Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system

Malaz A Boustani1,2,3,4, Stephanie Munger1,2, Rajesh Gulati3,4, Mickey Vogel4, Robin A Beck3,4, Christopher M Callahan1,2,3,41Indiana University Center for Aging Research, 2Regenstrief Institute Inc., 3Indiana University School of Medicine, Department of Medicine, Division of General Internal Medici...

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Autores principales:	Malaz A Boustani, Stephanie Munger, Rajesh Gulati, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	complexity aging brain implementation complex adaptive system sustained change care delivery Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8b5cad6f452e4fb7878d96f9fac4a39a
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spelling	oai:doaj.org-article:8b5cad6f452e4fb7878d96f9fac4a39a2021-12-02T07:09:21ZSelecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system1178-1998https://doaj.org/article/8b5cad6f452e4fb7878d96f9fac4a39a2010-05-01T00:00:00Zhttps://www.dovepress.com/selecting-a-change-and-evaluating-its-impact-on-the-performance-of-a-c-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Malaz A Boustani1,2,3,4, Stephanie Munger1,2, Rajesh Gulati3,4, Mickey Vogel4, Robin A Beck3,4, Christopher M Callahan1,2,3,41Indiana University Center for Aging Research, 2Regenstrief Institute Inc., 3Indiana University School of Medicine, Department of Medicine, Division of General Internal Medicine and Geriatrics, 4Indiana University Medical Group-Primary Care; Indianapolis, IN USAAbstract: Complexity science suggests that our current health care delivery system acts as a complex adaptive system (CAS). Such systems represent a dynamic and flexible network of individuals who can coevolve with their ever changing environment. The CAS performance fluctuates and its members’ interactions continuously change over time in response to the stress generated by its surrounding environment. This paper will review the challenges of intervening and introducing a planned change into a complex adaptive health care delivery system. We explore the role of the “reflective adaptive process” in developing delivery interventions and suggest different evaluation methodologies to study the impact of such interventions on the performance of the entire system. We finally describe the implementation of a new program, the Aging Brain Care Medical Home as a case study of our proposed evaluation process.Keywords: complexity, aging brain, implementation, complex adaptive system, sustained change, care deliveryMalaz A BoustaniStephanie MungerRajesh Gulatiet alDove Medical Pressarticlecomplexityaging brainimplementationcomplex adaptive systemsustained changecare deliveryGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 5, Pp 141-148 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	complexity aging brain implementation complex adaptive system sustained change care delivery Geriatrics RC952-954.6
spellingShingle	complexity aging brain implementation complex adaptive system sustained change care delivery Geriatrics RC952-954.6 Malaz A Boustani Stephanie Munger Rajesh Gulati et al Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
description	Malaz A Boustani1,2,3,4, Stephanie Munger1,2, Rajesh Gulati3,4, Mickey Vogel4, Robin A Beck3,4, Christopher M Callahan1,2,3,41Indiana University Center for Aging Research, 2Regenstrief Institute Inc., 3Indiana University School of Medicine, Department of Medicine, Division of General Internal Medicine and Geriatrics, 4Indiana University Medical Group-Primary Care; Indianapolis, IN USAAbstract: Complexity science suggests that our current health care delivery system acts as a complex adaptive system (CAS). Such systems represent a dynamic and flexible network of individuals who can coevolve with their ever changing environment. The CAS performance fluctuates and its members’ interactions continuously change over time in response to the stress generated by its surrounding environment. This paper will review the challenges of intervening and introducing a planned change into a complex adaptive health care delivery system. We explore the role of the “reflective adaptive process” in developing delivery interventions and suggest different evaluation methodologies to study the impact of such interventions on the performance of the entire system. We finally describe the implementation of a new program, the Aging Brain Care Medical Home as a case study of our proposed evaluation process.Keywords: complexity, aging brain, implementation, complex adaptive system, sustained change, care delivery
format	article
author	Malaz A Boustani Stephanie Munger Rajesh Gulati et al
author_facet	Malaz A Boustani Stephanie Munger Rajesh Gulati et al
author_sort	Malaz A Boustani
title	Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
title_short	Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
title_full	Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
title_fullStr	Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
title_full_unstemmed	Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
title_sort	selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/8b5cad6f452e4fb7878d96f9fac4a39a
work_keys_str_mv	AT malazaboustani selectingachangeandevaluatingitsimpactontheperformanceofacomplexadaptivehealthcaredeliverysystem AT stephaniemunger selectingachangeandevaluatingitsimpactontheperformanceofacomplexadaptivehealthcaredeliverysystem AT rajeshgulati selectingachangeandevaluatingitsimpactontheperformanceofacomplexadaptivehealthcaredeliverysystem AT etal selectingachangeandevaluatingitsimpactontheperformanceofacomplexadaptivehealthcaredeliverysystem
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Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system

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