...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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...Effectiveness Data and Information Set (HEDIS) is a set of performance measures used to track the quality of healthcare. HEDIS was developed by the National Committee for Quality Assurance (NCQA) to allow consumers to compare managed care organizations (MCOs). According to NCQA, HEDIS allows consumers to compare healthcare plans as “apples to apples”, in other words HEDIS organizes data for equitable comparison. HEDIS collects data in five different areas including: 1. Effectiveness of Care 2. Access/Availability of Care 3. Experience of Care (Patient Satisfaction) 4. Utilization and Relative Resource Use 5. Health Plan Descriptive Information (Kohler, 2014). Why is collecting information in these particular areas so important? First and foremost, the data collected is a valuable resource for consumers. HEDIS publishes the State of Quality Healthcare Report annually, and HEDIS report cards grade MCOs on their overall performance. Consumers can also use HEDIS’s Quality Compass to easily compare healthcare plans based on their needs. HEDIS performance measures allow MCOs to determine their effectiveness at any given time. If any changes are detected, MCOs may want to enact quality improvement measures to improve outcomes. Furthermore, MCOs can use HEDIS data...
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...ABC HealthCare is a national healthcare organization that delivers quality products and services to their members. They offer a broad range of medical and specialty products including PPO’s, HMO’s, and various hybrid and specialty dental and health care services. These services combine the attributes consumers find attractive while also developing and establishing effect cost control techniques. By doing this, they allow their members access to the quality care that is needed. ABC HealthCare has 69 million members that are served by their affiliated companies and 37 million enrolled in its family of health plans making a total of 106 million members served. ABC HealthCare is one of the nation’s leading Health Insurance Plans. ABC HealthCare prides itself in having a framework that yields tangible value for all of their members, employers, healthcare professionals, associates, and shareholders. Along with this framework, ABC HealthCare’s business strategy includes: Creating the best health care value in the industry, excel at day-to-day execution, and capitalize on new opportunities to drive growth. Enterprise clinical quality management is the level of this organization that I represent. The above mentioned business strategies and framework apply to all parts of the company; however, the enterprise clinical quality management department also has their own goals, objectives, and leadership. The goals of the Enterprise clinical quality management department are to: improve the...
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... The works of renowned photographers such as Hedi Slimane have a heavy impact on prevailing images of male sexualities in fashion advertising, eventually affecting the image of the ideal male in fashion. Male sexualities in high fashion photography can oscillate between the homoerotic or a dominant hetero-masculinity, thus there is usually no middle ground in fashion advertising, especially where artistic direction takes over. Such advertising targets niche “high fashion” audiences and responds to the popularization of sexual themes in other forms of advertising (and indeed wider media), whilst associating diverse sexualities with artistry. Coding in high fashion advertisements affect, but also respond intuitively to, audience sexual ideologies by deconstructing the concepts of femininity and masculinity that have undergone rapid change in our self-reflective and deconstructing postmodern world. Hedi Slimane’s penchant for androgynous men has significantly heightened popularity for thin male models in the fashion industry. His work usually incorporates explicit concepts of homo-eroticism and femininity inspiring many leading contemporary designers and photographers who saw his designs as radical and surprisingly persuasive” [1]. Indeed, Hedi’s influence on modern fashion aesthetics suggests that “designers everywhere started reducing their silhouettes"[2]. Karl Lagerfeld, who drastically lost weight in order to fit into Hedi Slimane’s clothes (designed to be “modelled by...
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...Perseverance is Key. It may be difficult for people to get back up after being knocked down, but they persevere and keep trying. Jews who were involved in the Holocaust had to persevere through everything. Losing their family, getting abused, getting starved, being forced to do stuff, and more. People find strength in different ways to persevere and endure a tough time. For example, Hedi was a girl in the Holocaust who had to see things happen she never imagined seeing. The Holocaust was as horrible for women as it was for men. “A Hungarian demanded she take it off and hand it to him. So mother removed the ring, threw it away, and said to him, "Now go look for it." She didn't hand it to him – she was a proud woman” (Solzbach). The women were...
