deliverysystemdesignpresentation-improvingchronic-.pptVIP

Delivery System Design Define roles and distribute tasks amongst team members. Use planned interactions to support evidence-based care. Provide clinical case management services. Ensure regular follow-up. Give care that patients understand and that fits their culture To improve outcomes in chronic illness Patients must be prescribed and taking proven therapies Patients must be managing their illness well Patient course must be followed for changes in status and reinforcement The problem Patients are frustrated by waits and discontinuities, often don’t receive proven services and often feel the