Guest guest Posted February 12, 2005 Report Share Posted February 12, 2005 I tried to send this 2/9/05. Feedback needed! Gwen PROPOSED OUTLINE FOR SHORT GRANT PROPOSAL by Gwen Hanson 9 February 2005 INTRO: We decided we’d like to submit grant proposals under the wing of another non-profit with the eventual goal of creating our own organization. Possible grantors: Foundation set up from CIGNA lawsuit (deadline for 2 pager March 1), AAFP (submission deadline June 1st I think), Wood Foundation (RWJF) , others Possible fiduciary agents: AMA, AAFP, IHI, others POSSIBLE OUTLINE: What Will We Do? I. Definition of Ideal Healthcare office II. Hypothesis #1 This model has better outcomes than traditional models III. Hypothesis #2 Regular use of standard metrics will improve outcomes further IV. Goals: Test above hypotheses. If they’re true, establish tools to facilitate more participation in this model. Background- (only needed for full proposal, not 2 pager) - Evolution of quality monitoring- include HMO’s, IOM report on all the errors, penetration of EMRs, historical and present ways we monitor quality. - Flaws in US system today that impede quality - Various examples of things that have been done to try to bypass this- fee for service, early retirement, concierge practice, employee docs etc - Birth of ideal practices (Gordon ) V. Testing Hypothesis #1 A. Find outcomes study(ies) to use as comparison- examples: 1. nationwide rate of BP control 2. Service Delivery Metrics (are these from IHI?) i. % of pts that see the provider they prefer ii. % of pts satisfied with waiting room time iii % of pts satisfied with practitioner response to their phone call iv % of pts satisfied with time til they get an appointment 3. Access- How far into the future is 3rd available appt. (Goal: 0 days) B. Write out instructions on following methodology similar to theirs and see how we compare. VI. Testing Hypothesis #2 Continue to measure in same ways periodically throughout the year. Track results. All results need to be collected and analyzed by a statistician. VII. If things go well and we do wish to disseminate our practices: A. Write a book- Model it after Starting a Practice from the Ground Up sold by AAFP. Will need contributors, editors, and a publisher (AAFP? IHI?) B. Website - model this after the AAFP/ Journals/ Family Practice Management website. C. Advisors in different areas of expertise that new “idealers” can contact by email. D. Negotiate discount rates for whatever we can obtain that might help newcomers…docalert, EMR’s, bank loan packages… E. Publicize our vision of where the EMR’s need to go eg advances needed in registry, alerting, practice guidelines etc. Communicate this info to vendors and organizations like FPM and CMS. How Will The Grant Money Be Used? I. Manpower: A. US! Participants in the study should get reimbursed per task accomplished. We can create a list of all the jobs, together decide fair re-imbursement for each task, and then have people select the jobs for which they are best suited. Examples of jobs: 1. identify appropriate requests for proposals 2. write short proposals 3. CREATE BUDGET (this should be done sooner instead of later since unrealistic budgets kill projects) 4. Establish connection with a non-profit who will apply for and administer grant(s). 5. Long grant proposal 6. Data collection (all of us and statistician) 7. Data analysis (statistician and us) 8. Write final paper with results. 9. Create book, website 10. Negotiate group discounts 11. Advisor responsibilities for answering questions 12. Publicity stunts B. Consultants: 1. Statistician for data collection and analysis. There can be an hourly rate for the statistician’s assistant and a higher hourly rate for the statistician herself. 2. Grant writer? It’s probably better if Gordon does this. 3. Other II. Fraction of our overhead (rent, office supplies, any clerical help) III. OTHER Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2005 Report Share Posted February 12, 2005 Gwen and all, Gwen has done a truly amazing amount of work and I would like to commend you on that. I have not even started my ideal practice yet (launch date this June), but if you need me to help with anything, I will. Where I think I can help in the future is with assistance in writing a start up book. I have a degree in writing, and I plan to keep careful track of the actual start up process I am currently suffering through to hopefully be able to look back and learn from the process. I would not mind starting to compile experiences from others on the listserve and developing a data base