9.
Waste is continuously
decreased
Cost reduction
is sought
10.
Cooperation among clinicians is a
priority
Preference is given to professional roles over the
system
8. Needs are anticipated
The system reacts to
needs
7.
Transparency is
necessary
Secrecy is
necessary
6.
Safety is a system
property
Do no harm is
an individual responsibility
5. Decision making is evidence-based
Decision making is based on training and
experience
4.
Knowledge is shared and information
flows freely
Information is a record
3. The patient is the
source of control
Professionals
control care
2. Care is customized
according to patient needs and values
Professional autonomy drives variability
New Rules
1. Care is based on continuous healing
relationships
Current Approaches
Care is based primarily on visits
Old & New Rules