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Exploring Innovation and Quality Improvement in Health Care Micro-Systems defines and describes health care micro-systems and analyzes characteristics that enable specific micro-systems to improve the quality of care provided to their patient populations. This study reports on structured interviews used to collect primary data from 43 micro-systems providing primary and specialty care, hospice, emergency, and critical care. It summarizes responses to the interviews about how micro-systems function, what they know about their level of performance, how they improve care, the leadership needed, the barriers they have encountered, and how they have dealt with these barriers.

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Suggested Citation

Institute of Medicine. 2000. Exploring Innovation and Quality Improvement in Health Care Micro-Systems: A Cross-Case Analysis. Washington, DC: The National Academies Press. https://doi.org/10.17226/10096.

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Publication Info

99 pages |  8.5 x 11 |  DOI: https://doi.org/10.17226/10096
Chapters skim
Front Matter i-x
Contents xi-xiv
Introduction 1-1
Background 2-7
Methods 8-20
Results 21-56
Conclusions and Directions for Further Research and Policy 57-61
References 62-64
Appendix A: Example of Thin and Thick Description for Quantitative Analysis 65-66
Appendix B: Letter of Invitation 67-68
Appendix C: Rosters 69-70
Appendix D: Pre-Interview 71-73
Appendix E: Telephone Interview 74-85

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