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HSM 541 Final Exam For more classes visit www.snaptutorial.com

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)

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HSM 541 Midterm Exam Guide (New) For more classes visit


www.snaptutorial.com

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)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)


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HSM 541 Week 1 DQ 1 Costs Quality and Access For more classes visit www.snaptutorial.com

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

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HSM 541 Week 1 DQ 2 Illness vs Health Promotion For more classes visit www.snaptutorial.com

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?

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HSM 541 Week 1to7 All DQs For more classes visit www.snaptutorial.com

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


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HSM 541 Week 2 DQ 1 Healthcare Workforce For more classes visit www.snaptutorial.com

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?

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HSM 541 Week 2 DQ 2 Government Programs For more classes visit www.snaptutorial.com

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?

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HSM 541 Week 2 You Decide Middlefield Hospital (2 Papers) For more classes visit www.snaptutorial.com

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.

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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.

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HSM 541 Week 3 Assignment Non Profit vs For Profit Organizations (2 Papers) For more classes visit www.snaptutorial.com

This Tutorial contains 2 Papers HSM 541 Week 3 Assignment Non-Profit vs For-Profit Organizations.

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HSM 541 Week 3 DQ 1 Private Insurance For more classes visit www.snaptutorial.com

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?

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HSM 541 Week 3 DQ 2 The Uninsured For more classes visit www.snaptutorial.com

Week 3 – Thread 2 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?

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HSM 541 Week 4 DQ 1 Primary Care For more classes visit www.snaptutorial.com

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?

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HSM 541 Week 4 DQ 2 Managed Care For more classes visit www.snaptutorial.com

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?


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HSM 541 Week 4 Midterm Set 1 For more classes visit www.snaptutorial.com

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?


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HSM 541 Week 5 Assignment HIPAA (2 Papers) For more classes visit www.snaptutorial.com

This Tutorial contains 2 Papers HSM 541 Week 5 HIPAA

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HSM 541 Week 5 Assignment HIPAA (2 Papers) For more classes visit


www.snaptutorial.com

This Tutorial contains 2 Papers HSM 541 Week 5 HIPAA

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HSM 541 Week 5 DQ 2 Employer Health Plans For more classes visit www.snaptutorial.com

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?


by employers? What outcomes are desired by the employer after implementation of the health plan? How would these outcomes be measured?

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HSM 541 Week 5 You Decide AHA Issues (2 Papers) For more classes visit www.snaptutorial.com

This Tutorial contains 2 Papers 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:http://www.aha.org/.


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 750-word 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.

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.

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HSM 541 Week 6 DQ 1 Errors Safety For more classes visit www.snaptutorial.com


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?

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HSM 541 Week 6 DQ 2 Improving Quality For more classes visit


www.snaptutorial.com

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?

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HSM 541 Week 6 You Decide Middlefield Hospital (2 Papers) For more classes visit www.snaptutorial.com


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.

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HSM 541 Week 7 Course Project (2 Papers) For more classes visit www.snaptutorial.com

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 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 t


HSM 541 Competitive Success--snaptutorial.com  

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...

HSM 541 Competitive Success--snaptutorial.com  

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...

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