Table 6 Implications of different levels of uncertainty for the role of process, relationships, and resources in improvement efforts
Uncertainty | Process | Relationships | Resources |
|---|---|---|---|
Low level | More likely to be effective. Consider quality/process improvement approaches that are generally applicable. | Less likely to be more effective than process-based interventions. Consider only as additive/enhancing for process-based interventions. | Consider in terms of supporting processes, e.g., deploying system-wide pathways or standardized protocols through an electronic health record. |
High level | Less likely to be effective, or sufficient to enable necessary change. | More likely to be required for successful change. Consider approaches such as huddles, facilitation, or collaboratives. | Consider in terms of need for human or other resources required to enable sensemaking, e.g., care coordinators integrated with other providers for high-utilizer patients. |