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Implementation Strategy

Strategic approaches are needed to effectively implement programs that improve the quality, cost-efficiency, and value of care. We advance frameworks and principles that support these efforts.  Learn More


Our team members are leaders in advancing frameworks and principles that can help stakeholders understand how to strategically implement solutions that improve quality or address spending. Examples of this work:

Care Standardization & Variation Reduction

Implementation Issue(s): Though care standardization is thought of as way to reduce unwarranted variation and improve care, its success depends on how it is implemented.

Work: Drs. Leah Marcotte, Christopher Chen, and Joshua Liao created a framework for how health care organizations can strategically implement and manage clinical pathways as care standardization initiatives.



From Chen CP, Marcotte LM, Herner K, Liao JM. Value-Based Management of Clinical Pathways: An Applied Framework. Journal of Clinical Pathways. 2019.

Pathways In Population-based Payment Models

Implementation Issue(s): Clinical pathways are often conceived as solutions for episode-based payment models. Though they can also be potentially used in population-based models, little is known about how to design and implement such pathways.

Work: Drs. Leah Marcotte, Anders Chen, and Joshua Liao defined principles that can be used to design and effectively implement primary care-oriented pathways within population-based payment models such as accountable care organizations. For instance, they identified several principles related to unique features of such pathways:

* cadence of care delivery

* timeline for expected benefits

* teaming

* breadth of clinical focus

From Marcotte LM, Chen A, Hwang CS, Liao JM. Primary Care-Oriented Pathways to Support Population-Based Payment Models. Journal of Clinical Pathways. 2019.

Care Management

Implementation Issue(s): There are multiple forms of care management, each with different emphases. Successful care management involves a framework for distinguishing between these forms and executing one the desire one(s).

Work: Drs. Leah Marcotte and Joshua Liao outlined a framework that can be used by stakeholders to define and implement care management activities to increase the benefit to patients.

From Marcotte LM, Liao JM. What We Talk About When We Talk About Care Management. Am J Manag Care. 2020.

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