Decision Making Study
Decision Making Study
Providing medical care to patients at the County Clinic can be challenging from a financial perspective. This vulnerable population contains challenges in treating patients with difficult multi-factorial disease entities, patients with transportation and other access difficulties, and patients who are uninsured or underinsured. The majority of patients at the County Clinic are covered by Medicare and Medicaid. Recently, the departmental budget for the County Clinic was cut by 15%. In order to continue to provide services for this vulnerable group, the managers at County Clinic will need to evaluate how to best address the needs of ...view middle of the document...
Framing The Management Question
The first step in the Informed Decision Toolbox matrix is framing the management question. This step determines what the end point of the decision will be and what management really needs to know in order to make a decision based on all available information. In the case of County Clinic, the correct question would be which services should be cut and which services should be expanded to continue to provide excellent community health care while considering the budget cut of 15%. Considerations for existing services would include what services are provided now, what is the percentage of use of those services, what percentage of those services are reimbursed by Medicaid, and what services does the community think are necessary. Considerations for newly proposed services would include what services are provided by other like county clinics, what disease processes could be influenced by expanding services, and what services the community thinks should be added.
Finding Sources of Information
The second step in the Informed Decision Toolbox matrix is finding sources of information. This step ensures that the management team has used the best evidence based criteria for making the informed decision. Staff and consultants should be enlisted to determine what the sources should be. In the case of County Clinic, relevant sources of information could include community outreach surveys, patient databases, federal reimbursement criteria, and what services are offered in similar country clinics both regionally and nationally.
Assessing The Accuracy Of The Information
The third step in the Informed Decision Toolbox matrix is assessing the accuracy of the information. In this step management needs to determine the reliability and validity of the information. The source of the information should be identifiable and credible. Examples would include government surveys and databases. The information should also be supported by evidence from controlled studies or known scientific facts. Other sources that validate the information strengthen the validity of the information. Anonymous sources or empiric data should not be included in the decision making process. The information should also be reviewed to determine if it supports clinical data and community needs.
Assessing the Applicability of The Information
The next step in the Informed Decision Toolbox matrix is assessing the applicability of the information. This step determines whether the information relates to the decision that is being examined and if it is...