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Biomedical subjects

C R Standridge

Publications and source records attributed to C R Standridge.

6 recordsLinked to original sources

Combining total quality management and simulation with application to family therapy process design.

This case study shows how a new combined total quality management and simulation procedure was used to design, test, and implement a unique clinical process for brief systems family therapy. A process design procedure was developed that combines total quality management and simulation strategies and tactics. The six strategic check-points of the new procedure emphasize the use of both designed experimentation and process modeling and simulation to find process faults, evaluate process improvement alternatives, and test selected process improvements. Other information needed for process design was gathered from families in therapy, the family therapy literature and observations of student and experienced therapists. Simulation helped identify and compare alternative sequences of therapy process steps. Designed experimentation revealed improvements resulting from the new Brief Systems Family Therapy process as used by doctoral-level family therapy practicum students in a university clinic.

Clinical Clerkship↗

A preimplementation assessment of a capitation reimbursement system using simulation.

Capitation is a system of reimbursement for services under which providers are paid a fixed amount per client served per time period. An experiment from April 1981 to December 1981 involved the use of a capitation system of reimbursement to pharmacies participating in the Iowa Medicaid drug program in 32 counties in Iowa. It was essential to demonstrate that cost savings were feasible and pharmacy reimbursement would be adequate before the capitation experiment was begun. An assessment of this issue was developed using simulation and data base management techniques. The positive results of this assessment gave evidence that cost savings due to capitation potentially could be realized by both the Medicaid drug program and pharmacists during the experiment.

Capitation Fee↗

Estimating the need for additional primary care physicians.

A systems approach is used to assess the primary health care delivery system in Indiana. The output (office visits) of primary care physicians is estimated and compared with the demand for their services. Indexes of demand, supply, cost, and need are derived and used to determine the additional number of primary care physicians needed in each area. The results of this study are being used to encourage graduating medical students to practice in areas in need of additional primary medical care.

Health Planning↗