The Model of Idealized Design of Clinical Office Practices (IDCOP) has evolved to focus on Four Themes for change as key to the design:
ACCESS Patients have unlimited access to the care and information they need, when they need it.
Measures of Success:
• Third next available appointment
• Future capacity: total open appointment time over the next four weeks
• Patient ratings of satisfaction with access to care
• Measures of process delays
INTERACTION Interaction between the patient and care team is deep and personal. The care team has “memory” of the patient.
Measures of Success:
• Patient ratings of quality interactions( visit and non-visit)
• Use of shared decision making models
• Patient/Provider match
RELIABILITY The system exhibits high reliability in that it provides all and only the care known to be effective.
Measures of Success:
• Patient ratings of coordination of care
• Disease- specific health outcomes
• Use of accepted protocols
• Hospitalization rates
VITALITY The practice has vitality: a happy staff, a spirit of innovation, and financial viability.
Measures of Success:
• Proportion of work that is innovative
• New patient visits
• Staff morale
• Operating margin
