Game Theory in Healthcare Leadership

{"title":"Game Theory for Healthcare Leadership Dashboard","defaultScenario":"ed_flow","storageKey":"gtlhd_078e193bf53f","scenarioLibrary":{"ed_flow":{"scenarioMeta":{"title":"ED Throughput Initiative","objective":"Improve hospital-wide throughput through stronger inpatient cooperation.","careSetting":"Acute Care","timeHorizonMonths":12,"owner":"Chief Operating Officer","notes":"Cross-functional pressure is high, and cooperation varies by stakeholder."},"priorities":{"financialWeight":24,"clinicalWeight":28,"operationalWeight":34,"equityWeight":14},"pressures":{"capacityStress":82,"laborStress":71,"marginStress":56,"qualityPressure":67,"externalVolatility":43},"stakeholders":[{"id":"stk_1","name":"Hospital Administration","category":"Executive","power":82,"alignment":58,"trust":61,"dependency":70,"riskTolerance":46,"timeHorizon":72,"preferredStrategy":"Conditional cooperation","likelyMove":"Negotiate","financialPriority":36,"clinicalPriority":22,"operationalPriority":28,"equityPriority":14,"notes":"Margin protection remains a major concern."},{"id":"stk_2","name":"Inpatient Nursing Leadership","category":"Operations","power":68,"alignment":67,"trust":64,"dependency":78,"riskTolerance":39,"timeHorizon":60,"preferredStrategy":"Reciprocal cooperation","likelyMove":"Support with conditions","financialPriority":18,"clinicalPriority":28,"operationalPriority":36,"equityPriority":18,"notes":"Flow improvement is desirable, but staffing strain is high."},{"id":"stk_3","name":"Emergency Department Physicians","category":"Clinical","power":75,"alignment":63,"trust":55,"dependency":73,"riskTolerance":58,"timeHorizon":49,"preferredStrategy":"Signal then bargain","likelyMove":"Escalate urgency","financialPriority":14,"clinicalPriority":34,"operationalPriority":38,"equityPriority":14,"notes":"Interested in speed, safety, and escalation relief."},{"id":"stk_4","name":"Case Management","category":"Care Coordination","power":52,"alignment":72,"trust":69,"dependency":66,"riskTolerance":34,"timeHorizon":70,"preferredStrategy":"Sustain cooperation","likelyMove":"Coordinate","financialPriority":18,"clinicalPriority":24,"operationalPriority":30,"equityPriority":28,"notes":"Focus on handoffs, discharge readiness, and continuity."}],"cooperationSettings":{"repeatInteraction":84,"payoffCooperate":74,"payoffDefect":58,"retaliationRisk":44,"informationTransparency":57},"negotiationSettings":{"fallbackStrength":52,"urgencyDifferential":69,"informationAdvantage":61,"dependencyImbalance":55,"concessionFlexibility":58},"resourceOptions":[{"id":"res_1","name":"Add ED flow coordinator","cost":180000,"financialBenefit":60,"clinicalBenefit":68,"operationalBenefit":82,"equityBenefit":54,"feasibility":71,"stakeholderSupport":74,"timeToImpact":30,"risk":26},{"id":"res_2","name":"Expand weekend inpatient case management","cost":240000,"financialBenefit":58,"clinicalBenefit":72,"operationalBenefit":76,"equityBenefit":62,"feasibility":64,"stakeholderSupport":79,"timeToImpact":38,"risk":24},{"id":"res_3","name":"Deploy AI discharge prediction pilot","cost":310000,"financialBenefit":66,"clinicalBenefit":55,"operationalBenefit":70,"equityBenefit":42,"feasibility":49,"stakeholderSupport":51,"timeToImpact":46,"risk":41}],"uncertainty":{"demandUncertainty":61,"staffingUncertainty":66,"payerUncertainty":34,"regulatoryUncertainty":22,"technologyUncertainty":31}},"payer_contract":{"scenarioMeta":{"title":"Payer Contract Renegotiation","objective":"Test bargaining posture for a high-cost service line under margin pressure.","careSetting":"Enterprise Contracting","timeHorizonMonths":9,"owner":"Chief Financial Officer","notes":"Leverage is shaped by alternatives, urgency, and information asymmetry."},"priorities":{"financialWeight":40,"clinicalWeight":20,"operationalWeight":20,"equityWeight":20},"pressures":{"capacityStress":44,"laborStress":48,"marginStress":84,"qualityPressure":42,"externalVolatility":63},"stakeholders":[{"id":"stk_1","name":"Health System Finance","category":"Executive","power":86,"alignment":71,"trust":63,"dependency":70,"riskTolerance":46,"timeHorizon":72,"preferredStrategy":"Conditional cooperation","likelyMove":"Hold firm","financialPriority":36,"clinicalPriority":22,"operationalPriority":28,"equityPriority":14,"notes":"Needs margin protection and negotiating discipline."},{"id":"stk_3","name":"Service Line Medical Group","category":"Clinical","power":72,"alignment":54,"trust":51,"dependency":73,"riskTolerance":58,"timeHorizon":49,"preferredStrategy":"Signal then bargain","likelyMove":"Signal concerns","financialPriority":14,"clinicalPriority":34,"operationalPriority":38,"equityPriority":14,"notes":"Focused on service stability and clinical viability."