IOM　の　カズムリポート　を出発点として、
ドクターが中心となって、改革。

Crossing the Quality Chasm report

６つの目標

1. Safe -- avoiding injuries to patients from the care that is intended to help them.
2. Effective -- providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse, respectively).
3. Patient-centered -- providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
4. Timely -- reducing waits and sometimes harmful delays for both those who receive and those who give care.
5. Efficient -- avoiding waste, including waste of equipment, supplies, ideas, and energy.
6. Equitable -- providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.

１０の　ストラテジー　テーマ

1. Care based on continuous healing relationships (not just visits)
2. Customization based on individual patients? needs and values
3. The patient as source of control
4. Shared knowledge and the free flow of information (including "unfettered access" by patients to their own medical records)
5. Evidence-based decision-making
6. Safety as a system property
7. The need for transparency
8. Anticipation of needs
9. Continuous decrease in waste
10. Cooperation among clinicians

これをモデルに、病院を改革するのも、名案ですね。

わたしのお勧めです。

スコアカードと連携して、トライしてみてください。

--- nonkou