Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system.

Malaz A. Boustani, Stephanie Munger, Rajesh Gulati, Mickey Vogel, Robin A. Beck, Christopher M. Callahan

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Complexity science suggests that our current health care delivery system acts as a complex adaptive system (CAS). Such systems represent a dynamic and flexible network of individuals who can coevolve with their ever changing environment. The CAS performance fluctuates and its members' interactions continuously change over time in response to the stress generated by its surrounding environment. This paper will review the challenges of intervening and introducing a planned change into a complex adaptive health care delivery system. We explore the role of the "reflective adaptive process" in developing delivery interventions and suggest different evaluation methodologies to study the impact of such interventions on the performance of the entire system. We finally describe the implementation of a new program, the Aging Brain Care Medical Home as a case study of our proposed evaluation process.

Original languageEnglish (US)
Pages (from-to)141-148
Number of pages8
JournalClinical interventions in aging
Volume5
StatePublished - 2010

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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