Page 1

HSM 541 Week 7 DQ 2 Healthcare Management

FOR MORE CLASSES VISIT Week 7 – Thread 2 Healthcare Management (graded) Healthcare management has become increasingly challenging and complex in the 21st century. How do leadership strategies differ in healthcare organizations as compared to other types of organizations? What are the characteristics of healthcare organizations that make leadership more difficult? =================================================== ==================================

HSM 541 Week 7 DQ 1 Fraud and Abuse

FOR MORE CLASSES VISIT Week 7 – Thread 1 Fraud and Abuse (graded) Briefly describe a healthcare situation (real or hypothetical) in which potential for fraud or abuse is a concern. How would you advise a colleague who came to you concerned about a similar issue of fraud or

abuse in an organization where you work or one that you do business with? What questions would you ask? What are some key issues to consider? What might you tell him or her to do in this situation? =================================================== ==================================

HSM 541 Week 7 Course Project (2 Papers)

FOR MORE CLASSES VISIT This Tutorial contains 2 Course Project Introduction This course project gives you the opportunity to select a problem that currently exists in our healthcare system and analyze its implications on our healthcare system. The paper should critically analyze the issues related to the topic and identify key strategies for improvement. In order to meet the project requirements, it is important to identify an issue or problem within the healthcare system. Please analyze and review the grading rubric to understand why this is important. Both web references and professional journals should be considered as references. Don’t overlook the Keller Online

Library as an important source of information for your paper. The paper should include 8–10 references in APA or another approved format. See a more detailed Grading Rubric below. The length of the final paper should be approximately 8–10 pages, double-spaced in MS Word. Possible Course Project Topics Describe the problems with our multiple reimbursement systems. Discuss how a single-payer system may improve access and cost containment in the U.S. healthcare system. Evaluate the lack of reimbursement environments for preventive healthcare programs, and evaluate the effectiveness of the current reimbursement patterns. Propose solutions for expanding these programs. Describe the problems in the U.S. healthcare system and how we might use another nation's healthcare system for reform. Evaluate how a new system would improve access to care, quality of care, and the efficient utilization of resources. Choose one particular form of complementary (nontraditional, alternative) medicine and explain why it may not be accepted by insurance providers or reimbursed by insurance companies. Describe its clinical approach and effectiveness, evaluate its economic impact, and review its potential for mainstream use, including future licensing and third party reimbursement. Evaluate the problem of fraud and abuse in the current U.S. healthcare system. Analyze the effectiveness of the OIG’s Healthcare Fraud and Abuse Program, and analyze effective actions healthcare organizations can take to

decrease their liability in this area, offering examples. Critically evaluate the readiness and the effectiveness of the U.S. Healthcare Delivery System in responding to a widespread bioterrorism event; propose changes as appropriate to your analysis. Discuss some of the problems in measuring quality in the healthcare environment and investigate quality measurement. Provide options for quality measurement and the processes that could be measured in a healthcare setting. Critically evaluate the use of technology in healthcare and the challenges it presents in healthcare delivery. Offer specific examples or situations addressing technology’s contributions to improving the quality of health and healthcare; consider impact on healthcare costs and analyze trade-offs. Describe the problem of medical errors in our delivery system. Evaluate the effectiveness of selected programs aimed at reducing medical errors in the U.S. healthcare system; discuss one or more of the most effective measures identified to date and make recommendations for additional action. NOTE: Other topics related to course content/TCOs will be considered, but only as approved in advance by your instructor. Grading Rubrics Introduce the issue. Define the problem. Search the literature. Analyze the problem. Offer possible solutions. Propose a single solution. Develop an implementation plan. Justify why/how if your solution will solve the identified problem. Your paper must include, but is not limited to, the following sections: Category Points Description BACKGROUND 10 Describe the problem, organization, or situation you selected;

