden, Thomas P. Huber, Julie K. Johnson, Marjorie M. Godfrey, Linda A. Headrick,and John H. Wasson). 2. Developing High-Performing Microsystems (Eugene C. Nelson, Paul B. Batalden, William H. Edwards, Marjorie M. Godfrey, and Julie K. Johnson). 3. Leading Microsystems (Paul B. Batalden, Eugene C. Nelson, Julie K. Johnson, Marjorie M. Godfrey, Thomas P. Huber, Linda Kosnik, and Kerri Ashling). 4. Leading Macrosystems and Mesosystems for Microsystem Peak Performance (Paul B. Batalden, Eugene C. Nelson, Paul B. Gardent, and Marjorie M. Godfrey). 5. Developing Professionals and Improving Worklife (Thomas P. Huber, Marjorie M. Godfrey, Eugene C. Nelson, Julie K. Johnson, Christine Campbell, and Paul B. Batalden). 6. Planning Patient-Centered Services (Marjorie M. Godfrey, Eugene C. Nelson, John H. Wasson, Julie K. Johnson, and Paul B. Batalden). 7. Planning Patient-Centered Care (John H. Wasson, Marjorie M. Godfrey, Eugene C. Nelson, Julie K. Johnson, and Paul B. Batalden). 8. Improving Patient Safety (Julie K. Johnson, Paul Barach, Joseph P. Cravero, George T. Blike, Marjorie M. Godfrey, Paul B. Batalden, and Eugene C. Nelson). 9. Creating a Rich Information Environment (Eugene C. Nelson, Paul B. Batalden, Karen Homa, Marjorie M. Godfrey, Christine Campbell, Linda A. Headrick, Thomas P. Huber, Julie K. Johnson, and John H. Wasson). PART TWO: ACTIVATING THE ORGANIZATION AND THE DARTMOUTH MICROSYSTEM IMPROVEMENT CURRICULUM. 10. Overview of Path Forward and Introduction to Part Two. 11. Introduction to Microsystem Thinking. 12. Effective Meeting Skills I. 13. Assessing Your Microsystem with the 5 P's. 14. The Model for Improvement: PDSA!!. 15. Selecting Themes for Improvement. 16. Improvement Global Aim. 17. Process Mapping. 18. Specific Aim. 19. Cause and Effect Diagrams. 20. Effective Meeting Skills II: Brainstorming and Multi-Voting. 21. Change Concepts. 22. Measurement and Monitoring. 23. Action Plans and Gantt Charts. 24. Follow Through on Improvement: Storyboards, Data Walls, and Playbooks. 25. Conclusion: Continuing on the Path to Excellence. Appendix A: Primary Care Workbook. Name Index. Subject Index.

  • clinical microsystems part 3 transformation of two hospitals using microsystem mesosystem and Macrosystem strategies
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Craig N Melin, Stephen E Muething, Paul B Batalden, Eugene C Nelson
    Abstract:

    BACKGROUND: Two hospitals-a large, urban academic medical center and a rural, community hospital-have each chosen a similar microsystem-based approach to improvement, customizing the engagement of ...

  • clinical microsystems part 1 the building blocks of health systems
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Scott A Berry, Albert E Bothe, Karen E Mckinley, Craig N Melin, Paul B Batalden, Eugene C Nelson, Stephen E Muething
    Abstract:

    Article-at-a-Glance Background Wherever, however, and whenever health care is delivered—no matter the setting or population of patients—the body of knowledge on clinical microsystems can guide and support innovation and peak performance. Many health care leaders and staff at all levels of their organizations in many countries have adapted microsystem knowledge to their local settings. Clinical Microsystems: A Panoramic View: How Do Clinical Microsystems Fit Together? As the patient's journey of care seeking and care delivery takes place over time, he or she will move into and out of an assortment of clinical microsystems, such as a family practitioner's office, an emergency department, and an intensive care unit. This assortment of clinical microsystems—combined with the patient's own actions to improve or maintain health—can be viewed as the patient's unique health system. This patient-centric view of a health system is the foundation of second-generation development for clinical microsystems. Lessons from the Field These lessons, which are not comprehensive, can be organized under the familiar commands that are used to start a race: On Your Mark, Get Set, Go! … with a fourth category added—Reflect: Reviewing the Race. These insights are intended as guidance to organizations ready to strategically transform themselves. Conclusion Beginning to master and make use of microsystem principles and methods to attain Macrosystem peak performance can help us knit together care in a fragmented health system, eschew archipelago building in favor of nation-building strategies, achieve safe and efficient care with reliable handoffs, and provide the best possible care and attain the best possible health outcomes.

