[[Books Index]] ![[Pasted image 20250113205924.png]] Reading Chapter 1 of [Designing Care by Dr Richard Bohmer ](https://www.amazon.com/Designing-Care-Aligning-Nature-Management/dp/142217560X) ![[2025 - Reading-4.jpeg]] My Takeaway tonight: - The author had previously explained the concept of “separation of power.” There is a trust that doctors know what to do. Administrative managers handle administrative tasks, infrastructure, and resources, ensuring that there are sufficient supplies to meet demands. - However, in the 1970s, healthcare costs began to increase. Several landmark studies revealed that doctors may not be knowledgeable enough, may not be performing the necessary tasks, and even if they do perform tasks, may not be doing them correctly. Therefore, they require some oversight. - Regulatory bodies were established to ensure that healthcare is managed effectively. - Medical guidelines aim to educate doctors about the best practices of the day and help them make informed decisions. They can also be used to compare different care providers. - As medical knowledge has increased, it has not only expanded in breadth but also in specificity. The more specific knowledge becomes, it can be used to create checklists to evaluate and measure performance. I am thinking of: 1. what are the guidelines, best practices for digital mental health intervention tools 2. How can i use that to form guidelines and protocols to guide case managers using this tool. 3. But will i also reduce complex human experience to as if there are certainty, as if it can be managed. 1. To remind myself of many assumptions and beliefs: 1. What is the purpose of this tool? Core intention 2. Cannot oversimplify or reductionist 3. Need to build [[Feedback Loops]] for protocol evolution 4. Remain people-centered -- need to study case vignettes, real life. 5. Does this help clinicians help patients for real? ---