Peter Reed, M.D., Douglas A. Conrad, Ph.D., M.B.A., M.H.A., Susan E. Hernandez, M.P.A., Carolyn Watts, Ph.D., and Miriam Marcus-Smith, M.H.A.
P. Reed, D. A. Conrad, S. E. Hernandez et al., "Innovation in Patient-Centered Care: Lessons from a Qualitative Study of Innovative Health Care Organizations in Washington State," BMC Family Practice, Dec. 2012 13:120.
All 20 organizations contacted shared the goals of promoting patient-centered care, but they were also focused on controlling costs, improving quality, and sustaining their business models. Among the key criteria used to select a patient-centered care model were chronic disease management services and integrated health information technology systems. The following were seen as barriers to innovation: inertia, lack of resources, fee-for-service payment, and regulatory limits. Having strong leaders and an adaptive culture can overcome such barriers and facilitate innovation, respondents said.
"The process of innovation is heavily dependent on organizational culture and leadership," the authors conclude. "Policymakers can improve the pace and quality of patient-centered innovation by setting targets and addressing conditions for innovation." These conditions include leadership training, smart regulation, and interorganizational cooperation.