...providers through extended service hours within closer geographic proximity to patients, families, and caregivers. RUC will act to alleviate demand for emergency department services by shifting lower acute patients to a less resource-intensive environment. This project is in response to the shift from volume- to value-based health care. Payers and purchasers are interested in improving economic efficiency by shifting utilization from emergency department to lower cost settings, such as RUC. Several competing hospitals have hired emergency department physicians, as part of their integration strategy to participate in accountable care organizations (ACO) contracts. The hospital needs to respond to the competitive situation by making a sound investment in the RUC facility that addresses both financial and economic situations. The facility will be staffed with physicians and will include a radiology suite, laboratory suite, and other health-related ventures to help the hospital grow. You must help the board develop a business plan for this urgent care unit. To prepare for this assignment: • Examine the provided scenario. • Refer to the document “Background and Financial Data for Investment in the Rural Urgent Care Center”. Analyze the background and financial data for the RUC facility. The Assignment: Create a business plan (8–10 pages) that includes the following: • Executive summary • Market analysis, including: o...
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...providers through extended service hours within closer geographic proximity to patients, families, and caregivers. RUC will act to alleviate demand for emergency department services by shifting lower acute patients to a less resource-intensive environment. This project is in response to the shift from volume- to value-based health care. Payers and purchasers are interested in improving economic efficiency by shifting utilization from emergency department to lower cost settings, such as RUC. Several competing hospitals have hired emergency department physicians, as part of their integration strategy to participate in accountable care organizations (ACO) contracts. The hospital needs to respond to the competitive situation by making a sound investment in the RUC facility that addresses both financial and economic situations. The facility will be staffed with physicians and will include a radiology suite, laboratory suite, and other health-related ventures to help the hospital grow. You must help the board develop a business plan for this urgent care unit. To prepare for this assignment: • Examine the provided scenario. • Refer to the document “Background and Financial Data for Investment in the Rural Urgent Care Center”. Analyze the background and financial data for the RUC facility. The Assignment: Create a business plan (8–10 pages) that includes the following: • Executive summary • Market analysis, including: o...
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...Smith Medical Secure Payment Program Tyra Sanchez June 7, 2015 Introduction Analysis This case study will assist the client, Smith Medical, in establishing a secure and compliant credit card payment program for their benefit, and the benefit of their patients. Credit card payment programs must comply with strict security policies and standards to protect the clients’ information, and the clients must be able to trust that their information will be secure. The security practices discussed below will allow Smith Medical to safely and securely process credit card information with all parties and institutions involved. Secure Payment Program – What to do? The first step for implementing a credit card program is to select a company that will handle the credit and debit card processing. The American Medical Association (AMA) offers a member value program (MVP) program that includes a credit card acceptance company, TSYS (AMA, 2015). TSYS Merchant Solutions can provide a “simple cost-effective solution to collect patient payments (AMA, 2015). Secondly, Smith Medical will need to ensure that they are compliant with the Payment Card Industry (PCI) Data Security Standard (DSS) and implement a regular review to ensure future compliance among the changing technological advances. Thirdly, Smith Medical will need to document the credit card agreement forms for patients and staff. These agreements are key to protect both the practice and the patients, and to build trust between...
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...(Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety, efficiency, timeliness and accessibility - Employer:...
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...Health Insurance Portability and Accountability Act 1 Health Insurance Portability and Accountability Act Health Insurance Portability and Accountability Act of 1996 Other short title(s) Long title Kassebaum-Kennedy Act, Kennedy-Kassebaum Act An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. HIPAA Colloquial acronym(s) Enacted by the 104th United States Congress Citations Public Law Stat. Pub.L. 104–191 110 Stat. 1936 [1] [2] Legislative history [3] • • • • • • • • • Introduced in the House as H.R. 3103 [4] by Bill Archer (D-TX) on March 18, 1996 [5] Committee consideration by: House Ways and Means Passed the House on March 28, 1996 (267–151 Passed the Senate on April 23, 1996 (100-0 [6] ) [7] ) [8] ) and by the Senate on , in lieu of S. 1028 Reported by the joint conference committee on July 31, 1996; agreed to by the House on August 1, 1996 (421–2 [9] August 2, 1996 (98–0 ) Signed into law by President Bill Clinton on August 21, 1996 e v t [10] The Health Insurance Portability and Accountability Act of 1996 (HIPAA; Pub.L. 104–191 [1], 110 Stat. 1936 [2] , enacted...
