An Updated Version of the Anatomy of Healthcare Delivery Model

We appreciate the interest so many of you have shown in the Anatomy of Healthcare Delivery model. Based on questions that have been posed in the past and now in connection with this iteration of the model, we have added some enhancements to the graphic that illustrate the concept.

Anatomy of Healthcare Delivery Model
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By way of reminder, we developed this graphical schema as a conceptual model of the flow of healthcare delivery distilled into a simple, actionable framework.

We are frequently asked to which part(s) of the model workflow tools like LEAN or TPS apply. Some folks want to apply these workflow improvement tools to the entire model, but that does not work very well. It kind of validates that if all you have is a hammer everything in the world looks like a nail. As you will see in the new version, we have colored some of the boxes green and have added a more detailed description of them in the legend at the upper right.

We have also indicated next to the legend that the tool that works best with the orange and blue boxes is a Care Process Model, which is a conceptual flow diagram that describes in traditional QI fashion the scientific flow of care as understood by physicians and advanced practice clinicians (clinical registered nurse practitioners and physician assistants [APCs]).

The tools that work best with the green boxes are Value Stream Maps and applicable Lean/TPS adjunctive tools like A3s, as well as tools to develop clinical operations protocols.

So, the Care Process Model and its knowledge assets help Clinical Program physicians (e.g., cardiologists and heart surgeons) and APCs reduce variation in defining patients for whom care will add value. It then helps in standardizing the order sets and in the selection of substances (e.g., antibiotics, blood products) and clinical supply chain items (e.g., stents, prosthetic devices) to make the care more effective.

The Value Stream Maps, A3s, and protocols help Clinical Support Service physicians (e.g., emergency and critical care physicians, anesthesiologists) and clinical operations personnel (e.g., nurses, therapists, and technologists) improve the efficiency and safety of the delivery of the care ordered by the Clinical Program providers.

We hope these refinements to the Anatomy of Healthcare Delivery model will be helpful.

Have you read the Anatomy of Healthcare Delivery Model? If so, do you agree with the systematized approach to healthcare? Why or why not?

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