As I read Marc's post, I have to agree that interest in the concept differs tremendously from commitment to making that concept a reality. Practice redesign, and implementing the shared care plan means that for right now, doing things differently may mean doing something extra. Working within the constraints of a grant means the clock is ticking. We can't defer taking the steps necessary to meet our commitments. Without that we won't have a true test of the new model. The benefit of doing this will accrue to us all, as we develop a true system of healthcare delivery that provides financial support for providing patient-centered care that safe, effective, efficient, timely, and equitable.
Convenience vs. Commitment.
Pursuing Perfection in Whatcom County is not an undertaking of convenience. It is a matter of commitments. Commitments have been made.
The prior five or six years of work by CHIC memebers were agreements and collaborations of convenience, we publicly promised nothing, we did things in our own time. Pursuing Perfection is different, we have made difficult promises to patients and we must keep them. As Karl Weick points out, to have true commitment one must state voluntarily, personally, publicly, and in an irrevocable manner what you will do. We have done this.
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Marc's Weblog]
