Abstract
Better care coordination is a crucial objective to answer to the rising complexity of healthcare and the associated increase in costs. Process-based organizations is a widely recommended method for achieving this goal. In this article an initiative of implementing a care process in a French public hospital group is analyzed. The procedure to design the care process is documented and the official care process is compared to the current situation in a hospital. This analysis shows how important local parameters are in such projects. The shortcomings of the approach are identified and propositions to overcome these issues are made.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
OECD: Health at a glance 2013: OECD indicators. Organisation for Economic Co-operation and Development, Paris (2013)
Cour des Comptes: La Sécurité sociale—Rapport sur l’application des lois de financement de la sécurité sociale. Cour des Comptes, Paris, France (2014)
Plsek, P.E., Greenhalgh, T.: The challenge of complexity in health care. BMJ 323, 625–628 (2001)
Georgopoulos, B.S., Matejko, A.: The American general hospital as a complex social system. Health Serv. Res. 2, 76–112 (1967)
Glouberman, S., Mintzberg, H.: Managing the care of health and the cure of disease–part II: integration. Health Care Manage. Rev. 26, 70–84; discussion 87–89 (2001)
Reid, P.P., Grossman, J.H. (eds.): A framework for a systems approach to health care delivery. In: Building a better delivery system: A new engineering/health care partnership. National Academies Press, Washington, DC, États-Unis (2005)
Dupuy, F.: Lost in management: la vie quotidienne des entreprises au XXIe siècle. Éditions du Seuil, Paris (2011)
Nyssen, A.-S.: Coordination in hospitals: organized or emergent process? Cogn. Technol. Work 9, 149–154 (2007)
McDonald, K.M., Sundaram, V., Bravata, D.M., Lewis, R., Lin, N., Kraft, S.A., McKinnon, M., Paguntalan, H., Owens, D.K.: Closing the quality gap: a critical analysis of quality improvement strategies, vol. 7: Care Coordination. Agency for Healthcare Research and Quality (US), Rockville (MD) (2007)
Vera, A., Kuntz, L.: Process-based organization design and hospital efficiency. Health Care Manage. Rev. 32, 55–65 (2007)
Axelsson, R., Axelsson, S.B., Gustafsson, J., Seemann, J.: Organizing integrated care in a university hospital: application of a conceptual framework. Int. J. Integr. Care. 14, e019 (2014)
Ben-Tovim, D.I., Dougherty, M.L., O’Connell, T.J., McGrath, K.M.: Patient journeys: the process of clinical redesign. Med. J. Aust. 188, S14–S17 (2008)
Vanhaecht, K.: The Impact of Clinical Pathways on the Organisation of Care Processes (2007)
Panella, M., Marchisio, S., Di Stanislao, F.: Reducing clinical variations with clinical pathways: do pathways work? Int. J. Qual. Health Care 15, 509–521 (2003)
Dy, S.M., Garg, P., Nyberg, D., Dawson, P.B., Pronovost, P.J., Morlock, L., Rubin, H., Wu, A.W.: Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis. Health Serv. Res. 40, 499–516 (2005)
van de Klundert, J., Gorissen, P., Zeemering, S.: Measuring clinical pathway adherence. J. Biomed. Inform. 43, 861–872 (2010)
Walden, D.D., Roedler, G.J., Forsberg, K., Hamelin, R.D., Shortell, T.M.: International council on systems engineering eds: systems engineering handbook: a guide for system life cycle processes and activities. Wiley, Hoboken (2015)
INCa: Délais de prise en charge des quatre cancers les plus fréquents dans plusieurs régions de France en 2011 et 2012 : sein, poumon, côlon et prostate. Institut National du Cancer, Paris, France (2013)
Lillrank, P., Liukko, M.: Standard, routine and non-routine processes in health care. Int. J. Health Care Qual. Assur. Inc. Leadersh. Health Serv. 17, 39–46 (2004)
Van der Geer, E., van Tuijl, H.F.J.M., Rutte, C.G.: Performance management in healthcare: performance indicator development, task uncertainty, and types of performance indicators. Soc. Sci. Med. 69, 1523–1530 (2009)
Jacobs, M.A.: Complexity: toward an empirical measure. Technovation 33, 111–118 (2013)
Burton, R.M., DeSanctis, G., Obel, B.: Organizational design a step-by-step approach. Cambridge University Press, Cambridge (2006)
Zegers, M., de Bruijne, M.C., Spreeuwenberg, P., Wagner, C., Groenewegen, P.P., van der Wal, G.: Quality of patient record keeping: an indicator of the quality of care? BMJ Qual. Saf. 20, 314–318 (2011)
Harper, P.R.: A framework for operational modelling of hospital resources. Health Care Manag. Sci. 5, 165–173 (2002)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this paper
Cite this paper
Lamé, G., Duong, TA., Jankovic, M., Cardinal, J.SL., Jouini, O. (2016). Analysis of Implementation of Care Coordination in a Multi-level Care Provider Organization: A Need for Systems Approaches. In: Auvray, G., Bocquet, JC., Bonjour, E., Krob, D. (eds) Complex Systems Design & Management. Springer, Cham. https://doi.org/10.1007/978-3-319-26109-6_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-26109-6_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-26107-2
Online ISBN: 978-3-319-26109-6
eBook Packages: EngineeringEngineering (R0)