HSM541 Health Services System

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HSM541 Health Services System
You are the new Chief Executive Officer (CEO) of Middlefield Hospital. Middlefield Hospital…

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HSM541 Health Services System

HSM541 Health Services System

A+ You Decide Week 2, 6| Assignment Week 3, 5| Midterm Exam| Course Project| Discussions Week 1-7| Final Exam

Middlefield Hospital – You Decide Week 2 

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You are the new Chief Executive Officer (CEO) of Middlefield Hospital. Middlefield Hospital is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area.

As the new CEO, you have learned that the hospital’s employee turnover rate exceeds 20%, and there are over 100 nursing vacancies. You have also learned the following facts that may be impacting these workforce shortages:

A new hospital has recently opened in your market area that has produced competition for Middlefield Hospital.

Employee morale has deteriorated over the last 12 months.

Essex University (a local college) is considering eliminating its nursing degree program because there is continual difficulty in recruiting well qualified instructors.

The board of directors has asked that you provide a 750-word report detailing your strategies and recommendations to overcome the workforce shortages and to improve employee morale. The strategies and recommendations should be as specific as possible and include the resources needed for implementation. Your primary text and journal/website research must be used as a reference to support your analysis.

Preview:

In this paper, the writer discusses the possible actions he would take if he were appointed as the new CEO of Middlefield Hospital, a 450-bed tertiary care institution in one of the key Northeast urban…

HSM541 Health Services System

Nonprofit versus For-Profit Healthcare and Organizations – Assignment Week 3 

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Use Google search, the Devry-Keller Online Library, and/or one of the approved websites posted in the Webliography to find a research article(s) (no older than 2001) related to nonprofit versus for-profit healthcare and organizations. Analyze the characteristics of each type of organization and the factors that impact operations. Discuss options to improve the financial and operational performance of nonprofit organizations and the criticisms leveled at for-profit healthcare organizations.

Your resultant written paper should be 750 words, double spaced, and in APA or other approved Devry-Keller format/style. Your primary text and the journal/website research article must be used as references to support your analysis/summary paper. Use at least three references.

Preview:

Much research has been conducted on the differences between for-profit and non-profit hospitals.  Apparently, these differences can be seen in various aspects of these institutions’ operations and characteristics.  According to hospital officials,…

HSM541 Health Services System

Midterm Exam 

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(TCO A) Select one of the three dimensions – access, costs, and quality – and briefly define the dimension chosen. Identify three strategies that would be implemented to improve care to an older adult population related to the dimension. (e.g., how to increase access to services, how to reduce costs, or how to improve quality). (Points : 25)

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According to WHO, quality of care is defined as “the extent to which health care services provided to…

(TCO D) Describe two state or federal programs that provide health insurance benefits to a specific population. Detail at least two strategies used by either agency to manage access, costs, or quality. (Points : 20)

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Two of these programs are Medicare and Medicaid.  Medicare is the federal health insurance program for…

(TCO D) Describe the characteristics and demographics of uninsured populations. Discuss the reasons why Americans are uninsured. List at least one option to curb the growing number of uninsured people. (Points : 25)

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According to 2010-2016 data from the National Center for Health Statistics, the uninsured people aged 18-64 has declined by 50% but that the adult…

(TCO C) How does competition among several hospitals impact a community? Identify at least two ways that competition would have a positive impact and two ways that it would have a negative impact on the community. (Points : 25)

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Two ways that competition would have a positive impact on a community is that the quality of care provided by these hospitals would…

(TCO B) What are the factors that contribute to the ongoing nursing shortage in the U.S.? How does the nursing shortage impact the operations of hospitals and the delivery of care? (Points : 25)

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One factor is that young people now have more career opportunities and options. They seek careers that can provide them with a…

HSM541 Health Services System

American Hospital Association Assignment Week 5

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Go to the website for the American Hospital Association (AHA) at the following web address:http://www.aha.org/.

