Transformational Collaborative Outcomes Management

ISBN-13: 9783031077838 / Angielski / Miękka / 2023

John S. Lyons

Opis

Transformational Collaborative Outcomes Management (TCOM) is a comprehensive, multi-level conceptual framework for system management and improvement. This book provides a comprehensive understanding of TCOM by using person-centered, collaborative processes for decision making.

The issue with current human services systems is that there is a lack of access to care and that the system is focused on providing services as cheaply as possible. TCOM focuses on helping the greatest number of people while maximizing effectiveness. 

By fully understanding the nature of the business of helping, the author seeks to offer ways to create and sustain effective and positively evolving helping systems. He lays out a series of goal-directed social change processes which allow people at every level of a system to begin a shift towards transformational practice and the emergence of transformational systems.

Building on three decades of work in a large community of scholars and practitioners, this book will represent the first full description of the conceptual framework and will appeal to an interdisciplinary group of scholars across nonprofit management, healthcare management, and social work.

Spis treści

Table of Contents 

 

Chapter 1. Understanding the business of personal change 

 The Hierarchy of Offerings 

 Experience Leading to Transformation 

 Understanding where we are in preparation for the journey ahead 

 References 

Chapter 2. Managing services versus transformations 

 Financial implications 

 Clinical Implications 

 Operational implications 

 References 

Chapter 3. Helping as a complex system 

 Patient-centered care 

 Complex Adaptive Systems 

 Embracing complexity 

 Managing complexity 

 References 

Chapter 4.  TCOM 

 Core Values, Guiding Principles and Operating Principles 

 Transformational 

 Collaborative 

 Outcomes 

 Management 

 References 

Chapter 5. Communimetrics—Measurement in TCOM 

 The problems with psychometric measures 

 Measurement as communication 

 Six key characteristics of a communimetric measure 

 Measurement and mass customization 

 An example: Child and Adolescent Needs and Strengths 

 References 

Chapter 6. Setting the stage: Establishing and maintaining a TCOM organization 

 Organizational Structure Process and Outcomes 

 Organizational culture and climate 

 Establishing a collaborative organization 

 Organizational decision-making 

 TCOM approach to culture and climate—Safe systems 

 References 

 

Chapter 7.  TCOM at the individual level 

 Individual level decision-making 

 Access 

 Engagement 

 Selecting Appropriate Interventions 

 Intervention Effectiveness 

 Care Coordination 

 Transitions/Linkages 

 References 

Chapter 8.  TCOM at the program level 

 Aspirational Management 

 Program Decision Point Analysis 

 Supervision 

 Workforce Development 

 References 

Chapter 9.  Creating and managing systems that care 

 Key Concepts 

The Original TCOM Project 

Supply Side Considerations and Logistics 

Strategies for System Level TCOM 

References 

Chapter 10 ‘Doing’ TCOM:  strategies, barriers, and opportunities for implementing and 

sustaining 

 Implementation Science 

An alternative way of thinking about implementation 

 Implementation of components to the TCOM approach 

 Sustaining the Approach 

 References 

Chapter 11. Social and political considerations in evolving effective helping systems 

 Tensions 

 Person Level 

 Program Level 

 System Level 

 Syndromes 

 Person Level 

 Program Level 

 System Level 

 References 

Chapter 12.  Developing and managing the field of TCOM 

TCOM Management Team 

Products, Platforms, and Processes  

Sharing Strategies across the Collaborative 

 References 

 

 

 

List of Figures 

Figure 1.1 the Hierarchy of Offerings from the most complex markets to manage (to the easiest.  

Source:  Praed Foundation, 2021 

Figure 1.2 Continuum of Production (Source:  Praed Foundation, 2021) 

Figure 3.1 Bronfenbrenner’s ecological model.   Source:  Developmental Standards 

https://intascprinciple2.weebly.com/bronfenbrennerrsquos-ecological-systems-model.html 

Figure 4.1 TCOM Model of Collaboration. 

Figure 4.2 Common key decisions points in most helping systems. 

Figure 4.3 Facilitated collaborative inquiry cycle. 

Figure 5.1 Clinical outcomes of catastrophizing youth and minimizing parent 

Figure 5.2 Clinical outcomes of a minimizing youth and a catastrophizing parent. (Source:  Praed 

Foundation, 2020). 

Figure 5.3 Standard program evaluation approach to clinical outcomes.  (Source:  Praed 

Foundation, 2020 

Figure 5.4 CANS utilization in the United States in 2022. 

Figure 6.1 TCOM Model of Collaboration 

Figure 6.2 Stress work place safety (Source:  Cull, 2020) 

Figure 6.3 Team-Supporting Strategies and Tactics (Source:  Praed Foundation, 2020) 

Figure 6.4 Six Habit for Mindful Organizing and Psychological Safety Source: Cull, 2020) 

Figure 7.1 Common decision points on the pathway of helping. 

Figure 7.2   Developing a Theory of change 

Figure 7.3 Example of an individual level progress report using the CANS in a TCOM framework. 

Figure 8.1 Simple outcome report on ‘YES’ program in Idaho as presented on their publicly 

available dashboard, February 20, 2022. 

Figure 8.2 Staff caseload example. 

Figure 8.3 Staff caseload and workload example. 

Figure 9.1 Simply supply-demand curve (Source: Praed Foundation, 2020) 

Figure 9.2 Geomapping for child welfare in Chicago. (Source: Praed Foundation, 2014). 

Figure 9.3   Generic decision models for Care Coordination and Residential Treatment using the 

CANS. 

Figure 9.4 Trajectories of change over time in the CANS (Source:  Praed Foundation, 2008) 

Figure 9.5 Details for performed a hinged outcomes trajectory analysis (Source: Praed 

Foundation, 2008) 

Figure 9.6 Trajectories of recovery before and after entering different program types. (Source: 

Praed Foundation, 2008) 

Figure 10.1.  A simple model of the phases of implementation (National Implementation 

Research Network, 2020). 

Figure 10.2 Simple graphic of PDSA Cycle from the W. Edwards Deming Institute (2020). 

Figure 10.3 Implementation cycle from the Australian Institute of Family Studies. 

Figure 10.4 Gartner’s Hype Cycle for the introduction of new technology 

Figure 10.5 If you cannot get out of the Trough of Disillusionment it leads to failed 

implementations in the Valley of Oblivion. 

Figure 10.6 Continuum of adoption of innovations 

Figure 10.7 Characteristics of a TCOM Champion 

Figure 10.8 TCOM Champion roles and responsibilities. (Source:  Praed Foundation, 2022) 

Figure 11.1 Standard marginal utility curve demonstrating reduced utility with increasing units 

(left) compared to a psychotherapy drop-out curve (right) 

Figure 11.2 The Four Monkeys (Source:  Illustration by Isabelle Bisnaire for the Praed 

Foundation, 2018) 

Figure 12.1 Key Tensions for TCOM Leadership 

Figure 12.2. Blog views by year for the start-up of TCOMConversations.org 

Figure 12.3 National Partnership for Child Safety

O autorze

John S. Lyons is the founding Director of the Center for Innovation in Population Health and a Professor of Health Management and Policy in the College of Public Health at the University of Kentucky USA. He has dedicated his career to creating strategies that effectively represent under-represented populations in policy decision-making.