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lyons john s. - transformational collaborative outcomes management

Transformational Collaborative Outcomes Management Managing the Business of Personal Change

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Lingua: Inglese
Pubblicazione: 08/2022
Edizione: 1st ed. 2022


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.


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 
Chapter 2. Managing services versus transformations 
 Financial implications 
 Clinical Implications 
 Operational implications 
Chapter 3. Helping as a complex system 
 Patient-centered care 
 Complex Adaptive Systems 
 Embracing complexity 
 Managing complexity 
Chapter 4.  TCOM 
 Core Values, Guiding Principles and Operating Principles 

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 
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 
Chapter 7.  TCOM at the individual level 
 Individual level decision-making 
 Selecting Appropriate Interventions 
 Intervention Effectiveness 
 Care Coordination 
Chapter 8.  TCOM at the program level 
 Aspirational Management 
 Program Decision Point Analysis 

 Workforce Development 
Chapter 9.  Creating and managing systems that care 
 Key Concepts 
The Original TCOM Project 
Supply Side Considerations and Logistics 
Strategies for System Level TCOM 
Chapter 10 ‘Doing’ TCOM:  strategies, barriers, and opportunities for implementing and 
 Implementation Science 
An alternative way of thinking about implementation 
 Implementation of components to the TCOM approach 
 Sustaining the Approach 
Chapter 11. Social and political considerations in evolving effective helping systems 
 Person Level 
 Program Level 
 System Level 
 Person Level 
 Program Level 
 System Level 
Chapter 12.  Developing and managing the field of TCOM 

TCOM Management Team 
Products, Platforms, and Processes  
Sharing Strategies across the Collaborative 




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 
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 
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-o


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.

Altre Informazioni



Condizione: Nuovo
Dimensioni: 235 x 155 mm Ø 664 gr
Formato: Copertina rigida
Illustration Notes:XXIV, 308 p. 47 illus., 39 illus. in color.
Pagine Arabe: 308
Pagine Romane: xxiv

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