Design the Future Model of Health Care Delivery
Today's health care delivery model will be fundamentally transformed by change occurring relatively quickly over the next few years. We expect calls for affordable health care to intensify, and, as a result, health care payment systems increasingly will emphasize doing what is appropriate and necessary for each patient rather than doing more. There will be continued acute focus on the quality and value of health care services, so that all providers of health care will be required to demonstrate that the care they provide is safe, effective, timely, efficient, and equitable. The future model will need to be patient-centric with enhanced coordination of care among patients, providers, and payers. Also, it will need to integrate an ever-increasing body of scientific knowledge of both generalized best practice (evidence-based medicine) and individualized best practice (personalized medicine).
In essence, we anticipate a health care revolution. Our goal, therefore, is to be a forerunner in creating thefuture model of its delivery. We must start by leading in the design and implementation of evidence-based medicine and in the design and testing of both new systems of care and new approaches to health care financing. Building on our long-standing mission of primary care education, we must investigate ways to re-design and re-brand primary care medicine. We must become experts in implementing new approaches to care models and in teaching others how to implement them. Because patients will have a defined and empowered role in planning the development of the way and environment in which care is delivered in the future, interaction with and within our community, and incorporating preventive medicine, will be of paramount concern.
Our priorities for creating the future model of health care delivery are to:
- comprehensively integrate the six domains of quality care (safe, effective, patient-centered, timely, efficient, and equitable) in our research and our educational and clinical programs in order to create a system of care that is distinguished by its emphasis of and achievement in quality;
- build a network of primary care providers that is noted for its capability to provide coordinated personalized care, ready access, and highly effective management of chronic diseases as well as preventive medicine;
- implement an enterprise-wide electronic health record (EHR) that facilitates dissemination of information and improvement in clinical performance, efficiency, and clinical research. This EHR will serve as the integrating framework for our entire system of care;
- continue to grow our clinical system by increasing the number of patients from Central New England who receive their health care from the UMass Memorial system and by building stronger partnerships with member and affiliated hospitals and practitioners;
- continue to build comprehensive clinical Centers of Excellence (CoE) for care of patients with the leading causes of premature death and disability (currently heart and vascular disease, cancer, musculoskeletal disease, and diabetes). Each CoE will provide cutting-edge care, serve as a training center, and undertake pioneering clinical research;
- serve as a laboratory for new health care delivery models and emerging diagnostic and treatment modalities and commit to research on new methods to ensure delivery of the highest quality, patient-centered, and cost-efficient health care for our community;
- imbed clinical research throughout the care delivery system to allow patients access to innovatory treatments; and
- incorporate the care of underserved populations in a delivery model by providing a safety net and integrate expertise in Commonwealth Medicine to improve quality, safety, and effectiveness of serving these populations.