Four Habits of High-Value Health Care Organizations

The Four Habits of High-Value Health Care Organizations by Richard M.J. Bohmer, published in The New England Journal of Medicine, focuses on the key practices that set high-value health care organizations apart. The document is divided into the following main points:

Specification and Planning: High-value organizations specify decisions and activities in advance. They use explicit criteria for both operational and clinical decisions. This approach contrasts with the common practice of treating each new patient or problem as unique, requiring a new strategy each time. (Page 1)

Infrastructure Design: These organizations design microsystems to match their defined subpopulations and pathways. They allocate tasks to different members of a clinical team, ensuring that each member's skill and training are matched to the work. (Page 2)

Measurement and Oversight: While many organizations measure clinical operations for external reporting, high-value organizations use measurement primarily for internal process control and performance management. They collect more detailed measurements than those required for external reporting.

Self-Study: High-value organizations not only ensure that their clinical practices are up-to-date but also examine their own care and outcomes for continuous improvement. They treat clinical knowledge as both an organizational and individual property. (Page 3)

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