identify the specific issues of interest or controversy; and present background/facts of the problem, organization, or situation that will enable the reader to clearly understand the issue. DEFINE THE PROBLEM 10 Identify and clearly state the problem, the management issue, in which an element of the identified problem or situation is not meeting expectations. Remember that what appears to be the problem may actually be just a symptom of a bigger problem – dig deep to be sure you've identified the real problems. If there appears to be more than one problem/issue, decide if they are separate or related issues. State the problem in the form of a question. For example, if a work group is not performing effectively, an effective problem statement might be "How can the staff shortage improve?" rather than simply "Short Staff problems." LITERATURE REVIEW 35 Present what you discovered in your search of the literature. Review issues, theories, concepts, and studies discussed in class and in our textbook, and review what other writers/researchers have to say about the subject of your analysis. Discuss the concepts, ideas, or insights that are most valuable in helping you make sense of your project. What theories can you use? What writers say something of value? Why is it of value? Which models are the least helpful, and why? What theories or concepts will you challenge or criticize because your findings are different? In short, demonstrate an

understanding of the literature and apply it sensibly to the problem. This is not a course in applied commonsense; however, such practical intelligence is important, especially in the application stage. A literature review is like playing a video game in which you are in a chamber with many doors. As you open each door, you uncover clues to help you progress to the next level. Similarly, in a literature review, your objective is to open the doors that can point the way to solving your business problem. Begin your literature review with a broad look at your field of interest, then narrow your focus until you zero in on the essential issues of concern. NOTE: A literature review is a required element of this assignment. A good rule of thumb is to review at least 10 resources, beyond the textbook and class readings, to ensure the effectiveness of your research. SUGGESTION: Begin your literature survey by accessing Keller's online library at PROBLEM ANALYSIS 30 This section should provide a detailed analysis of the causes of the problem(s) or issue(s) you identified in Section II. A major objective is to clearly illustrate how you are using the healthcare course concepts (as well as what your learned from your literature review) to better understand the causes of the problem(s) or issue(s). Show that you are applying course material! (Note: Use subheadings to identify each factor you

address.) POSSIBLE SOLUTIONS 30 Explore three solutions that could be appropriate ways to solve the identified problem/issue. Be sure these solutions are logical based on your analysis and that they each would effectively treat the problem, not the symptoms. Also, discuss the anticipated outcomes (both positive and negative) of implementing each of the possible solutions you identified. SOLUTION AND ITS IMPLEMENTATION 35 Outline your recommended solution to the problem/issue, one of the alternatives explored in Section V, or a combination of those alternatives. State your solution clearly and specifically. Describe exactly what should be done and how it should be done, including by whom, with whom, and in what sequence. Here are some points to keep in mind as you write this section: Have I indicated an awareness of the problem of implementation (the how aspect)? Have I been specific enough? For example, a general solution might state, "The healthcare manager needs to realize that his or her style should match the situation." A specific solution would state what style is most appropriate for the situation and how you will attempt to the have the manager realize the appropriate style. What aspects of the problem remain unresolved by my solution? Does my recommended solution and implementation plan address the problem/issues and causes identified in the previous sections? Does my solution consider and resolve the identified pros and

cons? How will I evaluate the effectiveness of the implemented recommended solution? What process checks or procedures will I put in place to institutionalize the improvement? Could my solution cause other problems/issues? What risks are inherent in the solution you recommend? What contingency plans do you recommend? Assess the realism of your proposed action plan. For example, is there adequate time, money, or other resources for your solution? In addition, does your solution place too much reliance on other people being reasonable or what you think is reasonable? JUSTIFICATION 25 Justify why your recommended solution and its implementation will solve the identified problem/issue in the organization/unit you selected. An important element of this section is to show very clearly how you applied course concepts to arrive at a workable solution and a successful implementation. Apply appropriate course material; support your conclusions with appropriately referenced facts, quotes, and readings; and be sure your justification addresses identified pros and cons. REFERENCES 25 All citations in the paper must appear in the reference list, and all references must be cited in the text of the paper. Choose references judiciously and cite them accurately. Citations of an author's work in the text documents your work, briefly identifies the source for readers, and enables readers to locate the source of information in the alphabetical reference list at the end of the paper. To use the ideas or words of another without crediting the source is plagiarism.

