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Strategy and change in loosely-coupled systems

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Publications

Briefing Notes: Ambivalence About Leadership in Academic Medicine.

 CFAR Inc.

Description: In academic medicine, there is considerable ambivalence about formal leadership. Various leaders in academic medicine were asked to reflect on what close friends said to them when they first took a significant leadership role. This briefing note looks at some of their responses and reflects on these comments.

Briefing Notes: Ambivalence About Leadership in Academic Medicine. Amb_acmd.pdf   [153.98 Kb]

Briefing Notes: An Active and Collaborative Approach to Strategy in Academic Medicine

 CFAR Inc.

Description: CFAR has developed an approach to strategic planning that embraces action and collaboration. Leaders in academic medicine want a strategy that will support practical, collaborative, action-oriented steps to address their most challenging issues. The principles described here are useful for informing a structure that best meets the unique needs of any institution.

Briefing Notes: An Active and Collaborative Approach to Strategy in Academic Medicine Stra_med.pdf   [218.05 Kb]

Briefing Notes: Demonstrating Return-on-Investment (ROI) for Future Disease-Management/Health-Improvement Interventions

 CFAR Inc.

Description: This briefing note summarizes the results of conversations that occurred between Medical directors from across the country at the Empower Summit and continuing on-line dialogues on this important topic.

Briefing Notes: Demonstrating Return-on-Investment (ROI) for Future Disease-Management/Health-Improvement Interventions ROI_mgmt.pdf   [242.21 Kb]

Briefing Notes: Disease Management and Return on Investment

 CFAR Inc.

Description: This briefing note defines what is meant by "disease management" and looks at how to define and measure returns. We also examine best practices to disease management and the challenges to implementing these practices.

Briefing Notes: Disease Management and Return on Investment Dise_ROI.pdf   [169.96 Kb]

Briefing Notes: Improving MCO Information Systems to Enhance Clinical Management

 CFAR Inc.

Description: This briefing note summarizes the results of conversations that occurred between Medical directors from across the country at the Empower Summit and continuing on-line dialogues on this important topic.

Briefing Notes: Improving MCO Information Systems to Enhance Clinical Management MCO_info.pdf   [204.73 Kb]

Briefing Notes: Integration of Services

 CFAR Inc.

Description: Many providers today are engaged in a discussion about organization design that recognizes that many support services are duplicated across their networks. This note provides some structure for thinking about how best to integrate support services. Recent cases are included. This note concludes with some of our thinking on why it has been so difficult for integrated delivery systems to get costs out, and suggests some general rules to keep in mind as you work to reduce costs.

Briefing Notes: Integration of Services Int_serv.pdf   [202.24 Kb]

Briefing Notes: Some Do's and Don'ts for Planning Retreats in Loosely Coupled Systems

 CFAR Inc.

Description: This briefing note defines a loosely couple system and gives do's and don'ts for holding a productive planning meetings in such a system.

Briefing Notes: Some Do's and Don'ts for Planning Retreats in Loosely Coupled Systems Dos_Ret.pdf   [135.82 Kb]

Consider All of the Players in Healthcare Negotiation

 Jennifer Tomasik, Mario Moussa

Description: Published in Healthcare Executive, Volume 19, Number 6, Nov/Dec 2004, p. 29. (Professional Pointers column).

Consider All of the Players in Healthcare Negotiation AllPlyrs.pdf   [121.24 Kb]

Impediments and their Countermeasures in Strategic Planning

 Jennifer Tomasik, Thomas Gilmore, Andrew Schafer

Description: This is a draft table that looks at some of the typical problems and countermeasures in strategic planning. The final article can be found in The American Journal of Medicine, Vol 118, No 3, March 2005, pp 315-320.

Impediments and their Countermeasures in Strategic Planning ACFx3zO4Z.pdf   [129.43 Kb]

Negotiating a Change in Medical Center Governance: A Case Study of Institutional Alliances

 Debbie Bing, Jessica Geiben Lynn, Mario Moussa

Description: The authors relate a process in which faculty confronted their preconceptions and arrived at a shared vision regarding the center’s mission. Ultimately, this unified vision paved the way for developing a new governance structure.

Negotiating a Change in Medical Center Governance: A Case Study of Institutional Alliances instAllian.pdf   [266.13 Kb]

Unit Clinical Leadership Model: A Successful Partnership between Front-Line Clinicians, Quality, and Senior Leaders

 Larry Hirschhorn, Linda May, Victoria Rich, PJ Brennan, Elizabeth Riley-Wasserman

Description: A joint presentation with The University of Pennsylvania Health System presented at the 2009 IHI National Forum on Quality Improvement in Health Care

Unit Clinical Leadership Model: A Successful Partnership between Front-Line Clinicians, Quality, and Senior Leaders IHI2009.pdf   [692.66 Kb]