Part 1 :
The transformation of the health care industry is focused on quality. As the industry moves from volume-based, fee-for-service medicine to a model promoting the value of health care services, quality will be the driving force behind, a process of, and an outcome of ongoing system changes.
Some initiatives include reducing avoidable re-admissions, transitioning to population health, spreading improvements, and testing and implementing new models of care and payment delivery-such as accountable care organizations and patient-centered medical homes (Bristol & Joshi, 2014).
This week you consider the factors affecting the spread of improvements. You will analyze how the shift to population health initiatives supports or hinders health care quality management and the future trends in health care. You will also assess health care stakeholders' future expectations about excellence in health care quality
Post a cohesive response to the following:
What have you identified as future trends in health care quality management?
How does the shift to population health initiatives support or hinder health care quality management?
What are future expectations about excellence in health care quality from a stakeholder's point of view?
use these resources:
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration Press.
Combes, J. R., & Totten, M. K. (2015). Leadership for value-based care. Four areas of knowledge and skills must be mastered to make the move from fee for service. Healthcare executive, 30(3), 74-77.
Kaplan, R. S., Witkowski, M., Abbott, M., Guzman, A. B., Higgins, L. D., Meara, J. G., ... Feeley, T. W. (2014). Using time-driven activity-based costing to identify value improvement opportunities in healthcare. Journal of Healthcare Management, 59(6), 399-412.
part 2a:
Post a cohesive response to the following:
Evaluate whether overstating financials would be a breach of ethics for the organization in the scenario. Why or why not?
As a health care administrator, you will undoubtedly be faced with the responsibility of making decisions that may be impacted by ethics.
Sometimes, the best approach to a given situation is clear, whereas others require you to carefully consider laws, regulations, and the impact of potential outcomes.
How do you ensure you will make the best decision for your health care organization? For this Discussion, you examine the following scenario and consider whether there is a breach of ethics.
Scenario:
An organization is developing a business plan. The intent of the organization is to provide a service for a community in need, but it appears they might have trouble obtaining financing. The board is trying to decide whether to be transparent in their financials or over-predict so they can properly finance their venture.
2b:
Business planning is a mapping of your vision for the future of an organization. As a health care administrator, it is important that you are able to create an effective business plan. For this Assignment, you examine the following scenario and develop a business plan for the organization.
Scenario:
St. Anne Hospital, a city-based non-profit community hospital, is looking at adding a diabetes treatment center (DTC) which will provide comprehensive diabetes care and education.
This is in response to a population health needs assessment which identified a high rate of diabetes in the population surrounding the hospital.
The population consists of 50% Hispanics, 25% Caucasians, 12% African American, and 13% recent immigrants from Northern Africa.
Over 50% of the population is living within 200% or below of the poverty level. You have been asked to develop a business plan for the DTC which will be presented to St. Anne's Board of Trustees.
Using the "Week 11 Project Business Plan Template", create a business plan (8-10 pages) that includes the following:
Executive summary
Program Overview
Location
Services
Other professional offerings
Staffing needs
Operating model
Market Profile
Market overview
Demand forecasting
Financial analysis
Capital requirements
Reimbursement model
Cost per patient visit
Pro forma (See Assumptions for Diabetes Treatment Center and Diabetes Treatment Center Business Plan Excel Template. )
Patient revenue
Operating expenses
Income from operations
Total expenses
Net cash flow