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...to the right person, in the right format, through the right channel, at the right point in clinical workflow to improve patient-centered care and healthcare outcomes. The implementation of a clinical information system is organized around an organizations vision and formulated goals. Arcade General Hospital is in the third stage of upgrading a clinical information system and their goal is to integrate the new upgrades with the application of meaningful use through adherence to the American Recovery and Reinvestment Act (ARRA) by promoting the adoption and meaningful use of health information technology. Usability in is one of the main goals as it will allow minimal disruption in clinical workflow. Meaningful Use In 2009, the American Recovery and Reinvestment Act (ARRA) and the Centers for Medicare & Medicaid Services (CMS) released a rule on payment incentives for meaning use of clinical information systems (CIS). This rule was designed to entice hospitals and medical clinics to qualify for payments incentives if they adopted the necessary requirement in association with the progression of electronic medical record (EMR) implementation (American Hospital Association, n.d.). The use of meaningful use will include the ability for clinicians to access information to provide best of care for patients, better access to clinical information and for patients to receive ability to play a more active role having access to the private medical information. As per the ARRA incentive...
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...Real Solutions, Inc. 1111 Main Street Chesterfield, DC 22200 April 5, 2015 Chesterfield Dentistry 1233 John Doe Road Chesterfield, DC 22111 Dear Ms. Jones, Real Solutions, Inc. submits our proposal to upgrade your computer system. We believe we are your solution to your system needs bringing your dental office in compliance with current dental standards while keeping your offices HIPAA compliant. From our enclosed proposal, you can see where Real Solutions, Inc. has compared systems from Easy Dental and Curve Dental. While both systems offer unique qualities, our proposal recommends Curve Dental as your system solution. In addition we will provide support to all members of Chesterfield Dentistry through systems training and maintenance. We look forward to hearing from you for your computer system needs. Sincerely, Airron Wiggins Project Director Chesterfield Dentistry PLUTO GROUP PROPOSAL Malaika Bartrum, Myron Esterson, Tiffany Michel, Jennifer Segal, Jeanette Taylor, Airron Wiggins ISAS 610 Section 9041 Prof Goldsmith TABLE OF CONTENTS I. EXECUTIVE SUMMARY………………………………………….………....….……4 II. CURRENT SOFTWARE AND HARDWARE PERFORMANCE………………….6 III. SYSTEM ALTERNATIVES……………………………...……………….…………8 IV. RECOMMENDATION WITH JUSTIFICATION…………………………………12 V. REFERENCES……….…………………………………….….....……………..……16 VI. APPENDICES...………………………………………...……...……………..……17 EXECUTIVE SUMMARY Chesterfield Dentistry is a small dental practice devoted...
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...Implementation Plan For Advanced Health Solution Instructor Instructor Name Students Student #1 Student #2 Student #3 Student #4 Student #5 Student #6 Table of Contents Executive Summary 2 Company Definition 3 Products and Services 4 BIOFLEX LOW INTENSITY LASER 4 MASSAGE THERAPY 5 NUTRITIONAL SUPPLEMENTATION 6 COLONICS THERAPY 6 Organization Chart 8 Sonia Bryl 8 Ksenya Hudym 8 Jason Hudym 9 Company Price List 10 SOP’s 11 New Patient Welcome Letters 11 Routine Patient Correspondence 11 Outgoing Mail 12 New Patient Procedure 12 Current Patient Procedure 13 Appointment Making Procedure 13 Reminder Call Procedure 14 Therapy Session Procedure 14 Billing and Collections 15 Referring Accounts to Collections Procedure 16 Cancellations and No-Shows Procedure 16 Inventory Reorder Procedure 17 Inventory Restocking Procedure 17 Security Considerations 18 Network Security 18 Internet Security 18 Patient Records Security 19 Financial Records Security 19 Legal Considerations 20 Disclaimer: 20 Privacy Issues: 20 Copy Right Laws: 20 Systems Integration 21 Simply Accounting Basic 2007 Analysis 21 Medi Tech LILT Analysis 22 Website & Content Management Analysis 23 Customer Relationship Management Anaylsis 24 Network Review and Analysis 26 Hardware Review & Analysis 27 Finance...
