Analyzing Health Care Decision Making

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Analyzing Health Care Decision Making

A number of quantitative methods are utilized to make decisions and recommendations in health care. Quantitative methods are used to analyze and predict the demand for patient services, to determine capital expenditures for facility and technology enhancements, and to guide the manager in implementing quality controls. Whether or not you are familiar with quantitative methodologies, as a manager, you are responsible for the outcomes of implementing the decision based on the method used.

Your agency or institution has noted a negative trend in profitability for a diagnostic imaging cost center over the past 4 quarters.

As a manager, you need to make some recommendations to take to your board of directors to reverse the negative trend. Your first priority is to find a quantitative method to help you in making decisions. Complete the following:

  • Choose a quantitative method (e.g., the decision tree model).
  • Describe the model that you are using.
  • Outline at least 4 proposed solutions to your board of directors, and analyze the strengths and weaknesses of each with regard to return on investment, break-even analysis, improvement in patient demand, improved patient safety and quality, and so forth.
  • Summarize how the decision-making method helped you make objective recommendations to your board of directors.

Analyze the part the Agency for Healthcare Research and Quality (AHRQ) plays in health care information systems acquisition.

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ANALYZE THE PART THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) PLAYS IN HEALTH CARE INFORMATION SYSTEMS ACQUISITION.

Review each of the following video cases: •Health IT Success Story: Portal Enhances Patient-Centered Preventative Care •Health IT Success Story: Using IT to Fight Care Fragmentation •Health IT Success: Quality Measures for Interoperable Electronic Health Records

Select one of these cases and address the following questions in your paper: •Analyze the part the Agency for Healthcare Research and Quality (AHRQ) plays in health care information systems acquisition. •Address the major concerns, and provide alternatives to alleviate these concerns. •Analyze whether or not value was added to health care information systems through acquisition. •Analyze how the system might advance or devalue patient care delivery. •Explain whether or not the current system can or should be maintained. •Explain what the literature states about this type of implementation/acquisition. •Explain who the gatekeeper(s) are in this type of acquisition. •Describe how cost is impacted with this system. •Describe the initial reaction to the system implementation/acquisition. •Describe whether or not the quality implementation/acquisition impacts your chosen topic for your Final Proposal and Final Presentation. This response only needs to be about a paragraph in length. The Case Analysis: 1.Must be 1,200 to 1,800 words in length, double-spaced and formatted according to APA style as outlined in the Ashford Writing Center. 2.Must include a title page with the following: a.Title of paper b.Student’s name c.Course name and number d.Instructor’s name e.Date submitted

3.Must begin with an introductory paragraph that has a succinct thesis statement. 4.Must address the topic of the paper with critical thought. 5.Must end with a conclusion that reaffirms your thesis. 6.Must use at least three scholarly sources, including a minimum of one from the Ashford Online Library. 7.Must document all sources in APA style, as outlined in the Ashford Writing Center. 8.Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

Analyze the unique aspects of managing human resources (HR) in health care organizations

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ANALYZE THE UNIQUE ASPECTS OF MANAGING HUMAN RESOURCES (HR) IN HEALTH CARE ORGANIZATIONS.

Imagine that you have applied for the position of Manager of Human Resources at an acute care hospital in your community. The hospital is planning to expand its services to meet the needs of a growing community. As part of the application screening process, you have been asked to write a document that outlines the steps you would take, as the manager of HR, to improve the effectiveness of HRM in this organization.

Write a three to four (3-4) page paper in which you:

1.Analyze two (2) current trends in health care that are affecting human resources management that may likely impact your hiring decision as HR manager. Provide support for your analysis. 2.Suggest a significant opportunity for HR to become more of a strategic partner within an organization. Justify your response. 3.Recommend a model of human resources management that would be the most appropriate for this organization in question. Provide support for your recommendation. 4.Recommend a strategy that HR could implement in order to develop more effective relationships between Human Resources and the organization’s managers and senior executives, indicating how each strategy will achieve the desired goal. 5.Determine a specific employment law that may affect the hiring and selection process at the acute hospital in your community. Provide support for your rationale. 6.Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. •Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

•Analyze the unique aspects of managing human resources (HR) in health care organizations. •Evaluate the effects of major employment laws on HR functions in health care organizations. •Evaluate the competencies necessary for effective health care human resources management. •Use technology and information resources to research issues in health services human resource management. •Write clearly and concisely

Summarize 3 different reimbursement methods that are used by health care providers and organizations

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SUMMARIZE 3 DIFFERENT REIMBURSEMENT METHODS THAT ARE USED BY HEALTH CARE PROVIDERS AND ORGANIZATIONS.

