TY - CHAP M1 - Book, Section TI - Systems of Practice and Office Management A1 - Margolis, Peter A1 - Williams, Eric A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Better design and organization of healthcare service is a priority for healthcare systems because of ongoing gaps in the outcomes of care, changes in the nature of morbidity, rapid changes in technology and new payment models, and the explosive growth of new knowledge. Ongoing redesign of systems of care delivery will be required to keep pace with these changes. The Institute of Medicine (IOM) proposed a set of 6 expectations that high-performing health care should achieve—safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity—and described steps to promote more evidence-based practice. More recently, the IOM proposed a vision for Learning Health Systems in which patients and clinicians base decisions on evidence and discovery is a natural outgrowth of care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182915890 ER -