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Examine the major components of the U.S. health care system to determine where the greatest opportunity for improvement exists.

Week 1 dq1 “HCOs” Please respond to the following: Should the text have started with, “Building healthy communities is the focus of HCOs, including patient care but going well beyond”? Explain your answer. Examine the major components of the U.S. health care system to determine where the greatest opportunity for improvement exists. Provide examples of some of the “going well beyond” activities. Week 1 dq2 “Transformational Management” Please respond to the following: Why do high-performing HCOs strive for transformational styles? Propose ways that accountability can be achieved in high-performing, transformational HCOs. How comfortable would you be working in a high-performing, transformational organization? Compare and contrast how political, economic, and social forces have influenced changes in the United States’ healthcare system. week 2 Week 2 dq1 “Leadership” Please respond to the following: Explain and defend your views on each of the following statements: o “Managers do not give orders.” o “Managers do not make decisions.” o “Managers spend a lot of time listening.” o “The governing board’s calendar ultimately forces a decision.” o “Imagination is an important managerial skill.” Week 2 dq2 “Operational Leadership” Please respond to the following: Create a scenario that depicts how a first-line leader should act to fulfill the purpose and functions of operational leadership in his or her area. Determine how the senior leadership team knows that it has fulfilled the purpose and function of operational leadership well. How do individual senior leaders evaluate their own contribution? week 3 Week 3 dq1 “Governance” Please respond to the following: Should every community have its own healthcare organization with its own mission, or should hospitals be like Wal-Mart, where the mission is set once for the world? State your position. If there is a virtue to individual community missions, determine what is it, and how a local governing board should establish a mission. Week 3 dq2 (This video looks at some different outcome measures and the fact that the issue is not only having outcomes, but being able to apply them to patient care. ) “Clinical Performance” Please respond to the following: Why should clinical performance be focused on outcomes? How do you differentiate the concepts of quality, appropriateness, economy, and efficiency? Analyze the way that medical decisions are made and explain why it is important that medical decisions involve probabilities. Health Outcomes Measurement in Orthopedic Hospital week 4 Week 4 dq1 “Physician Relationships” Please respond to the following: The traditional model of hospital privileges and fee-for-service practice can be described as a partnership, a sharing of responsibility between the physician and the institution. Examine what each party does in this partnership to contribute to the partnership, and what each expects to get from it. Assess how this partnership between the physician and the healthcare organization is changing in the 21st century. Week 4 dq2 “Nursing” Please respond to the following: In view of a national nursing shortage and inadequate numbers of nursing faculty for increasing enrollments, determine the recommendations would you make to ensure an adequate supply of nurses in your organization. Evaluate the key nursing performance measures by which a healthcare organization may monitor nursing effectiveness. week 5 Week 5 dq1 “Clinical Support Services” Please respond to the following: Patient scheduling is often an issue that involves several Clinical Support Services (CSSs). Some CSSs must be scheduled in specific sequence, requiring the patient to be moved from place to place. Delays should be minimized, but service times are not always predictable. Propose ways that an excellent organization would address these scheduling problems. Illustrate the primary role of the managers in Clinical Support Services in providing and improving quality patient care. Week 5 dq2 “Approach to Clinical Support Services” Please respond to the following: A small hospital in a well-managed healthcare system can consider three ways to obtain clinical support services: “stand alone” (hire its own healthcare professionals); “outsource” (buy services from local providers); and “affiliate” (arrange for training, procedures, and supervision through its system). Determine how the organization should come to a decision regarding which approach to providing CSSs is preferable. Who should be involved in that decision? Assess the primary performance measure used to evaluate the effectiveness of CSSs. week 6 “Acute Care” Please respond to the following: Evaluate how need, demand, quality, and customer (patient) satisfaction for prevention and non-acute services are measured. How should these performance outcomes data be used in managerial decision making to improve patient care services? week 6 disscusion 2 “Community Health” Please respond to the following: Explain whether or not you believe a community hospital should promote health, disease prevention, and chronic disease management when these efforts will lead to a loss of revenue for inpatient care and complex treatments. Support your answer. Propose how you would present this case to a governing board. week 7 “Performance Measure” Please respond to the following: A clinic service wants to add a new performance measure that deals with service delay –the number of minutes after patient arrival that a given event occurs. Create three questions that should be asked about the clinic service’s proposed performance measure. Provide a rationale for each question. Determine if this request to add a new performance measure should be taken to the Definitions and Standards Committee. Support your answer. Identify