Discuss the importance of spiritual and physical health for a leader. Explain the relationship between spiritual and physical well-being and the performance of the organizational leader.

 

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Explain the ramifications of patient confidentiality and data security on health care organizations.

Expand upon the impact of the Patient Self Determination Act on health care environment.
Explain how publicity regarding adverse events can influence elected officials and policy advisors.

 

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You are the Healthcare Administrator (HCA) at a large urban primary care center. The center is part of an integrated health system (IHS).

The IHS is acquiring an additional physician practice for your center and integrating new radiology services into your center in the next fiscal year. In two years they will build a Long Term Care facility and add home care services to the IHS.

Regarding the large urban primary care center that you briefed the board about in Part I,

1 Discuss the principles of information management and describe the impact of information technology (IT) on health care administration in this urban primary care center.
2 Explain how and where the health care data should be stored and the different ways data could be retrieved, displayed and manipulated.

3 What are some of the legal and ethical issues related to IT and health care administration?
4 What is the role of the health care administrator in managing the use(s) of the Internet with its resulting health care administration issues related to patient privacy and confidentiality?

5 Discuss the range of current and emerging information technologies such as tele-health, web enabled applications (both Internet and Intranet), wireless technology and hand-held devices and how these innovations impact the business of health care delivery.

 

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1, Evaluate the likelihood that mental health institutions, overall, may maintain their financial status through sustained growth. Critique the primary types of mental health care available in the U.S. Assess the efficacy of the use of public resources by mental health institutions to fund the problems of an aging population.

 

 

2, Infer the potential issues that may become apparent when evaluating the pragmatism of treating elderly mental patients. Imagine you are an administrator in a small, rural mental facility, and you are dealing with a growing trend in mental illnesses in your community. Outline a plan to assess the overall state of your mental patients. Predict the major problems that you may encounter that are typical of patients being admitted to the smaller hospital, and predict the primary restrictions that these major problems pose on future long-term care at your facility.

 

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Health care providers and other interested parties must continuously look for ways to manage limited resources while improving quality and promoting patient safety. Utilization management is intended to “make sure that health care is delivered in the most efficient and effective manner for the patient and the population, where such activities directly impact the quality of outcomes” (Pelberg in Varkey, p. 145). The utilization management process bridges clinical, financial, and administrative functions.

Within traditional health care settings, utilization management can have a significant impact on the delivery of services. In addition, various models of care are emerging that may help transform health care delivery to achieve the aims of utilization management and quality improvement.

To prepare for this Application:

• Review the information on utilization management in Chapter 7 of Medical Quality Management. Also conduct additional research using the Walden library and credible Web sites (some of which are listed under Optional Resources).
• Analyze the Chronic Care Model and the Patient-Centered Medical Home Model. How might these models be beneficial for providing care to patients, especially those with multiple medical conditions?
• Identify the elements of each of these models, and evaluate which may be most significant for achieving quality and safety goals. Consider each of the six dimensions of quality identified by the Institute of Medicine.
• Reflect on how these models should be structured in order to achieve the best medical outcomes for individual patients at the lowest cost to society.

The Assignment

Write a 2- to 3-page paper that addresses the following:

• Compare and contrast the Chronic Care Model and the Patient-Centered Medical Home Model.
• Evaluate which elements of these models may be most significant for achieving quality and safety goals.
• Explain how these models should be structured in order to achieve the best medical outcomes for individual patients at the lowest cost to society.

 

 

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Hospital Admissions Office

The admissions office of a large hospital has an annual operating budget of $700,000. These costs are distributed to impatient departments (surgery, medicine, pediatrics, psychiatry) and to outpatient departments (drug treatment, prenatal care, and dialysis). In the past, the admissions office’s costs have been allocated to inpatients and outpatients based on the number of patients processed. But now hospital management is seeking some alternative ways to distribute these costs.

The following data for the last 12 months summarize the number of patients, average days per stay, average patient bill, and average number of minutes to register inpatients and outpatients.

# of patients Average days per patient stay Average patient Bill Average minutes to register a patient
Inpatient 25,000 6.50 $8,200 12
Outpatient 120,000 1.00 700 8

Required:
a. Allocate the admissions office’s annual operating budget to inpatient and outpatient categories based on
1. Total number of patients
2. Total number of patient days
3. Total patient billings
4. Total minutes used registering
b. Discuss the managerial implications of these various alternative ways to distribute the admissions office’s costs. Which method should the hospital adopt?

 

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analyze the different and overlapping general roles of physicians and nurses as they apply to professional credentialing and subsequent patient safety and satisfaction. Determine the major ways in which these overlapping roles may help play a part in health professional credentialing processes and conduct, and identify and analyze the ethical role these influences play in health care.

Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals

 

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