Health Care Quality Management

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    Southeast Health Plans

    Executive Summary Southeast Health Plans, Inc. is a service company that will provide health plan administrative services to self-insured employers. The company will concentrate on employers with 50 to 500 employees. Many of these employers have current HMO, PPO, or major national insurance carrier health plans. While the majority of employers with 500 or more employees have at least some element of self-insurance incorporated into their health care programs, our target market is often ignored by

    Words: 3885 - Pages: 16

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    Operations in Healthcare

    Role of Operations Management Role of Operations Management Mark Sealy OPS/HC571 March 3, 2012 Gusti McGee Role of Operations Management Operations management is an essential part of an organization. Organizations are faced with pressure from both internal and external sources. It is the role of an operations manager to identify the pressures and develop programs and policies that will ensure the organization can operate effectively. Operations Management According to Sox

    Words: 321 - Pages: 2

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    Healthcare Ecosystems

    And Accreditation standards Medicare is a federal government insurance program in United States, Created by Congress in 1965, under president Lyndon B. Johnson, and implemented on July 1st, 1966. The purpose of Medicare is to guarantee access to health insurance for US citizens of age 65 and over and to people of any age with disabilities. According to Centers for Medicare & Medicaid Services (CMS), approximately 19 million Americans were enrolled in the Medicare program in 1966. In 2008, approximately

    Words: 1883 - Pages: 8

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    Professional Organizations

    providing new materials to enhance learning. The organizations purpose is to improve patient care, advocate for the specialty of medical-surgical nurses, and being able to connect to others who has compassion and commitment. To improve patient care, they focused on their actions and voice, and provided evidenced-base practice, research and knowledge. Membership is open to everyone who is interested in the care of adults. Annual membership fee is $84.00 but students, seniors, new grads and associates

    Words: 1004 - Pages: 5

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    been held accountable for egregious errors and have had to respond to the demands of numerous regulatory agencies. But in the past decade, patients, payers, and others have joined the chorus of agents demanding greater performance accountability. Management decisions are now both more visible and more consequential. / http://content.healthaffairs.org/content/24/1/151.full Evolution of the use of evidence. For centuries, medical practice has been based mostly on clinical experience and judgment

    Words: 555 - Pages: 3

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    Internal and External Factors Paper

    No matter how new or old, small or big, government owned or private enterprise, an organization must develop and implement their own management concepts in order to be successful. Four fundamental and core concepts to follow are plan, organize, lead, and control. The Department of Veterans Affairs (VA) has forgone such challenges in the process of reinventing itself (United States Department of Veteran Affairs, 2011). The VA fought internal and external factors that impacted areas in globalization

    Words: 1297 - Pages: 6

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    The Future of Nurse Leadership

    The Future of Nurse Leadership A paper submitted in partial fulfillment of the course MHST/NURS 604 Leadership Roles in Health XXXXX February 28, 2013 Abstract Canada’s healthcare environment faces dynamics

    Words: 2998 - Pages: 12

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    least three (3) forces that have affected the development of the health care system in the U.S. Three forces that have affected the development of the health care system in the United States is the government, insurance companies, and the American people. The first force that has affected the development of the health care system in the United States is the government. The government has affected the development of the health care system because they control practically everything that has to

    Words: 1204 - Pages: 5

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    Article Reflection 1

    Change Management in Healthcare This article introduces health care managers to the theories and philosophies of John Kotter and William Bridges, 2 leaders in the evolving field of change management. For Kotter, change has both an emotional and situational component, and methods for managing each are expressed in his 8-step model (developing urgency, building a guiding team, creating a vision, communicating for buy-in, enabling action, creating short-term wins, don't let up, and making it stick)

    Words: 623 - Pages: 3

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    Evolution of Hcis

    Evolution of Health Care Information Systems Wendy F Superable HCS/533 January 26,2015 Evolution of Health Care Information Systems The world has changed a lot in the past 20 years. The advancement of new technology and the Internet has transformed the way we work and even where we do our work from. The evolution of technology affected a lot of things and some of those are information exchange and health care. Health information technology has enormous potential in reducing health care cost and

    Words: 1130 - Pages: 5

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