three (3) electronic bibliographic resources that a clinic service manger could use to identify the performance parameters upon which this proposed performance measure would be based. week 7 diss 2 “Customer Loyalty” Please respond to the following: Evaluate the concept used by human resource managers that worker loyalty promotes customer loyalty. Create two scenarios in which worker loyalty may not promote customer loyalty week 8 “Growing and Aging Community” Please respond to the following: To accommodate a rapidly growing and aging community, it is necessary to expand capacity for long-term care by constructing a new hospital wing. Rate the primary health concerns for this patient population. Evaluate how your expansion plan and design would meet this population’s medical needs and improve patient satisfaction. diss 2 “Mercy Hospital” Please respond to the following: At Mercy Hospital, the clinical service line managers have improved their internal operations, but the total cost is still substantially above benchmark. Imagine that you are the financial manager. Describe how you would respond if a clinical service line reports that it is unable to improve its costs next year because the burden of transfer charges and allocated overhead are too great. Determine the performance measure that Mercy should use to evaluate the effectiveness of the clinical service line managers from a financial management perspective. week 9 week 9 discussion “Budgeting” Please respond to the following: Imagine that you are planning a two-hour initial discussion about budgeting and capital purchases for newly appointed first-line supervisors. Determine the topics you would include and explain why. Describe the three primary health care provider taxonomies, including the classifications for each taxonomy. week 9 disscussion 2 “Competing Hospitals” Please respond to the following: A competing hospital applies to the local zoning board to open a new hospital in a rapidly growing affluent part of town. Determine what information senior management will want from the planning and consulting department and why. Assess the performance measures by which senior management will evaluate the effectiveness of the planning and consulting department regarding the department’s role in the justification of the new hospital. week 10 “Marketing Strategy” Please respond to the following: Imagine that your organization is seeking a marketing strategy to promote the development and implementation of a well-baby program. Create questions that will address the “Four Ps” of marketing, namely, product, place, price, and promotion. Select the technology and information resources you would need to research the marketing strategy for the well-baby program from a managerial perspective. week 10 disscussion 2 “Listening” Please respond to the following: Evaluate how listening affects a performance improvement team designing a major physical facility renovation in a healthcare organization. Examine the relationship between strategic positioning and improved market performance. week 11 week 11 discussion “Course Conclusion” Please respond to the following: You have just completed 10 weeks of the health services organization management course. Imagine you have been asked to create a one-day training course highlighting the important elements you have learned about in the past 10 weeks. Create a hierarchy of five (no more or no less) of the most important topics that you feel need to be addressed in this one-day course that best fits the course title of “Health Services Organization Management: The Essentials Presented in One Day.” Give a detailed rationale for each of the five topics. week 11 dis 2 “Course Summary” Please respond to the following: Discuss how you can apply the learning outcomes of this course to your professional and personal life. Using 140 characters or less (the length of a Tweet), summarize the importance of this class to someone unfamiliar with the concepts. all quizes Question 1 2 out of 2 points What is a formal legal entity that reaches across the panorama of medicine, other clinical disciplines and business to identify and deliver care to its community? Question 2 2 out of 2 points Government approval to perform specified activities is called: Question 3 0 out of 2 points Agreed-on methods for each task in the care process is the definition of: Question 4 0 out of 2 points Pediatrics, obstetrics, psychiatry and rehabilitation are examples of which component of a healthcare organization? Question 5 2 out of 2 points A unit within an HCO that relies on another unit for service is considered a: Question 6 2 out of 2 points What are individuals or groups that have a direct interest in an organization’s success? Answer Question 7 2 out of 2 points Physicians in family practice, midwives and nurse practitioners are examples of providers who provide initial contact with a patient. These are called: Question 8 0 out of 2 points What type of hospital is excluded from counts of community hospitals? Question 9 0 out of 2 points The ultimate source of stakeholders’ power is the marketplace where influence is exercised through: Question 10 0 out of 2 points What type of provider manages broad categories of hospitalized patients? Question 11 0 out of 2 points Which teams within a healthcare organization protect the HCO’s culture and tangible resources? Question 12 2 out of 2 points What are healthcare organizations that operate multiple service units under a single ownership? Question 13 0 out of 2 points What is a state-issued approval for new services and construction of hospitals? . Question 14 0 out of 2 points Which moral concept behind an HCOs mission, vision and values is defined as a commitment to the patient’s right to decide his or her own course? Question 15 0 out of 2 points The focus of strategic activities is: quiz 2 Question 1 0 out of 2 points What agent of the HCO’s governing board holds