“The complexity of financing in health care is one of the primary characteristics of medical care delivery in the United States” (Shi & Singh, 2012, p. 129). There are numerous reimbursement methods (e.g., capitation, fee-for-service, package pricing, etc.) that are used by health care organizations and providers to get paid for the health care services that they provide. Building upon your Individual Project from Phase 1, write a 3-5 page paper not including a title page and reference page that contains the following:

  • Summarize 3 different reimbursement methods that are used by health care providers and organizations.
  • Choose which method(s) will work best for the health care facility that you have proposed to be developed, and explain why you chose that method(s).
  • Discuss the pros and cons of the reimbursement method(s) that you chose.
  • Discuss the impact that the method(s) may have on the financial operations of the facility that you chose.

Note: You should include a minimum of 3 references, properly cited in APA format.

Please submit your assignment.

Discuss the effects of the trending legislation on health care overall in the United States.

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DESCRIBE GENERAL TRENDS IN HEALTH CARE LEGISLATION OVER THE PAST 5 YEARS.

Write a 750-1,000 word paper that evaluates the effect of local, state, and federal health care legislation within organizations by identifying trends. Be sure to address the following:

  1. Describe general trends in health care legislation over the past 5 years.
  2. Describe a specific piece of legislation occurring within this timeframe across the United States. Discuss how it governs a long trending health care concern. What have been the motivating factors that have influenced this particular legislation?
  3. Discuss the effects of the trending legislation on health care overall in the United States.
  4. Describe how the selected legislation effects one type of health care setting (transitional care, hospital, primary care, home care, primary care).
  5. Identify changes in your selected health care setting that have occurred during this time in order to meet the requirements or needs of this legislative trend.
  6. Discuss how stakeholders (patients, underserved populations, health care providers, staff, etc.) have been affected by the trending legislation.

Support your paper using three to five sources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success

What types of services & interventions are needed in less developed countries to help with their health issues?

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   EPIDEMIOLOGY OF HEALTH AND ILLNESS. TRANSFORMING THE PUBLIC’S HEALTH CARE SYS

Epidemiology of Health and Illness.
Transforming the Public’s Health Care Systems.
Global Health
Please read chapter 4, 5 & 7 of the class textbook and review the attached Power Point presentations.  Once done answer the following questions;

1. How does the epidemiologic triad apply to health issues we see in the hospital? What are some common diagnoses in the acute care setting? What about in the community setting? How does the epidemiologic triad differ when a nurse is providing care to someone in the community or in his home? Does the nurse have more or less control in either arena?
2. Discuss the data presented regarding obesity in America in the Ethical Connection feature on page 118.  Please review the data and discuss your feelings about the role of community health nurses in community nutrition.
3. What are some of the causes for increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have actually witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors?
4. Why are the causes of morbidity and mortality in other countries different than in the United States? In what ways are they the same? Why do those differences exist? What types of services & interventions are needed in less developed countries to help with their health issues?

As stated in the class syllabus please present your assignment in an APA format word document, Arial 12 font attach to the thread in the discussion board title “Week 2 discussion questions”.  A minimum of 2 references no more than 5 years old are required with 2 replies to any of your peers sustained with the proper references.  A minimum of 500 words without counting the first and reference page are required.

Text and materials:
Saucier Lundy, K & Janes, S.. (2016). Community Health Nursing. Caring for the Public’s Health. (3rd ed.) ISBN: 978-1-4496-9149-3
Publication Manual American Psychological Association (APA) (6th ed.).
2009 ISBN: 978-1-4338-0561-5

What are the necessary conditions for autonomy?

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ADHERING TO THE PRINCIPAL OF AUTONOMY REQUIRES THAT HEALTH CARE PROVIDERS: DISTR

Adhering to the principal of autonomy requires that health care providers: distribute the social benefits and burdens appropriately act in ways that promote patient welfare do not interface with a patient’s self-direction don’t act in ways that may harm or injure a patient Adhering to the principal of non-maleficence requires that health care providers: distribute the social benefits and burdens appropriately act in interface with a patient’s self-direction don’t act in ways that may harm or harm or injure a patient Adhering to the principle of beneficence requires that health care providers: distribute the social benefits and burdens appropriately act in ways that promote patient welfare don’t interface with a patient with a patient’s self-direction don’t act in ways that may harm or injure a patient What are the necessary conditions for autonomy?

concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

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AS THE COUNTRY FOCUSES ON THE RESTRUCTURING OF THE U.S. HEALTH CARE DELIVERY SYS

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
APA FORMAT PLEASE
NO PLAGIARISM
PLEASE INCLUDE CITATIONS AND REFERENCES.
THANK YOU.

