MHCD Solutions

May 12, 2017

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, May 1, 2017)

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, May 1.

Part 2: Commenting on Problems (Due by Friday, May 12, 2017)

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 12.  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 (63)

Creating Economies of Scale in Service Line Development
JJ Bean
Posted on May 1, 2017 at 10:25 pm
Service Line Development in a dynamic health care setting
How do we measure performance when we move from disease specific/age specific units to an integrated unit that is primarily geographical based.
Yee Ming
Posted on April 4, 2017 at 10:41 pm
Re-organisation and measuring performance with 2 masters.
Team Development
Marcus Aranha
Posted on May 1, 2017 at 8:57 pm
struggle for mature team response
Incorporating Decentralized Healthcare Outlets Into a Value Based Care Model
Bruce Bowers,MD
Posted on April 30, 2017 at 5:48 pm
How shall we attempt to manage chronic disease in the era of the "Doc in a Box?"
Patient Experience
Posted on May 8, 2017 at 11:37 am
Making changes to deliver on patient experience.
Best practices in change management solutions from third party vendors
Amanda Carbonneau
Posted on May 1, 2017 at 10:06 am
There are many third party vendors implementing programs with hospitals and hospital systems with varied success; what third party vendors have you seen do this most successfully?
Protecting the Integrity of Health Care Delivery While Undergoing Financial Transformation in Governmental Healthcare System in the Arabian Gulf Region
Kais M
Posted on April 20, 2017 at 3:03 pm
The recent drop in oil prices and the accompanied cut in budgets is forcing healthcare organisations in the Arabian Gulf to transform from the conventional government-led economy (not-for-profit) to productivity and investment led economy . However, such transformation requires a [...]
Physician Handovers
Posted on April 26, 2017 at 10:07 am
Optimizing Physician handover: an important communication tool for patient safety.
How to handle an old department head who was replaced because of malfunctioning but is still around
Ivo van Schaik
Posted on May 1, 2017 at 10:10 am
A department head was replaced because of malfunctioning. A new head of the department has started and created a new momentum while the old head was on sabbatical leave for half a year. However, the previous head of the department [...]
Post-Acute Stroke Care
Posted on May 1, 2017 at 11:48 pm
How to demonstrate value of a home-based, post-acute stroke care team?
Specialty Referral Management/Care Coordination
Posted on April 30, 2017 at 8:40 am
Improving care coordination between primary care and specialty care to ensure the best possible experience for patients.
The Impact of OR booking lists on patient flow
Posted on April 27, 2017 at 2:49 pm
In our current surgical system blocks of OR time are assigned to surgeons in which patients are booked from the surgeon’s office based on time available and time required for the particular procedure. These blocks might be either half-day or [...]
Practical examples of enhancing MD engagement in VBHC
Posted on April 24, 2017 at 4:24 am
Wanted: Practical examples of enhancing MD engagement in VBHC
The digital revolution of health care – how to change the role of doctors
Camilla Rathcke
Posted on May 1, 2017 at 3:11 pm
The numerous and promising digital/technological solutions in health care – whether e-health, m-health or other digital/medico/technological solutions – challenge in several ways, e.g. 1) implementation, 2) culture and 3) role of doctors – and their tasks – and other health [...]
Behavioral Health and Emergency Department Throughput
Tate Curti
Posted on May 1, 2017 at 2:23 pm
A behavioral health crisis and its impact on community hospital emergency departments.
Integrated Behavioral Health Care
Posted on May 1, 2017 at 2:26 am
Integration of behavioral health and primary care in highly diverse fast growing ambulatory care settings
Reconciling Evolving Clinical Needs With Contractural Limitations
Last modified on April 30, 2017 at 1:50 pm
When our hospital entered into contract to open a medical facility in Abu Dhabi, all staff were contracted based on a 40 hour work week.   Those contracts failed to account for the variation in work patterns between medical specialties. [...]
Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) Survey
Posted on April 27, 2017 at 4:24 am
In my organization, we are using HCAHPS survey for patient satisfactions with the organization. We have been using the survey since 2014 in my organization, and we were able to meet the international benchmark in the most of the survey [...]
Confluence..a geography, an organization, a concept, a culture
Julie S
Last modified on May 1, 2017 at 12:02 am
Culture shifts at Confluence Health with engagement, satisfaction, and alignment with goal of improved service.
Cultural Change in the Transforming Health Care Industry
Posted on May 4, 2017 at 7:51 am
Looking to develop a strategy to support our employees through a time of rapid change
Optimising Orthopaedic Trauma Patient Flow in Cork University Hospital, Ireland
Last modified on May 2, 2017 at 5:19 am
A Lean review of the pathway for Orthopaedic trauma patients identified many opportunities for improvement but changing practice and process is exceedingly challenging.
Registration Kiosk Utilization
Posted on March 27, 2017 at 12:17 pm
How do we get patients to utilize kiosks for registration?
Parking and the impact on Growth
Posted on May 1, 2017 at 8:42 am
Parking should be considered as a part of the long-term strategy for growth, otherwise, it could inhibit your success.
Concentrating prostate care in the Netherlands
Erik-Jan Wilhelm
Last modified on May 2, 2017 at 3:20 pm
If the Netherlands had their prostate care organized like the Martini Klinik in Germany it could prevent 400 cases of incontinence, 1000 of impotence and more than 60 complications a year.
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