Click on the Issues tab that is at the top of the page. Under this tab, there are 23 issues being addressed by the AHA (access and coverage, affordability, etc.). Choose one of these issues and complete a 750-word paper related to why this is an issue and how it impacts the U.S. healthcare delivery system. Describe the problems associated with the issue and what is being done by the AHA and other stakeholder groups to address it. Finally, choose one recommendation that you believe would be most effective in resolving the issue. Justify your recommendations and be as specific as possible.

Your resultant written paper should be 750 words, double spaced, and in APA or other approved Devry-Keller format/style. Your primary text and the journal/website research article must be used as references to support your analysis/summary paper. You must use at least three professional references.

Preview:

For this paper, the writer chooses the issue on eliminating racial and ethnic disparities in health care.  According to Chen, Vargas-Bustamante, Mortensen et al. (2016), the implementation of the Affordable Care Act (ACA) has, as of 2014, led to the decrease in the likelihood of being uninsured; the…

HSM541 Health Services System

CEO of Middlefield Hospital You Decide Week 6 

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You have been the CEO of Middlefield Hospital for 2 1/2 years and finally resolved the workforce challenges that plagued the hospital when you first arrived. In a recent meeting, the chief financial officer (CFO) indicated that the financial performance of the hospital has been deteriorating over the last 6 months. The hospital is not meeting its budget and he is concerned about the future. The new facility across town has continued to cut into Middlefield’s market share by admitting more patients. The number of admissions to Middlefield Hospital is declining each month, and more uninsured patients are seeking services at your facility. You convene the Middlefield Hospital management team and discover a few interesting facts, which are identified below.

The payer mix of Middlefield Hospital is comprised of more and more Medicare, Medicaid, and uninsured patients, and fewer patients have commercial insurance. This is reducing overall reimbursement and net income for the hospital.

The nearby hospital that competes with Middlefield has opened a wellness center that offers a comprehensive array of preventative and wellness services to the community. This facility is attracting young families to seek services at this location.

Most of Middlefield’s managed care contracts are more than 2 years old. There are little reliable utilization and reimbursement data available. No one at Middlefield Hospital is assigned to manage these contracts or maintain ongoing relationships with managed care companies.

The Joint Commission survey is scheduled for next year, and there are significant problems with the hospital’s quality improvement program.

The health plan offered to employees is getting more expensive each year. In fact, the costs are increasing at a rate of 20% each year. This is adding significantly to the hospital’s operational costs.

The inpatient mental health services and neo-natal intensive care unit continue to lose money for the hospital.

The board of directors has asked that you provide a 750-word report (double spaced in APA or other Devry-approved format) detailing your strategies and recommendations to improve the financial performance of the hospital. The strategies and recommendations should be as specific as possible and include identifying resources that are necessary to implement the strategies. Also, describe the outcomes expected from implementing your recommendations. Your primary text and journal/website research must be used as a reference to support your analysis. Use at least three references.

Preview:

In this paper, the writer discusses the possible actions he would take to address the current financial problems being experienced by the Middlefield Hospital if he were the CEO. He would provide recommendations for the following issues, which are causing the hospital’s financial instability:…

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Course Project Week 7 

The issue of medical errors in the healthcare system

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This course project gives you the opportunity to select a problem that currently exists in our healthcare system and analyze its implications on our healthcare system. The paper should critically analyze the issues related to the topic and identify key strategies for improvement. In order to meet the project requirements, it is important to identify an issue or problem within the healthcare system. Please analyze and review the grading rubric to understand why this is important. Both web references and professional journals should be considered as references. Don’t overlook the Keller Online Library as an important source of information for your paper. The paper should include 8–10 references in APA or another approved format.

See a more detailed Grading Rubric below.

The length of the final paper should be approximately 8–10 pages, double-spaced in MS Word.

Possible Course Project Topics:

Describe the problems with our multiple reimbursement systems.

Discuss how a single-payer system may improve access and cost containment in the U.S. healthcare system.