Plagiarism, in its purest form, involves copying of entire passages either verbatim or nearly verbatim, with no direct acknowledgment of the source. The most common (and unconscious) form of plagiarism is when a direct quotation is simply paraphrased. Paraphrasing does not relieve you of the obligation to provide proper identification of source data. The best way to avoid plagiarism is to make sure all quotes, ideas, or conclusions not your own are given proper acknowledgment in your text. Total 200 =================================================== ==================================

HSM 541 Week 6 You Decide Middlefield Hospital (2 Papers)

FOR MORE CLASSES VISIT This Tutorial contains 2 Papers You have been the CEO of Middlefield Hospital for 2 1/2 years and finally resolved the workforce challenges that plagued the hospital when you first arrived. In a recent meeting, the chief financial officer (CFO) indicated that the financial performance of the hospital has been deteriorating over the last 6 months. The hospital is not meeting its budget and he is concerned about the future. The new facility across town has continued to cut into Middlefield’s market share by

admitting more patients. The number of admissions to Middlefield Hospital is declining each month, and more uninsured patients are seeking services at your facility. You convene the Middlefield Hospital management team and discover a few interesting facts, which are identified below. The payer mix of Middlefield Hospital is comprised of more and more Medicare, Medicaid, and uninsured patients, and fewer patients have commercial insurance. This is reducing overall reimbursement and net income for the hospital. The nearby hospital that competes with Middlefield has opened a wellness center that offers a comprehensive array of preventative and wellness services to the community. This facility is attracting young families to seek services at this location. Most of Middlefield’s managed care contracts are more than 2 years old. There are little reliable utilization and reimbursement data available. No one at Middlefield Hospital is assigned to manage these contracts or maintain ongoing relationships with managed care companies. The Joint Commission survey is scheduled for next year, and there are significant problems with the hospital’s quality improvement program. The health plan offered to employees is getting more expensive each year. In fact, the costs are increasing at a rate of 20% each year. This is adding significantly to the hospital’s operational costs. The inpatient mental health services and neo-natal intensive care unit continue to lose money for the hospital. =================================================== ==================================

HSM 541 Week 6 DQ 2 Improving Quality


Week 6 – Thread 2 Improving Quality (graded) What do you see as the biggest challenge(s) ahead for us as we attempt to improve the quality of our healthcare delivery system in the U.S.? Are existing programs and efforts to improve the quality of care supported by the Institute of Medicine, Agency for Healthcare Research and Quality, and Joint Commission effective? Why or why not? =================================================== ==================================

HSM 541 Week 6 DQ 1 Errors Safety

FOR MORE CLASSES VISIT Week 6 – Thread 1 Errors, Safety (graded) Since the IOM published To Err Is Human, a groundbreaking report that boldly pointed out the problem of medical errors, concerns regarding patient safety and the need to reduce errors have come to the forefront of the U.S. healthcare system. What initiatives have accreditation organizations and other external agencies undertaken to address these issues? What strategies have been used by healthcare institutions to reduce medical errors? Do you think these efforts have been effective?

=================================================== ==================================

HSM 541 Week 5 You Decide AHA Issues (2 Papers)

FOR MORE CLASSES VISIT Analysis of the Health Insurance Portability and Accountability (HIPAA): Security Standards Written Assignment: Go to the website for the American Hospital Association (AHA) at the following web address: Click on the Issues tab that is at the top of the page. Under this tab, there are 23 issues being addressed by the AHA (access and coverage, affordability, etc.). Choose one of these issues and complete a 750word paper related to why this is an issue and how it impacts the U.S. healthcare delivery system. Describe the problems associated with the issue and what is being done by the AHA and other stakeholder groups to address it. Finally, choose one recommendation that you believe would be most effective in resolving the issue. Justify your recommendations and be as specific as possible. Your resultant written paper should be 750 words, double spaced, and in APA or other approved Devry-Keller format/style. Your primary text and the journal/website research article must be used as references to support your analysis/summary paper. You must use at least three professional references. =================================================== ==================================

