Payment Realignment
Realignment of payment with the six aims is esential. There is not enought excess capacity in the system to bootstrap itself without the cooperation of payers. The six aims of a transformed system are that it be: 1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable.
The "systems dynamics model" that you have built with two consultants is a breakthrough. This model would be of help to every Pursuing Perfection site, and gives a new tool to the industry for exploration of the "business case for improvement."