...2010 Health Improvement and Cost Reduction Plan (HICREP) Sammy Osei MPA/Healthcare Management Health Improvement and Cost Reduction Plan (HICREP) 2 INTRODUCTION Medicare, an entitlement program that provides healthcare benefits to seniors over 65 years old, patients with disability and those suffering from end stage renal diseases, contributes enormously to the rising cost of care in the United States. Key cost drivers within Medicare are the leading chronic diseases and its risk factors. This program plan institutes preventative educational and training programs to help minimize and alleviate ailments associated with major chronic diseases and its risk factors. The plan identifies demographic groups affected by leading chronic diseases, specifies target stakeholders, and justifies how their contribution impacts the program. This plan outlines program case statement detailing the mission, goals, objectives, organizational history and structure as well as plans devised for fundraising. The plan does a thorough problem analysis to identify unmet needs necessitating this intervention plan. This P Plan presents a financial statement that describes the tax status of the P-Plan and reports a year’s budget estimate with relevant financial policies that justifies and strategically integrates budget with objectives, goals and mission to ensure fiscal accountability and responsibility. A human resource structure is illustrated in this P-Plan detailing list of positions and...
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...UnitedHealthCare A deep dive into United States’ largest health carrier Report by : Guo F. Deng Jiarui Li Malavika Verma Srikanth S. Perinkulam : December’06, 2013 Published on afafaafa United Health Care Contents Company Profile and History ........................................................................................................................ 3 Financial Statement Analysis ........................................................................................................................ 5 Major Acquisitions ...................................................................................................................................... 11 Major Litigations and Public News.............................................................................................................. 13 The Patient Protection and Affordable Care Act (PPACA) .......................................................................... 15 Strategies and Foresight ............................................................................................................................. 18 Bibliography ................................................................................................................................................ 20 2 United Health Care Company Profile and History UnitedHealth Group is one of the largest health care companies in the United States. UnitedHealth Group is currently made of three entities which are UnitedHealthcare...
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...Quality Data Collection Grace C. Turne HCS/588 March 26, 2012 Ismael Caicedo Quality Data Collection Quality data collection plays an integral part in quality improvement. In order to measure performance, quality data must be gathered by the use of data collection tools that must be implemented. Nurses Just for Kids a pediatric specific home care agency specializing in the care of medically fragile children must develop a QI plan that best suits them by choosing data collection tools that based on potential improvement areas that they plan to tackle. The paper will discuss potential improvements, data needed to monitor for improvement in performance areas, data collection tools used, comparing and contrasting the tools and measurements as well as its importance in healthcare. Potential Areas for Improvement for Nurses Just for Kids There are many different areas that have the potential for improvement for Nurse Just for Kids but only two areas have been in need of quality improvement efforts the most. The two areas are back injuries and ventilator associated pneumonia. Two of the five clients that are being serviced from the home care agency has seen an increase in back injuries that are seen from their employees. The second area in need of improvement is in the area of ventilator associated pneumonia which there has been two pediatric clients with hospitalization due to pneumonia in the same month in 2011. This is a significant amount considering how small...
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...Running head: QUALITY IMPROVEMENT PLAN PART II Quality Improvement Plan Part II Cheryl Wright University of Phoenix HCS 588 Cynthia Hughes July 16, 2012 Quality Improvement Plan Part II Quality improvement is a hospitals process to advance the quality of care and outcomes for patients using an explicit set of philosophies and procedures (Walker, 2012). This paper attempts to describe some of the areas of potential advances for quality improvement at Washington County Regional Medical Center (WCRMC) nursing unit. One principle of quality improvement is measurement, which is the collection of data to improve patient care. Using these measurements and tools can help leaders understand the direction of quality in the organization. Areas of Potential Improvement for the Organization. The areas of consideration for improvement at WCRMC are emergency room wait times and discharge instructions. Both of these improvement areas have financial and influence for the health care organization. Emergency room wait times can reduce the market share and financial stability of the health care organization. Discharge instruction if given appropriately by the nursing staff can reduce the readmission rate for WCRMC, along with financial gain and improve the satisfaction of the patient experience. These are just of couple of measures WCRMC can use to align the mission of the organization and the commitment of improving performance. There are several models and tools...
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...HEALTHCARE DATA SETS HS420: Advanced Health Informatics 11/25/2014 HEDIS According to NCQA (2014), HEDIS is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. HEDIS consists of 81 measures across 5 domains of care, there are so many plans that use HEDIS and the measures are so specifically defined it can be used to make comparisons among plans. To ensure that HEDIS stays current the National Committee of Quality Assurance (NCQA) has established a process to evolve the measurement set for each year through its committee on performance measurement. The National Committee of Quality Assurance...
