Synopsis of Healthcare Models by Kimberly Tanseykimberlyatansey.weebly.com/uploads/4/8/6/3/48635981/li…  · Web viewSynopsis of Healthcare Models by Kimberly Tansey. 1. Scientific

Synopsis of Healthcare Models by Kimberly Tansey

Synopsis of Healthcare Models by Kimberly Tansey

1. Scientific method

· Formally developed by Francis Bacon, but heavily influenced by the works of Nicolaus Copernicus and Galileo Galilei

· Published in 1621

· Steps

1. Make an observation

2. Ask a question

3. Form a hypothesis

4. Conduct an experiment

5. Analyze data and draw a conclusion: Accept or Reject hypothesis

· Reference: http://science.howstuffworks.com/innovation/scientific-experiments/scientific-method3.htm

2. Donabedian

· Reference: Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly, 83(4): 691-729. doi: 10.1111/j.1468-0009.2005.00397.x

· republish of original paper, originally published in 1966

3. Aday & Andersen

---Andersen Behavior Framework:

· Developed by medical sociologist, Ronald Andersen in the 1960s

· Reference: McDonald KM, Sundaram V, Bravata DM, et al. Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination). Rockville (MD): Agency for Healthcare Research and Quality (US); 2007 Jun. (Technical Reviews, No. 9.7.) 5, Conceptual Frameworks and Their Application to Evaluating Care Coordination Interventions. Available from: http://www.ncbi.nlm.nih.gov/books/NBK44008/

--Andersen & Aday: Framework for the study of access

· Article published in 1974

· Reference: Aday, L.A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208-220. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071804/

4. Kissick’s Iron Triangle

· Proposed by William Kissick, MD- professor of medicine from University of Pennsylvania, in the book Medicine’s Dilemmas: Infinite Needs Versus Finite Resources. (1994) by Yale University Press.

5. Quadruple Aim

· Reference: https://facilities.health.mil/home/knowledge-center/knowledge-center-topic-areas-introduction-to-world-class/mhs-quadruple-aim

· First presented at the 2010 MHS Conference

· Developed by Rear Adm. Christine Hunter, Deputy Director of TRICARE Management Activity

6. Triple Aim

· Reference: http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx

· Reference: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=63

· Developed by the Institute for Healthcare Improvement (IHI) in 2007

7. Army-Baylor Ethical Decision-Making Models- clinical & organizational

8. Weber’s Ethical Decision Making Model

· Weber, L.J. (2010) Business Ethics in Healthcare: Beyond Compliance. Indiana University Press.

9. Health care parity model

· Reference: marcskinner.weeebly.com/models.html

· Published in 2007

10. Bloom’s taxonomy

· Developed by Benjamin Bloom in 1956

· Classification of levels of intellectual behavior important in learning

· In 1990s, Lorin Anderson and team updated the taxonomy to reflect relevance to 21st century work

· Reference: http://ww2.odu.edu/educ/roverbau/Bloom/blooms_taxonomy.htm

New/Revised Version of Taxonomy

Old/Original Version of Taxonomy

11. Porter’s Five Forces

· Reference: http://www.quickmba.com/strategy/porter.shtml

· Reference: https://hbr.org/2008/01/the-five-competitive-forces-that-shape-strategy

· Developed by Michael Porter, economist and professor

· Published in 1979 in Harvard Business Review

Graphic from: http://www.comindwork.com/weekly/2013-09-02/productivity/five-forces-analysis-porter

12. Tuckman’s Model of Group Development (Forming-Storming-Norming-Performing)

· Developed by Dr. Bruce Tuckman, a psychologist

· Published with 4 stages in 1965; added last stage in the 1970s

· Reference: http://www.mindtools.com/pages/article/newLDR_86.htm

Graphic from: http://wheatoncollege.edu/sail/leadership/student-involvement-handbook/strengthening-group/leadership-teambuilding/

13. Quad-function model (financing, insurance, delivery, payment)

· Developed by Shi & Singh, published in Chapter 1 of the U.S. Healthcare Systems book

· Basics: F-D-I-P

14. Army Performance Triad

· Originally discussed publicly by Army Surgeon General in late 2012, but published formally in 2013

· Reference: http://hprc-online.org/total-force-fitness/performance-triad

· Reference: http://armymedicine.mil/Pages/performance-triad.aspx

15.

Cost

Access

Quality

Army-Baylor Clinical Ethical Decision-Making Model

Frame the question

Set out the medical situtation

Decide

Army-Baylor Organizational Ethical Decision-Making Model

Frame the question

Set out the organizational situtation

Identify and weigh alternatives

Note the contextual situation

Revisit/Reframe the question

Apply the principles of biomedical ethics

Identify and weigh alternatives

Autonomy

Beneficence

Nonmaleficence

Justice

Note the contextual factors

Revisit/Reframe the question

Ask and answer select questions (based on Nash's 12 questions)

Does your decision pass the "grandmother" test?

Decide

Under what conditions would you allow exceptions?

Whom could your decision injure?

How would the other side define it?

Have you defined the problem accurately?