Clinical Microsystem Assessment Tool

Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, USA

This tool may be used to assess how your clinical microsystem compares to the 10 key "success" characteristics of high-performing clinical microsystems:

  1. Leadership
  2. Organizational Support
  3. Staff Focus
  4. Education and Training
  5. Interdependence
  6. Patient Focus
  7. Community and Market Focus
  8. Performance Results
  9. Process Improvement
  10. Information and Information Technology

A clinical microsystem is a small, interdependent group of people who work together regularly to provide care for specific groups of patients. This small group is often embedded in a larger organization. Formed around a common purpose or need, these groups may comprise discrete units of care, such as a neonatal intensive care unit or a spine center. A general clinical microsystem includes, in addition to doctors and nurses, other clinicians, some administrative support and a small population of patients, with information and information technology as critical "participants."

Recommended use of the tool includes first explaining the background of clinical microsystems to the staff/people who are part of the clinical microsystems, and then asking each member of the staff to rate all 10 key success characteristics according to the description that best describes the microsystem they work in every day.
Download the tool for more detailed instructions, available online at the Clinical Microsystem website.

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