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...Helgám! Hazám határait hátrahagyva, három hétig Hegel, Heyne honában, Hannoverben, Hamburgban helyettesítettem hivatalos honoráriumért Hans Herbertet. Hetedikén hétfőn hárman, Hédivel, Hugóval, (Holland házaspár) Hágából, Helsinkibe hajóztunk. Hédi horgolt, hímzett. Hugó heverészett, hálóhelyére húzódott, hogy Horatiusnak hódoljon. Hajósaink hevenyészett hálóval, horoggal hitvány heringet halásztak. Hajónkat hamarosan hömpölygő hullámok háborították, halászcsónakként himbálták, hányták Herkulesünket. Helsinki hídjai, hétemeletes házai, hatalmas hengerműve, hőerőművei hatásosak. Harisnyagyárai, húsüzemei hetedhét határban híresek. Huszonharmadikán hangversenyen Händel, Haydn, Hubai hegedűversenyét hallgattuk. Hébe-hóba hülyéskedtünk, hotelünk halljában huncutkodtunk, hatásos históriákkal hárijánoskodtunk. Havazik Helsinkiben. Hó hull háztetőkre, hidakra, halpiacokra. Hódprémet, hócipőt, halinacsizmát hordanak. Hómunkásaik helytállását három havilap hirdeti. Hannoiból háborús híreket hoznak, heves harcokról, holnapi hidrogénbombákról. Harctereken háborútól, himlőtől, hastífusztól, hepatitisztől hullanak hajszolt halandók. Hőmérőnk higanyszála hajnalban húszig húzódik. Háromnegyed hétkor hosszan hangzik Helsinki harangszava. Hiva, huomenta! (Jó reggelt!) Hallani helyenként. Hotelünk hangulatos, hanem hálószobáink huzatosak, hidegek. Helyiségeiben hintaszékek, heverők, háziszőttesekkel. Heveny hörgő huruthoz hamar hozzájutottam, hevertem huzamosan. Hotelbéli...
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...government; the funds ultimately come from the people through tax money. 2. What are some of the factors that affect the health status of people? Include at least two access (to health services) related factors and two non-access (to health services) related factors. Access to preventative care and quality of provider care are two access related factors. Non-access related factors are misdiagnosis due to incorrect coding and high insurance cost resulting in lack of care. 3. In what ways can good leadership and management control health care costs? Proper management of data and information can control costs. The National Committee for Quality Assurance (NCQA) developed the Healthcare effectiveness Data and Information Set (HEDIS). HEDIS relies principally on administrative data to measure six dimensions of prepaid managed care plans: quality management, physicians’ credentials, members’ rights and responsibilities, preventive health services, utilization management, and medical records. 4. How are quality issues affecting facilities? Two national organizations that monitor quality of care are the Joint Commission and the NCQA. Participation in the Joint Commission is voluntary, but states may link their facility licensure requirements to Joint Commission participation, or payers may link their reimbursement to facilities that have attained Joint Commission accreditation. The Joint Commission has established performance standards and quality indicators that...
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...Hedi Bouhlel, EN130 English Composition Assignment 01 * Democracy in the digital age * * Dictatorships who ruled their countries with an arm fist for decades, had no match for the digital age, and didn’t expect defeat either. * * Hunger for Democracy spun a revolution and caused a domino effect across the Arab world; it all started with a spark, and hit send type action, thanks to digital technology. * * The digital world revolutionized our existence, from computers to small portable devices. We conduct our business and run our lives from anywhere in the world with the help of a cell phone. Steve Jobs had a vision for the digital world and he left a great legacy behind him. The digital world has engulfed every preceding invention and improved it dramatically, from airplanes to our home security alarm, why not Democracy? * As we discovered the power of this technology, the Arab spring will not have occurred without the digital world. Feed backs from citizens witnessing events as they occur, recorded on a digital cell phones, streamed through You Tube on the internet for the world to see is unprecedented. Media around the globe reports news instantly as they happen with the help of digital communication. In a small North African country named Tunisia where all the action begun, a college graduate trying to make a living selling fruits on the side street was harassed by police who has confiscated his investment. Enraged...
