...Over the past several years there has been a decline in the rate of hospitals occupancies. The U.S. government saw the need to contain the rising cost of medical services. In 1983 the U.S. government made changes to the social security amendment coverage. That law required Medicare to stop paying hospitals per diem rate on the basis of their cost to operations. Instead hospitals would receive a pre-establish fixed rate per admission (Shi &Singh, 2013). In recent years there is extraordinary growth in ambulatory and out patients care setting. Receiving care in an out outpatient care setting is becoming more popular with patents as while insurance companies. Insurance companies prefer this type of service because treatments are typically less...
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...Health Care Terms HCS 235 13 June 2011 HealthCare Terms Doing research and independent reading on health care terms is not an easy task. With a vast amount of information on health care terms and defining these terms in short is not an easy assignment. Researching the term Medicare opened up an immeasurable amount of data on the subject, and I have chosen to write about the different parts of it. Medicare is a federally funded program, which has 4 different parts that include Part A, which is coverage for inpatient care in hospitals and skilled nursing facilities, hospice, and some home health care. Part B, which is coverage for medical insurance to include doctor’s visits, some home care services, and preventive care. Part D, which is coverage for prescription drugs, and Part C which is called Medicare Advantage Plan is available for an extra fee and would include Parts A, B, and D. Medicare is the nation’s top insurer of the elderly 65 years and older and is eligible for social security as well as permanently disabled but younger than age 65. Medicare also covers those with permanent kidney damage or failure and need to do dialysis on a daily basis until a transplant can be done. Although there are many kinds of conditions to be eligible for Medicare, it is also available to be purchased as with any other insurance carrier but can hardly be afforded by the aging population. Healthcare reform could seriously affect the premiums of coverage to the elderly population...
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...Communication Style Case Study University of Phoenix HCS/350 Communication Style Case Study In communicating, “The words you choose and the way in which they are delivered to the delegate make the difference between a successful and a frustrating episode in delegation” (Hansten & Jackson, 2009). The three communication styles in the case studies are passive, aggressive, and assertive. An analysis of the first scenario reveals that Robin, RN, used aggressive communication while Rashad, the assistive staff used passive aggressive communication style. In order to accommodate therapeutic communication that would improve the outcome, the scenario would change as follows: Robin, RN sends out an announcement of a staff meeting to discuss roles, responsibilities and expectations of the assistive staff. Robin, RN opens the meeting by stating, “The purpose of the meeting is to review roles, responsibilities and expectations of our assistive staff, please take a copy of the job description so that I am circulating so that we can review together.” Rashad, Assistive personnel stated, “My role is to anticipate the needs of the patients for toileting and personal hygiene right?” Robin, RN, in a inquiring voice, restated, “Rashad, do I hear you asking if your role is just to anticipate the needs of the patients for toileting and personal hygiene?” Rashad, acknowledged “Yes, I need to know what else I may have to do.” Robin, RN, in a calm, but professional and...
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... Table of contents page Case Study: Peace Memorial Hospital: Downtown health Clinic …….………………. 3 Executive Summary …………………………………………………………………….. 3 Environmental Aspects …………………………………………………………….. 5 Demographics …………………………………………………………………….. 5 Politics …………………………………………………………………….. 7 Competition …………………………………………………………………….. 8 Marketing …………………………………………………………………………….. 9 Objectives …………………………………………………………………….. 9 Strategies …………………………………………………………………….. 10 Tactics …………………………………………………………………………….. 10 Four Ps …………………….…………………………………………….. 11 Product …………………………………………………………… 11 Price …………………………………………………………………… 11 Place …………………………………………………………………… 11 Promotion …………………………………………………………… 12 Marketing Information Systems ……………………………………………. 12 Conclusion …………………………………………………………………………….. 13 References …………………………………………………………………………….. 14 Marketing Audit Case Study: Peace Memorial Hospital: Downtown health Clinic Peace Memorial Hospital (PMH) is one of six independent, nonprofit, general...
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...of patient information is not new. Research into the implementation of health care information systems spans more than thirty years at a cost of millions of dollars (Zheng, McGrath, Hamilton, Tanner, White, Pohl, 2009). In spite of those costly efforts, patient records continue to be primarily paper-based. The Institute of Medicine (IOM) (1991) of the National Academy of Sciences recognized the magnitude of the problems associated with paper medical records systems and called for the adoption of computer-based patient records (CPR) or electronic medical records (EMR) as the standard for all patient records by the year 2001. EMR systems have been shown to have value in patient care; they are not widely used by clinicians in community-based practice. Although there are barriers to the productive use of EMR systems in primary care and there are situations in which such systems have failed, there are early adopters of this technology who have successfully implemented the systems and made them an integral part of their organizations. Gaining better understanding of the usefulness of EMR systems and how they might be broadly utilized and successfully implemented in the community-based practice environment requires further investigation. Identifying, analyzing, and understanding certain organizational factors that contribute to the use and acceptance of EMR among health care providers in ambulatory care, community-based settings will add to a presently insufficient body of knowledge...
