Service-Line Continuity
A point of view on decisions that protect local access through a service transition.
Resources
Evidence and experience for local care decisions.
Explore CIRRANE perspectives, sourced policy and workforce analysis, and clearly labeled examples from previous employment roles. Prior-role examples are not CIRRANE client engagements.
01 · CIRRANE perspective
Perspectives for local care decisions
Site of Care
A point of view on where services should be delivered as capacity and access change.
Virtual Care
A point of view on clinical and operating models for virtual support.
02 · Policy and workforce
Policy and workforce brief
Source-linked developments, with the leadership questions they raise for local care.
Policy and Workforce Developments
CMS and HRSA source material, with questions for local leadership on rural transformation, site of care, nursing capacity, and episode accountability.
Explore four developments and their primary sources
State-led rural transformation has entered implementation.
State plans address access, workforce, technology, and care delivery; the awards go to states, not directly to hospitals.
CMS announcementCMS expanded outpatient eligibility and the ASC Covered Procedures List.
Eligibility changes do not establish whether a site-of-care change is clinically or operationally appropriate for a particular hospital.
CMS final-rule fact sheetNonmetro nursing capacity faces sustained pressure.
HRSA projections describe workforce supply, not a hospital’s current vacancy rate or a prescribed care model.
HRSA workforce reportEpisode accountability is active in selected markets.
The TEAM model applies to selected hospitals and markets; local participation and operational implications must be verified.
CMS TEAM model03 · Previous employment roles
Selected work from previous employment roles
Orthopedic Service Continuity
An anonymized account of a three-month orthopedic service transition, surgeon onboarding, and year-round ED call coverage.
Virtual Care Transformation
A prior health-system case covering the operating model and federal funding.
Opening a Florida Community Hospital
A prior hospital-opening case on procurement, technology, and construction decisions.
04 · Retrospective examples
Decision documents in practice
Prepared after the previous employment work; these are retrospective examples, not original employer records or CIRRANE client deliverables.
Decision Brief
A retrospective reconstruction of the orthopedic transition in executive decision-brief form.
Engagement Scope
A retrospective scoping format applied to work performed in a prior employment role.
Options Assessment
A retrospective analytical reconstruction of choices and operating constraints.