Optimizing your capacity to care: a systems approach to hospital and population health management

Content: 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 Dynamicsâ ¢ 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