HSM 541 Week 5 DQ 2 Employer Health Plans

FOR MORE CLASSES VISIT Week 5 – Thread 2 Employer Health Plans (graded) What are the components of a comprehensive healthcare plan offered by employers? What outcomes are desired by the employer after implementation of the health plan? How would these outcomes be measured? =================================================== ==================================

HSM 541 Week 5 DQ 1 Hospitals

FOR MORE CLASSES VISIT Week 5 – Thread 1 Hospitals (graded) What are some of the innovative responses that hospital organizations have made or are making now to address changes in today’s healthcare marketplace? Identify competitive, payer, or economic factors that may impede a hospital from fulfilling its mission. =================================================== ==================================

HSM 541 Week 5 Assignment HIPAA (2 Papers)

FOR MORE CLASSES VISIT This Tutorial contains 2 Papers HSM 541 Week 5 HIPAAshortages.X =================================================== ==================================

HSM 541 Week 4 Midterm Set 1

FOR MORE CLASSES VISIT Question : (TCO A) Differentiate between urban and rural healthcare in America. Briefly discuss how rural healthcare is different in terms of access, costs, and quality. Use an example to support your point(s). 2. Question :

(TCO D) Differentiate between Medicare and Medicaid roles in the healthcare system, and detail how each agency impacts costs, quality, and access in the delivery of medical care in America. Which program is doing a better job balancing these issues, and why? 3. Question : (TCO D) Describe the characteristics and demographics of uninsured populations. Discuss the reasons why Americans are uninsured. List at least one option to curb the growing number of uninsured people. 4. Question : (TCO C) Discuss whether you see marketplace competition as a positive or negative influence on the development of hospitals and health services in the U.S. Defend your position; offer example(s) to support your points. 5. Question : (TCO B) Discuss whether government plays a role to ensure an adequate healthcare workforce. Identify three ways that local, state, or federal governments can positively impact workforce shortages.X========================================== ===========================================

HSM 541 Week 4 DQ 2 Managed Care

FOR MORE CLASSES VISIT Week 4 – Thread 2 Managed Care (graded)

What are the positive effects of managed care on our healthcare system? What are some of the problems created by managed care that have been identified by patients, providers, and interest groups? =================================================== ==================================

HSM 541 Week 4 DQ 1 Primary Care

FOR MORE CLASSES VISIT Week 4 – Thread 1 Primary Care (graded) How would you define the role of primary care from the perspectives of health promotion and health protection? Why are these facets of primary care important, and how do they influence healthcare costs? =================================================== ==================================

HSM 541 Week 3 DQ 2 The Uninsured


The Uninsured (graded) It is estimated that there are 48 million Americans with no health insurance. What are the demographics of the uninsured population? Who makes up this population, and what are the factors that contribute to being uninsured? What strategies can be adopted at the local, state, and federal levels to overcome the problem of uninsured Americans? =================================================== ==================================

HSM 541 Week 3 DQ 1 Private Insurance

FOR MORE CLASSES VISIT Week 3 – Thread 1 Private Insurance (graded) Let’s consider the general concept of insurance. How does health insurance differ from other kinds of insurance? What are the similarities and differences between them? Next, let’s consider some of the issues that employers face in providing health insurance to their employees. Why has the cost of employersponsored health plans increased significantly over the last 5 years? =================================================== ==================================

HSM 541 Week 3 Assignment Non Profit vs For Profit Organizations (2 Papers)

FOR MORE CLASSES VISIT This Tutorial contains 2 Papers HSM 541 Week 3 Assignment Non-Profit vs For-Profit Organizations========================================= ============================================

HSM 541 Week 2 You Decide Middlefield Hospital (2 Papers)

FOR MORE CLASSES VISIT This Tutorial contains 2 Papers of this Assignment Scenario Summary You are the new Chief Executive Officer (CEO) of Middlefield Hospital. Middlefield Hospital is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area.

