the volunteer’s dilemma to ensure patients receive appropriate levels of care interventions in an ACO setting. The three economic mechanisms the model identified as effective were: 1) reassign interventions to optimistic providers, 2) outsource to third party/vendor outside an accountable care organization (ACO), and 3) create a penalty to incentivize. The researchers found that while collaboration in an ACO has major potential, designing incentives appropriately is key to ensure that providers and the ACO have sufficient motivation to act in accordance with ACO principles, based on group performance and specified quality measures. Results can be affected by heterogeneous opinions among providers of any given care intervention’s effectiveness, underscoring the importance of awareness and evidence-based protocols.
Bettinger, B., & Benneyan, J. C. (2016). The volunteer’s dilemma and alternate solutions for ensuring responsibility within accountable care organizations. The Engineering Economist, 1-15.
James Benneyan, PhD
In a recent CHOT study, researchers at the PSU-CHOT site developed mixed-methods research approach that provides decision-makers and stakeholders in healthcare with a useful framework for hospitals to improve efficiency and clinician satisfaction by better understanding the complexity of clinical workflow. This study is based on the research collected from physicians and nurses working in a pediatric intensive care unit at the Pennsylvania State Children’s Hospital of the Milton S. Hershey Medical Center. The mix of quantitative and qualitative tools employed from this approach are helping both quality and health care management engineers recognize the activities which do not add value to the care process. The researchers state this approach can also be implemented in various healthcare systems to support process improvement efforts in which complexity is a daily element that impacts clinical workflow. The mixed-methods approach consists of stakeholder analysis, survey design, time-motion study, and process improvement.
Bastian, N., Munoz, D., & Ventura, M. (2016). A Mixed-Methods Research Framework for Healthcare Process Improvement. Journal of Pediatric Nursing, 31(1): 39-51.
Nathan Bastian, PhD