the formal accountability for the entire organization? Answer Question 2 0 out of 2 points One purpose of cultural leadership is to sustain an environment where all associates are: Answer Question 3 2 out of 2 points Having requisite abilities that result in effective action and superior job performance is the definition of: Answer Question 4 2 out of 2 points Providing training in job processes not only makes an associate more competent, but it also makes him or her more: Answer Question 5 2 out of 2 points WHat is an example of collective leadership assessment activities? Answer Question 6 2 out of 2 points Asking employment applicants to read and accept a HCO’s mission and values before turning in an application is an example of which approach to cultural leadership? Answer Question 7 0 A real or potential personal financial benefit that may accrue from a given board decision is called: Answer Question 4 0 out of 2 points What committee manages the board’s self-evaluation and resolves issues of conflict of interest? Answer Question 5 0 out of 2 points Which is an alternative approach to improving the profile of opportunities reflected in an environmental assessment? Answer Question 6 2 out of 2 points An HCO’s strategic foundation is defined by ongoing sets of specific decisions that must be a timely response to stakeholders’ changing needs. How is a successful decision measured? Answer Question 7 0 out of 2 points Most HCOs have self-perpetuating boards which means: Answer Question 8 2 out of 2 points Which is a model of a specific strategy or function that guides the design, operations and goal setting of an HCO? Answer Question 9 0 out of 2 points quiz 4 Question 1 0 out of 2 points Using the community epidemiologic planning equation #1, for CSSs drawing directly from the community, what does the population figure forecast? Answer Question 2 0 out of 2 points Responsive listening by senior management that includes CSSs should result in what benefit for CSS associates? Answer Correct Answer: Question 3 2 out of 2 points Market share is a measure of which operational dimension for the CSS? Answer Question 4 2 out of 2 points Hematology, radiography, wound care, physical therapy and social services are examples of: Answer Question 5 2 out of 2 points Who defends the needs of the CSS? Answer Question 6 2 out of 2 points What proposals are for new or replacement capital equipment or major revisions of service? Answer Question 7 2 out of 2 points The best possibility for formal CSS affiliation would be: Answer Question 8 0 out of 2 points Patient management protocols control effectiveness because they specify when CSSs are required, optional or not recommended, thus allow the HCO to measure: Answer Question 9 0 out Question 5 0 out of 2 points Which step in the knowledge management planning process would come before the others? Answer Question 6 2 out of 2 points What is the purpose of knowledge management? Answer Question 7 2 out of 2 points System attacks are a measure of which KM function? Answer Question 8 0 out of 2 points Who should periodically audit the security function of a KM unit? Answer Question 9 0 out of 2 points What is a statistical analysis that identifies values for a measure by defined subsets of a population to measure the extent to which the values change across the sets? Answer Question 10 0 out of 2 points Preventing the inference about individuals based on aggregate data can be prevented by: Answer Question 11 0 out of 2 points Which is an example of assistance from outside contractors? Answer Question 12 0 out of 2 points Whose duty is it to convince others of the power of information and encourage them to use it effectively? Answer Question 13 0 out of 2 points What is an outdated computer software or system that lacks the features found in more current versions? Answer Question 14 0 out of 2 points The growth of telemedicine promoted the increased use of what communication media? Answer Question 15 0 out of 2 points “Is the price what is billed or what is collected?” is an example of: Answer Question 16 2 out of 2 points Education and training, licensure and experience requirements are part of which recruitment activity? Answer Question 17 2 out of 2 points What can force an HCO to make an involuntary reduction in its workforce? Answer Question 18 0 out of 2 points What program’s purpose is to retain customer loyalty in situations where the organization has failed? Answer Question 19 2 out of 2 points What is offered to persons being involuntarily terminated through reductions in the workforce? Answer Question 20 2 out of 2 points Which employee service has been shown to reduce absenteeism? Answer Question 21 0 out of 2 points Which of the following is an example of the workforce development function of HRM? Answer Question 22 0 out of 2 points In leadership development, which associates are offered extra learning opportunities through special assignments, expanded mentoring and committee involvement? Answer Question 23 2 out of 2 points Health-risk screening, smoking cessation and nutritional/exercise programs are examples of what common workforce maintenance program? Answer Question 24 0 out of 2 points Which protocol for recruitment and selection controls the size of the associate force and protects against improper employment? Answer Question 25 2 out of 2 points How often should a workforce plan be updated? Answer Question 26 2 out of 2 points Evidence from other fields suggests that employee loyalty is important to sustain: Answer Question 27 2 out of 2 points Which core file of HRM knowledge management provides tax and employment data aggregated for descriptions? Answer Question 28 0 out of 2 points Who is responsible for ensuring that contract workers have been hired according to federal regulations? Answer Question 29 2 out of 2 points What legislation mandates workers’ compensation for injury? Answer Question 30 0 out of 2 