The U.S. healthcare system is placing continued emphasis on quality and on determining whether quality has been achieved through: efficiency in care delivery. standardized care approaches. optimized service distribution. evidence-based measures.
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The U.S. healthcare system is placing continued emphasis on quality and on determining whether quality has been achieved through:
| efficiency in care delivery. |
| standardized care approaches. |
| optimized service distribution. |
| evidence-based measures. |
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- Managed care has had an impact on the healthcare industry since its inception. It introduced different managed care models as well as different payment systems. More directly, managed care has changed patient and provider behavior in terms of what they can and can’t do. Healthcare providers have been directly impacted in the way they are reimbursed and the factors that lead to maximum reimbursement. Conduct research on how the role of the physician has changed with the advent of managed care. Write a 4-5-page paper that addresses the following: Explain how managed care has changed the healthcare landscape. Discuss how managed care impacts provider reimbursement. Describe how the relationship between physician and patient has changed through managed care. Explain whether, in your opinion, the new focus on healthcare outcomes is better or worse. Discuss who benefits from the new reimbursement approach. Describe the relationship between first, second, and third-party in a managed care…As a healthcare leader, it is important to know and understand the many obstacles that any healthcare facility may face. Consider a walk-in clinic and a hospital intensive care unit (ICU). How are the following obstacles similar and different in each setting? Obstacles: Employee engagement and loyalty Dissatisfied patients Succession planningPatient care is directly related to quality. Quality improvement starts with understanding what needs to be improved on. Can you provide an example of patient-generated data and explain how patient-generated data can help to improve care delivery.
- Explain how the following are applied in healthcare delivery: Wide area network (WAN) Local area network (LAN) Geographic information systems (GIS)Part 1: Types of Measures Structural measures give consumers a sense of a health care provider’s capacity, systems, and processes to provide high-quality care. Process measures indicate what a provider does to maintain or improve health, either for healthy people or for those diagnosed with a health care condition. These measures typically reflect generally accepted recommendations for clinical practice. Outcome measures reflect the impact of the health care service or intervention on the health status of patients. Metric Name Description Metric Type: Structure, Process or Outcome? Breast Cancer Screening Rate The percent of women aged 50-74 who had a mammogram to screen for breast cancer during the year. Process Controlling High Blood Pressure The percent of adults, aged 18 to 84 with a diagnosis of hypertension, with blood pressure that is adequately controlled (<140/90 mm Hg) Outcome Board Certified Physicians The number of board certified…34) Which of the following is not and element of identifying standards in Clinical Governance? Research and development Whistle-blowing Clinical standards Evidence-based medicine 35) Quality improvement in clinical governance is achieved through which of the following: Acting to prevent errors Sentinel events Root cause analysis All of the above 36) The systemic evaluation process that identifies when and how a particular system may have failed refers to: Root cause analysis Clinical governance Quality management Failure effect analysis 46) The environment of care is important as it addresses changes in culture and behavior. True False
- Which of the following best describes the impact of implementing new default settings in a clinical decision-making environment? Implementing new defaults in the electronic medical record often leads to an increase in the status quo bias, making it difficult to provide high-quality, cost-effective care. Changing default settings, like an electronic medical record-based entry system defaulting to generic drugs, has been shown to increase the rates at which those defaults are chosen. The introduction of new defaults in a prescribing decision-making environment generally leads to a preference for brand-name medications over generics amongst physicians. New defaults in an electronic medical record usually decrease the efficiency of decision-making processes, making them more cumbersome and less cost-effective.Which of the following best describes the impact of implementing new default settings in a clinical decision- making environment? Implementing new defaults in the electronic medical record often leads to an increase in the status quo bias, making it difficult to provide high- quality, cost-effective care. Changing default settings, like an electronic medical record-based entry system defaulting to generic drugs, has been shown to increase the rates at which those defaults are chosen. The introduction of new defaults in a prescribing decision-making environment generally leads to a preference for brand-name medications over generics amongst physicians. New defaults in an electronic medical record usually decrease the efficiency of decision-making processes, making them more cumbersome and less cost-effective.Describe the possible ethical conflict with managed care and patient's right to Treatment?
- How does the increased use of patient data across the transition of care change health information management? What are positive and negative affects of patient data?Analyze how pursuing/ meeting each standard (evaluators, indicators, standards and drivers) improves patient safety and quality health care?Which of the following is the initial step in developing a measure of health care quality? OA. Use the perspectives of all relevant stakeholders to evaluate the need for a measure OB. Assess the cost effectiveness of measure development OC. Conduct a pilot test to investigate feasibility of the measure OD. Consider evidence that quality improvement will enhance patient outcomes
