MHCD Solutions

April 15, 2019

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 15, 2019)

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 15.

Part 2: Commenting on Problems (Due by Wednesday, May 1, 2019)

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 Wednesday, May 1.  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 (50)

The volume conundrum
Posted on April 13, 2019 at 7:41 pm
The Maryland Global budget model has created an volume conundrum. I would love to here your thoughts.
Value based pricing
Posted on April 9, 2019 at 4:06 am
Value based contracting; strategies for success.
Advanced Scope Clinics
Posted on March 27, 2019 at 9:16 am
Advanced scope clinics: Do they hit the 'sweet spot' of quality care, patient satisfaction, timely intervention, employee satisfaction and at a reduced cost??
Demonstrating Value-based IT when Leadership has one foot in the Volume-based canoe and one foot in the Value-based canoe?
Posted on April 14, 2019 at 5:10 pm
Healthcare IT; carving a niche.
Psychiatry Staffing
Posted on April 9, 2019 at 5:19 pm
Inpatient psychiatry staffing challenges
Electronic Health Record Implementation
Last modified on April 11, 2019 at 10:42 pm
Implementation of an ambulatory EHR across a large multi hospital healthcare system.
Physician Compensation; Is complexity the enemy of good?
Posted on April 14, 2019 at 8:39 pm
Physician compensation, like healthcare payment structures, has become complex, cumbersome and contentious. What is the Venn diagram intersection of reality, equity and ego?
Mismatch in resources and openness
Posted on April 9, 2019 at 9:35 am
Our hospital is a university hospital where the amount of positions is limited by the board of hospital. Once there is need for extra staff, even though there is money available, extra positions are simply not given. This creates a [...]
Anonymous observations by team members in order to improve compliance to safety procedures.
Last modified on March 22, 2019 at 3:37 pm
Anonymous observations by team members might improve compliance to specific safety procedures, but they can undermine trust within teams, which on itself is a safety risk. In this light the question is whether they can be used.
Increasing Demand for On-Call Pay
Tyler Lucas
Posted on April 14, 2019 at 8:56 pm
On-call compensation: to pay or not to pay?
Primary care engagement
Posted on April 8, 2019 at 12:45 pm
Increased isolation with growth of hospitalist model
Availibility for treatment Isotopes worldwide
Coen Rasch
Posted on May 2, 2019 at 8:37 pm
Medical Isotopes for female cervix cancer are produced by only three nuclear plants in the world. Should one break for longer time thousands of patients dye.
Physician Engagement in this value Based Environment
East coast connection
Posted on March 29, 2019 at 2:27 pm
Our hospital is a large University affiliated teaching hospital which is part of a larger network of hospitals. In terms of quality, research shows that positive physician engagement benefits overall organizational performance. In our organization we have a high complacency [...]
Culture and Digital Transformation
Last modified on April 30, 2019 at 9:07 pm
Successfully bridging the gap between the old and the new concepts in healthcare: Culture change is a prerequisite and it is the top hurdle to digital transformation!
Provider of choice
Felix Valbuena Jr
Posted on April 15, 2019 at 11:09 pm
How to change the culture from provider of last resort to provider of choice
Public/Private Competition
Posted on April 14, 2019 at 9:22 am
Part of the services that our Hospital do provide is the provision of medical services during mass gathering events including sports competitions, heritage events, musical concerts, etc. During such events there is a need to have a medical team that [...]
Physician Incentives- How to structure them the right way?
Kate R
Posted on April 16, 2019 at 4:28 pm
Physician Incentive Plans- How to structure them the right way to ensure productivity and quality
Patient flow from ER to the wards does not flow
Posted on April 14, 2019 at 1:34 pm
My organizations is a non-profit specialist care (secondary and tertiary care) hospital consisting of four main hospitals and smaller satellites. Three of the main hospitals have and ER treating multidisciplinary patients and primary care patients needing acute care or care [...]
PA/NP Engagement
Posted on April 4, 2019 at 12:39 pm
Culture Change Needed.
Value-Based Care: Too Small To Scale?
Last modified on April 14, 2019 at 11:24 am
Have small, community based systems, been sidelined by commerical payers when it comes to negotiating Value-Based contracts?
High employee turnover at reception level in a clinical analysis lab in a developing country
Last modified on May 1, 2019 at 11:32 am
High employee turnover at reception level is a major problem in a clinical analysis lab in a developing country
More Competition as the “Cure” to Health System Cost/Quality Problems: How Do Large System Players Respond (without sounding ridiculous)?
Posted on April 15, 2019 at 2:25 pm
How does a large academic medical center address the issue of market competition without coming across as blatantly self-serving or desperately clinging to the status quo?
Continuos train of change, when it stops !?!?
Posted on March 24, 2019 at 2:11 pm
Transparency, 360 degree evaluation
Given Limited Resources Should a Growing Health Care System focus on becoming “bigger” or becoming “better”?
Lance Becker
Posted on May 3, 2019 at 4:38 pm
Challenge: Given Limited Resources Should a Growing Health Care System focus on becoming “bigger” or becoming “better”?   Where should the leadership of our large non-profit healthcare system target to reinvest the available funds for next year: should we grow [...]