Renata A. Konrad

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OBJECTIVE Primary care screening programs for mental health disorders are designed to detect patients who might benefit from treatment. As such, the utility of these programs is predicated on the actions that take place in response to a positive screen. Our objective was to characterize the cascade of care delivery steps following a positive screen for a(More)
OBJECTIVE To improve clinic design, trial-and-error is commonly used to discover strategies that lead to improvement. Our goal was to predict the effects of various changes before undertaking them. METHOD Systems engineers collaborated with staff at an integrated primary care-mental health care clinic to create a computer simulation that mirrored how the(More)
Typical output from an optimization solver is a single optimal solution. At the same time, a set of high-quality and diverse solutions could be beneficial in a variety of contexts, for example problems involving imperfect information, or those for which the structure of high-quality solution vectors can reveal meaningful insights. In view of this, we(More)
EXECUTIVE SUMMARY The patient-centered medical home (PCMH) has been proposed as a viable and medically effective model of primary care delivery. The fundamental principles of a PCMH address increased access and offer new ways to organize a practice. Creating provider schedules able to satisfy the operational and organizational constraints imposed by this(More)
Heart disease is the leading cause of death, disability and medical spending in the United States. Technological advances have significantly improved the health outcomes of patients with coronary heart disease (CHD) but have also increased costs. However, misaligned incentives have resulted in widespread underuse of low cost, high benefit therapies (e.g.(More)
Over the past two decades, numerous non-governmental organizations have sought to improve the health status of populations struggling with the lingering effects of the Chornobyl (Chernobyl) nuclear disaster. Political and economic features of Ukraine's government produced a health system unable to provide services required by its population. To compensate(More)
BACKGROUND Clinical pathways are evidence-based recommendations for treating a diagnosis. Although implementations of clinical pathways have reduced medical errors, lowered costs, and improved patient outcomes, monitoring whether a patient is following the intended pathway is problematic. Implementing a variance reporting program is impeded by the lack of a(More)
Health care organizations function in a complex, non-integrated setting, yet the coordination of information, tasks, and equipment across multiple units is essential for productive operations. A variety of simulation models of hospitals exist; however, few reflect resource sharing across multiple departments. Furthermore few models capture the inherent(More)
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