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...Complementary and Alternative Medicine 2012, 12:37 doi:10.1186/1472-6882-12-37 Jihed Boubaker (jihed.boubaker@yahoo.fr) Hedi Ben Mansour (hedi.mansour@hotmail.fr) Kamel Ghedira (kamel.ghedira@gmail.com) Leila Chekir-Ghedira (leila.chekir@laposte.net) ISSN Article type Submission date Acceptance date Publication date Article URL 1472-6882 Research article 3 September 2011 10 April 2012 10 April 2012 http://www.biomedcentral.com/1472-6882/12/37 Like all articles in BMC journals, this peer-reviewed article was published immediately upon acceptance. It can be downloaded, printed and distributed freely for any purposes (see copyright notice below). Articles in BMC journals are listed in PubMed and archived at PubMed Central. For information about publishing your research in BMC journals or any BioMed Central journal, go to http://www.biomedcentral.com/info/authors/ © 2012 Boubaker et al. ; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Polar extracts from (Tunisian) Acacia salicina ‘Lindl. Study of the antimicrobial and antigenotoxic activities Jihed Boubaker1† Email: jihed.boubaker@yahoo.fr Hedi Ben Mansour1† Email: hedi.mansour@hotmail.fr Kamel Ghedira2 Email: kamel.ghedira@gmail.com Leila Chekir Ghedira1,3* Corresponding...
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...Health Care Reform The Council of Economic Advisers (CEA) The council of Economic Advisers (CEA) is an agency that is within the office of the President of the United States of America. Their main job is to advise both international and domestic policies by using formula and analysis on economic research and empirical evidence, using the best data available to support the president in setting out nation’s economic policies. After years of research, reports revealed that the market failure in the current healthcare system has imposed tremendous economic burdens on families, employers, and government at every level. One in every six Americans was without health insurance, healthcare spending was quickly skyrocketing, medical errors were excessive and administrative cost was enormous ("About cea.") The CEA reports also found that authentic healthcare reform has considerable benefits if slowing the growth of healthcare cost has the following components: Increase the standard of living by improving efficiency if resources are freed up that can be used to make other goods and services. Prevent dreadful budgetary ramifications and raise national savings. Finally, slowing the growth of health care cost would raise employment and lower unemployment now and later on without prompting inflation (whitehouse.gov) Labor A second component of healthcare reform, would increase the overall economic welfare of the uninsured extensively more that the costs of insuring them. In addition...
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...1. Material things, which describe your social status. Digital generation and democracy absolutely changed basic explanation about describing of your social status in many of countries, except of Ukraine and some countries, which in any way want to show their social status with help of expensive cars and clothes with bright names! But in the counties with higher development all this things went out and changed into knowledge and things which really represent you status but not your money. Let’s take typical businessman in our country, he can’t get along without big cars, lie Toyota Prado or Land cruiser, it’s quite funny, but its reality ! Second point not all elder rich people, but all their children wants to wear the most expensive and bright clothes from famous brands, traveling European countries I noticed, that native livers of this countries, not only don’t wear (in many cases) bright clothes if they have money for that, but also trying not to wear this if they are very wealthy. As for me we should follow this example and try to build our image not only on glamour things, but also on their own knowledge, experience and be more honest and hard-working. Here is the real point of modern image! 2. Things which create modern image (or the bright pack of your life) You a successful top manager in big company, you have a huge profit and your life fill with things, you always wanted, but you don’t have IMAGE! As Wikipedia says (it’s also is one of points of modern image)...
