...Decision-Making Case Study The looming changes in health care are a frequent topic in many meetings with health care providers. Budget cuts are not just a speculation but are a reality. Decision-making to provide quality patient care with less money is a challenge at best. The Informed Decisions Toolbox can assist administrators and managers with evidence-based decisions that will allow patients to receive the quality care they deserve while reducing expenses. The Informed Decisions Toolbox The Informed Decisions Toolbox (IDT) is the result of a research study to aid managers with making evidence-based decisions that improve organizational performance. The IDT has an approach of six steps to decision-making (Rundell, et al, 2007): (1) framing the management question, (2) finding sources of information, (3) assessing the accuracy of the information, (4) assessing the applicability of the information, (5) assessing the actionability of the evidence, and (6) determining if the information is adequate (p. 325). As a facilitator for the use of evidence-based research in decision-making, the IDT assists decision-makers with estimating how operational and strategic decisions will have an effect on the organization. Evidence-based decision-making is not new to the health care industry. Clinicians have incorporated evidence-based research for years when making patient treatment determination. The use of evidence-based research for decision-making in other realms of healthcare...
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...Decision-making Case Study Tammy Paramore HCS/514 March 25, 2013 Norma Wright Decision-making Case Study Making decisions in the rapidly changing world of health care is stressful, possessing the correct information is crucial, determining the validity of information even more crucial. In addition, knowing where to obtain accurate information for making informed and reliable determinations will help make these decisions easier. A well informed decision made using the informed decision tool box increases the reliability for producing correct and profitable decisions. These actions will improve the efficiency of provided health care, increase stability, increase production, and decrease the amount spent on health care, in addition, improving the outcomes for both the organization and the patient. The Informed Decision Toolbox The informed decision toolbox (IDT), according to Rundell, et al, (2007), has six major steps to use when approaching difficult decisions. 1) framing the management question, 2) finding sources of information, 3) assessing the accuracy of the information, 4) assessing the applicability of the information, 5) assessing the actionability of the evidence, and 6) determining if the information is adequate (p. 325). The IDT system stems from a formal study to find ways to assist management in an efficient and more scientific approach to decision...
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...Health Care Access Paper | Professor Barri Mallin | | Sheila Ford | 12/16/2012 | | The purpose of this paper is to inform you of a proposal that the Governor of Texas has proposed to the state, on how he feel about the health care reform. I will be talking about how the governor thinks by” issuing top-down mandates on a break-neck timetable is a surefire way to make things worse”. The health care reform legislation currently being considered not only poses a serious threat to patients and providers, but will also cost Texas taxpayers tens of billions of dollars. I will be explaining how the governor feels that President Obama’s plan will cause harm to the health care system,” by increasing taxes and escalate medical price inflation and add more than $285 billion to the deficit over the next 10 years”. “Gov. Perry: Federal Health Care Proposals to Cost Texans Tens of Billions of Dollars Tuesday, August 18, 2009 • Austin, Texas • Press Release Share” “Gov. Rick Perry today emphasized the importance of state developed health care reform rather than the costly, expansive, one-size-fits-all mandates being considered by the federal government. The governor spoke at a press conference announcing the results of a study about federal health care proposals conducted by the Texas Public Policy Foundation (TPPF)”. “It’s clear Washington has no interest in allowing states to develop their own tailored solutions to problems that affect their citizens,” “Gov. Perry...
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...Case Study Analysis The complex and dynamic realm of health care has generated a need to focus on cultural change to improve health care quality. To overcome a decade of difficulties and implement a program for improving their quality, the University of North Texas Health Science Center at Fort Worth (UNTHSC) began a journey to change the culture of their organization. Using the change model the new president initiated measures to revise the quality improvement program and strategies for meeting regulatory and accreditation standards. Many barriers interfered with the process but actions were executed to overcome these obstacles (Ransom, Joshi, Nash, & Ransom, 2008). This paper will describe the cultural change journey of UNTHSC through unfreezing their old culture and laying the foundation for a new culture of quality. Measures to Monitor and Revise Quality Program Implementation The measures used to monitor and revise quality program implementation foster changing the organizational structure of an institution. The UNTHSC at Forth Worth decided to institute cultural changes as a form of monitoring and influencing the change process. The initial element of the measurement process incorporated administrative, academic, clinical practice, research application, financial elements, and community goals. A baseline measure was associated with current levels of operations. The management team was held accountable in regard to focusing on four areas of measurement...
