Care Redesign

Improving patient outcomes

Accessing affordable, effective care under the current structure of American’s health care system can be extremely difficult, particularly for those with chronic diseases. According to the Institute of Medicine, 50% of Americans are not receiving appropriate care for their chronic diseases. 

In recent years, the ways to practice and pay for primary care in the United States have been under extraordinary review. In 2002, the American Academy of Family Practice began championing the Patient-Centered Medical Home (PCMH) as the best way to preserve a fee-for-service model that fairly remunerates physicians while delivering patient focused care. Despite widespread adoption of PCMH, questions remain about the effectiveness and efficiency of care delivered with this model. It is complicated to assess if care costs less, if patients are satisfied, and whether patients have sufficient access to care.

Enter TLI’s Enhanced Patient-Centered Medical Home Framework. 

TLI Foundation created the Enhanced Patient Centered Medical Home framework and transformative model, anchored to principles of good primary medical care, accepting the basic requirements for a PCMH. The enhanced model does not stop there. The patient is first, and always, a person; a person with a life that goes beyond the need for primary care. The delivery of care must expand and integrate into the person’s life, and adjustments must be made when the ebbs and flow of life cause disruption and complexity in the person’s life. 

Improve the quality, efficiency, and effectiveness of patient care by making systematic changes to primary care practices and health systems.

This model engages the person on a new and different level than the traditional PCMH. At its core, this model is a transformative approach to providing care that treats the whole person, not just the person’s medical complaints. This model is familiar and disruptive but also transformative—one cannot activate it by incrementally improving the current practice. Bringing this model to life requires local commitment, perseverance, a sense of adventure, and courage.

TLI Foundation’s experts are thought leaders in health creation, human performance optimization and readiness. Our expertise has evolved through rich experience clinically, administratively and through executive experience.

Our Experience

TLI is dedicated to supporting a more healing-oriented and coordinated system of health care that focuses on the individual as a whole.

We have established, through systematic research, the concept of an Optimal Healing Environment (OHE). OHE is where all aspects of the patient experience – physical, emotional, spiritual, and behavioral – are optimized to support and stimulate healing. We use the OHE framework as an inspiring guide to drive decisions and achieve key organizational outcomes to enhance the cultural transformation needed to achieve the organization’s goals. The OHE framework was tested in several hospitals and utilized to guide new construction, increased patient engagement and improved clinical and financial outcomes.  Examples include; Lee Memorial Health System (Cape Coral Hospital, Gulf Coast Medical Center); St. Joseph’s Health System (Executive Team Training); Frederick Memorial Hospital (James M. Stockman Cancer Institute); Fort Belvoir Community Hospital. 

Produce better care for patients while improving clinical and financial performance for health systems. Shift focus from reacting to the acute care needs to proactively engaging a population of patients and focusing on their health goals, needs, and abilities to achieve desired health outcomes.