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...synthesis of the pros and cons of managed health care for the health care provider, insurer, and patient. Finally the papers describe the impact of managed care on both the Medicare and Medicaid programs. Identify and describe the three main types of health insurances in the U.S. Rodts (2010) talks about the new Healthcare system in US and the challenges it brings for healthcare providers but there is always challenge when one has to select the certain type of health cover for himself. It is therefore important to understand main types of health insurance in the US. While Hall (2010) outlined the three different types of reinsurances brought about by the health reform, Health Insurance Info (2010) notes that are a number of different types of health insurance coverage designed to meet the needs and budget of a variety of individuals. In essence, health insurance is a risk management tool that ensures you and your family has access to the healthcare you need, when you need it without causing a tremendous financial burden. The cost of health insurance (the premium) may be higher for a policy that provides a great amount of coverage and flexibility while the premium may be lower for a policy that provides less coverage or less flexibility. There are two major categories of health care insurance the Indemnity and Managed Care Plans. An Indemnity Plan, sometimes called a reimbursement plan, reimburses you for medical expenses regardless...
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...objective, assessment/analysis, plan) is used to help medical professionals collect and organize medical information on patients (SOAP format, 2009). This format is used to document data in a clear and well organized structure. S – 47 YO male PT with C/C of pain and burning in the LUQ. The patient states that it seems to get worse after alcohol consumption. PT is suffering from LOA, nausea, and diarrhea. PT is C/O of pain in the lower lumbar area that sometimes gets worse after food consumption. States this has been occurring for four weeks or more. The PT has NKA. This is the subjective data. It includes all the things the patient has stated is bothering them. Some of the items that are included in this area are the presenting concern, history of concern, allergies. O – VS appear to be erratic with fever, the PR is high, and PT has extremely low BP. CBC done with WBC very high. Jaundice is evident on PT. Lungs clear. Pain in LUQ obvious when examined. PT is also C/O swelling in ankles and dizziness. Denies dysuria. Infection is obvious. This is the objective data. It contains the observations made by the doctor during examination. Some of the information included in this area is the patient’s vital signs, general appearance and mental status. Laboratory results may also be included in this area. A – This 47 YO male has been found to be symptomatic of possible pancreatitis that has been occurring off and on for about a month. Patient is feverish and is showing...
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...Lacey Tucker PA203 Unit 3 Medical expenses/billing report Professor Olson August 17, 2014 Medical Service | ChargedTo HMO | Agreedto | % Diff. | $ Diff. | Typical Cost | % Diff. | $ Diff. | | | | | | | | | Office Visit | $ 60.00 | $ 45.00 | 25% | $ 15.00 | $ 47.50 | 20.83% | $ 12.50 | Pain Medication | $120.00 | $100. | 17% | $20 | $85.75 | 28.54% | $34.25 | Plastic Surgery | $15,000 | $15,000 | 0% | $0 | $14,000 | 6.7% | $1000.00 | Physical Therapy | $75.00(per visit) | $55.00 | 27% | $20. | $50.00 | 33.3% | $25.00 | Chiropractor | $ 100.00(Per visit) | $ 70.00 | 30% | $ 30.00 | $ 57.00 | 43% | $ 43.00 | Total Overages Date | Charge Type | Amount Overcharged | | | | 03/01/2002 | Office Visit | $ 15.00 | 03/15/2002 | Office Visit | $ 15.00 | 04/01/2002 | Office Visit | $ 15.00 | 04/15/2002 | Office Visit | $ 15.00 | 05/01/2002 | Office Visit | $ 15.00 | 05/15/2002 | Office Visit | $ 15.00 | 03/01/2002 | Pain Medication | $ 20.00 | 04/01/2002 | Pain Medication | $ 20.00 | 05/01/2002 | Pain Medication | $ 20.00 | 06/01/2002 | Pain Medication | $ 20.00 | 03/01/2002 | Physical Therapy | $ 20.00 | 03/08/2002 | Physical Therapy | $ 20.00 | 03/15/2002 | Physical Therapy | $ 20.00 | 03/22/2002 | Physical Therapy | $20.00 | 03/29/2002 | Physical Therapy | $ 20.00 | 04/07/2002 | Physical Therapy | $ 20.00 | 04/15/2002 | Physical Therapy | $20.00 | 04/22/2002 | Physical Therapy | $ 20.00 | 04/29/2002 | Physical...
