Introduction In Health care, quality and utilization management have been forced into the spotlight by an insatiable demand for technologically advancing services, a legal system that compels physician to order unnecessary services, and the costs that are soaring higher than ever. The inconsistent use, overuse, misuse or even under used healthcare services has created inefficiencies and value concerns that demand oversight to ensure the best care is received while utilizing resources in the most
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Company Background The organization that will be the topic of my discussion in my final project paper is Cook County Health and Hospital System (CCHHS) in Cook County, Illinois. The Cook County Health and Hospitals System is the safety net for health care in Chicago, suburban Cook County, and unincorporated Cook County boundaries. There are three hospitals in the Cook County Health and Hospital System. John H. Stroger Hospital is the main hospital in the system, which is located in the Illinois Medical
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the U.S. health care system is complex and fragmented. Navigating the system to achieve maximum health outcomes is challenging for most consumers. Two concepts designed to overcome barriers to quality health care are the continuum of care and continuity of care. The continuum of care refers to the variety of health care services across the life span. Continuity of care refers to provider and informational consistency within those services. Integrated delivery systems are health care delivery entities
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agencies. b. What is meant by the term healthcare finance as used in this book? Healthcare finance is a term used in this book to describe accounting and financial management principles and practices used to ensure the financial well-being of health care organizations. c. What are the two broad areas of healthcare finance? The two broad areas of healthcare finance are accounting and financial management. Accounting is the recording of financial transactions concerning a business or organization
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may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates access to information and has the potential to streamline the clinician’s workflow. The EHR also has the ability to support other care related activities directly or indirectly through various interfaces, including evidence-based
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HCS/325 Team B: Case Study October 11, 2014 Effective decision making is yet another vital component in health care. It is used to not only manage an organization, but it is also used to manage the organizations’ staff and resources. Managers are tasked with making important decisions each day and these decisions have a major impact on the organizations’ operations and successes. In this week’s case study, Paul has three possible candidates
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Medical Problems And Costs Obesity outranks both smoking and drinking in its deleterious effects on health and health costs. by Roland Sturm ABSTRACT: This paper compares the effects of obesity, overweight, smoking, and problem drinking on health care use and health status based on national survey data. Obesity has roughly the same association with chronic health conditions as does twenty years’ aging; this greatly exceeds the associations of smoking or problem drinking. Utilization effects mirrors
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Facility Planning Part 1 HCS/446 Elizabeth Theodorides February 09 2015 Laura Vilardi Description The facility I have chosen is an outpatient facility in Miami, Florida at Jackson Health system. The renovations will cost the public around 101 million dollars (The Miami Herald). The renovation’s will be for the Outpatient services and also for the main hospital as well, which is now part of the new outpatient facility that wil be added to this hospital. The organization is also looking to
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This is a must, you must be able to know the laws and regulations and apply this to your job. Also understanding claims and how they pay and process will be one of your jobs. You can use this degree in places such as hospitals, ambulatory care, long term care, managed care and physician offices. The non-traditional areas are consulting, legal offices industry vendor’s insurance companies and pharmaceutical firms (college, 2013) Based on Oakton Community College website The earns can be $37,000 to
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Moreover, 82 to 85% described a positive result on the delivery of long- term and preventive care that lights plans. For doctors with basic systems, the sizes of effects were generally lesser. Consequences were adjusted for the characteristics of doctors and their practices. Respondents also informed on whether the use of electronic health records had assisted in the care of patients in several specific ways” (Catherine M. DesRoches, et al., 2008). In order to achieve the desired
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