Reference no: EM133476670
Question
1. The emergence of service lines has substantially changed the accountability of CSS personnel. Many professionals have dual reporting-to the service line and to the CSS (e.g., respiratory therapists assigned to a cardiovascular service line). How should the organization resolve the following issues?
How the HCO establishes functional protocols for the CSS services
When the CSS associate feels a specific patient's order is inappropriate
When care team members are concerned about the CSS service to a specific patient
When care team members are concerned about the CSS service in general
2. A small HCO in a well-managed healthcare system can consider three ways to obtain a CSS. It can stand alone, hiring its own professionals. It can outsource, buying service from a local provider. It can affiliate, arranging for training, procedures, and supervision through its system.
What's the best solution?
How should the HCO decide what to do?
Who should be involved in the decision?
What should the system senior leadership do to support the best solutions for all the system HCOs.
3. Your HCO is integrating several primary care physician groups into a primary care service line. Several of the physician leaders approach you, saying that they would like to move toward implementing the patient-centered medical home concept, working toward reduced hospital and emergency care.
Make a checklist of questions you need to think about before you respond.
4. Pursuing excellence in care, your large, not-for-profit HCO has moved many outcomes measures to the best quartile. Associate turnover is down, patient satisfaction and market share are increasing. Senior leadership concludes that long-run success requires a shift to a population health mission.
What arguments would you prepare in support of this move?
What counter arguments would you expect, and how would you respond?
Should you explicitly propose developing a new community coalition? Why or why not?