Explain at least two perceptions that you held regarding the role of HR compared to the role of the nurse manager.

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THE ROLE OF HR IN HEALTH CARE SETTINGS   JANET HAS BEEN WORKING AS A NURSE MANAGER

The Role of HR in Health Care Settings

Janet has been working as a nurse manager for a little over six months. Since she took this position, nurses have asked her a variety of questions related to paid leave, health insurance coverage, retirement plans, and other important issues. Each new question causes Janet to wonder whether she is providing her staff with sufficient information. Janet realizes that she needs help answering these questions, and she is curious to see if she can enlist the assistance of someone in the Human Resources department. Despite her experience as a nurse and as a nurse manager, Janet is not sure what kind of support HR can provide, nor how and when she should request their help.  Nurse managers may be uncertain about the roles that HR plays in health care organizations. In addition, many managers are unclear about how HR can support them with the staff function of their managerial responsibilities. As a nurse manager, what questions might you have about HR’s role? Furthermore, how have your previous experiences impacted your perceptions?  To prepare •Reflect upon the role HR has played in your current organization or one with which you are familiar. What interactions have you noticed between HR professionals and other staff in this setting? How do these interactions compare to those of nurse managers and staff that you have observed? •Complete the media survey, “Survey on HR,” found in this week’s Learning Resources. Though this survey is not graded, take careful note of the questions asked and the correct answers. •Review Chapter 1, “The New Human Resource Management Process” in the course text, Human Resource Management: Functions, Applications, & Skill Development, as well as this week’s media, “Introduction to Healthcare Human Resource Management.” •Consider how your perceptions of HR are similar to or different from the roles of HR described in the Learning Resources. How does the role of HR differ from that of a nurse manager?

Post a description of your media survey experience, including your survey results and your reactions to the survey. Explain at least two perceptions that you held regarding the role of HR compared to the role of the nurse manager. Describe how these perceptions were similar to or different from the roles outlined in the Learning Resources. Without identifying individuals or organizations, support your response by briefly describing experiences that may have influenced your perceptions.

How might the basic accounting rules under the accrual principle differ for you as an individual (or family) from those applied in a health care setting?

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HOW ARE FINANCIAL STATEMENTS USED TO DEMONSTRATE THE FINANCIAL HEALTH OF A HEALTH CARE SETTING? _____________________________ BUDGETS, BALANCE SHEETS

 200- 250 words APA format
_____________________________
Budgets, balance sheets, and other accounting tools provide a wealth of information for managers, but only if they know what they are looking at. It is time to learn the language and rules of finance!
To prepare for this Discussion, complete the readings in your Learning Resources. Think about the financial decisions of many health care settings.

Post a comprehensive response to the following:

How might the basic accounting rules under the accrual principle differ for you as an individual (or family) from those applied in a health care setting?
How are financial statements used to demonstrate the financial health of a health care setting? Select three key terms from the chapters (pp. 180 & 206) and explain how those key factors influence financial reporting in health care.
___________________________________
resources

Introduction to Health Care Economics & Financial Management
Chapter 10, “Basics of Financial Accounting and Reporting”Health care administrators often have to review and interpret financial statements. Financial statements are assessments and indicators of the financial health of an organization. They also reflect the perspective, tax status, and priorities of an organization. Financial statements show the impact of decisions made by leadership. In this chapter, you will review a brief history of financial accounting, regulation, and other accounting concepts. You will review the financial statements of the nonprofit SouthSide Hospital in this chapter and in Chapter 11.

Chapter 11, “Basic Financial Analysis”In this chapter, income statements and balance sheets from nonprofit SouthSide Hospital are used to enhance the health care professional’s ability to analyze a health care settings financial performance. Various methods for financial statement analysis and operating analysis are presented.
Donal, B., & Cebenoyna, F. (2007). Alternative evidence on financial analysts’ use of financial statement information. Review of Accounting & Finance, 442. Retrieved from the Walden Library databases: http://search.proquest.com.ezp.waldenulibrary.org/docview/215633746/fulltextPDF/CE74F497BFCF455DPQ/13?accountid=14872
Murty, A. V. N., & Misra, D. P. (2004). Cash flow ratios as indicators of corporate failure. Finance India, 18(3), 1315-1325. Retrieved from the Walden Library databases: http://search.proquest.com.ezp.waldenulibrary.org/docview/224377843?accountid=14872
Palmer, M., & Sanders, T. B. (2008). Going concern debt rations: is the firm safe? Corporate Finance Review, 13(3), 25-33. Retrieved from the Walden Library databases: http://search.proquest.com.ezp.waldenulibrary.org/docview/198761845?accountid=14872