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...Organizational Quality Improvement Plan Part 1 HCS/588 June 3, 2013 Organizational Quality Improvement Plan Since the Institute of Medicine’s report “To Err is to Human” enacted in 2000, effort has been made to improve the quality of health care. To implement correctly a quality improvement plan (QIP) the perception of the organization culture and the stakeholder’s culture need to be explored (Centers for Medicare & Medicaid Services, 2013). Quality improvement plan improves quality and efficiency of services to the highest levels rendered. In the United States, for example, consumers have the right to choose, bargain, and express their dissatisfaction or concerns about a product or service. The economy is based on consumerism and the opinion of the consumer is valuable. In the health care arena, consumers have the right to choose the right providers when they looking for medical attention. They have the option to choose the one that can accommodates their needs. This also can create competition in an open market. Competition is very good because it helps competitors to improve the quality of their goods and services. In this paper, a quality improvement plan will be developed for Mary Washington Hospital, the difference between performance measurement and quality improvement will be addressed along with the organization mission and goals. The role of the stakeholders, and which external quality indicators are available will also be discussed in this...
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...INTRODUCTION Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage to sunlight hospital. Five measurements of quality of care in a hospital There are several quality measures that can be used to gauge how a hospital delivers healthcare to its patients. In most cases, each quality measure targets a specific aspect of a hospital’s healthcare system. Here are five measures of quality that can be used to assess how patients perceive the quality of care provided by hospitals such as Sunlight Hospital of California. 1. Structural measures of quality Structural measures assess the infrastructure of the hospital and other healthcare areas, such as doctors’ office. The aim is to assess the level of care that can be provided by the given infrastructure. The measures may include staffing of such facilities, the...
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...Quality Improvement Plan Part I- Consumerism HSC/588 Measuring Performance Standards September 9th, 2013 Debbie Simmons Quality Improvement Plan Part I- Consumerism Hospitals and other healthcare organizations in the United States are currently facing an irresistible pressure towards change. Numerous professionals in the business are projecting that “Multiple, intersecting pressures will drive the transformation of health care delivery and financing from volume-to value-based payments over the next decade” (American Hospital Association, 2013, para. 1). With the current regulatory and economic environments, hospitals are focusing most of their efforts on essential performance initiatives that are leading to success. In order to achieve success, organizations are placing focus on the establishment of quality improvement efforts. Evaluating hospital performance on any level requires an immense amount of knowledge and hard work. The goal of this paper is to create a plan for quality improvement for Kimball County Hospital (KCH) by identifying the difference between performance measurement and quality improvement, as well as key facts about the hospital, examine the role of consumers as well as quality indicators, and, explain stakeholder feedback and QI process. Quality Performance Measurement and Quality Improvement It is important to identify the difference between quality performance measure and quality improvement, as they are both useful in defining an improvement...
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...Quality Management in Optometry/Executive Summary By: Sarah Knoll June, 3rd 2012 University of Phoenix HCS/451 Quality management is a crucial slice of the optometry organization (vision center) and when used correctly is vital to its success in the world of health care. Some important components of quality management in the vision center are patient satisfaction, quality merchandise, proper training of employees, financial accuracy, good communication between staff and management, and knowledgeable staff. The functions of quality management work together and when everything is run properly, than the most important function of patient satisfaction should be easier for the organization to accomplish. Quality management is important for health care because it sets guidelines and establishes policies that add to the patient’s well-being and quality of life. This in turn has influence on the financial safety of the organization. A good quality management system will show in how well the organization does financially, as well as how the quality of patient care is viewed and these factors will stand out from other health care organizations. Taking the focus on the health care employees and establishing good communication is done through quality management by team meetings, surveys, and an open door policy that allows employees the freedom to take any issues to their supervisors or higher in management when needed. By working together with employees the organization can use...
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...University of Phoenix Material Quality Improvement Plan Template In this course, you develop an organizational quality improvement (QI) plan for a health care organization of your choice. Appropriate organizations include hospitals, nursing homes, ambulatory and surgery centers, home health, assisted living, health departments, hospice, rehab units, pain clinics, and cancer clinics. Choose a quality issue about which you are passionate and may implement in the future. A few examples are reducing patient falls, medication errors, and improving nurse response times. The complete QI plan must be no more than six pages. Organize the plan as you would present it to the organization’s board of directors for approval. Do not copy and paste sections from previous parts of the plan. Instead, summarize previous assignments, prepared with the intent to present the most important points of your research. Executive Summary: A one-page overview of the plan Introduction/Purpose: Introduce the organization and state its mission. Describe the types of services the organization provides. This section must be approximately half a page. (This information was initially covered in Week Two: Organizational Quality Improvement Plan – Part I) Goals/Objectives: Describe what goals the organization has to meet its mission. These are principles that shape how the organization views and achieves quality. Examples may involve the concepts...
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...Title Page Assignment Title Specific elements of essay: * Describe the Goals & objectives of my organisation * Understand the specific responsibilities of middle management in enabling an organisation to achieve its goals Gareth Lewis Date: 12 June 2013 Birth: 08/03/1956 Phone: 01656 773163 Email: gareth@lewis453.orangehome.co.uk Page 2 This assignment has been produced to provide evidence of my organisations goals & objectives, the evidence provided gives clear distinction between the goals & objectives of my organisation. The essay also includes essays on how my organisation shall meet its objectives & goals, and the specific responsibilities of middle managers in enabling my organisation to achieve its goals. There are sections describing the differences between goals & objectives and the different role in relation to Leaders and managers Page 3 Introduction I am the Site Manager for the Princess of Wales Sterile Services department; I have worked in Sterile Services for 27 years and have progressed through nearly every role prior to becoming Manager. My responsibilities are to provide a Sterilization of instrumentation service to firstly Main Theatres within the Princess of Wales Hospital and Neath Port Talbot Hospital and to all NHS services who require re-process of surgical instruments for safe patient use. This role requires me to have knowledge of all aspects of the decontamination re-process of surgical instruments...
