Presenters in this session examined select obstacles inherent in multiple healthcare system components and certain flawed processes that particularly affect the generation and application of evidence. In the second workshop session, the focus turned to the areas of underperformance that may need the most attention and correction from an engineering perspective. Workshop discussions considered a number of process inefficiencies, structural barriers, and system failures that are significant impediments to quality and that preclude the delivery of highly effective, highly efficient, evidence-based health care.
Moving to a learning healthcare system will require the identification of specific areas where system complexities slow or inhibit progress and the development of solutions geared toward overcoming impediments and failures.
The extent to which health care for Americans is timely, efficient, and appropriate for a given individual is determined by the characteristics of the delivery system.
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