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...agencies). b. Study of the accounting and financial management of a diverse collection of industries that involve indirectly, or directly, the healthcare of the population. c. Healthcare finance consists of two broad areas of specialization: Accounting and Financial Management d. A healthcare finance book is unique to a regular finance book. Healthcare finance book allows readers to obtain the knowledge that put them in a better position to function as managers, judge quality of financial analysis, and incorporate sound principles. A generic finance book would not cover these same types of issues that deal with healthcare management. 1.2 A business maintains its financial viability by selling goods or services, while a pure charity relies solely on contributions. 1.3 a. The primary role of finance within businesses is to plan for, acquire, and utilize resources to maximize the efficiency and value of organization. b. The role has increased over the years to support the various sections in healthcare finance. 1.4 a. Hospitals differ in function, patient length of stay, and ownership. Ambulatory care encompasses services provided to noninstitutionalized patients. Home health care brings many of the same services provided in the ambulatory care settings into the patient’s home. Long-term care entails healthcare services that cover an extended period of time. Integrated delivery system assumes full clinical, and in certain cases financial, responsibility...
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...Case Study 1 “Rashad attended the team meeting with all the rest. When the topic of role clarification for assistive personnel came up, he stated that he thought part of his role was to anticipate the needs of the patients for toileting and personal hygienic care. Robin, one of the staff RNs in their psychiatric care group home, raised her voice as she firmly stated, “You are only an aide. That is in the RN role. We don’t expect you to think, just to do what we tell you to when we tell you.” Rashad sat quietly without responding because he needed to keep his job but began his plan on how he’d make Robin pay for her statement. Maybe he wouldn’t do anything without being told.” (Hansten & Jackeson, 2009). Answer In question number one the two types of communication used, were aggressive and passive. Aggressive was used when the Registered Nurse (RN) undermined the aide by belittling him with a raised tone, and comments such as,” you are only the aide”, “ we don’t expect you to think, just to do what we tell you to do.” (Hansten & Jackeson, 2009). This type of communication often carries a tone of superiority, messages of blame, and labeling often times causing the other person to feel humiliated and hurt. Rashad may perhaps have feelings of anger and revenge. Rashad may perhaps try to think up ways to get back at the nurse instead of help her or him complete her or his tasks. This type of communication suppresses the ideas and feedback from others. It evokes passive aggressive...
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...Principles of Healthcare Reimbursement Anne B. Casto, RHIA, CCS Elizabeth Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American...
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...Case Study First candidate: Taneshia She is 36 years African American woman, married with no children and plans for a family. She has three years of working for the center. She has a bachelor degree in health administration, and her collage minor was in human resources management. Taneshia is currently the director of health information system. Described as entrepreneurial and innovative She is very good with technology and her achievements in this field such as converting divided into fully electronic department. - trained her people to do more accurate coding She has a directive management style, and she accomplishes her goals but sometimes pushes her people a little too hard. Sometimes she feels like a pompous and very opinionated Has a "I'm smarter than everyone" attitude Some Questions have been raised about how accurate her reports are but nothing has ever been proven Second candidate: Felipe He is 29 years old, Hispanic male, single with no plans to get married He has worked for the center for five years. - started right after college He has a bachelor degree in health administration, and master degree in the business administration. With his masters, he is now interested in moving into operations in his next healthcare job Already started looking for new job possibilities His duties including marketing and contracting with manage care companies, and he has done well job He has no employees directly reporting to him. He is talented negotiator...
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...Health Care Coordination Models: Benefits and Challenges Traci L French Salem International University Abstract: Care coordination refers to several forms of patient care management that is patient- rather than provider-focused and has the end goal of the “Triple Aim”-improved patient experience, improved population health and decreased per capita costs. These goals are achieved by developing healthcare models which promote collaborative care between providers, increase communication between health care entities, actively engage patients in health care and lifestyle choices and rely heavily on health technology to extend provider services, personalize care and monitor quality improvement efforts. The main barriers to care coordination implementation include poor reimbursement for services, difficulties with provider network communications, shortages of trained care coordination personnel and ambiguity in provider roles and responsibility, which can lead to provider accountability issues. When well-established, care coordination models allow patients to form substantive, long-term personal relationships with providers and increase personal accountability for health care choices. These relationships increase compliance with care regimens in the ambulatory setting and decrease costs with overall improvement in patient quality of life. Care coordination refers to several forms of patient care management which is patient- rather than provider-focused and has the end goal of...