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...United States Government Accountability Office GAO For Release on Delivery Expected at 10:00 a.m. EDT Thursday, May 26, 2005 Testimony Before the Committee on Ways and Means, House of Representatives NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Statement of David M. Walker Comptroller General of the United States GAO-05-743T May 26, 2005 Highlights Highlights of GAO-05-743T, a testimony before the Committee on Ways and Means, House of Representatives Accountability Integrity Reliability NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Why GAO Did This Study Before 1969, IRS required hospitals to provide charity care to qualify for tax-exempt status. Since then, however, IRS has not specifically required such care, as long as the hospital provides benefits to the community in other ways. Seeking a better understanding of the benefits provided by nonprofit hospitals, this Committee requested that GAO examine whether nonprofit hospitals provide levels of uncompensated care and other community benefits that are different from other hospitals. This statement focuses on, by ownership group, hospitals’ (1) provision of uncompensated care, which consists of charity care and bad debt, and (2) reporting of other community benefits. The hospital ownership groups were (nonfederal) government, nonprofit, and for-profit. To compare the three hospital ownership groups...
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...In case you are not aware, only 3% of services in Planned Parenthood are abortions. That leaves 97% of other services that are performed that need funding, including providing birth control for 2 million people, as well as over 4 million STD tests and treatments and over 360,000 breast exams yearly. Not only that, but new research shows that cervical cancer rates are much higher than previously thought, including higher rates for women of color, and Planned Parenthood provides 270,000 cervical cancer screening a year. I know, there are those in this room who only care about the fact that Planned Parenthood provides abortions, but the funding that goes toward that small percentage does not come from federal tax dollars, so why would you want to defund...
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...Policy Critique Sarenceya Maxwell Dr. Gordon September 28th 2014 Health Care: Treatment of mental and physical illness through special services with excellent approach is considered to be called health care. A health care consists of specialized doctors, trainers and physicians. Who effortlessly work for the betterment of the patient. Specialized health care’s are found everywhere in the world. Health Care Advisors: Health care advisors charge with advising customers with health care desires. Whether or not the authority will answer the question or suggests a resource for the client to contact, he or she provides calm, comforting recommendation to people who call or e-mail. These advisors generally act as role models and use a customer-led approach in their exchanges. A primary responsibility of a health care authority is client service. Expertness and compassion are very necessary for the fulfillment within the field. The goal is to depart customers with the sensation they referred to as the correct place for facilitate. Additionally, the client ought to feel comfy contacting the authority succeeding time a retardant or concern arises. Client services skills can promote goodwill and facilitate make sure that customers come. Maintaining information of all accessible services and merchandise is additionally the work of a health care authority. People who work for a corporation can perceive the way to advise customers with...
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...research paper will address the seriousness of this issue. Illegal immigration has a negative impact on the United States in many ways. Immigrants have entered our country illegally and stolen millions of jobs, crippled a struggling education system, manipulated welfare programs, and drastically raised crime rates. Without immigration reform, the crippling effects of illegal immigrants will break this country. With illegal immigrants willing to work for less pay and in poor work conditions, they negatively impact employment rates. Illegal-immigration has a negative impact on the available jobs for U.S. citizens. People often protest that the illegal immigrants do the jobs that Americans don’t want to do. However, that is not the case. They are able to work for low wages and in poor conditions, where citizens must follow minimum wage and labor laws. The more employers use illegal immigrants for cheap labor, the overall wage goes down. As Adam Davidson stated, “When wages go down, American workers are harmed. And when American workers are harmed, the poor are always the first hit.” (Davidson, 2006) Almost 350,000 immigrants sneak into the United States illegally each year and seek out employment. This causes wages and...
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...the article “Health Care Study Calls Risk Pool Money Lacking” Kevin Sack discusses some of the issues of healthcare finance. He says that the new law of health care does not properly allocate money for 5.6-7 million Americans with medical conditions that are pre-existing and have high risk insurance pools. The insurance plans carried out by the Government are a stopgap until 2014 after which the insurers cannot deny from providing total medical coverage to people. But according to a study by a nonpartisan research group, the Center for Studying Health System Change, $5 billion will only cover 200,000 people in a year. As a result, there would be a huge number of people having serious medical problems but the amount allocated for health care won’t cover them. Also, prompted officials of the 20 states would decline to establish their own financial pools which would put the burden of the task to Washington. In these states, the officials and the Republicans fear the intense pressure that they will have to face in case they are short of money. High risk pools will be established in some of the states by July1. The existing pools charge high rates which make them unaffordable to many; the new pools should have standard charges. Even then we won’t know how many uninsured won’t be able to afford those standard rates. Another analysis in this week concludes the states should be satisfied with new amendment and expansion of law. The Medicaid is a shared expense of state...
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...In 2012, hospital readmissions for congestive heart failure (CHF) cost Medicare an estimated seventeen billion dollars (Simpson, 2014). As a result, the Centers for Medicare and Medicaid Services (CMS) implemented the Hospital Readmission Reduction Program (HHRP) which identified readmissions to the hospital within 30 days of discharge a value-based payment modifier (Centers for Medicare and Medicaid Services, 2017). CMS uses value-based payment modifiers to financially penalize facilities with rates above the national average, citing this fact as an indicator of poor quality of care. As a result, hospitals across the nation have made reducing their readmission rate a top priority. Eastwood, Quan, Howlett, and Kind-Shier (2017) as well...