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...Health Care Marketing Analysis Charles M. Griggs Jr. University of Phoenix HCS 539 Martha Owen January 08, 2012 Health Care Marketing Analysis Grady Memorial Hospital commonly known as Grady Hospital located in the state of Georgia opened in 1892. “Grady Health System was created by and named for Henry W. Grady, editor of the "Atlanta Constitution," who worried about the lack of quality health care for Atlanta's poor” (Grady, 2010, p. 1). Grady Hospital is the largest public hospital in Atlanta with a specialization in trauma treatment. Grady hospital previously practiced racial discrimination by separating the African American patient from White patients thereby receiving the segregated name of “The Gradys.” Although Grady abolished the historic segregation, some elderly residents of Atlanta, and African American residents still refer to Grady as a hospital “segregated evenly between white and black wards” (Burns, 2011, p. 1). However, despite the alleged racial profiling Grady hospitals mission consist of serving poor Atlanta resident “while rising healthcare costs and the economic downturn threatened its solvency a few years back along with serving patients who can't get care elsewhere” (Burns, 2011, p. 1). The public recognized Grady Hospital as one of the premier hospitals in the Southern United States that provides trauma care to accident victims, fall victims, patients suffering from self-inflicted harm, and assault victims. Four P’s of Marketing ...
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...Healthcare-Associated Infections (HAI), and 99,000 HAI- associated deaths in the hospital. The report stated that the four largest categories of HAI, responsible for more than 80% of all reported HAI, are central line-associated bloodstream infections (CLABSI, 14%), ventilator-associated pneumonia (VAP, 15%), surgical site infections (SSI, 22%), and catheter-associated urinary tract infections (CAUTI, 32%). HAI are a great financial costs to health care facilities. The Centers for disease Control and Prevention (CDC) estimates the medical cost of HAI in the U.S. hospitals as $6.65 billion in 2007, and that number has increased to almost $10 billion a year currently. Statement and Significance of the Problem One in 20 patients who are admitted to a hospital will be a victim to an infectious agent they are exposed to during their hospitalization according to the Centers for Disease Control (CDC) (Goodman, Brenda, 201, Hospital-Acquired Infections cost $10 Billion a year). The five most common infections are surgical site infections, infections associated with the use of devices like central lines, catheters, ventilators and clostridium dificile are costing the health care System in the USA almost $10 billion a year to treat. In the article Vitamin D has the potential to reduce the risk of Hospital-Acquired Infections, the writer stated that HAI is the leading cause of death in the USA with an overall estimated annual incidence of 1.7 million cases and 100,000...
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...that GAO examine whether nonprofit hospitals provide levels of uncompensated care and other community benefits that are different from other hospitals. This statement focuses on, by ownership group, hospitals’ (1) provision of uncompensated care, which consists of charity care and bad debt, and (2) reporting of other community benefits. The hospital ownership groups were (nonfederal) government, nonprofit, and for-profit. To compare the three hospital ownership groups, GAO obtained 2003 data from five geographically diverse states with substantial representation of the three ownership groups in each state. GAO analyzed cost data from two perspectives—each hospital group’s percentage of (1) total uncompensated care costs in a state and (2) patient operating expenses devoted to uncompensated care. What GAO Found Government hospitals generally devoted...
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...HIM141 Test 4 Chapters 8-10 Please completely answer the following questions. 1. What is the MPI and what types of information are contained in the MPI? MPI-master patient index, sometimes called a master person index, link a patient’s medical record number with common identification data elements, for example: patient’s complete name, date of birth, gender, mother’s maiden name and social security number. Because most health care facilities house patient records according to a medical record number, the MP becomes the key to locating paper based records in the health information department file system. Thus, the MPI is retained permanently because it serves as the key to finding the patients record, it can be automated or manual. According to the American Health Information Management Association (AHIMA), some recommended core data elements for indexing and searching records include: * Internal patient Identification * Patient Name * DOB * DOB qualifier * Gender * Race * Ethnicity * Address * Alias/pervious name * SS# * Facility identification * Universal patient identifier (if available) * Account number * Admission date * Discharge date * Service type * Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations...
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