As the new CEO, you have learned that the hospital's employee turnover rate exceeds 20%, and there are over 100 nursing vacancies. You have also learned the following facts that may be impacting these workforce shortages: A new hospital has recently opened in your market area that has produced competition for Middlefield Hospital. Employee morale has deteriorated over the last 12 months. Essex University (a local college) is considering eliminating its nursing degree program because there is continual difficulty in recruiting well qualified instructors. Your Role/Assignment The board of directors has asked that you provide a 750-word report detailing your strategies and recommendations to overcome the workforce shortages and to improve employee morale. The strategies and recommendations should be as specific as possible and include the resources needed for implementation. Your primary text and journal/website research must be used as a reference to support your analysis. Available Resources Review the points of view of the following people to obtain further insights on this assignment. KEYPLAYERS Dr. Rusty Gates – Internist I have been admitting patients to Middlefield Hospital for 5 years. However, I recently moved my practice to the new hospital across town. The new hospital has much better facilities and the technology is state of the art. The staff appear much more invested in the quality of patient care and my patients seem happier. Eileen Wright – Board Member for Middlefield Hospital From my perspective, the employee morale at Middlesex has declined over the last 12 months. More and more employees are leaving Middlesex to go to the new hospital, and we have staffing shortages in most areas. The director of nursing is a great leader, but he is having difficulty retaining nursing staff. I am not sure what to do, but I don't want the reputation of the hospital to suffer.

Anne Teaks – Registered Nurse for Middlefield Hospital I have worked for Middlefield Hospital for 22 years. This hospital has always been committed to high quality in patient care. These nursing shortages have occurred many times through the years, and we will get through this one as well. I don't like that we are short of staff on many shifts, but we all have to pitch in and make sure our patients get the care they need. YOUDECIDE Activity Submit your strategy and recommendation report to the Dropbox. =================================================== ==================================

HSM 541 Week 2 DQ 2 Government Programs

FOR MORE CLASSES VISIT Week 2 – Thread 2 Government Programs (graded) What are the roles of government-sponsored healthcare programs like Medicare, Medicaid, Veterans Affairs (VA), Indian Health Services (IHS), and Prison Health Services? How do they impact access, cost, and quality? Do these government programs do a good job of meeting the healthcare needs of the populations they are intended to serve? =================================================== ==================================

HSM 541 Week 2 DQ 1 Healthcare Workforce

FOR MORE CLASSES VISIT Week 2 – Thread 1 Healthcare Workforce (graded) What do you see as the biggest workforce challenge(s) for hospitals today? Are the issues any different for other types of healthcare organizations? What strategies are being used by hospitals for recruiting and retaining staff? =================================================== ==================================

HSM 541 Week 1to7 All DQs

FOR MORE CLASSES VISIT HSM 541 Week 1 DQ 1 Costs, Quality, and Access HSM 541 Week 1 DQ 2 Illness vs. Health Promotion HSM 541 Week 2 DQ 1 Healthcare Workforce HSM 541 Week 2 DQ 2 Government Programs

HSM 541 Week 3 DQ 1 Private Insurance HSM 541 Week 3 DQ 2 The Uninsured HSM 541 Week 4 DQ 1 Primary Care HSM 541 Week 4 DQ 2 Managed Care HSM 541 Week 5 DQ 1 Hospitals HSM 541 Week 5 DQ 2 Employer Health Plans HSM 541 Week 6 DQ 1 Errors, Safety HSM 541 Week 6 DQ 2 Improving Quality HSM 541 Week 7 DQ 1 Fraud and Abuse HSM 541 Week 7 DQ 2 Healthcare Management========================================= ============================================

HSM 541 Week 1 DQ 2 Illness vs Health Promotion

FOR MORE CLASSES VISIT Week 1 – Thread 2 Illness vs. Health Promotion (graded) Criticism has been leveled at the curative rather than health promotion/disease prevention focus of the U.S. healthcare system. Should the focus change? Why or why not? Do you see evidence of a shift occurring? If so, what do you think is contributing to that change? =================================================== ==================================

HSM 541 Week 1 DQ 1 Costs Quality and Access

FOR MORE CLASSES VISIT Week 1 – thread 1 Costs, Quality, and Access (graded) Discuss the interrelationships between healthcare costs, quality, and access from the Roemer model of health services systems. Make suggestions on how one would maximize access and quality while keeping costs low. Now, analyze why these suggestions have not been put into place. =================================================== ==================================

