complexity

28 02, 2021

The Brain Is An Electrical Device Just Like A Toaster: Raymond Rupert patient advocate

2021-02-28T10:54:02-05:00February 28, 2021|Tags: , , , , , , , , , , , , , , |

The brain is an electrical device.  Just like your toaster. Lots of millivolts zipping and zapping from one neuron to the next neuron. So can we, the medical doctors and medical researchers, figure out how to use electricity to tune up the brain? That's the BIG QUESTION.   But the brain ...

15 01, 2021

The Expert Panel- A Very Good Option When Confronting Uber Complexity. Raymond Rupert patient advocate

2021-01-15T20:40:20-05:00January 15, 2021|Tags: , , , , , , , , , , |

When a case is uber complex, then we will revert to using an expert panel. Uber complex implies high levels of uncertainty. Somewhat like a wicked problem. Not a complex problem. The objective in using an expert panel is to go deeper in the analysis of the problem. Hosting a ...

12 10, 2020

Why Participate In A Case Conference: Raymond Rupert patient advocate

2020-10-12T21:13:21-04:00October 12, 2020|Tags: , , , , , , , |

As doctors, nurses, nurse practitioners, patient advocates and social workers, we can all agree that we want the best outcome for our patients. A case conference gives everyone on the team an opportunity to participate in the discussion about how we can help the patient. A case conference is about ...

11 10, 2020

Improving Our Decision Making Processes: Raymond Rupert, patient advocate.

2020-10-11T14:05:38-04:00October 11, 2020|Tags: , , , , , , , |

It is important that healthcare consultants, patient advocates and doctors should learn to adopt an open and curious mindset and use a systematic process, outlined below, for addressing the most complex clinical problems. From McKinsey , we learn the principles of improving our decision making processes. This is essential for ...

10 10, 2020

On Being Perceived To Be Disruptive:

2020-10-10T08:34:09-04:00October 10, 2020|Tags: , , , , , , , , |

The case conference involved the entire clinical care team at the hospital. The doctors, nurses, social workers and dieticians were present. The doctors reported first. The nurses seemed to be excluded. The hierarchy of influence limited the discussion. Our job as advocates was to deepen the analysis of both the ...

8 10, 2020

The Outcome Of The Case Conference:

2020-10-08T20:39:07-04:00October 8, 2020|Tags: , , , , , , , |

Today, we organized a case conference to discuss a complex patient with a psycho-social challenge and a metabolic disorder combined with an eating disorder. She is complex. She has been in hospital for 2 weeks. Because she is complex, a plan is required to manage her. And it is important ...

6 10, 2020

Case Conferences: They Work.

2020-10-06T15:12:57-04:00October 6, 2020|Tags: , , , , , , , , , , , |

Our client is very complex. The nurses and doctors are all over the place with ideas about care management. The only way to coordinate is to organize a case conference. A dial in call. Maybe even a zoom call. So our nurses are organizing a case conference with the MRP ...

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