MHCD Solutions

April 30, 2018

Read The Full Prompt

(NOTE: The Open Knowledge site is, as its name suggests, open to be viewed by the public.  When completing this assignment, please be aware that–although only members of the group can post to this site–the content of the site is available to the general public.)

Part 1: Issue/Problem Identification (Due by Monday, April 30, 2018)

Now that we have completed our second module (Manage for Performance), we ask you to describe an issue or problem that has been particularly challenging for you or your organization.  What has been troubling you at work?  Are there any changes would you like to make but have been  struggling to figure out how, when, or where to start?  The issue or problem you propose can be drawn from a wide range of areas, such as operations (e.g., improving flow of patients through radiology or the ED), leadership (e.g., improving organizational or team performance), strategy (e.g., building a disease-specific clinical program), or any other discipline we have examined in the program.

The problem you propose should be one that you have not yet “solved” and that, in your view, could benefit from the input from your MHCD colleagues. Whatever you do, don’t let your current lack of an “answer” discourage you from proposing an issue; in fact, such issues are precisely the ones we would like you to bring forward. Perhaps your problem is one that others have experienced in a similar form within their own organizations.  You won’t know unless you offer up the challenge.

A paragraph or two (typically a 300-500 words) should be sufficient to describe your problem. Feel free to use any visuals (e.g., charts, exhibits, web links to video) that would help others grasp the nature of your challenge in a clear and concise manner.

This part of the assignment is due by Monday, April 30.

Part 2: Commenting on Problems (Due by Friday, May 11, 2018)

Using the commenting function in Open Knowledge, please provide your comments or advice on at least five (5) issues or problems proposed by others.  Are there examples that you might suggest they look to in trying to develop a solution?  Are there individuals that you might suggest they contact? Are there ways in which you might suggest that they refine the statement of their problem? Again, please remember that your comments are open to be viewed by the general public.

Please complete your five required comments by Friday, May 11.  Of course, we would like you to comment on as many proposals as possible, so please don’t see five as a limit.

Also, please use the site to engage in back-and-forth discussions (e.g., those who propose solutions should feel free to react to the comments and suggestions of others in the interest of getting a dialogue going). You never know who might get enticed to enter a given discussion. Your participation will ensure that as many participants as possible get helpful feedback on their problems.  In the process of helping others, we hope you might learn from them as well.

Submitted (72)

Bringing dysfunctional or underperforming personnel up to the level of peers
Posted on May 11, 2018 at 12:04 pm
Approach to dysfunctional team members
How to encourage Physicians and patients to choose quality and safety.
Posted on April 30, 2018 at 12:46 am
In this very high reputed Hospital, positioned in the past as the highest cost - benefit in the market, some of its patients are choosing other Hospitals with low quality and safety, but with low prices. An important group of [...]
Posted on April 30, 2018 at 1:34 pm
Physician behavior education
Prevention vs Treatment to reduce the cost in healthcare
Posted on April 30, 2018 at 2:18 am
I work for a CHC which treats a large population who possess limited health literacy skills. A diverse population  – different cultures, beliefs , values and life experiences. English is a second language amongst most of them, the poor and [...]
Substitution of care
Posted on April 29, 2018 at 2:22 pm
Succesful projects on substitution of care
Leadership issue, introduction of motivation (incentive) scheme in University hospital
Last modified on March 29, 2018 at 4:26 pm
Setting up new motivation (incentive) scheme for the senior executives in University hospital - 700 beds
Medication reconciliation
Posted on April 22, 2018 at 3:21 am
Medication lists - too many shades of gray for black and white
Ageing Population – a global problem
Posted on April 24, 2018 at 11:34 pm
Census shows that the older populations in the third world are projected to triple by 2020. How do we prepare for this population shift?
Use of telehealth / telemedicine
Posted on April 23, 2018 at 11:22 am
Share experience with telemedicine / telehealth
Leaders to support expansion in dental clinics
Oleg Zinov
Last modified on May 1, 2018 at 2:34 pm
Issue is in area of development of leaders who are motivated to grow our company.
What is the optimal organizational/ leadership structure to oversee population health and post-acute care in a large health system?
Ann Painter
Posted on May 11, 2018 at 9:24 am
Over the past several years, I have observed many changes in creating the optimal leadership structure for population health and post-acute care services. To date, I have not found a very efficient and successful model. My observations are we tend [...]
How can we heal the toxic culture in a medical center?
Last modified on April 20, 2018 at 6:58 am
XYZ medical center, 400 beds, 5 thousands employees from more than 90 countries/ nationalities. CEO who joined the center 2 years ago from a UK healthcare system. Significant changes and replacements to the senior leaders across the organization. All corporate [...]
Addressing Resiliency Factors Among Healthcare Providers
Shirley Johnson
Posted on April 13, 2018 at 4:17 pm
Bouncing back instead of being bounced around. Creating a resilient workforce.
How do we improve the trust gap between private practices and a health system to create a team of teams approach to prioritize the care of all of our patients?
Posted on April 28, 2018 at 5:44 pm
Problem to be solved: There is a significant trust gap between our private medical practices and our health system. This historic tension has interfered with the tremendous potential to develop a strong, team-based approach to improve care for our patients [...]
Different Billings for Same Procedure.
Last modified on April 19, 2018 at 4:25 am
Same procedure in same hospital but different billings for two different patients.
conflicts within the team
Posted on April 30, 2018 at 2:57 pm
I was excited to take this role as a director of one of the major programs in the country and I have already put in mind who are the best to help me achieve the goals of this programs. Two [...]
The administration burden
Last modified on April 24, 2018 at 4:48 pm
Can we reduce the administration burden?
Institution & Physicians Communication
Posted on April 30, 2018 at 9:35 am
Effective Communication in the Hospital
No Show Rate
Posted on April 29, 2018 at 9:50 am
Our no show rate is high in primary care and mental health (17-22%) relative to other healthcare systems within VHA. We are not allowed to charge the patient for not showing up to their appointments and are required to re-schedule [...]
Speedboat or Tanker? Innovating in or outside the medical university hospital
Last modified on April 29, 2018 at 4:15 pm
Creating innovation space outside the medical university center has clear advantages for rapid innovation (as they can move as a speedboat in stead of being part of a bigger, slow moving tanker), but also has clear disadvantages in dealing with [...]
Communicating Test results
Aldo Russo
Posted on April 8, 2018 at 5:02 pm
Communicating results in a timely fashion and answering messages from our patients.
Identifying, Prioritizing and Budgeting Process Challenges
Posted on April 24, 2018 at 4:45 pm
Aligning Process, People, Technology and Priorities
Acquisitions–engagement and cultural integration
Posted on April 30, 2018 at 1:50 pm
Acquisitions--engagement and cultural integration
Opportunities and Challenges in a Rapidly Changing Healthcare Landscape
Dana Smetherman
Posted on April 30, 2018 at 10:17 pm
In an era of declining reimbursement and an economically challenged market, Ochsner Health System has managed to thrive through acquisitions and partnerships. We are now facing our greatest opportunity and largest challenge with the execution of a proposed partnership with [...]