...ABC Organization Size: Small Healthcare Organization with less than 100 beds MISSION "ABC endeavours to provide comprehensive, quality healthcare in a convenient, compassionate and cost effective manner." VISION ABC is consistently at the forefront of evolving national healthcare reform. Our organization provides an innovative and integrated healthcare delivery system. We remain ever cognizant of our patients' needs and desires for high quality affordable healthcare. VALUES Compassion: We provide an environment that is caring and conducive to healing the whole person physically, emotionally and spiritually. We respect the individual needs, desires and rights of our patients. Quality: We believe in continuous quality of care and performance improvement as the foundation for preserving and enhancing healthcare delivery. Effective communication and education of our patients, physicians, staff and the community we serve are essential elements of this process. Comprehensive: We are committed to an integrated healthcare delivery system that encompasses the entire spectrum of healthcare delivery. This continuum of care encompasses all aspects of an individual's healthcare. Cost-effectiveness: We offer high quality healthcare that is accessible and affordable. CURRENT INFORMATION SYSTEM CONFIGURATION The hospital’s IT system is developed by the in house IT department and has been customized over the time. The OR Management System has a drawback of integration. The...
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...12 1. Evaluate the statement that an integrated delivery system (IDS) is the wave of the future and is critical to future organizational success. The current situation of healthcare delivery systems that are focusing on quality, patient centered approach, effective and efficient care, access to care etc are all leading to integrated delivery system approach. In future also, the healthcare systems are expected to undergo a lot of changes and challenges to improve healthcare outcomes and serve the respective community according to its needs. There is a definite and obvious scope for integrated delivery system in the future, when on one hand there would be a whole new system of PPCA and its implications and also a great number of newly insured populations to accommodate. Along with that, there would be a lot of competition among the hospitals in certain areas such as adaptation of Electronic Health records and provision of quality health services to a large number of people. Integrated delivery system would seem to help overcome many obstacles in the way because it will be helpful to avoid fragmented care and duplication of services and as a result reduce cost and increase overall health outcomes. 1. Identify the largest for-profit as well as not-for-profit health systems in the United States. Provide specific information about each, including the number of hospitals, the number of employees, and total revenue. Compare these health systems and discuss the ones you think will...
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...Landscape of Healthcare HCS 490 The healthcare landscape is always changing as organizations develop new techniques and processes in response to the challenges they face on a daily basis. For example, with the new law that President Obama signed, the Affordable Care Act, also known as Obama Care, made a huge change to health care reforms. This new law gave citizens healthcare regardless of pre-existing conditions or income. The Obama Care does create shifts and challenges in the healthcare landscape. Obama Care does have its benefits. People with pre-existing conditions can now have insurance without being turned down because of condition, this includes children as well. Young adults can now stay on their parents insurance up to the age of 26 and applications cannot be denied like in the past because of errors made on the application. Obama Care also covers services without co-pays, like mammograms and colonoscopies or other preventive test. Individuals and families will pay insurance based on their income, if you don’t have insurance by March of 2015 you will be fined. Even though people will get coverage with pre-existing conditions, this allows insurance companies to raise their rates. The insurance can’t cancel you because you are sick, but citizens do have the right to appeal a health insurance company if the citizen does not agree with a health care plan (Obama 2014). One of the biggest challenges of the new reform will be Integrated Health Care Delivery Systems, because...
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...Chapter One 1. A. What are some of the industries in the healthcare sector? The major industries in the healthcare sector includes health services, health insurance, medical equipment and supplies, pharmaceuticals and biotechnology, and other (includes a diverse collection of organization ranging from consulting firms to educational institutions to government and private research agencies. B. What is meant by the term healthcare finance as used in the book? Finance, as the term is used within the health services industry and as it is used in the book, consists of both the accounting and financial management functions. C. What are the two broad areas of Healthcare Finance? Accounting as its name implies, concerns the recording, in financial terms, of economic events that reflect the operations, resources, and financing of an organization. Financial management or corporate finance, provides the theory, concepts, and tools necessary to help managers make better financial decisions. Certain aspects of accounting involve decision making, and much of the application of financial management theory and concepts requires accounting data. D. Why is it necessary to have a book on healthcare finance as opposed a generic finance book? The reason is that while all industries have certain individual characteristics, the health services industry it truly unique. 2. What is the difference between a business and a pure charity? A business such as a hospital or medical...
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...including shared health records, patient empowerment and self-management, quality use of medications and ongoing monitoring. The healthcare system is complex and people have difficulty navigating the system due to inadequate linkage between organisations and services People with complex needs require a comprehensive range of services, delivered across organisational boundaries, with clear assessment processes, access routes and pathways through services. Both overseas and Australian experience indicate that case management is ideally targeted to individuals who are likely to receive the most benefit i.e. those with complex needs requiring intense management from a range of different organisations, as this is where case management is deemed most cost effective. Therefore, the focus of many integrated care projects is on service coordination as a way of integrating care management and creating care pathways through the system. The move towards models of integrated care is an effort to manage the labyrinth of the healthcare system that has become increasingly complicated as additional services and funding streams have been introduced to encourage innovation, change traditional healthcare practices and address gaps in service provision. However, the delivery of services to people with complex needs is the responsibility of many different healthcare...
