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)

How to build a Dashboard.
Posted on April 29, 2018 at 3:01 pm
Creating an IPU Dashboard
Reshapping a large hospital
Posted on March 13, 2018 at 7:26 pm
Hospital Z is a 380 inpatient beds with 110 outpatient beds. It was established in 1920 and this Institution while private  is not for profit. This institution has a strong national visibility . It is located in a leading European city but [...]
How to Transition a large organization from a anniversary performance review/merit cycle to a focal (all at one time a year) merit cycle
Posted on April 30, 2018 at 5:46 pm
How do you convert from an anniversary to a calendar appraisal cycle and not spur union activity?
Managing a turn around: Keeping staff, customers and the Board on the bus.
Posted on May 4, 2018 at 9:09 pm
Managing low staff morale and market dissatisfaction whilst meeting the Board's business turn around expectations
Developing Care Bundles for Complex Spine Surgery
Doug Wilson
Posted on April 23, 2018 at 2:11 am
Looking for a roadmap for creating successful complex spine surgery bundles.
Delivering chronic care to patients while assuming 24/7 emergency care: the culture and structure challenges of mixing chronic and acute care missions
Posted on April 22, 2018 at 12:29 pm
A division of primary care in the largest and only public university hospital of a State in Switzerland must assume two missions: delivering chronic care to their patients and offereing emergency care 24/7 to the population. Organisation and recuperation of [...]
Developing a spine care IPU with different private practice groups
Posted on April 21, 2018 at 9:38 am
How can we engage different providers in private practice to participate in a spine care IPU.
How do you maintain culture during rapid company growth?
Posted on April 24, 2018 at 10:56 pm
Maintaining a unique culture across a growing organization
Improving Patient Satisfaction in a Dual-Union Hospital
Posted on April 29, 2018 at 10:44 am
While we have continued to make significant strides year over year with our quality initiatives in our 265 bed community teaching hospital we just can’t seem to gain a whole of traction in improving and sustaining our HCAHPS. Our multi-year [...]
Co Management Agreements
Posted on April 30, 2018 at 10:40 am
Cardiology is a major service line for our hospital. Can a Co Management Agreement strengthen its success with expansion, quality and efficiencies?
Optimized Care through Easy-to-Consult Protocols
Posted on April 30, 2018 at 6:34 pm
We need to have our integrated clinical protocols available at physicians mobile or website. Any company or home developed software that we could use to personalize our protocolos and made them available easily to all?
organizational structure interns
Posted on April 29, 2018 at 1:54 pm
where to put the interns
How do you engage patients to optimize their health outcomes in population health initiatives?
Last modified on April 30, 2018 at 3:46 pm
How do you engage patients to optimize their health outcomes in population health initiatives?
Should We Create a Cardiovascular IPU?
Rawn Salenger
Last modified on April 28, 2018 at 10:00 pm
We are considering transforming our hospital-based Heart Institute into a truly integrated practice unit for cardiovascular disease. The fundamental challenge is to fully integrate the finance, administration, and clinical care of two of the highest performing departments in our hospital.
Effective retention program in a center of ophthalmology
Posted on April 18, 2018 at 4:00 pm
Effective retention program needed to retain staff
The Philippines’ War on Drugs
Posted on April 27, 2018 at 4:48 am
We started with a 30 bed private psychiatric facility in 1999 and the following year added a 30 bed drug treatment and rehabilitation facility in Manila. The patient population grew until we reached a 200 bed capacity. We decided to [...]
Teamwork a cross teams
Posted on April 30, 2018 at 6:33 pm
Team structure and function in a department
Transition to Value Based Models
Posted on April 30, 2018 at 1:54 pm
Challenges with Transition to Value Based Models
Minimising Out Patient Medication Dispensing Errors In An Environment Of Low Technology Utilisation.
M Pala
Last modified on May 2, 2018 at 11:46 pm
Seeking cost effective solutions to minimise medication dispensing errors in Out patient Scenario in the current low technology utilisation environment .
Repositioning a 100 bed secondary care hospital into a 300 bed Tertiary care Hosptial
Posted on April 28, 2018 at 12:24 am
Repositioning a 100 bed secondary care hospital into a 300 bed Tertiary care Hosptial
New Innovation – Primary Care Models of Care
Last modified on April 30, 2018 at 6:05 pm
Innovation meets Reality of Fee for service, re-imaging primary care is quite the challenge.....
Addressing unnecessary emergency department (ED) use
Lisa Fitzpatrick
Last modified on April 21, 2018 at 7:47 pm
Addressing unnecessary ED use
Alignment with all clinical departments.
Posted on April 29, 2018 at 8:19 am
How to engage all clinical departments to embrace the Electronic Health Record.
Smoothing OR flow
Posted on April 30, 2018 at 11:55 am
How to change the surgeon's practice of first half of week elective cases to smooth inpatient volume?