High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.
Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.