for a future publication. I also feel it is extremely important that we identify and expose the " flaws that impede quality " in our current health care system. If we are able to do nothing else, truly exposing the hypocrisy in our " helath care/care-for-the- insurance-industry " system will hopefully go a long way. Durango, CO On Sat, 12 Feb 2005 08:10:28 -0800 (PST) Gwen Hanson wrote: > > I tried to send this 2/9/05. Feedback needed! > > Gwen > > > > PROPOSED OUTLINE FOR SHORT GRANT PROPOSAL > by Gwen Hanson > 9 February 2005 > > INTRO: > We decided we’d like to submit grant proposals under > the wing of another non-profit with the eventual goal > of creating our own organization. > Possible grantors: Foundation set up from CIGNA > lawsuit (deadline for 2 pager March 1), AAFP > (submission deadline June 1st I think), Wood > Foundation (RWJF) , others > Possible fiduciary agents: AMA, AAFP, IHI, others > > POSSIBLE OUTLINE: > > What Will We Do? > I. Definition of Ideal Healthcare office > > II. Hypothesis #1 This model has better outcomes than > traditional models > > III. Hypothesis #2 Regular use of standard metrics > will improve outcomes further > > IV. Goals: Test above hypotheses. If they’re true, > establish tools to facilitate more participation in > this model. > > > Background- (only needed for full proposal, not 2 > pager) > - Evolution of quality monitoring- include HMO’s, IOM > report on all the errors, penetration of EMRs, > historical and present ways we monitor quality. > - Flaws in US system today that impede quality > - Various examples of things that have been done to > try to bypass this- fee for service, early retirement, > concierge practice, employee docs etc > - Birth of ideal practices (Gordon ) > > V. Testing Hypothesis #1 > A. Find outcomes study(ies) to use as comparison- > examples: > 1. nationwide rate of BP control > 2. Service Delivery Metrics (are these from IHI?) > i. % of pts that see the provider they prefer > ii. % of pts satisfied with waiting room time > iii % of pts satisfied with practitioner response > to their phone call > iv % of pts satisfied with time til they get an > appointment > 3. Access- How far into the future is 3rd available > appt. (Goal: 0 days) > B. Write out instructions on following methodology > similar to theirs and see how we compare. > VI. Testing Hypothesis #2 > Continue to measure in same ways periodically > throughout the year. Track results. > All results need to be collected and analyzed by a > statistician. > > VII. If things go well and we do wish to disseminate > our practices: > A. Write a book- Model it after Starting a Practice > from the Ground Up > sold by AAFP. Will need contributors, editors, and a > publisher (AAFP? IHI?) > B. Website - model this after the AAFP/ Journals/ >Family Practice Management website. > C. Advisors in different areas of expertise that new > “idealers” can contact by email. > D. Negotiate discount rates for whatever we can > obtain that might help newcomers…docalert, EMR’s, bank > loan packages… > E. Publicize our vision of where the EMR’s need to go > eg advances needed in registry, alerting, practice > guidelines etc. Communicate this info to vendors and > organizations like FPM and CMS. > > > How Will The Grant Money Be Used? > I. Manpower: > A. US! Participants in the study should get > reimbursed per task accomplished. We can create a list > of all the jobs, together decide fair re-imbursement > for each task, and then have people select the jobs > for which they are best suited. > Examples of jobs: > 1. identify appropriate requests for proposals > 2. write short proposals > 3. CREATE BUDGET (this should be done sooner > instead of later since unrealistic budgets kill > projects) > 4. Establish connection with a non-profit who will > apply for and administer grant(s). > 5. Long grant proposal > 6. Data collection (all of us and statistician) > 7. Data analysis (statistician and us) > 8. Write final paper with results. > 9. Create book, website > 10. Negotiate group discounts > 11. Advisor responsibilities for answering > questions > 12. Publicity stunts > > B. Consultants: > 1. Statistician for data collection and analysis. > There can be an hourly rate for the statistician’s > assistant and a higher hourly rate for the > statistician herself. > 2. Grant writer? It’s probably better if Gordon > does this. > 3. Other > > II. Fraction of our overhead (rent, office supplies, > any clerical help) > > III. OTHER > > > > > > Quote Link to comment Share on other sites More sharing options...
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