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...Phillip J. Davenporte, M.B.A. MBA 5652 Research Methods Unit III Assignment For this assignment, review at least five articles according to the following instructions: • Using the criteria for “Judging a Research Study” on pages 258 and 259 of your textbook, evaluate at least five or more research articles. • Answer Questions 1 and 2 for all five articles. • Answer two questions from each of the remaining sections of the criteria questions for all five sources (14 questions for a total of 16 questions per source). • Include an APA references list for all five (or more) sources. A. “The Case for diversity in the health care workforce” 1. How Closely is the literature reviewed in the study related to the previous literature? In the first half of the study, the literature reviewed was not as closely related to the previous literature studied. The first half of the paper was used to set the contextual parameters of the study and to explain the basic epidemiology and rationale for the study. The second part of the paper was more closely aligned with previous literature reviewed. The information dealt directly with the research topic and the supporting literature and referenced articles dealt exclusively with the topic at hand. 2. Is the review recent? Are there any outstanding references you know about that were left out? I would consider this review to be relatively recent. The data contained in this research paper and the related referenced articles...
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...Arabic classical music Indeed, the intriguing story of 20th century expressions of Arabic classical music is a study in the development of national styles emerging during the first decades of the 1900s. Cairo and Beirut were key cities in this efflorescence. The presence of a strong recording and media industry in Cairo together with the happy collision of Egypt’s wealth of folk traditions, the European classical music tradition (right from the 1870s Cairo could boast of an opera house) and classical urban music from the Ottoman period can be cited as signature features of Arabic classical music. The typical Arab small ensemble unit, the Takht (comprising a Ney, Oud and Qanun) Tunisia is interesting as the one other place in north Africa, after Egypt , with an active classical Arabic music scene. The other point I would make is that some of the musical establishments of the Arab world, their conservatoires, are elitist, often with a predilection for classical western music. That is why some of the more interesting musical developments can be seen in hip-hop, which is anti-establishment in origin and direction. DAM, the Palestinian rap band, is one such example, as are some Arab diaspora acts like the Iron Sheikh in the US . (Collect names of Lebanese Rap groups please.) …to ensure that the language and diction ..are correct, as do I seek to embrace all the conventions of classical Arabic singing, I combine the influences to which I have been exposed in the diaspora...
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...Pay for Performance Incentive Programs in Healthcare: Market Dynamics and Business Process Executive Briefing AUTHOR Geoffrey Baker, MBA President, Med-Vantage® Inc. 1 California Street, Suite 2800 San Francisco, California 94111 CONTRIBUTORS John Haughton, MD, MS Founder, DocSite LLC 540 Main Street Winchester, Massachusetts 01890 Peter Mongroo Director, Healthcare Industries Markets Oracle Corporation 500 Oracle Parkway Redwood Shores, California 94065 A Research Report sponsored by ViPSSM, Inc. in partnership with Med-Vantage® 2003 Table of Contents Introduction.......................................................................................................................2 Goals and Motivations behind Pay for Performance..................................................................4 Market Adoption .................................................................................................................5 Funding and Incentives .......................................................................................................7 Measuring Performance: Physicians and Hospitals..................................................................10 P4P Operations and Business Processes for Health Plans.........................................................12 Key Lessons Learned and Critical Success Factors ..................................................................14 Conclusion...........................................................
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...A. “The Case for diversity in the health care workforce” 1. How directly is the text reviewed in the reading related to the earlier writing? In the primary partially of the reading, the text assessment was not as intimately connected to the preceding writing studied. The initial part of the document was utilized to set the background stricture of the learning and to clarify the essential epidemiology and basis for the reading. The following element of the document was more directly associated with preceding writings assessment. The information covenant unswervingly with the explore matter and the behind writing and referenced commentary dealt entirely with the matter at tender. 2. Is the evaluation current? Are there any exceptional position you identify about that exist absent out? I would think this appraise to be rather current. The facts limited in this explore document and the connected situation commentary date back to 2002 and the editorial was available in 2003. Characteristically published investigate scheme that are 7-10 years old, are careful to be pertinent investigate substance. Found upon the obtainable investigate at the occasion this editorial was available, I have approach to the end that no exceptional mention were absent out. This lesson started in 2001 and was finished and available in 2003. The writer of this document used in order that was obtainable to them as current as 2003. 3. Can you recognize the declaration of the trouble? The declaration...
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