Evaluate the lack of reimbursement environments for preventive healthcare programs, and evaluate the effectiveness of the current reimbursement patterns. Propose solutions for expanding these programs.

Describe the problems in the U.S. healthcare system and how we might use another nation’s healthcare system for reform. Evaluate how a new system would improve access to care, quality of care, and the efficient utilization of resources.

Choose one particular form of complementary (nontraditional, alternative) medicine and explain why it may not be accepted by insurance providers or reimbursed by insurance companies. Describe its clinical approach and effectiveness, evaluate its economic impact, and review its potential for mainstream use, including future licensing and third party reimbursement.

Evaluate the problem of fraud and abuse in the current U.S. healthcare system. Analyze the effectiveness of the OIG’s Healthcare Fraud and Abuse Program, and analyze effective actions healthcare organizations can take to decrease their liability in this area, offering examples.

Critically evaluate the readiness and the effectiveness of the U.S. Healthcare Delivery System in responding to a widespread bioterrorism event; propose changes as appropriate to your analysis.

Discuss some of the problems in measuring quality in the healthcare environment and investigate quality measurement. Provide options for quality measurement and the processes that could be measured in a healthcare setting.

Critically evaluate the use of technology in healthcare and the challenges it presents in healthcare delivery. Offer specific examples or situations addressing technology’s contributions to improving the quality of health and healthcare; consider impact on healthcare costs and analyze trade-offs.

Describe the problem of medical errors in our delivery system. Evaluate the effectiveness of selected programs aimed at reducing medical errors in the U.S. healthcare system; discuss one or more of the most effective measures identified to date and make recommendations for additional action.

Preview:

The issue of medical errors in the healthcare system is a growing problem in the United States.  This was first brought to the industry’s attention by the Institute of Medicine in their 1999 report titled To Err is Human: Building a Safer Health System where they indicated that 44,000 to 98,000 Americans died annually due to preventable mistakes…

HSM541 Health Services System

Discussions Week 1-7 All Students Posts 354 Pages 

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Costs, Quality, and Access and Illness vs. Health Promotions Discussions Week 1 All Students Posts 53 Pages 

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Costs, Quality, and Access – 29 Pages 

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Discuss the interrelationships between healthcare costs, quality, and access from the Roemer model of health services systems. Make suggestions on how one would maximize access and quality while keeping costs low. Now, analyze why these suggestions have not been put into place.  What does quality really mean in healthcare?  So now please consider a hospital that is operating in the red and must increase profitability. How might this affect quality of care?  Would a high fee to see the doctor indicate a certain level of quality?  How do the characteristics of individuals or populations influence the utilization of health services?  Are there differences in access, cost and quality between rural and urban healthcare? Check out the AHRQ site which discusses each of these measures. Do you see how these measures could be useful in your organization?…

Illness vs. Health Promotions – 24 Pages 

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Criticism has been leveled at the curative rather than health promotion/disease prevention focus of the U.S. healthcare system.  Should the focus change? Why or why not? Do you see evidence of a shift occurring? If so, what do you think is contributing to that change? Continuing our discussion of TCO A…the main question is interesting because the scarce resources abound in healthcare. So why spend some of these scarce resources on care that is not needed right now which takes away funds from care that is needed right now?  More and more employers are recognizing the value of keeping employees healthy. Some companies have their own in house wellness programs, gyms or gym memberships. Others offer wellness bonuses to employees. Others provide self-insurance if they have a particularly healthy workforce. McKee Baking Company in Tennessee subsidizes programs in stress control, weight management and smoking cessation.  Advocates of the wellness programs state the programs make employees healthier and happier therefore the employees are more productive. Employees miss less work and need less medical care. Less medical care means lower insurance cost to the company.  What might be an argument on the con side of this issue? What might the skeptics say? Does the Preventative Healthcare model imply a certain prejudice towards those who refuse to follow a healthier lifestyle?…

