The purpose of this project is a three-step approach to study the micro-system concept. These stages include: (1) the development of the nomenclature and review of the literature; (2) a structured survey (telephone interview) of existing successful micro-systems; and (3) analysis of the raw data from the survey and creation of a project report. The first phase will involve working with a subset of members from the QHCA Committee and other experts to develop a more specific definition of the micro-unit--a nomenclature for describing and classifying micro-systems. A literature review will also be conducted to identify and describe the characteristics of various successful micro-systems. The second phase of this project is a structured telephone interview to be administered to those micro-systems (between 50-75) identified from the literature review and consultation with experts. Those systems serving under/uninsured and rural populations will be included in the sample. The interview will explore the internal micro-systems' characteristics, characteristics of the organizational "home" for the micro-systems, the community factors that may have contributed to the initial and continuing development of the micro-system, and performance of the micro-systems. The summary results of the Institute of Medicine's research on the micro-system will be an integral part of a QHCA Committee report on the characteristics of the 21st Century Health Care Chassis and will provide most of the analytic work needed by Dr. Batalden who will further explore this concept and the possibility of a RWJF national demonstration program.
Amount Awarded $235,983.00
Awarded on: 4/27/1999
Time frame: 5/1/1999 - 10/31/2000
Grant Number: 36111