Severity of illness measurement systems: an update.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to K R Jones.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Patient outcomes research provides an opportunity to improve the quality of patient care by modifying the structures and processes of care delivery. Optimal application of outcomes analysis involves collaboration between the health care disciplines. The result of such an endeavor would be the identification of health care practices that lead to desired patient outcomes in the most cost-effective manner.
Administration of a baseline multidisciplinary cultural assessment survey prior to any change effort (to evaluate as well as redesign units) is essential to success in any work redesign effort. Training efforts can then be directed toward effecting the desired changes in perceived norms and values. All involved groups should be surveyed using the same survey tool to elicit potential differences in perceptions of values among various work groups. Proactive values which are seen as predictive of greater change readiness include high teamwork (clan) values, flexibility, as shown by comfort with adhocracy, and recognition of external or market driven realities. Values and norms which are found to be problematic in change efforts include: a reactive orientation marked by strong hierarchical values, a command and control orientation, and strong reliance on rules. Predictors of success include a history of shared governance, while greater difficulties could be anticipated in both unionized and academic health care settings.