HSM541 Health Services System

Healthcare Workforces and Government Programs Discussions Week 2 All Students Posts 61 Pages

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Healthcare Workforce – 35 Pages 

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What do you see as the biggest workforce challenge(s) for hospitals today? Are the issues any different for other types of healthcare organizations? What strategies are being used by hospitals for recruiting and retaining staff?  As a healthcare manager, what strategies would you employ to retain workers in your facility?  So as the CEO of a medical facility, would managing by walking around be useful?  The AHA study on Workforce Shortages looks at 3 key strategies: “1. Redesign work processes and introduce new technologies to increase efficiency, effectiveness, and employee satisfaction, 2.  Retain existing workers, including those able to retire, and 3.  Attract the new generation of workers”   What might be some strategies to retain existing workers?   If higher pay will not attract nurses what will? Or how high must the salaries go to attract more nurses?  Telemedicine will continue to grow and improve. If you were a hospital CEO, how might you take advantage of this growing technology especially with the Boomers aging?  Would bringing in new technology in general help attract/retain healthcare workers? Or drive off the older workers?…

Government Programs – 26 Pages

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What are the roles of government-sponsored healthcare programs like Medicare, Medicaid, Veterans Affairs (VA), Indian Health Services (IHS), and Prison Health Services? How do they impact access, cost, and quality? Do these government programs do a good job of meeting the healthcare needs of the populations they are intended to serve? Let’s look at some of the governmental agencies involved in healthcare and healthcare delivery in the U. S.  What’s being accomplished at the federal, state or local level levels in this arena?  Does it seem to be making a difference? What about issues of coordination and planning–progress?  Consider our overarching issues of access, quality and cost.  Have you taken an Off-Label drug?  Did the doctor tell you it was off-label?  How can government (local, state or federal) impact the nursing workforce?…

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Private Insurance and the Uninsured Discussions Week 3 All Students Posts 50 Pages

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Private Insurance – 27 Pages 

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Let’s consider the general concept of insurance. How does health insurance differ from other kinds of insurance? What are the similarities and differences between them?  Next, let’s consider some of the issues that employers face in providing health insurance to their employees. Why has the cost of employer-sponsored health plans increased significantly over the last 5 years? We buy insurance from an insurance company to protect against individual loss. But  how does the insurance company protect itself against loss? Why Reinsurance of course:-) What is reinsurance?  What is self-insurance and how does stop-loss insurance coverage apply? Should health care be more of a “right”? Why do many folks think that health insurance should be more of a “right”?  What might be an argument based on this section that healthcare is a right under the Constitution?…

The Uninsured – 23 Pages

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It is estimated that there are 48 million Americans with no health insurance. What are the demographics of the uninsured population? Who makes up this population, and what are the factors that contribute to being uninsured? What strategies can be adopted at the local, state, and federal levels to overcome the problem of uninsured Americans?  Often private insurance comes up short in meeting the needs of Americans with special needs or of lesser means. Private insurance may be too expensive, or may have too many restrictions, to serve the needs of low income or disabled persons. For this reason, government sponsored social insurance programs have been created. Let’s discuss some of these publicly funded programs?  Do you know how your state’s Medicaid program works? Is a Single Payer National Health Insurance Plan the answer?…

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Primary Care and Managed Care Discussions Week 4 All Students Posts 47 Pages 

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Primary Care – 26 Pages 

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How would you define the role of primary care from the perspectives of health promotion and health protection? Why are these facets of primary care important, and how do they influence healthcare costs?  Would increasing the number of primary care doctors decrease some healthcare costs?  The doctor is not the only primary care provider. Who are some other persons now providing primary care?  We are seeing more Nurse Practitioners. According to the Mayo Clinic website, the NP can perform 60-80 % of primary care procedures.  Would you feel comfortable being treated by an NP rather than a doctor? Knowing the NP is working under a doctor’s license is one thing but what about the NP being able to open an office without doctor supervision?  How does Medicare impact the cost, quality and access to the population it covers? Which is doing a better job – Medicare or Medicaid?…

