The practice is sustainable and continually innovating The new system contemplated would be financially viable and a great place to work. Thus, the demanding vision of performance is not realized at the expense of those who work in the practice and depend upon it for their livelihood.
Vitality also implies renewal - continual innovation and improvement.
It understands the financial environment in which it works, and continually finds ways to improve its financial performance through improvement in its processes, products, and services. It finds new resources from within through waste reduction, and it invests part of what it recovers in innovation, continual staff development, and organizational learning. They are always trying to do a better job for me, and they ask me about how they are doing. Payers value us for what we can do that others cannot, and we can therefore structure attractive and innovative financial arrangements even in a stressed market. We maintain momentum in innovation and peak quality of care and service through careful hiring practices, strong commitments to staff training and development, strong values closely reinforced, and continual search outside the organization for better models to copy and learn from.