points The purpose of human resources management is to increase the contribution of the human resource to the HCO’s mission by: Answer quiz 7 Question 1 2 out of 2 points What is an example of the enhanced environmental management function of environment-of-care services? Answer Question 2 2 out of 2 points What program protects persons and property from fire hazards? Answer Question 3 2 out of 2 points What is the purpose of environment-of-care management? Answer Question 4 2 out of 2 points What program keeps a record of adverse or unexpected events obtained from associate reports, security reports, notes made during rounds and responsive listening? Answer Question 5 2 out of 2 points What is a characteristic of high quality security services? Answer Question 6 2 out of 2 points What is a method of sorting patients according to needs for various levels of resources? Answer : Question 7 2 out of 2 points How does a facility attain the goal of having patients, visitors and staff perceive the environment positively or neutrally? Answer Question 8 0 out of 2 points Security guards, parking, signage and cafeteria services are part of which function of environment-of-care services? Answer Question 9 0 out of 2 points Who manages the acquisition, maintenance and replacement of equipment such as magnetic resonance imaging machines and ultrasounds? Answer Question 10 0 out of 2 points Four basic approaches to managing hazardous materials are to restrict exposure at the source, clean and remove hazardous substances, attend to anyone actually exposed to hazardous substances and: Answer Question 11 0 out of 2 points When building or changing the use of space in a facility, what is a way to minimize costly change orders? Answer Question 12 0 out of 2 points Who maintains a disaster-preparedness website that contains an analysis of needs in the first 48 hours after a terrorist attack? Answer Question 13 2 out of 2 points What is the least expensive way of solving space needs? Answer Question 14 2 out of 2 points Who is responsible for assigning space, permitting occupancy and controlling access to that space? Answer Question 15 0 out of 2 points Which program involves the inventory of potentially dangerous equipment? Answer Question 16 0 out of 2 points What are entries to a patient ledger of charges for a specific healthcare service? Answer Question 17 0 out of 2 points What is the purpose of the finance system? Answer Question 18 0 out of 2 points What is the aggregate of accountability-center expenditure budgets plus the corporate revenue budget? Answer Question 19 0 out of 2 points What is the record of all of a firm’s transactions, most often referring to fixed and collective assets that must be allocated to operational units? Answer Question 20 0 out of 2 points What is the illegal practice called upcoding? Answer Question 21 0 out of 2 points What is bad debt? Answer Question 22 0 out of 2 points What is one objective of activity-based costing? Answer Question 23 0 out of 2 points What budget deals with the expectation of future financial performance? Answer Question 24 0 out of 2 points What would be the purpose of developing pricing strategy and supporting specific price negotiations? Answer Question 25 0 out of 2 points Which auditing activity ensures compliance with law and regulation? Answer Question 26 0 out of 2 points Which analysis is often used to forecast trends in demand or efficiency? Answer Question 27 2 out of 2 points What is usually the greatest risk to physical assets such as cash, securities and receivables? Answer Question 28 0 out of 2 points What is a process of restructuring transaction data to support monitoring, planning, setting expectations and improving the performance of accountability centers? Answer Question 29 0 out of 2 points What benchmarks can be applied to long-term assets and liabilities? Answer Question 30 2 out of 2 points Income from investments in securities would be an example of what type of revenue? Answer quiz 8 What is a government-issued permission to proceed with capital investment required by many states? Answer Question 2 0 out of 2 points The count of user requests from a log of assignments is an example of operational performance measures for which dimension of internal consulting? Answer Question 3 0 out of 2 points Which is a function of internal consulting support of improvement projects? Answer Question 4 2 out of 2 points An examination of how groups differ in performance characteristics is called: Answer Question 5 0 out of 2 points How can external causes of variation be identified? Answer Question 6 0 out of 2 points Which of the following is an example of the evaluation of technical proficiency? Answer Question 7 0 out of 2 points What is the most critical role of internal consulting? Answer Question 8 0 out of 2 points Once operating units develop OFI proposals, what is the first step in the programmatic capital review process? Answer Question 9 0 out of 2 points A method of identifying significant changes in measures subject to random variation is called: Answer Question 10 0 out of 2 points What function of internal consulting involves the refinement of data to remove extraneous variation? Answer Question 11 0 out of 2 points The OHRP definition of quality improvement activities includes activities conducted by institutions whose purposes are limited to implementing a practice to improve the quality of patient care and: Answer Question 12 0 out of 2 points What type of analysis studies the impact of alternative forecasts, usually developing most favorable, expected and least favorable scenarios to show the robustness of a proposal? Answer Question 13 0 out of 2 points Which is an example of an operational performance measure of productivity? Answer Question 14 0 out of 2 points What is an advantage of internal consulting as a clearinghouse? Answer Question 15 0 out of 2 points Which question is designed to monitor the performance of an internal consulting team? Answer If you are using the Blackboard Mobile Learn IOS App, please click “View in Browser.” Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center. Instructors, training on how to grade is within the Instructor Center. Click the link above to submit your assignment. Assignment 1: The Primary Care Clinic Due Week 4 and worth 150 points A small primary care clinic has 69 employees, representing 9 different clinical professions and 12 other skills. It operates two (2) sites, one (1) of which is bigger and has the departments for medical specialists, diagnostic labs, and patient services. The clinic also contracts for a variety of services, such as repair and maintenance, referral specialists, and advanced diagnostic services. You are the manager. You report to the owners who are four (4) of the family practitioners and their wives. Two of the wives still work at the clinic as registered nurses. Write a five to seven (5-7) page paper in which you: Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Create a comprehensive mission statement and explain what makes it a comprehensive mission statement. Identify three (3) performance measures you would use to measure the clinic’s effectiveness and provide the rationale for each performance measure. Describe how you would approach decisions regarding clinic expansion and annual plan approval. Describe the role of the clinic as a component of the healthcare delivery system in your community. Examine how public healthcare policy has influenced the formation of outpatient clinics in the healthcare system. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality 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.   ssignment 2: Religious Health Care Due Week 8 and worth 200 points Religious Health Care operates in a community of 225,000, called Middleville. Summary statistics on Religious and its competitors, from the AHA Guide, are shown in Table 1. All of the organizations in the area are not-for-profit. Although Samaritan Hospital and Protestant Hospital have religious origins, they now view themselves as secular, not-for-profit organizations. Table 1: Middleville Health Care Systems Name Beds Admissions Census OP Visits Births Expenses (000) Personnel Religious 575 13,000 350 221,000 2300 $125,000 2000 Samaritan 380 17,000 260 175,000 1200 $130,000 1875 Protestant 350 10,000 180 40,000 900 $80,000 1200 The governing board of Religious hired a consulting company to evaluate its strategic performance. As part of the consultant’s evaluation, several leaders of Religious’ units were asked their perspective of the organization’s performance. You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction would be recommended as part of your list. Because you know there were about two dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed. Write a six to eight (6-8) page paper in which you: Describe the five (5) important elements of the governing board’ s agenda for areas of improvement in core functions. Many organizations now use a balanced scorecard or multiple dimensions of performance measurement, such as productivity, profit, market trends, quality, patient satisfaction, and worker satisfaction. Describe three (3) key performance dimensions (other than those mentioned here) and include specific measures that Religious Health Care could use to improve overall institutional performance. Determine the performance measures Religious Health Care could use to evaluate nursing staff performance in its Emergency Room. Explain the rationale for each performance measure. Suggest the steps that should be taken next by Religious Health Care to get better at managing specific patient groups. Explain the rationale for each step. Decide what strategies Religious Health Care could implement to enhance its public image and increase market share. Explain the rationale for each strategy. Describe two (2) technology-based data-collection strategies that Religious Health Care could use to conduct an internal management audit. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality 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; 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 page length. The specific course learning outcomes associated with this assignment are: Explain how public policy has shaped the development of the U.S. healthcare system. Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations. Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations. Use technology and information resources to research issues in health services organization management. Write clearly and concisely about health services organization management using proper writing mechanics. Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric. midterm • uestion 1 5 out of 5 points What is the name for a voluntary consortium of HCOs and professional provider organizations that ensures a minimum level of safety and quality in HCOs? Answer Question 2 5 out of 5 points Which 1996 federal act established standards of privacy for patient information? Answer Question 3 5 out of 5 points What is a formal legal entity that reaches across the panorama of medicine, other clinical disciplines and business to identify and deliver care to its community? Answer Question 4 5 out of 5 points Which moral concept behind an HCOs mission, vision and values is defined as a commitment to the patient’s right to decide his or her own course? Answer Question 5 5 out of 5 points The biggest barriers to advancement in an HCO leadership career path may be: Answer Question 6 5 out of 5 points Asking employment applicants to read and accept a HCO’s mission and values before turning in an application is an example of which approach to cultural leadership? Answer Question 7 5 out of 5 points What is the foundation for mastering competencies? Answer Question 8 5 o

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