Stephen E Muething - One of the best experts on this subject based on the ideXlab platform.

  • clinical microsystems part 3 transformation of two hospitals using microsystem mesosystem and Macrosystem strategies
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Craig N Melin, Stephen E Muething, Paul B Batalden, Eugene C Nelson
    Abstract:

    BACKGROUND: Two hospitals-a large, urban academic medical center and a rural, community hospital-have each chosen a similar microsystem-based approach to improvement, customizing the engagement of ...

  • clinical microsystems part 1 the building blocks of health systems
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Scott A Berry, Albert E Bothe, Karen E Mckinley, Craig N Melin, Paul B Batalden, Eugene C Nelson, Stephen E Muething
    Abstract:

    Article-at-a-Glance Background Wherever, however, and whenever health care is delivered—no matter the setting or population of patients—the body of knowledge on clinical microsystems can guide and support innovation and peak performance. Many health care leaders and staff at all levels of their organizations in many countries have adapted microsystem knowledge to their local settings. Clinical Microsystems: A Panoramic View: How Do Clinical Microsystems Fit Together? As the patient's journey of care seeking and care delivery takes place over time, he or she will move into and out of an assortment of clinical microsystems, such as a family practitioner's office, an emergency department, and an intensive care unit. This assortment of clinical microsystems—combined with the patient's own actions to improve or maintain health—can be viewed as the patient's unique health system. This patient-centric view of a health system is the foundation of second-generation development for clinical microsystems. Lessons from the Field These lessons, which are not comprehensive, can be organized under the familiar commands that are used to start a race: On Your Mark, Get Set, Go! … with a fourth category added—Reflect: Reviewing the Race. These insights are intended as guidance to organizations ready to strategically transform themselves. Conclusion Beginning to master and make use of microsystem principles and methods to attain Macrosystem peak performance can help us knit together care in a fragmented health system, eschew archipelago building in favor of nation-building strategies, achieve safe and efficient care with reliable handoffs, and provide the best possible care and attain the best possible health outcomes.

Craig N Melin - One of the best experts on this subject based on the ideXlab platform.

  • clinical microsystems part 3 transformation of two hospitals using microsystem mesosystem and Macrosystem strategies
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Craig N Melin, Stephen E Muething, Paul B Batalden, Eugene C Nelson
    Abstract:

    BACKGROUND: Two hospitals-a large, urban academic medical center and a rural, community hospital-have each chosen a similar microsystem-based approach to improvement, customizing the engagement of ...

  • clinical microsystems part 1 the building blocks of health systems
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Scott A Berry, Albert E Bothe, Karen E Mckinley, Craig N Melin, Paul B Batalden, Eugene C Nelson, Stephen E Muething
    Abstract:

    Article-at-a-Glance Background Wherever, however, and whenever health care is delivered—no matter the setting or population of patients—the body of knowledge on clinical microsystems can guide and support innovation and peak performance. Many health care leaders and staff at all levels of their organizations in many countries have adapted microsystem knowledge to their local settings. Clinical Microsystems: A Panoramic View: How Do Clinical Microsystems Fit Together? As the patient's journey of care seeking and care delivery takes place over time, he or she will move into and out of an assortment of clinical microsystems, such as a family practitioner's office, an emergency department, and an intensive care unit. This assortment of clinical microsystems—combined with the patient's own actions to improve or maintain health—can be viewed as the patient's unique health system. This patient-centric view of a health system is the foundation of second-generation development for clinical microsystems. Lessons from the Field These lessons, which are not comprehensive, can be organized under the familiar commands that are used to start a race: On Your Mark, Get Set, Go! … with a fourth category added—Reflect: Reviewing the Race. These insights are intended as guidance to organizations ready to strategically transform themselves. Conclusion Beginning to master and make use of microsystem principles and methods to attain Macrosystem peak performance can help us knit together care in a fragmented health system, eschew archipelago building in favor of nation-building strategies, achieve safe and efficient care with reliable handoffs, and provide the best possible care and attain the best possible health outcomes.

