Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model founded by Malaz Boustani, MD, MPH and Jose Azar, MD. In today’s complex healthcare environment, implementing evidence-based care into real-world practices is difficult and time consuming. Even methods that are known to be effective allow for limited flexibility and therefore fail as often as they succeed. Through much study and experimentation, Malaz Boustani, MD, MPH, Jose Azar, MD, and Craig A. Solid, PhD have come to understand how individuals’ interactions within the complex social systems of hospitals, clinics, and other care delivery organizations shape the decisions and behaviors of those involved. Upon this foundation and through leveraging theories of behavioral economics, we have developed the Agile Implementation Model, a process for selecting, adapting, implementing, evaluating, sustaining, and scaling evidence-based healthcare interventions. In tandem with illustrative examples, Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model.
As the landscape of healthcare delivery and reimbursement policy continues to shift towards ‘value-based’ care, the assessment of value and financial return have become more prominent as a way to evaluate the merits of quality improvement activities. Both private and public payers (like the Centers for Medicare and Medicaid Services) employ some type of value-based mechanism to establish the amount physicians and hospitals are reimbursed for providing care. Additionally, funding opportunities that focus on improving care quality are starting to require a value assessment (e.g., ROI) as part of the application process. In Return on Investment for Healthcare Quality Improvement, Craig A. Solid, PhD explores the basic concepts of value and financial return, and details the necessary steps and procedures for performing a full ROI analysis as either a prospective analysis to assess financial viability or as a retrospective exercise to determine the main drivers of value. From defining the scope and perspective, to identifying costs and benefits, and finally to interpreting the results with the appropriate context to inform future activities, this text can serve as a guide and a resource for healthcare professionals performing return on investment analyses.
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As part of the “agile” series, The Agile Network dives deeper into concepts of network science and diffusion to reveal how best to construct a network of providers and facilities to promote innovation and quality improvement.
American Medical Association (AMA) • Stratis Health • Oklahoma Foundation for Medical Quality • Optum • University of Minnesota • Indiana University • American Society of Clinical Oncologists (ASCO) • ICSI • Kidney Care Quality Alliance (KCQA) • Medtronic • NYU • Boston Scientific • Harvard Medical School • MPRO • Telligen • E4 Enterprise • Lee Branding • MetaStar