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Care coordination and pathways-based experimental frames

Care coordination and pathways-based experimental frames

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This chapter provided a brief review of the original formulation of the Pathways Community HUB model. This review set the context for the multiperspective modeling and simulation framework and its support of pathways-based care coordination. We then discussed the discrete event system specification (DEVS) formalization of pathways in more depth and showed how pathways serve as a basis for quality improvements in coordination of care. The DEVS formalization provides a firm basis for computerized support for monitoring, tracking, and reporting. This leads to improved client adherence to their assigned activities and improved coordination among the payers and agencies involved.

Chapter Contents:

  • 6.1 Introduction
  • 6.2 Background:origins of the pathways model
  • 6.3 Review:formulating and defining pathways
  • 6.3.1 Pathway concept
  • 6.3.2 Pathway: initiation,action,completion,and closure steps
  • 6.3.2.1 Completion step
  • 6.3.2.2 Closure step
  • 6.3.2.3 Initiation step
  • 6.3.2.4 Action steps
  • 6.3.3 Example:pregnancy pathway
  • 6.3.4 Initialization checklists
  • 6.4 Formalization of pathways
  • 6.4.1 Atomic model representation
  • 6.4.2 Experimental frames for pathway simulation
  • 6.5 Metrics for quality of reporting
  • 6.5.1 Consistency of reporting
  • 6.5.2 Completeness metrics
  • 6.5.3 Adherence metrics
  • 6.6 Exemplary data analysis
  • 6.6.1 Consistency and adherence
  • 6.6.2 Pregnancy pathway closure and completeness
  • 6.6.3 Reporting competence analysis
  • 6.6.4 Client adherence analysis
  • 6.7 Health outcome metrics
  • 6.8 Pathway-based systems operational metrics
  • 6.8.1 Pathway activity distribution
  • 6.8.2 Pathway-duration distribution
  • 6.8.3 Temporal metrics
  • 6.9 Summary
  • References

Inspec keywords: health care; discrete event systems; discrete event simulation

Other keywords: multiperspective modeling; multiperspective simulation; discrete event system specification; Pathways Community HUB model; pathways-based care coordination; DEVS

Subjects: Simulation, modelling and identification; Systems theory applications in biology and medicine

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