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HSM 541 Final Exam

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www.tutorialrank.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) --------------------------------------------------------------------------------

HSM 541 Midterm Exam Guide (New)

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www.tutorialrank.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) --------------------------------------------------------------------------------

HSM 541 Week 1 DQ 1 Costs Quality and Access

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www.tutorialrank.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. --------------------------------------------------------------------------------

HSM 541 Week 1 DQ 2 Illness vs Health Promotion

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www.tutorialrank.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? --------------------------------------------------------------------------------

HSM 541 Week 1to7 All DQs

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www.tutorialrank.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 --------------------------------------------------------------------------------

HSM 541 Week 2 DQ 1 Healthcare Workforce

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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

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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 You Decide Middlefield Hospital (2 Papers)

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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 3 Assignment Non Profit vs For Profit Organizations (2 Papers)

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HSM 541 Week 3 Assignment Non-Profit vs For-Profit Organizations

HSM 541 Week 3 DQ 1 Private Insurance


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www.tutorialrank.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? --------------------------------------------------------------------------------

HSM 541 Week 3 DQ 2 The Uninsured

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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 4 DQ 1 Primary Care

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www.tutorialrank.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? --------------------------------------------------------------------------------

HSM 541 Week 4 DQ 2 Managed Care


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www.tutorialrank.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? --------------------------------------------------------------------------------

HSM 541 Week 4 Midterm Set 1

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www.tutorialrank.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 --------------------------------------------------------------------------------


HSM 541 Week 5 Assignment HIPAA (2 Papers)

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HSM 541 Week 5 HIPAA --------------------------------------------------------------------------------

HSM 541 Week 5 DQ 1 Hospitals

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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 DQ 2 Employer Health Plans

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www.tutorialrank.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? --------------------------------------------------------------------------------

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

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HSM 541 Possible Is Everything--tutorialrank.com  

For more course tutorials visit www.tutorialrank.com 1. (TCO A). You are the newly hired chief knowledge officer (CKO) for a mid-sized hosp...

HSM 541 Possible Is Everything--tutorialrank.com  

For more course tutorials visit www.tutorialrank.com 1. (TCO A). You are the newly hired chief knowledge officer (CKO) for a mid-sized hosp...

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