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...workforce, they are encouraged to lead the charge on changes in the healthcare system. This report discusses the effects of safe, effective and affordable care rendered at the primary level. Nurses can further this initiative by taking their education to the next level, which will allow stronger leadership roles and in turn will lead directly to improved care at the primary level. Transforming Practice Access to healthcare has been rewritten with the implementation of The Affordable Care Act of 2010 (ACA). This will allow open access to healthcare for millions; in turn increasing demands on healthcare professionals. In keeping with IOM report, ways in which a practicing nurse can implement changes are varied; in current practice it would begin with education and prevention early in the acute care stay in order to be preemptive in post-acute care period also early in a nurse’s education familiarizing oneself with the patient care needs in under-served communities, which allows for an insightful nurse to keep with the goals of primary care. Finally, continuously seeking reeducation on providing culturally competent care. The changes nursing will endure following the ACA are: Practice Setting- At the height of transforming practice in healthcare is the when and where of primary care. The need to shift care from acute care settings, and into the homes,...
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...Running head: DECISION MAKING CASE STUDY Decision Making Case Study Lisa Powers HCS 514 University of Phoenix Decision Making Case Study Today’s healthcare organizations have the difficult task of maintaining adequate operations in the economic climate we live in. Budget cuts have hit all organizations in corporate America as well as the healthcare industry. Staying afloat in these economic times requires the implementation of difficult decisions, often including reduction of services. This has never been more prevalent than in the health care industry. Healthcare organizations are being hit hard. Hospitals and outpatient clinics are operating with budget deficits. Many organizations are now required to cut or eliminate clinical services in order to remain operational. Determining which clinical services should be cut requires managerial staff to make the difficult decision. Managers require tools that enable them to best make that difficult decision to best address the health care needs of the community served. The New York State Medicaid program is the largest single payer of healthcare in the state of NY to the tune of about $47 billion dollars (“Advocates,” 2008). New York has the nation’s highest total and per-patient Medicaid spending and must link spending to healthcare priorities. The number of uninsured patients has steadily increased over the past few years. Funding losses and projected increased operating expenses have left...
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...HIMSS Davies Award of Excellence: Case Study Jessica Moss October 9th, 2012 The HIMSS Davies Award of Excellence originated in 1994. The program and award is named after Dr. Nicholas E. Davies who was a practicing physician and the President elect of the American College of Physicians as well as a member of the Institute of Medicine Committee on Improving the Patient Record. Dr. Davies passed away in a plane crash in 1991 but he dedicated his work into improving the patient record. He believed that computer based patient records needed improvement to provide better care for the patients. The Davies Award of Excellence is an award that requires the staff in the health care system applying for the award to document and assess their progress and accomplishments using a framework for thinking about the implementation process of an electronic health records system. The HIMSS Nicholas E. Davies Award of Excellence identifies organizations use of health care information technology in four categories: public health, organizational health, ambulatory care and community health organizations. Each case study demonstrates the facilities innovation and the use of an existing application that delivers the new or improved functionality or original solutions created by the applicant enterprise. (HIMSS, 2011) In 2011, five case studies were awarded with the Davies Award. The New York City Department of Health and Mental Hygiene applied their case study and was awarded the Davies Award...
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...In preparation for meetings or projects, there are various program planning models that can be used to assist decision makers depending on the goals of the program. These models have greatly helped leaders as the outcomes have benefited from careful planning. As decision-makers have gained great amounts of knowledge and experience, I have experience that collaboration within a group can be best effective when these factors are used. This allows different perspectives to be realized and produce a more professional product. Continuous quality improvement does not just happen, it has to be planned and managed using tools such as PDCA and DMAIC. If you want to be better than your competitors and to flourish as a business then you must ensure that business processes are continually improved (Liesener). In order to do this action plans need to be developed. For many employees, experienced or less experienced, the variety of problem-solving approaches for action plans can get confusing. But there are not so many differences between these approaches, as you could expect. All differences are depending only on the type of problem, which has to be solved. Various problem-solving approaches like PDCA and DMAIC can be sorted in the following categories (Liesener): 1. Is it a small, medium or large sized problem you want to solve and is the solution of the problem unknown? 2. Does your problem solving strategy follow a continuous improvement process or do you want solve a single...
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...| | | | | | | | | | | Specialty | Proficiency | Functional/Technical Specialty | Technical > Packaged Software & Apps > Industry Applications-PRD > Products Industry Applications | Not Assessed | Industry Specialty | Industry > No Industry Specialty | Not Assessed | | | | | | | | | | Office Phone: | Email Address: jithin.ram.nambiar@accenture.com | | | | | | | Profile Summary | | | I hold a B-Tech degree in Electronics and Communication Engineering from Amrita University. I have 42 Months experience in Healthcare IT. Previously worked as an Implementation Consultant with Allscripts and was involved in the implementation and support of the Sunrise Acute care and Ambulatory products. Before joining Allscripts I worked with a Domestic Healthcare Company as Business Analyst and was involved in the implementation of HIS and LIS at various client locations across India. | | | | | | Job Experience | | | Non-Accenture | Client/Company : Allscripts | Project : Eclipsys Sunrise Product Implementation | Project Duration : Jan. 2011 - Nov. 2011 | Standard Role : Business Analyst | | Project & Role Description | | Worked with Allscripts in...
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