Evidence map›Paper›PMID 35142631›Full record

ArticleJournal of medical Internet research2022

Innovation Centers in Health Care Delivery Systems: Structures for Success.

Onil Bhattacharyya, Justin Shapiro, Eric C Schneider

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Onil BhattacharyyaWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0001-5219-7288
Justin ShapiroInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-6559-9515
Eric C SchneiderDepartment of Health Policy and Management, T H Chan School of Public Health, Harvard University, Cambridge, MA, United States.ORCID 0000-0002-1132-5084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The need to support innovation in health care delivery was prompted by payment reforms and access to digital tools and has been accelerated by the shift to virtual care as part of the COVID-19 pandemic response. Prior to the pandemic, a growing number of health systems set up innovation centers to focus on creating new services and exploring new business models relevant to value-based care. This is distinct from process improvement or implementation science, and often needs a different set of incentives to succeed within a large organization. We used a national survey to identify a diverse sample of innovation centers, and interviewed leaders to describe their aims, organizational structures, and activities. They all aim to improve patient outcomes and experience while reducing costs, but their strategic focus may differ. The centers also vary in their reporting structure, how they build internal capacity, and how they measure success. We highlight the range of strategies through examples of projects that improve quality, reduce costs, and generate new revenue. While the optimal forms and impact of innovation centers are still emerging, the fiscal pressures and the rapid uptake of digital technologies present opportunities for the redesign of health services in the postpandemic era. The experiences of these centers illustrate a set of approaches to increase any organization's capacity for innovation.

Indexed as

COVID-19PandemicsDelivery of Health CareHumansOrganizational InnovationSARS-CoV-2delivery sciencedigital healthexperiencehealth care deliveryinnovationoutcomequality improvementreformstrategystructuresuccesssurveyvaluevalue-based care

Identifiers

PMID35142631
PMCPMC8874810

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.