Institute Of Medicine’s 10 Rules for Redesign
When comparing the principles of collaboration for 6 West Inpatient Unit to the IOM 10 rules for redesign, the DFM meets all of the IOM 10 rules for redesign.
The IOM 10 Rules for Redesign are:
1. Care is based on continuous healing relationships
The DFM meets this rule by making communication with PCPs a priority. The DFM notifies PCPs every time their patients is admitted and discharged from their unit. This encourages providers to ensure that patients receive appropriate follow-up care.
2. Care is customized according to patient needs and values
The DFM meets this rule by following the patient satisfaction principle. The DFM sees patient satisfaction as a key metric for quality and recognizes that patient satisfaction is a responsibility of all the team members.
3. Patient is source of control
The DFM meets this rule by following the patient satisfaction principle as well.
4. Knowledge is shared and flows freely
The DFM meets this rule by following the good documentation principle. The DFM believes that clear and consisted documentation is needed for all care delivered.
5. Decision-making is evidence based
The DFM meets this rule by following the evidence-based care principle which means that the care provided will be based on best practices and it will be standardized among all providers.
6. Safety is a system priority
The DFM meets this rule by following the safe transitions principle which encourages communication at admission and discharge. It also makes sure that patients know how to care for themselves after discharge via patient education and teach-back method.
7. Transparency is necessary
The DFM meets this rule by following the citizenship principle which ensures that interaction among team members is respectful and collaborative and that communication is frequently promoted.
8. Needs are anticipated
Free flow of communication and ensuring patient satisfaction allows providers to get to know their patients and with that, anticipate their needs.
9. Waste is continuously decreased
The DFM meets this rule by following the high efficiency principle, which promotes early discharge times and discourages redundancy (unnecessary testing).
10. Cooperation among clinicians is a priority
The DFM meets this rule by following the timely, high quality communication principle which enforces frequent communication via AM and PM board rounds and other communication interactions.