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...Positioning and Differentiation Paper Theresa Williams University of Phoenix Marketing for Health Care HCS/539 Marcia Thompson August 30, 2010 General Information The two health care organizations that will be identified in this paper are Central Texas Medical Center (CTMC) and Guadalupe Regional Medical Center (GRMC). These two organizations are within 25 miles of each other and are in Central Texas. CTMC’s major county it serves is Hays for GRMC’s county is Guadalupe. Both organizations will overlap on counties it serves with health care services. A non-for-profit hospital based organization; each hospital has plenty of similarities and differences among them both. This paper will include the similarities and difference as well as some of the marketing and Public Relations each organization is doing. The difference in the two non-for -profit organizations will allow patients in Hays County and the surrounding counties to decide which health care facility is best for him or her. With similarities involved it will just add extra bonus to the patients for if they could not receive results from CTMC they can got to GRMC and vice versa. One of the major marketing tactics that will cause a patient to be faithful to one organization more will be the customer service and how he or she is treated. Similarities First thing first, let’s start with the similarities on the two organizations. We already know that CTMC and GRMC are considered a non-for-profit organization...
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...Introduction Health and Human services are a state department in every 50 states. This is the state department that handles the processing of Medicaid, SNAP (Foodstamp), W.I.C, Medical transportation, Women Health and many other state welfare program. Health and Human Services (HHS) has to follow state and federal laws. Depending on the importance of the change, some changes can get lost in translations. Sometime those changes over look once caught can cost the department fines and or losing funding. Overview of the Organization and Case Study HHS is monitor by the state Auditor office. The office makes sure the agencies follow and apply all new guide lines. In 2011 a new disclaimer was sign into law. The disclaimer basically stated that the worker did take the correct step and confirm the SNAP case was should be denied. When a case is denied and the denial is not valid it not only cost the state money but it is also report. Too many denial had been appealed and over turn. “Sanctions Document the SNAP Employment and Training (E&T) or Choices penalty information from the automated Texas Workforce Commission interface; Form H1816, SNAP E&T Noncompliance Report; or Form H2581, Choices Noncooperation Report, including the noncooperation date, applicable penalty period and reason when staff are not able to enter the penalty in TIERS, as required by policy in A-1890, Documentation Requirements” (Health and Human Service Pg3) Once the issue was discovered after...
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...After a careful reading, Health Status Outcome (HSO) studies are focused on the ending result or outcome of medical care given, taking into account the health care process, and well being of patients and the population. Ultimately, these studies are looking at the health status of the patient and are related to diagnosis. For example, lab test results, complication rates, morbidity rates, functional status, well being, and satisfaction with care given are health status outcomes. Patient Reported Outcomes (PRO) are subjective reports generated from the patient either through diaries, self-completed questionnaires, or interviews regarding their treatment. PRO helps with research to evaluate patient’s perception, symptoms, satisfaction with treatment and adherence to regimens. Quality of Life measures the overall sense of optimal health and coping mechanisms incorporating the positive and negative challenges encountered. This can include physical, mental, sexual, and social self-perceived health status. Quality of Life can also reflect freedom from disease symptoms and the ability to perform daily activity with minimal compromise. Quality of Life and health status have been used interchangeably by some researchers, but are regarded as separate measures by others. For example, according to Smith, Avis, & Assmann (1999) QOL has been examined as an outcome measure, and is an important endpoint in medical care. However, its definition still lacks clarity, especially in chronic...
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...the necessary care required for a healthy and productive life (NCHC). Further, government run programs such as Medicaid and SCHIP, the State Children’s Health Insurance Program, are not sufficient and effective means of providing care for those eligible for them. Poor Families in America’s Health Care Crisis by Ronald J. Angel, Laura Lein, and Jane Henrici illustrates how the safety net for health care through current government programs does not work and how access to health care cannot be considered universal. The Three City Study, a large, multidisciplinary examination of the consequences of welfare reform for children and families in poor neighborhoods in Boston, Chicago, and San Antonio, gives a personalized look into the flaws of the United States’ welfare and health care systems (Angel 7). Through these ethnographic studies, it can be determined that the current safety net for poor Americans is made ineffective because of discontinuity of care and the employer-based nature of health care. Poverty can be defined as the “lack of social capital or power to control one’s life or that of one’s children in important ways” (Angel 30). With this being said, it can easily be seen why poor Americans live very chaotic and unstable lives that make them most likely to be susceptible to more frequent and more serious acute and chronic illnesses. The current Medicaid and SCHIP available to the nation’s poor make it very difficult for them to have the continuous and good quality...
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