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...QI Plan Part III - Implementation and Revision HSC/588 Anna Caluza May 26, 2014 Linda Roan Q I Part III – Implementing and Revising The implementation of correct systems required a team including expert leader’s approach. Effective communications between leaders of Doctor’s Medical Center, end users, the vendors, and the department staff is important when collecting data. For data transfer, authority need to assure that the new system communicate with the existing system. The administrative leaders guide the project activities, data protocol collection, clearly understand roles and responsibilities, and set up policy and procedure. Leader guide the staff to pursue the desire to achieve the goal. In completion of the system, training is provided by trainers for the to staff to be efficient in using the system. A yearly system evaluation to improve quality performance is mandated. The final process of implementation and revising is to assure that the organization is complied with the Joint Commission and other accreditation agencies. Authority Structure and Organization Authority structure is crucial in implementing and revising plans to be successful. To achieve success in implementing project, roles and responsibilities must be organized. Included in the authority structures to achieve success are as follows: board of directors, executive leadership, quality improvement committee, medical staff, middle management, and department...
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...Measurements by Health Care Professionals Miracle Brown HCA: 450 September 1, 2013 Professor Matson Plan-Do-Study Act (PSDA) | Six- Sigma | HFMEA | This Act was made to make good and positive changes to the health care process. It has been used by many healthcare institutes for improvement of the health care. | “A tool used in the health care facility to measure improvement by comparing the process capability after piloting potential solutions for quality improvement” (Mold 2010). | A tool used in the health care organizations for risk assessments. It helps to prevents risk that will happen in the health care facility. | Medical Assistant uses the Plan-to-do study plan to measure how they record the patient information. | Medical Assistant uses the Six-Sigma to measure how the patient records are stored in files. | Medical Assistant uses the HFMEA to measure quality in a health care organization by see how they record the patient records improve the workplace and workflow. | Primary Care Physician uses the Plan-do-study act to make sure that their patients by treating their patients with the right care and medication to treat any condition. | Primary Care Physician uses the six-sigma to make sure that their patients are treated right while in their care. | Primary Care Physician uses the HFMEA to make sure that their patient are not in any harm and make sure they get all the test down to make sure they are treated right. | Certified Nurse Midwives uses the Plan to do study...
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...Quality Improvement Plan Part One—Consumerism HCS.588 Facilitator: Patricia Wolcott September 23, 2013 Quality Improvement Plan--Consumerism The Institute of Medicine’s widespread reports, To Err Is Human (2000) and Crossing the Quality Chasm, revealed widespread incidence of medical errors in U.S. hospitals, there has been a great deal of effort to measure and improve the quality of hospital care (Institute of Medicine, 2000). Progressive input have been made in establishing quality indicators and risk adjustment components to compare quality across organizations, and in analyzing processes and cultures in high-performing hospitals. There is a vast amount of knowledge to learn about the infrastructure of hospital performance. Health care organizations performance measures may include, which hospitals are improving (or deteriorating) over time and how they accomplish and provide for that improvement. This paper will seek to develop a quality improvement plan for St. Joseph Medical Center, the difference between performance measurement and quality improvement, examine quality indicators, and explain stakeholder feedback is used in the quality improvement process. Type of care Provided St. Joseph Medical Center has provided health care to the Kansas City metropolitan area since 1874. According to St. Joseph Medical Center (2013), “It is a joint accredited, 310-bed hospital offering a full array of acute care, outpatient and extended care services with a reputation for...
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...Health Body Wellness Center Information Security Management System (ISMS) File:FYT2_Task2 Health Body Wellness Center (HBWC) promotes medical research, evaluation, and sharing of information between health care professionals. The HBWC’s Office of Grants Giveaway (OGG) provides for the distribution of federally supported medical grants. OGG uses a Microsoft Access database program called Small Hospital Tracking System (SHGTS) to manage the medical grant distribution process. A risk assessment of SHGTS was conducted to evaluate vulnerabilities and establish a baseline of potential threats. This document will outline an ISMS plan for HBWC and provide recommendation of additional steps needed to implement and maintain this plan. Use of the ISO 27000 series certification process will provide a framework for the ISMS. The Plan-Do-Check-Act (PDCA) model provides a step-by-step process for planning, implementing, and management of the ISMS plan. The ISMS outline, network drawing, and additional recommended steps will be discussed below. A1. Business Objectives The first step of any ISMS is the identification of the business objects that need to be included in the planning and maintenance of an organization. Listed below are HBWC’s major objects to be considered when developing ISMS. (Arnason, S, & Willett, K.D, 2008) Staff: Basic users, RAS users, Administrators, Executives, and Database Administrators roles, access levels, and responsibility should be defined. Facilities: ...
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