Saturday, May 11, 2002 6 Aims and 10 Simple Rules for more perfect heathcare, Institute of Medicine The key ideas behind this entire Institute of Medicine approach includes six goals: 1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable; and ten simple rules: 1.  Continuous healing relationships 2.  Customization 3.  Patient control 4.  Shared information 5.  Evidence-based decision-making 6.  Safety as a system property 7.  Transparency 8.  Anticipation of needs 9.  Continuous decrease in waste 10.  Cooperation among clinicians   4:08:03 PM     comment [] Patient Centered care, the relationship between measruement and care team behavior. Bill Mahoney begins the open dialogue on Patient Centered care when he posts: Activated patientness is not a trait but a state. The state is created by the care team (in whatever form) providing patient-centered care. The only importance of patient traits is that they (e,g, locus of control, self-esteem, soci-economic status, location in the social structure) specify the probability of x level/type of patient-centered care activity resulting in y level of activation. The biggest barrier (if the focus groups done 2 years ago tell us anything) is not the patient, but the provider. Building patient-centered care (CCM's productive interactions) is identical to building team development (it is team development.....patient as full partner in the care team). The absolutely essential foundation of patient-centered care is the creation of team cohesiveness (see team measure) and this will require that providers redefine their role, the patient's role and the nature of the patient-provider relationship. My hypothesis is that few will be willing to go there and we may easily revert to blaming it on those noncompliant patients...an animal that does not exist. [Bill Mahoney's Radio Weblog]   11:11:22 AM     comment [] © Copyright 2002 Marcus Pierson, MD.

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