A Proposed Architecture to Sustain Public-Private Partnership: The Case of the Arizona ASHLine

A Proposed Architecture to Sustain Public-Private Partnership: The Case of the Arizona ASHLine

Mohan Tanniru (College of Public Health, University of Arizona, USA) and Mark Martz (College of Public Health, University of Arizona, USA)
Copyright: © 2020 |Pages: 15
DOI: 10.4018/978-1-7998-2310-0.ch009

Abstract

Information technology has enabled tertiary health care providers to improve patient access to preventive and post-discharge care transition services. When such services are supported by facilities that are under the control of the hospital, hospitals can still influence the delivery and overall quality of patient care services. However, for a variety of reasons, many hospitals rely on external care providers who operate relatively independently from the hospital to deliver these services. As such, service delivery intended to create efficiency and value to patients can become complex, challenging to deliver, and resource intensive—especially if the service delivery spans a prolonged time horizon. This chapter discusses one case of an intermediary who helps hospitals address the smoking cessation needs of patients. Using service dominant logic research, the service exchanges among three different ecosystems (healthcare providers, intermediary, and patients) are modeled and intelligence needed to align their goals using blockchain architecture is highlighted.
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Organizational Context

Tobacco use remains the leading cause of preventable death in the United States (CDC, 2014). The negative health and economic impact of tobacco use has been well established with billions of dollars being expended annually to treat the deleterious health and societal effects caused by smoking in addition to the billions of dollars in societal productivity that are forgone as a result of smoking. In an effort to address and provide solutions to reduce smoking prevalence and improve individual and population health comprehensive tobacco control measures have been developed and deployed systematically at the national, state, and local level for decades. One example of a tobacco control measure that has been in existence the longest is the provision of tobacco cessation services via state tobacco quitlines (NAQC, 2018). Every state in the United States supports a tobacco quitline. In Arizona, the Arizona Smokers’ Helpline (ASHLine), supported by the state tax on tobacco products and operated by the University of Arizona’s Mel and Enid Zuckerman College of Public Health, serves a the tobacco cessation service intermediary. Primary objectives of the ASHLine are to:

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