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Issue Brief (Commonw Fund) ; 2017: 1-16, 2017 Nov 01.
Article in English | MEDLINE | ID: mdl-29232079

ABSTRACT

Issue: A deep understanding of human behavior is critical to designing effective health care delivery models, tools, and processes. Currently, however, few mechanisms exist to systematically apply insights about human behavior to improve health outcomes. Behavioral design teams (BDTs) are a successful model for applying behavioral insights within an organization. Already operational within government, this model can be adapted to function in a health care setting. Goal: To explore how BDTs could be applied to clinical care delivery and review models for integrating these teams within health care organizations. Methods: Interviews with experts in clinical delivery innovation and applied behavioral science, as well as leaders of existing government BDTs. Findings and Conclusions: BDTs are most effective when they enjoy top-level executive support, are co-led by a domain expert and behavioral scientist, collaborate closely with key staff and departments, have access to data and IT support, and operate a portfolio of projects. BDTs could be embedded in health care organizations in multiple ways, including in or just below the CEO's office, within a quality improvement unit, or within an internal innovation center. When running a portfolio, BDTs achieve a greater number and diversity of insights at lower costs. They also become a platform for strategic learning and scaling.


Subject(s)
Biobehavioral Sciences/methods , Delivery of Health Care, Integrated/methods , Patient Care Team/organization & administration , Practice Patterns, Physicians'/organization & administration , Behavior , Decision Support Techniques , Delivery of Health Care, Integrated/organization & administration , Diffusion of Innovation , Humans
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