The president of the local not-for-profit hospice wants to have lunch.

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1. The local library holds a monthly town hall meeting attended by more than 100 residents, recorded for the internet, and covered in several local news media outlets. You are asked to present a program identifying ways to improve your community’s health. What are the key points your audience should take away?

2. The president of the local not-for-profit hospice wants to have lunch. She is concerned that your HCO is not referring as many patients as it should. Should you invite her to lunch? If so, what should you do to prepare? If not, does her interest require any other action?

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 outcome 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 to address the governing board? What counterarguments would you expect, and how would you respond? Should you explicitly propose developing a community coalition?

5. A large, not-for-profit HCO begins its move from providing excellence in care to supporting population health with a comprehensive review of population health needs. It forecasts current and benchmark demand for specific exhibit 9.1 services. The near term shows high emergency and inpatient use and shortages of support for mental illness and several diseases associated with aging. How should it organize a systematic response? What task forces, what tasks are they charged with, and who are their members? What consultant assistance would be helpful?

Sample Solution

  1. Local Library Town Hall:

Here are the key points your audience should takeaway from your presentation on community health improvement:

  • Highlight current health challenges:Identify the most pressing health concerns in your community, backed by data and local news reports.
  • Focus on accessible solutions:Present practical ways residents can improve their health, highlighting resources available at the library (e.g., health books, community programs).
  • Emphasize collaborative action:Encourage audience participation and showcase community initiatives already underway.
  • Provide clear calls to action:Offer concrete steps individuals can take to contribute to a healthier community (e.g., joining a walking group, attending health screenings).
  • Promote further engagement:Guide audience members toward additional resources, like government websites, local health organizations, or your HCO.
  1. Lunch with Hospice President:

Yes, consider inviting the hospice president to lunch:

  • It shows a willingness to collaborate and address concerns.
  • Opens dialogue and allows you to understand her perspective better.
  • Provides an opportunity to explain your referral practices and potential barriers.

Preparation:

  • Gather data:Compile data on referral volume and reasons for non-referral (e.g., patient preferences, eligibility criteria).
  • Understand their needs:Research their hospice services and target population.
  • Identify common ground:Explore potential collaboration opportunities (e.g., joint educational programs).
  • Prepare discussion points:Outline key topics you want to address, including data, concerns, and solutions.
  1. Implementing Patient-Centered Medical Homes (PCMH):

Before responding to the physicians:

  • Understand their vision:Ask clarifying questions about their goals, timeline, and desired level of PCMH implementation.
  • Assess feasibility:Evaluate your HCO’s resources, infrastructure, and budget to support PCMH transformation.
  • Review existing initiatives:Identify any current projects or practices aligned with PCMH principles.
  • Engage stakeholders:Gather input from other physicians, administrators, and staff potentially impacted by this change.
  • Research best practices:Analyze successful PCMH implementation models in other healthcare settings.
  • Consider legal and regulatory implications:Address potential compliance requirements associated with PCMH adoption.
  • Develop a response plan:Prepare a clear and informed response, outlining next steps and potential timelines.

By addressing these points, you can make informed decisions and collaborate effectively with physicians moving towards a PCMH model.

 

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