Story, MPHM | Optimizing Your Capacity to Care | Buch |

Story, MPHM Optimizing Your Capacity to Care

A Systems Approach to Hospital and Population Health Management

1. Auflage 2016, 232 Seiten, Gebunden, Format (B × H): 156 mm x 235 mm, Gewicht: 498 g
ISBN: 978-1-4665-9396-1
Verlag: Productivity Press

Story, MPHM Optimizing Your Capacity to Care

Our nation's capacity to care is becoming increasingly stressed as an aging and increasingly unhealthy population collides with a relative reduction in the numbers of clinicians and ever-tightening financial resources. If even the mildest of future-state predictions are to be believed, we need a significant restructuring of our entire healthcare system and its total Capacity to Care, such that we can simultaneously improve care capacity, cost, quality, accessibility, and resource gratification.Optimizing Your Capacity to Care: A Systems Approach to Hospital and Population Health Management provides comprehensive guidance to a new way to optimize and manage community-wide Care Capacity via a unique, holistic approach to healthcare operations. Through clear examples and actual project results, the book demonstrates the outcomes of a systems-level way of thinking about a community's Capacity to Care that incorporates and integrates the full spectrum of available clinical and communal resources into the care of patients, including hospitals, physicians, emergency departments, surgical services, local churches, civic organizations, pharmacies, and volunteers.The book details operational models for each major department of the hospital and a fully integrated communal resource pool to demonstrate how the optimization of capacity, resource utilization, cost, and clinical outcomes can be attained. And by providing healthcare leaders with a deeper understanding of key elements missing from the most common process improvement methodologies and approaches, this book offers fresh perspectives and bold alternatives for hospitals, health systems, and entire communities.


COOs and other senior healthcare executives, case managers, public health officials, physicians, nurse managers, CNOs, ACO operators and managers, and management engineers.


Weitere Infos & Material

IntroductionWhy This Topic?Goals of This BookA Caveat to the Claim of "Holistic"Healthcare Cost: An Overview of the IssuesA Frank Conversation about the Cost of the U.S. Healthcare SystemWastePerversionThe 80–15–5 and the Population’s ViewRelative HealthEnd of LifeSummaryIntroduction to the Section on Workplace CultureMaking the Transition from a Culture of Accountability to a Culture of Ownership, by Joe TyeIntroductionThe Journey from Accountability to OwnershipCulture Eats Strategy for LunchFostering a More Positive Healthcare CultureKey Lessons for Fostering a Culture of OwnershipConclusionTerminology of This BookCare Circle NetworksDownstreamDynamic Capacity Analysis, Matching, and ManagementInterdependenciesHealth OwnershipOutlierUpstreamHour of Day, Day of Week, Week of Month, and Season of YearThe Five Pillars of Healthcare Capacity OptimizationIntroduction to Section on Hospital Capacity OptimizationDynamic Capacity Management: An Approach to Capacity OptimizationHealthcare Is DifferentVariability and InterdependenciesDemand Patterns and the Relevance of RangesMaking Capacity DynamicDCAMM and Other PI MethodologiesSummaryThe Blocking and Tackling of Hospital Capacity Management: An OverviewBlocking and Tackling of Capacity Management in the Emergency DepartmentBreaking Down the Arrival DataBlocking and Tackling of ED CapacityOther ED Performance Improvement ConceptsSummaryBlocking and Tackling of Capacity Management in Surgical ServicesBlock-Scheduling OverviewOR Data Analytics for OptimizationSurgeon UtilizationOther AnalyticsAdditional Analytics and TipsCreating the New ScheduleReview of the Blocking and Tackling of Block SchedulingSummaryBlocking and Tackling of Inpatient Capacity ManagementCapacity VarianceEssential ElementsManaging Inpatient Capacity PatternsSummaryPhysicians and Their Role in OptimizationUntil Then, What Now?Final Thoughts: Legal ProtectionsSummaryPreparing for Coming Change: Forming a PHO, by Peter WoodIntroductionCulture and BehaviorGetting StartedWhat Does the Operational Structure Look Like?Funding the PHO OperationsPulling It All Together: A Real Case Model of a PHOIs This All for Real? Does It Exist Elsewhere?Care Circle Networks: An IntroductionBackgroundAchilles’ HeelsSummaryThe Care Circle Network ConceptCCN DescriptionApplication OverviewAn Engineered ApproachCCN ComponentsManaging Communal ResourcesTechnology InfrastructurePalliative and End-of-Life CareAssimilation and PassionCapacity as StrategyOther Important Attributes of the CCNAn Additive SolutionA Caveat to the Contents of This BookA Missing ElementSummaryAssessing the Community and the Patient PopulationSelecting PatientsSize, Scope, and Scale of Your CCN"Assimilation Propensity"SummaryBuilding the Communal Resource PoolOverviewResource and Capacity VarianceResource OptionsResource SelectionSelecting PhysiciansCreating a Care Circle TeamUsing the Care StrategiesPersonalizing the Resource PoolResource AssimilationResources for the ResourcesResource Education for AssimilationLeadership and Core ValuesGroup Dynamics™ for ResourcesOutcomes and IncentivesChallenges and ObstaclesSummaryCCNs, Palliative Care, and End-of-Life PlanningPalliative Care: Definition and HistoryEOL Planning and CareIntegrating EOL and Palliative Care into the CCN ModelThe Payor RoleGovernment and EOL PlanningSummaryFinal ThoughtsSummaryIndex

Pierce Story, Mphm
Pierce Story is the co-founder of Capacity Strategies, Inc., a firm dedicated to the optimization of the "Capacity to Care" in hospitals and communities. His unique expertise lies in "Dynamic Care Capacity Management" (a concept he has developed over the past 15 years); process and systems optimization; resource utilization; and the application of systems dynamics and process simulation to healthcare environments.During his 25-plus-year healthcare career, Story has developed several innovative care and business models to improve health system operations and promote population health outcomes. His passion lies in creating holistic, systemic responses to key constraints facing healthcare, especially in low-income and at-risk communities. He has worked extensively in departmental and hospital-wide performance and capacity optimization as well as new facility planning throughout the care continuum, including work in Emergency Departments, Surgical Services, inpatient units, and community-based health clinics.

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