Health Care System Redesign Models
Posted: Sat Apr 17, 1999 10:21 am
In response to Kevin Agatsteins query about health care redesign models,
there have been several SD-based Learning Environments (Microworlds) dealing
with change in health care systems. One of these was developed by Innovation
Associates with The Healthcare Forum. It is described in "Mastering the
Transition to Capitation", by Gary B. Hirsch and Jennifer M. Kemeny, The
Healthcare Forum Journal, May/June, 1994. It deals with the shift in
investments, emphasis, and thinking that are necessary as health care
reimbursement patterns shift. Another was developed by Innovation Associates
with the New England Healthcare Assembly and is called Creating Integrated
Care and Healthier Communities. As the name suggests, it includes modules
that deal with improvement of both delivery system performance (through
vetrical integration among other strategies) and community health status.
Aspects of its design are described in "Design of Simulators to Enhance
Learning: Examples from a Health Care Microworld", by Gary B. Hirsch and C.
Sherry Immediato, Proceedings of the 1998 Conference of the System Dynamics
Society in Quebec City, Canada. Another article on this Microworld and its
use by Hirsch and Immediato will be coming out later this year in the System
Dynamics Review.
Gary Hirsch
GBHirsch@aol.com
there have been several SD-based Learning Environments (Microworlds) dealing
with change in health care systems. One of these was developed by Innovation
Associates with The Healthcare Forum. It is described in "Mastering the
Transition to Capitation", by Gary B. Hirsch and Jennifer M. Kemeny, The
Healthcare Forum Journal, May/June, 1994. It deals with the shift in
investments, emphasis, and thinking that are necessary as health care
reimbursement patterns shift. Another was developed by Innovation Associates
with the New England Healthcare Assembly and is called Creating Integrated
Care and Healthier Communities. As the name suggests, it includes modules
that deal with improvement of both delivery system performance (through
vetrical integration among other strategies) and community health status.
Aspects of its design are described in "Design of Simulators to Enhance
Learning: Examples from a Health Care Microworld", by Gary B. Hirsch and C.
Sherry Immediato, Proceedings of the 1998 Conference of the System Dynamics
Society in Quebec City, Canada. Another article on this Microworld and its
use by Hirsch and Immediato will be coming out later this year in the System
Dynamics Review.
Gary Hirsch
GBHirsch@aol.com