Managed Care – 21 Pages 

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What are the positive effects of managed care on our healthcare system? What are some of the problems created by managed care that have been identified by patients, providers, and interest groups?  Are there more pros or cons to managed care?  Have you heard of VBID?  What do you think of this approach?  What are the demographics of the uninsured population?  What are some options to decrease the number of uninsured? What are some Ethical issues surrounding managed care?  Is the transformation of patients to health consumers a positive or negative change in healthcare services?…

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Hospitals and Employer Health Plans Discussions Week 5 All Students Posts 47 Pages

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Hospitals – 25 Pages 

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What are some of the innovative responses that hospital organizations have made or are making now to address changes in today’s healthcare marketplace? Identify competitive, payer, or economic factors that may impede a hospital from fulfilling its mission. What is Cost shifting within the hospital setting?  What is a consequence of Medicaid and Medicare payment reductions?  Some payers don’t pay enough and some patients pay nothing, so the difference has to be made up by another payer. Most hospitals operate on a slim profit margin, typically less than 5%.  What problems does this situation create where different groups are paying different amounts for the same services?  Assume that cost shifting is an option and assuming that the government saves money by holding the Medicare/Medicaid reimbursements at the current rate.  Is cost shifting a bad thing?  What is vertical integration?  Do you think that this kind of growth is good for hospitals? What are the advantages?…

Employer Health Plans – 22 Pages 

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What are the components of a comprehensive healthcare plan offered by employers? What outcomes are desired by the employer after implementation of the health plan? How would these outcomes be measured?  How does integrated healthcare apply to our discussion of a comprehensive healthcare plan? How would an integrated healthcare system apply from “womb to tomb”?  A comprehensive/integrated healthcare plan would include relationships with a variety of providers and include components of a womb-to-tomb approach. Health promotion and disease prevention should be a focus. So how do the levels of care apply? i.e. primary care, secondary care etc?  If you were the CEO of a company, would you support a ban on hiring smokers?  To save your facility more money in health related costs, as CEO, would you decide to not hire anyone obese?…

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Errors, Safety and Improving Quality Discussions Week 6 All Students Posts 47 Pages 

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Errors, Safety – 25 Pages 

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Since the IOM published To Err Is Human, a groundbreaking report that boldly pointed out the problem of medical errors, concerns regarding patient safety and the need to reduce errors have come to the forefront of the U.S. healthcare system. What initiatives have accreditation organizations and other external agencies undertaken to address these issues? What strategies have been used by healthcare institutions to reduce medical errors? Do you think these efforts have been effective?  Back in the olden times, before doctors knew what a germ was, hand washing did not seem important. But now we have super germs and many studies demonstrating the importance of hand washing. So, in theory, no patient should have to ask a nurse or doctor to wash his/her hands. As a risk manager, what could you do to insure medical personnel wash hands before touching a patient?  Does the term negligence come to mind?  Study after study indicates that there are many more adverse medical events than lawsuits. Additionally, Statistics compiled by Physician Insurers Association of America indicate that juries are reluctant to find a physician negligent. Seventy percent of cases ultimately close without indemnity payment to the patient. When cases do go to the jury, physicians win more than 80% of the time. This has held true for at least a decade.  Why do you think juries do not like to find doctors liable?…

Improving Quality – 22 Pages 

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What do you see as the biggest challenge(s) ahead for us as we attempt to improve the quality of our healthcare delivery system in the U.S.? Are existing programs and efforts to improve the quality of care supported by the Institute of Medicine, Agency for Healthcare Research and Quality, and Joint Commission effective? Why or why not?  Before quality of care can be improved, it must be defined.  The text mentions Donabedian’s and the AMA’s definition of quality. If you had to define “quality” what would you say?  How will quality healthcare be measured and controlled?  Now let’s look at some quality improvement tools to help us understand a facilities processes, identify root causes to problems and create ideas for redesigned processes.  First please consider the Cause and Effect Diagram.   Could you use this model at your facility?…

