Evidence-Informed Case Rates: A New Health Care Payment Model

Suggests a new payment model whereby providers are paid a single, risk-adjusted payment across inpatient and outpatient settings to care for a patient diagnosed with a specific condition

Advancing Physician Performance Measurement: Using Administrative Data to Assess Physician Quality and Efficiency

Summarizes national initiatives to advance the practice of standardized measurement and outlines goals for developing a method for tracking efficiency and quality that will reward physicians and enable patients to make informed healthcare choices

The Effects of Cardiac Specialty Hospitals on the Cost and Quality of Medical Care

The recent rise of specialty hospitals -- typically for-profit firms that are at least partially owned by physicians -- has led to substantial debate about their effects on the cost and quality of care. Advocates of specialty hospitals claim they improve quality and lower cost; critics contend they concentrate on providing profitable procedures and attracting relatively healthy patients, leaving (predominantly nonprofit) general hospitals with a less-remunerative, sicker patient population. We find support for both sides of this debate. Markets experiencing entry by a cardiac specialty hospital have lower spending for cardiac care without significantly worse clinical outcomes. In markets with a specialty hospital, however, specialty hospitals tend to attract healthier patients and provide higher levels of intensive procedures than general hospitals.

The Art of Knowledge Exchange: A Results-Focused Planning Guide for Development Practitioners

Designing and implementing knowledge exchange initiatives can be a big undertaking. This guide takes the guesswork out of the process by breaking it down into simple steps and providing tools to help you play a more effective role as knowledge connector and learning facilitator

Interwoven Leadership: the Missing Link in Multi-Agency Major Incident Response

This paper reports on research into the effectiveness of strategic commanders and their multi-agency teams in response to major incidents. It is argued that current models of crisis leadership fail to establish a balance between the requirement for task skills,interpersonal skills, stakeholder awareness and personal qualities of commanders and their teams. The paper sets out a theoretical model for interwoven leadership combining these features

Efficient trajectories computing using inversibilities properties

A time-consuming problem encountered both in system diagnosis and planning is that of computing trajectories over a behavioral model. In order to improve the efficiency of this task, there is currently a great interest in using model-checking techniques developed within the area of computer aided verification. In this paper, we propose to represent the system as automata and we define a property called inversibility. This property is used to improve the efficiency of the search algorithm computing trajectories. We present two study cases in diagnosis and planning domains where this approach gives satisfactory results