HCS/514
Decision-Making Case Study
The looming changes in health care are a frequent topic in many meetings with health care providers. Budget cuts are not just a speculation but are a reality. Decision-making to provide quality patient care with less money is a challenge at best. The Informed Decisions Toolbox can assist administrators and managers with evidence-based decisions that will allow patients to receive the quality care they deserve while reducing expenses.
The Informed Decisions Toolbox
The Informed Decisions Toolbox (IDT) is the result of a research study to aid managers with making evidence-based decisions that improve organizational performance. The IDT has an approach of six steps to decision-making (Rundell, et al, 2007): (1) framing the management question, (2) finding sources of information, (3) assessing the accuracy of the information, (4) assessing the applicability of the information, (5) assessing the actionability of the evidence, and (6) determining if the information is adequate (p. 325).
As a facilitator for the use of evidence-based research in decision-making, the IDT assists decision-makers with estimating how operational and strategic decisions will have an effect on the organization. Evidence-based decision-making is not new to the health care industry. Clinicians have incorporated evidence-based research for years when making patient treatment determination. The use of evidence-based research for decision-making in other realms of healthcare is only logical.
Case Study Example
A manager of a Denton County, Texas, clinic that provides care to Medicaid clients has a department budget cut of 15%. A decision for eliminating or introducing clinical services to best address the healthcare needs of the Medicaid population is necessary. The decision should consider statewide health policy and a defined budget constraint.
Framing the management question (Step 1)
Framing the management
References: Lerner, M. (2012, August 12). Bell County officials getting head start on Medicaid changes. Killeen Daily Herald. Retrieved from http://www.kdnews.com/news/story.aspx?s=68548 Rundell, T. G., Martelli, P. F., Arroyo, L., McCurdy, R., Graetz, I., Neuwirth, E. B., Curtis, P., Schmittdiel, J., Gibson, M., & Hsu, J. (2007, September-October). The informed decisions toolbox: Tools for knowledge transfer performance improvement. Journal of Healthcare Management, 52(5), 325-342. Gale PowerSearch database. Texas Health and Human Services Commission. (2012a). Point in time - Medicaid enrollment by county for July 2012. Retrieved from http://www.hhsc.state.tx.us/research/MedicaidEnrollment/PIT/201207.html Texas Health and Human Services Commission. (2012b). Texas Medicaid and CHIP in perspective: Eighth edition - January 2011. Retrieved from http://www.hhsc.state.tx.us/medicaid/reports/PB8/PinkBookTOC.html Texas Health and Human Services. (2012). Health and human services system strategic plan 2013-2017. Retrieved from http://www.hhs.state.tx.us/StrategicPlans/SP-2013-2017/SP-13-17.shtml Zick, J. (2011, April 19). Chemung medicaid clinic produces savings. The-Leader.com. Retrieved from http://www.the-leader.com/news/x1225333657/Chemung-Medicaid-clinic-produces-savings