HSM 541 Midterm Exam Guide (New)

FOR MORE CLASSES VISIT Please check all Questions Below 1. (TCO A) Briefly discuss how characteristics of individuals or populations may influence utilization of health services. Discuss how

these characteristics impact access, costs, and quality. Use an example to support your point(s). (Points : 25) Question 2. 2. (TCO D) Describe two state or federal programs that provide health insurance benefits to a specific population. Detail at least two strategies used by either agency to manage access, costs, or quality. (Points : 20) Question 3. 3. (TCO D) Describe the characteristics and demographics of uninsured populations. Discuss the reasons why Americans are uninsured. List at least one option to curb the growing number of uninsured people. (Points : 25) Question 4. 4. (TCO C) Discuss the differences between for-profit and not-for-profit healthcare organizations. How do the missions and values of each type of organization differ, and how are they similar? (Points : 25) Question 5. 5. (TCO B) Discuss whether government plays a role to ensure an adequate healthcare workforce. Identify three ways that local, state, or federal governments can positively impact workforce shortages. (Points : 25) =================================================== ==================================

HSM 541 Final Exam


1. (TCO A). You are the newly hired chief knowledge officer (CKO) for a mid-sized hospital in a semiurban area of the country. Your first task is to develop the organization's strategic plan that will shape the development of a comprehensive network of services for their community. Question 2. 2. (TCO B). You are the newly hired Vice President of Human Resources for the Bayside Regional Health System. You have the responsibility for all of the usual human resources functions, including retention plans, the training and development function, and the recruitment process. In addition, you have the additional departments of volunteers and the hospital chaplaincy services. Question 3. 3. (TCO C). Some physicians and for-profit healthcare organizations in your area are refusing to treat Medicare and Medicaid patients for a variety of reasons. These controversial decisions present not only a major breakdown in the healthcare delivery system but also in the financing of healthcare for many individuals across the nation. Delineate at least three reasons that physicians have for refusing to participate in these governmental programs, as well as the impact this practice has on other areas of the healthcare delivery system. (Points : 25) Question 4. 4. (TCO D). As the newly hired director of public relations for a national managed care company, you know that the next decade in the delivery of healthcare services will bring about revolutionary changes in your member organizations. Public outcry for changes has been heard loud and long, Congress is calling for reform, and providers are extremely frustrated with how you control utilization and offer low reimbursements. Question 5. 5. (TCO E). You are the VP for human resources and have been charged to recommend a new healthcare benefits plan that will improve healthcare services for your employees but manage costs effectively. You employ approximately 1,800 employees, and the

current health plan provides traditional healthcare services. You want to expand reimbursement for wellness and prevention services so that you can improve the health of your employees, thereby saving monies in your illness coverage, as well as nonproductive time in sick days. Question 6. 6. (TCO F). You are the Corporate Vice President of Operations Management for Patient-First Healthcare System, a nonprofit hospital with seven rural satellite hospitals located within 250 miles of each other. Your organization has just approved new monies for developing new quality management initiatives. The individual hospitals have implemented their own quality management programs with varying levels of success. Some of their programs demonstrate stellar results and high levels of patient satisfaction, although others have much less impressive results. Question 7. 7. (TCO G). You've just been hired as the compliance officer for the newly formed Gulf Coast Healthcare System. Your new employer was formed by the joining of four healthcare organizations – three acute care organizations and one long-term care agency. Two of the organizations have a history of various governmental regulatory violations, as well as suspected fraudulent billing practices. You've been hired to form a corporate compliance program that includes electronic billing and medical records that is HIPAA-compliant and will address all areas of compliance. This plan will not only clean up any issues from the past but will also position the new organization as an organization with an impeccable reputation for compliance. Articulate your vision for this plan and the components that are required for its success. How will you justify the expense associated with your plan? Keep in mind that you have a newly formed organization and differing organizational cultures. (Points : 40) =====================================================================================

HSM 541 RANK Successful Learning /  

We are dedicated to helping you exceed your career goals

HSM 541 RANK Successful Learning /  

We are dedicated to helping you exceed your career goals