Patrick H Tolan - One of the best experts on this subject based on the ideXlab platform.

  • the developmental ecology of urban males youth violence
    Developmental Psychology, 2003
    Co-Authors: Patrick H Tolan, Deborah Gormansmith, David Henry
    Abstract:

    Data from a longitudinal study of 294 African American and Latino adolescent boys and their caregivers living in poor urban communities were used to test a developmental-ecological model of violence. Six annual waves of data were applied to evaluate the relations between microsystem influences of parenting and peer deviance (peer violence and gang membership), Macrosystem influences of community structural characteristics and neighborhood social organization, and individual involvement in violence (level and growth). Structural equation modeling analyses showed that community structural characteristics significantly predicted neighborhood social processes. Parenting practices partially mediated the relation between neighborhood social processes and gang membership. Parenting practices was fully mediated in its relation to peer violence by gang membership. Gang membership was partially mediated by peer violence level in its relation to individual violence level. Although the overall set of relations does not satisfy mediation requirements fully in all instances, the model was validated for the most part, supporting a focus on a multilevel ecological model of influences on risk development.

  • the developmental ecology of urban males youth violence
    Developmental Psychology, 2003
    Co-Authors: Patrick H Tolan, Deborah Gormansmith, David B Henry
    Abstract:

    Data from a longitudinal study of 294 African American and Latino adolescent boys and their caregivers living in poor urban communities were used to test a developmental-ecological model of violence. Six annual waves of data were applied to evaluate the relations between microsystem influences of parenting and peer deviance (peer violence and gang membership), Macrosystem influences of community structural characteristics and neighborhood social organization, and individual involvement in violence (level and growth). Structural equation modeling analyses showed that community structural characteristics significantly predicted neighborhood social processes. Parenting practices partially mediated the relation between neighborhood social processes and gang membership. Parenting practices was fully mediated in its relation to peer violence by gang membership. Gang membership was partially mediated by peer violence level in its relation to individual violence level. Although the overall set of relations does not satisfy mediation requirements fully in all instances, the model was validated for the most part, supporting a focus on a multilevel ecological model of influences on risk development. Language: en

Marjorie M. Godfrey - One of the best experts on this subject based on the ideXlab platform.

  • clinical microsystems part 3 transformation of two hospitals using microsystem mesosystem and Macrosystem strategies
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Craig N Melin, Stephen E Muething, Paul B Batalden, Eugene C Nelson
    Abstract:

    BACKGROUND: Two hospitals-a large, urban academic medical center and a rural, community hospital-have each chosen a similar microsystem-based approach to improvement, customizing the engagement of ...

  • clinical microsystems part 1 the building blocks of health systems
    The Joint Commission Journal on Quality and Patient Safety, 2008
    Co-Authors: Marjorie M. Godfrey, Scott A Berry, Albert E Bothe, Karen E Mckinley, Craig N Melin, Paul B Batalden, Eugene C Nelson, Stephen E Muething
    Abstract:

    Article-at-a-Glance Background Wherever, however, and whenever health care is delivered—no matter the setting or population of patients—the body of knowledge on clinical microsystems can guide and support innovation and peak performance. Many health care leaders and staff at all levels of their organizations in many countries have adapted microsystem knowledge to their local settings. Clinical Microsystems: A Panoramic View: How Do Clinical Microsystems Fit Together? As the patient's journey of care seeking and care delivery takes place over time, he or she will move into and out of an assortment of clinical microsystems, such as a family practitioner's office, an emergency department, and an intensive care unit. This assortment of clinical microsystems—combined with the patient's own actions to improve or maintain health—can be viewed as the patient's unique health system. This patient-centric view of a health system is the foundation of second-generation development for clinical microsystems. Lessons from the Field These lessons, which are not comprehensive, can be organized under the familiar commands that are used to start a race: On Your Mark, Get Set, Go! … with a fourth category added—Reflect: Reviewing the Race. These insights are intended as guidance to organizations ready to strategically transform themselves. Conclusion Beginning to master and make use of microsystem principles and methods to attain Macrosystem peak performance can help us knit together care in a fragmented health system, eschew archipelago building in favor of nation-building strategies, achieve safe and efficient care with reliable handoffs, and provide the best possible care and attain the best possible health outcomes.