What Makes for Successful Health Care System Redesign? Team at Boston University's School of Public Health Identifies Five Critical Factors

    • August 27, 2009

During the evaluation of the Robert Wood Johnson Foundation (RWJF) national program Pursuing Perfection, members of the evaluation team from the Boston University School of Public Health developed a conceptual model of organizational transformation. This model is designed to help CEOs, senior staff and board members of health care organizations achieve high levels of quality for patients while still remaining profitable.

The organizational transformation model addresses the Institute of Medicine's (IOM) Six Aims for improving health care:

  • Safe: Avoid injuries to patients from the care that is intended to help them.
  • Effective: Match care to science; avoid overuse of ineffective care and underuse of effective care.
  • Patient-Centered: Honor the individual and respect choice.
  • Timely: Reduce waiting for both patients and those who give care.
  • Efficient: Reduce waste.
  • Equitable: Close racial and ethnic gaps in health status.

Key Results

  • To create the model, project staff identified the factors critical to successful system redesign based on the experiences of 22 health care systems striving to provide superior care to their patients. With funding from this grant, project staff developed:

    • A print brochure describing the organizational transformation model.
    • A website containing:
      • Examples of how the model may be implemented.
      • Explanations of the model's five critical elements.

As of June 2009, the staff plans to continue to promote the website at events such as the 2009 AcademyHealth Research Meeting.