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Fraud and Abuse and Healthcare Management Discussions Week 7 All Students Posts 49 Pages 

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Fraud and Abuse – 27 Pages

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Briefly describe a healthcare situation (real or hypothetical) in which potential for fraud or abuse is a concern. How would you advise a colleague who came to you concerned about a similar issue of fraud or abuse in an organization where you work or one that you do business with? What questions would you ask? What are some key issues to consider? What might you tell him or her to do in this situation? This is an interesting article that provides some history of CPT and explains the components of Relative Value Units. Also it gives some examples of fraud and Abuse coding

The Kennedy-Kassebaum Act of 1996 includes “Physician is responsible (and liable) for all coding done in that physician’s name.”  With the severe consequences for fraud and abuse why would anyone even think of defrauding the government?  RAC (Recovery Audit Contractors) system was designed in 2008 with test areas to audit Medicare payments submitted. In the test areas, $900million was found in overpayment to facilities and were required to pay the funds back to the Medicare Trust Fund. Check out this CMS.gov site. Discover something interesting to share?  You live for a challenge and a big one has just been handed to you. A troubled hospital wants to hire you to clean up some of its compliance problems not only with government regulations but also to help create an impression of excellence with the community. What steps will you take? Ideas?  Being a whistle-blower can have negative consequences on the individual.  How you would advise a colleague who came to you with a fraud and abuse issue given the negative consequences. Would you suggest to “blow the whistle”?…

Healthcare Management – 22 Pages 

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Healthcare management has become increasingly challenging and complex in the 21st century. How do leadership strategies differ in healthcare organizations as compared to other types of organizations? What are the characteristics of healthcare organizations that make leadership more difficult?  We talk about leadership in this thread but just as we tried to define “quality” healthcare let’s define “leadership.” What does this term mean to you?  After giving some thought to what leadership means, please consider yourself in the role of a newly hired administrator of a medical facility. As you get into the job a bit more you discover some questionable practices. This is not good and you need to clean these issues up. What first steps might you take to address these issues?  Which management style would be a good choice for a healthcare administrator?…

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Final Exam 

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(TCO A) You are the newly hired chief knowledge officer (CKO) for a mid-sized hospital in a semiurban area of the country. Your first task is to develop the organization’s strategic plan that will shape the development of a comprehensive network of services for their community.
You’ve been asked to give a presentation to the board of directors on options to restructure the local delivery of healthcare services. The hospital’s president has asked you to focus your presentation on the common elements a comprehensive delivery system attempts to accomplish and to highlight innovative methods of restructuring. The presentation will lay out the requirements of an integrated healthcare delivery system. (Points : 25)

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An integrated healthcare delivery system refers to “the organization and management of health services so that people get the…

(TCO B) You are the newly-hired director of human resources for a small rural acute care hospital. You’ve been on the job for just 3 months and have spent that time getting to know your organization and its employees. You have responsibility for all of the usual human resources functions, including the training and development functions. In addition, you have the additional departments of volunteers and the hospital chaplaincy services.
You’ve identified a number of serious organizational issues and are beginning to get the picture as to why the hospital’s president was anxious for you to begin work as soon as possible and told you that you had your work cut out for you. Turnover is high, there are many vacant positions, and you have a very high number of positions that are considered hard-to-fill positions because of national workforce shortages. There is what you consider to be a very high number of EEOC complaints over the past 5 years for an organization of this size. Employees were blunt in their criticisms of the organization and its management in an employee survey conducted just prior to your coming.

