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Bringing voice in policy building: A cross-population multi-stakeholder conceptual model for management of acute unscheduled care in the United States using group concept mapping

Gaetano R. Lotrecchiano (Department of Clinical Research and Leadership, George Washington University, Washington, District of Columbia, USA and Center for Healthcare Innovation and Policy Research, George Washington University, Washington, District of Columbia, USA)
Mary Kane (Concept Systems, Inc., Ithaca, New York, USA)
Mark S. Zocchi (Center for Healthcare Innovation and Policy Research, George Washington University, Washington, District of Columbia, USA)
Jessica Gosa (Concept Systems, Inc., Ithaca, New York, USA)
Danielle Lazar (Consulting Solutions at Envision Pharma Group, Philadelphia, Pennsylvania, USA)
Jesse M. Pines (Center for Healthcare Innovation and Policy Research, George Washington University, Washington, District of Columbia, USA and Departments of Emergency Medicine and Health Policy, George Washington University, Washington, District of Columbia, USA)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 3 July 2017

154

Abstract

Purpose

The purpose of this paper is to describe the use of group concept mapping (GCM) as a tool for developing a conceptual model of an episode of acute, unscheduled care from illness or injury to outcomes such as recovery, death and chronic illness.

Design/methodology/approach

After generating a literature review drafting an initial conceptual model, GCM software (CS Global MAXTM) is used to organize and identify strengths and directionality between concepts generated through feedback about the model from several stakeholder groups: acute care and non-acute care providers, patients, payers and policymakers. Through online and in-person population-specific focus groups, the GCM approach seeks feedback, assigned relationships and articulated priorities from participants to produce an output map that described overarching concepts and relationships within and across subsamples.

Findings

A clustered concept map made up of relational data points that produced a taxonomy of feedback was used to update the model for use in soliciting additional feedback from two technical expert panels (TEPs), and finally, a public comment exercise was performed. The results were a stakeholder-informed improved model for an acute care episode, identified factors that influence process and outcomes, and policy recommendations, which were delivered to the Department of Health and Human Services’s (DHHS) Assistant Secretary for Preparedness and Response.

Practical implications

This study provides an example of the value of cross-population multi-stakeholder input to increase voice in shared problem health stakeholder groups.

Originality/value

This paper provides GCM results and a visual analysis of the relational characteristics both within and across sub-populations involved in the study. It also provides an assessment of observational key factors supporting how different stakeholder voices can be integrated to inform model development and policy recommendations.

Keywords

Acknowledgements

The authors of this paper report no conflicts of interest. This work was conducted in fulfillment of US Department of Health and Human Services (DHHS) contract HHS01000201400028A. The views, findings, opinions and recommendations represent those of the authors and not the US Department of Health and Human Services, Assistant Secretary for Preparedness and Response, Division of Health System Policy or the Emergency Care Coordination Center.

Citation

Lotrecchiano, G.R., Kane, M., Zocchi, M.S., Gosa, J., Lazar, D. and Pines, J.M. (2017), "Bringing voice in policy building: A cross-population multi-stakeholder conceptual model for management of acute unscheduled care in the United States using group concept mapping", Leadership in Health Services, Vol. 30 No. 3, pp. 272-308. https://doi.org/10.1108/LHS-07-2016-0034

Publisher

:

Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited

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