Less conspicuously, deliberate policies about marketplace positioning and staff alignment can be used to change the demographic contours of the organizational referral base. For example, an organization could survey the community landscape from a needs or profitability standpoint and make a deliberate decision to position itself in the market as a leader in managing diabetes or treating chronic obstructive pulmonary disease. Likewise, a Systems of CARE (Clinical Alignment and Resource Effectiveness) approach to prevention means that epidemiologic trends need not dictate organizational destiny. This type of smart growth, in considering appropriate care along the care continuum, not only delivers value to patients and creates institutional financial stability, but can also be used as a strategy to address care fluctuations.
Improving Management of Fluctuating Care Patterns
There are 2 basic strategies for rationally approaching care fluctuations: Go with the flow in maximizing flexibility for unpredictable situations or conversely, buck trends by understanding what can be altered, leveraging this knowledge to the benefit of the organization and the patient. These 2 actions must coexist in situations that have both controllable and unpredictable variations. To best succeed in leveraging inherent variability in the near- and long-term: