ISSUE. Setbacks and outright failures are inherent to innovation and provide an opportunity for health care leaders to learn as they design new care models that improve health outcomes while reducing costs and unnecessary service use. Unfortunately, many organizations have not developed the discipline for learning from such challenges. GOAL. To share methods innovators used to develop new care models and overcome obstacles during their implementation, as well as lessons from their failures. METHODS. Interviews with care model innovators. FINDINGS AND CONCLUSION. When designing new care models, leaders should strive to understand which patients fail to benefit and consider changing staff to better meet patients' needs. They should seek to identify which elements of their models are most essential and find common ground with health care payers on how to measure and reward success.
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