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...housing and basic healthcare for the poor. It provided a haven to quarantine individuals to prevent the spread of highly contagious diseases. The technologies and vaccinations available did not allow for the comprehensive care we rely on today. Those who could afford clinical care would pay doctors and nurses to provide services in their home. In the early 19th century, as industrial cities became more populated, the demand for clinical and institutional care grew. Medical technology and scientific innovation made ambulatory healthcare available, yet there was not enough capital to support building large institutions viable to facilitate it. Religious organizations, philanthropists, and local governments built private and public institutions designed to deliver ambulatory, inpatient, and emergency care to local populations. By the beginning of the 20th century, hospitals became capable for research, development, and scientific discovery. Facilities became very large, housing and treating patients as well as facilitating medical research. Modern hospitals now provide clinical care to the most complex and critically ill patients while researching, innovating, and advancing medical technology. With increasing demand for treatment of chronic care, as well as the advancements in acute ambulatory care, modern hospitals have integrated vertically and horizontally to diversify their brand and provide an umbrella of accountability as an Integrated Delivery System. After World War II...
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...Partners HealthCare System (PHS): Transforming Health Care Services Delivery through Information Management Case Description According to government sources, U.S. expenditures on health care in 2009 reached nearly $2.4 trillion dollars ($2.7 trillion by the end of 2010). Despite this vaunting national level of expenditure on medical treatment, death rates due to preventable errors in the delivery of health services rose to approximately 98,000 deaths in 2009. To address the dual challenges of cost control and quality improvement, some have argued that what is needed is an integrated electronic medical record (EMR) system and associated information technology-enabled processes. While the information systems currently available may meet the needs of the industry, the question remains as to what is required within and by the health care services organization to achieve a satisfactory response to these dual challenges. At the present time, Partners Healthcare System (PHS) maintains a centralized digital records library on over 5 million patients, augmented in real-time by data, textual comments, and artifacts (i.e. x-rays, MRI’s, EKG’s, etc.) as these patients visit doctor offices, receive hospital-based or home care services, and obtained prescription medications and other therapies. Procedures are in place to ensure the data quality and integrity of these patient files. Going forward, any health care professional across the network can access a patient’s complete...
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...Health Informatics and Healthcare Introduction Health informatics as defined by Shi and Singh 2015, as the application of information science to improve efficiency, accuracy, reliability of healthcare service, and inclusion of healthcare delivery. Healthcare informatics is becoming more complex than any other time in recent memory, the foundation needed to bolster device utilization and interoperability is more expanded, and there is even a more extensive scope of utilization to consider. As the populace ages, there is added pressure to provide patient care choices at home and in the community, implying that medical devices are getting to be a piece of a much bigger ecosystem spreading over the steadily developing continuum. This paper will analyze health informatics and discuss its benefits, trends, current issues, the impact health informatics in healthcare settings, and the role of health managers and the future. An interview will be conducted with a health professional to get their point of view of how health informatics have impacted their workplace, with further discussion of human resources, careers and the future. History The U.S. National Library of Medicine defines health informatics as a collaborative effort of designing, developing, adopting, and applying IT-based ideas in healthcare services delivery, management and planning (Kramer, 2012). In 1949, Gustav Wager of Germany founded the first professional organization for...
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...resources to maximize the efficiency and value of the enterprise. Pp slide 22 (Gapenski 2012) e. Financial management is of no value in decision making. 2. Which of the following statements about the role of finance in healthcare organizations is incorrect? a. Over time, the finance function has become increasingly focused on strategic issues, such as joint venture decisions. b. Today, the most critical finance function is cost identification. Should say cost containment pg. 8-9 c. The finance function often supports cost containment efforts and third-party payer contract negotiations. d. The primary activities of the finance function can be summarized by the four Cs: costs, cash, capital, and control. e. In times of high profitability and abundant financial resources, the finance function tends to decline in importance. 3. Which of the following is not a hypothesized benefit of integrated delivery systems? a. Information systems that track all aspects of patient care can be developed more easily. b. Integrated delivery systems can provide population-based care, such as chronic disease management, that is often not offered by stand-alone providers. c. Integrated delivery systems have better access to capital. d. Integrated...
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...The corporate entity named Kindred Healthcare was birthed out of the bankruptcy of a company called Vencor. Vencor specialized in nursing homes and became very successful before it plunged into fraud and bankruptcy. Today Kindred boast operating; “hospitals, nursing centers, home health, hospice and non-medical home care locations and a contract rehabilitation services business across the United States” (2014). According to Kindred’s website Kindred has ~ “102,600 employees, 2,787 locations in 47 states, 97 transitional care hospitals, 16 inpatient rehabilitation hospitals, 90 nursing centers, 21 sub-acute units, 664 Kindred at Home-home health, hospice and non-medical home care sites of service, 100 inpatient rehabilitation units (hospital-based) and...
