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When it comes to health care service delivery, patients, payers, and politicians are asking for improved results: better access, faster diagnosis and treatment, more convenience, greater sensitivity to cultural differences and health disparities, and so on.But if we continue to do what we've always done, we will get the results we have always gotten.Nor is it enough to merely pursue incremental improvement.The challenges we face today call for more novel approaches—in other words, innovation!We need innovation in health care service delivery that is on par with innovation in other aspects of the health care system.Although we can benefit from ongoing innovations in diagnostic technology, pharmaceuticals, surgical procedures, and medical devices, too often these are embedded in health care service delivery processes that do not provide timely, patient-centered, safe, effective, efficient, coordinated, and equitable access to the expected benefits.Look at the stock market or companies like Walmart or Federal Express. Figure 4.2: Outpatient paper-based patient encounter form With the relatively recent healthcare models of pay-for-performance, patient centered medical home model and accountable care organizations there are new reasons to embrace technology in order to aggregate and report results in order to receive reimbursement.

Table 4.1 shows the types of missing information and its frequency.Plsek now operates his own consulting practice and is the developer of the concept of Directed Creativity. ™ His health care clients have included the National Health Service (NHS) in England, Kaiser Permanente, the Veterans Health Administration, the SSM Health Care system, and the Mayo Clinic. Plsek is the chair of innovation at the Virginia Mason Medical Center in Seattle, an innovator-in-residence at Med Star Health (Washington, DC–Baltimore), director of the NHS Academy for Large-Scale Change in the United Kingdom, a former senior fellow at the Institute for Healthcare Improvement, an active research investigator, a popular conference speaker, and a former member of the Innovations Exchange Editorial Board. Improving timely access to primary care: case studies of the advanced access model. Following diagnosis, an array of pharmaceuticals, medical devices, and surgical procedures—many of which did not exist only a decade ago—also are available.However, what has remained largely unchanged is the patient's often frustrating experience of scheduling appointments, finding their way through medical office buildings and hospitals, and waiting for test results and needed care. For example, we know that most patients face barriers to securing timely appointments and moving efficiently through the typical process of care.

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