Change Management Strategies of High Performing Busy Practices
SUMMARY:
The exact components of a successful change management program has not been well defined.
Conceptual models have been developed but may not account for rural and urban busy clinical practices.
A model for disease management in both rural and urban settings has been evaluated and consists of 8 care management strategies.
These strategies can then be used to drive the care change process.
REVIEW
Implementing new care management processes is essential for successful ongoing clinical improvements and outcomes.
Institution of new strategies is never easy and often disruptive.
A clear difference exists in care management strategies between high performing and low performing clinical practices. Evaluating successful approaches in busy practices can give us a path for success.
High performing successful practices includes the following strategies.
These strategies can then be tied to processes to target.
Change Management Strategies for Success: (Peterson KA et al Ann Fam Med 2023;21:424-431)
Standardized Care Processes
Performance Awareness
Care Team Development
Support from the Health Care Organization, if possible
Population based reporting
Engagement
Accountability
Leadership
Strategies for Success
Turning Strategies into Processes
CONCLUSIONS:
Success factors for care improvement by high performing busy practice sites focus on core elements.
Implementing a standardized process of care during patient encounters helps to address the complexities of care.
Incorporation of performance data to support pre-visits and post-visit assessments aid in the delivery of high quality care. But having a reporting structure is not enough, and requires devoting time to evaluate the data.