The board of directors and the president know that they have serious human resource issues that are affected by management practices that will have to change in order for them to compete in the local healthcare market as an employer-of-choice. As in any healthcare organization, fiscal resources are limited, but the board is firmly committed to investing in a well-developed human resources plan that will decrease the turnover and stem the ever-growing turnover and vacancy rates. The president has asked you to attend the next board of directors meeting to share your insights and assessment along with the first draft of your plan for addressing these serious issues. What will you tell them? Outline the focus of your presentation that you will speak from when you meet with the board in terms of the issues you have identified, as well as the initial focus of your plan for turning this around. (Points : 25)

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One of the causes of the high turnover rate is the high level of stress that the employees experience. They have to deal with…

(TCO C) You are the administrator of a small nonprofit rural hospital. You have been approached by a large for-profit healthcare system located about 75 miles away for talks about a possible merger. You know that the for-profit system limits the amount of Medicare and Medicaid patients treated for economic reasons. These controversial decisions present not only a major breakdown in the healthcare delivery system but also in the financing of healthcare for many individuals in the U.S. Discuss the pros and cons of becoming part of this urban system. (Points : 25)

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One advantage of becoming a part of this urban system is that it would give the hospital more resources to cater to more patients, provide more services, and to…

(TCO D) As the newly hired director of public relations for a national managed care company, you know that the next decade in the delivery of healthcare services will bring about revolutionary changes in your member organizations. Public outcry for changes has been heard loud and long, Congress is calling for reform, and providers are extremely frustrated with how you control utilization and offer low reimbursements.

Your board of directors is convening to discuss how the managed care industry can be overhauled to provide a more customer-responsive product and to address rising healthcare costs.

What are the high-priority issues that will need to be discussed to overhaul the managed care industry? What stakeholders must be considered in the planning process? (Points : 20)

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One priority is to shift from a volume-based payment scheme to a value –based payment scheme where payments are related to…

(TCO E) You are the VP for human resources and have been given the assignment to come up with a new healthcare benefits plan that will improve healthcare services for your employees and control costs. The health plan currently covers services provided in traditional healthcare services. You employ approximately 1,800 employees and already determined that in this new plan, you want to provide traditional healthcare services and further develop a more preventative and wellness focus. Your goal is to improve the health of your employees, thereby saving monies in your illness coverage as well as nonproductive time in sick days.

You are meeting with the president of the health system this afternoon. What will you propose to him or her? (Points : 25)

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To reduce employee healthcare coverage costs without having to reduce coverage, I would propose that the hospital establish programs that…

(TCO F) You are the Corporate Vice President for Quality for the Patient-First Healthcare System, a national system of acute care hospitals located throughout the U.S. Your organization has just approved additional monies for developing a new quality management system. Each hospital has implemented its own quality management program. Some of the programs demonstrate stellar results and high levels of patient satisfaction, whereas other hospitals have less impressive results.
Your focus as the corporate VP for quality is to develop a corporate quality improvement program that will be standard throughout all of the company’s hospitals. It must also be responsive to any local needs or issues.  How will you craft that plan? What will you include in your plan? Include some specific examples of what you might measure. How will you get buy-in from your individual organizations that already have their own plan? (Points : 40)

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I will craft a plan by establishing indicators for the various types of measures that must be considered for determining the level of…

(TCO G) You’ve just been hired as the chief operating officer (COO) for a new orthopedic physician practice. The new practice was created by two previously independent practice groups that had fines for governmental regulatory violations, as well as suspected fraudulent billing practices. You just received a subpoena to appear in court and testify as to your role in the organization and knowledge of billing practices.

All you know is that the clinic has recently purchased a new electronic billing and medical records system that is HIPAA-compliant. One goal of this electronic system is to address all areas of compliance and to clean up any issues from the past. It is also intended to position the new organization as an organization with an impeccable reputation for compliance. Articulate your vision for this plan and the components that are required for its success. How will you justify the expense associated with your plan? Keep in mind that you have a newly formed organization and differing organizational cultures. (Points : 40)

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I will stress on the importance of standardizing and ensuring the security  of the electronic medical records and the…

HSM541 Health Services System

Keller