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...Healthcare delivery in India - effects of Public policy, IT and Insurance Bhavik Kaul 1 Gaurav Dalvi 2 Great Lakes Institute of Management, Chennai October 2012 Abstract The global healthcare industry has greatly transformed itself into a professional service system, wherein each stakeholder has to justify its performance. In the increasingly globalized market, private healthcare providers have started dominating the supply side. Healthcare sector in India needs to be reoriented globally towards excellent service promotions and healthcare be made available at lower cost. With this view we plan to study the impact of various factors on the quality of healthcare delivery in India over the next decade. This research will attempt to verify the impact of the mentioned crucial factors on the Healthcare delivery in India through an empirical research and provide some assessment of the deficit in access to health services through structured integrated way called the Gaps Model of Service Quality which will take into account significant gaps identified & suggest methods to close the gaps. These suggestions will be used to make recommendations towards a 10 year incremental National Health Plan. 1. Theory & Hypothesis The 3 areas that we intend to include into our study of the healthcare landscape are – 1) Public Policy 2) Insurance 3) Healthcare Information Technology Systems (HIT) a. Hypothesis 1: Favorable National Health policies will have a positive impact...
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...Health Care The delivery of healthcare services is administered by a multiplicity of variances of different health care providers integrated to provide individualized services to the consumer of healthcare services. The healthcare system has undergone new forms of legislation and changes in billing practices, healthcare technology has innovated to support new improvements in quality, financial, and legislative regulations. The health care industry is intent on embracing new healthcare technologies, as well as new innovations in medicine, which precipitates the entire healthcare system. The healthcare system is great advocates through the past and present of healthcare technology to create a safe, quality-driven, individualized, and cost-efficient healthcare system. Additionally, over the past twenty to thirty years, the use of technology has allowed the patient and medical professionals to be able to endure several changes, not only in the medical field, but, in the patient’s environment also. Healthcare technology has evolved in such a manner that the individual is able to see the transformation in the organization through enhancement of workflow and operations. The decision-making process in the organization is also supported by innovations in healthcare technology, as more research can be supported through the internet which has increased in use over the past thirty years as the main tool for decision support. Health care providers can use the web-based system to research...
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...Chp 1 Questions: (pg 23-4) 1. a. What are some of the industries in the healthcare sector? Healthcare services (ex. hospitals), Health insurance (makes most of the payments to the health service providers), Medical equipment and supplies (maker of medical/diagnostic equipment), Pharmaceuticals and biotechnology (develop/market drugs/therapeutics), and "other" (which includes consulting, educational, government, and research agencies) b. What is meant by the term healthcare finance as used in this book? Healthcare Finance consists of both the accounting (which creates and provides useful operations and financial status information to interested internal and external parties for assessing financial and operation performance) and financial management (provides the theory, concepts, and tools necessary to help managers make better financial decisions) for the healthcare sector of the economy. c. What are the two broad areas of healthcare finance? Accounting and financial management (aka Corporate Finance) d. Why is it necessary to have a book on healthcare finance as opposed to a generic finance book? Healthcare services are dominated by both private and governmental not-for-profit corporations, which differ from investor-owned businesses (learned in a generic finance book) due to the majority of payments being made are from third-party payers (e.g., employers, commercial insurance companies, government programs). 2. What is the difference between...
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...1.1 a. what are some of the industries in the healthcare sector? * health services, insurance, equipment, supplies, drugs, and technology related to healthcare b. what is meant by the term health care finance as used in this book? healthcare finance is about accounting and financial management in healthcare. it provides organizations and managers with information as to help them make better financial decisions. c. what are the two broad areas of healthcare finance? * Accounting and financial management d. why is it necessary to have a book on healthcare finance as opposed to a generic finance book? - healthcare business in different than general business. healthcare services are mostly from not for profit corporations, which work with the normal investor owned corporations. because of insurance it also has third-party payers. 2. what is the difference between a business and pure charity? -businesses try to make profit, invest in its business. Charity work is non profit, and don’t make their revenue by selling their services. 3. a. briefly discuss the role of finance in the health services industry. -Finance is used to maximize efficiency and value. Also to implement cost controlling strategies. b. has this role increased or decreased in importance in recent years? increased. before healthcare used to make high profits and revenue, now its not so easy to be successful. finance is important and negligence in this department...
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...The Healthcare Market Analyze the current health care delivery structure in your state. Compare and contrast the major determinants of healthcare market power. There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison with the less costly health systems of other countries. The pressure to provide more cost-effective care is particularly intense in the US, as it attempts to expand health insurance coverage and address serious cost and quality issues. (Shortell, 2010) In the state of North Carolina, there is a group called NCHQA (North Carolina Healthcare Quality Alliance). Their mission is to dramatically improve the delivery of health care in North Carolina and the health of all North Carolinians. NCHQA is a collaboration of virtually all the leaders in the delivery of medical care in North Carolina. The Board of Directors consists of members appointed by the Governor and other public officials, various medical societies, insurers, the state hospital association...
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