},{"id":"stk_2","name":"Commercial Payer","category":"External","power":88,"alignment":43,"trust":46,"dependency":42,"riskTolerance":39,"timeHorizon":60,"preferredStrategy":"Reciprocal cooperation","likelyMove":"Bargain aggressively","financialPriority":18,"clinicalPriority":28,"operationalPriority":36,"equityPriority":18,"notes":"Strong external counterparty with pricing pressure."}],"cooperationSettings":{"repeatInteraction":72,"payoffCooperate":64,"payoffDefect":69,"retaliationRisk":57,"informationTransparency":46},"negotiationSettings":{"fallbackStrength":57,"urgencyDifferential":61,"informationAdvantage":54,"dependencyImbalance":63,"concessionFlexibility":47},"resourceOptions":[{"id":"res_1","name":"Contract modeling support","cost":120000,"financialBenefit":60,"clinicalBenefit":68,"operationalBenefit":58,"equityBenefit":54,"feasibility":82,"stakeholderSupport":74,"timeToImpact":30,"risk":18},{"id":"res_2","name":"Network steering plan","cost":180000,"financialBenefit":72,"clinicalBenefit":50,"operationalBenefit":65,"equityBenefit":62,"feasibility":64,"stakeholderSupport":79,"timeToImpact":38,"risk":31},{"id":"res_3","name":"Utilization management redesign","cost":260000,"financialBenefit":78,"clinicalBenefit":55,"operationalBenefit":74,"equityBenefit":33,"feasibility":49,"stakeholderSupport":51,"timeToImpact":46,"risk":36}],"uncertainty":{"demandUncertainty":28,"staffingUncertainty":32,"payerUncertainty":76,"regulatoryUncertainty":48,"technologyUncertainty":21}},"ai_adoption":{"scenarioMeta":{"title":"AI Adoption Governance","objective":"Evaluate strategy for AI deployment under clinician resistance and uncertain ROI.","careSetting":"Innovation Governance","timeHorizonMonths":18,"owner":"Chief Medical Information Officer","notes":"Trust, signaling, and mechanism design are central to adoption."},"priorities":{"financialWeight":22,"clinicalWeight":26,"operationalWeight":28,"equityWeight":24},"pressures":{"capacityStress":49,"laborStress":57,"marginStress":52,"qualityPressure":61,"externalVolatility":58},"stakeholders":[{"id":"stk_1","name":"Executive Sponsors","category":"Executive","power":82,"alignment":69,"trust":66,"dependency":70,"riskTolerance":46,"timeHorizon":72,"preferredStrategy":"Conditional cooperation","likelyMove":"Back pilot","financialPriority":36,"clinicalPriority":22,"operationalPriority":28,"equityPriority":14,"notes":"Pushing for pilot progress and enterprise signaling."},{"id":"stk_3","name":"Physician Champions","category":"Clinical","power":75,"alignment":61,"trust":59,"dependency":73,"riskTolerance":62,"timeHorizon":49,"preferredStrategy":"Signal then bargain","likelyMove":"Test carefully","financialPriority":14,"clinicalPriority":34,"operationalPriority":38,"equityPriority":14,"notes":"Will support adoption if safeguards and evidence are credible."},{"id":"stk_2","name":"Frontline Nursing","category":"Operations","power":68,"alignment":53,"trust":48,"dependency":78,"riskTolerance":38,"timeHorizon":60,"preferredStrategy":"Reciprocal cooperation","likelyMove":"Request safeguards","financialPriority":18,"clinicalPriority":28,"operationalPriority":36,"equityPriority":18,"notes":"Wants safety, workflow clarity, and training."},{"id":"stk_4","name":"Compliance and Quality","category":"Care Coordination","power":52,"alignment":64,"trust":62,"dependency":66,"riskTolerance":34,"timeHorizon":70,"preferredStrategy":"Sustain cooperation","likelyMove":"Set controls","financialPriority":18,"clinicalPriority":24,"operationalPriority":30,"equityPriority":28,"notes":"Focused on governance, monitoring, and guardrails."}],"cooperationSettings":{"repeatInteraction":77,"payoffCooperate":68,"payoffDefect":55,"retaliationRisk":37,"informationTransparency":52},"negotiationSettings":{"fallbackStrength":46,"urgencyDifferential":42,"informationAdvantage":58,"dependencyImbalance":51,"concessionFlexibility":66},"resourceOptions":[{"id":"res_1","name":"AI governance council","cost":155000,"financialBenefit":66,"clinicalBenefit":60,"operationalBenefit":63,"equityBenefit":58,"feasibility":77,"stakeholderSupport":51,"timeToImpact":46,"risk":20},{"id":"res_2","name":"Clinician training and pilot support","cost":210000,"financialBenefit":48,"clinicalBenefit":64,"operationalBenefit":67,"equityBenefit":54,"feasibility":71,"stakeholderSupport":81,"timeToImpact":30,"risk":26},{"id":"res_3","name":"Independent validation program","cost":265000,"financialBenefit":42,"clinicalBenefit":70,"operationalBenefit":76,"equityBenefit":60,"feasibility":58,"stakeholderSupport":79,"timeToImpact":38,"risk":24}],"uncertainty":{"demandUncertainty":36,"staffingUncertainty":40,"payerUncertainty":27,"regulatoryUncertainty":62,"technologyUncertainty":71}}}}