UMUC HMGT300 WEEK 1 DISCUSSION

Hi everyone – as you can see and as I am sure you have experienced, the healthcare system in the United States is complex, confusing and ever-changing. In our discussion this week, I would like you to cover the following points from our objectives in the lecture:

list some basic characteristics of the US health care system

identify the primary stakeholders in the US health care system

identify the primary payers in the US health care system

public

private

identify and describe issues impacting the US health care system as well as opportunities for sector improvement

UMUC HMGT300 WEEK 2 DISCUSSION

Here are our objectives for this week:

identify health reform efforts that have shaped our health care system

describe the health policy process, from need identification to policy implementation and modification

identify and describe major components of the Patient Protection and Affordable Care Act (ACA)

Let's discuss these topics in your individual discussions this week. Be sure to interact with your fellow students.

UMUC HMGT300 WEEK 3 DISCUSSION

Here are our discussion topics for this week. Straight from our lecture.

Be sure to respond to at least two students during this week's discussions. Thanks!

Let's discuss personal experiences this week related to our objectives:

– What are the major differences you have seen or experienced when you or a loved one has been in the inpatient side of things vs. the outpatient?

– What would you change about each or keep the same? Why?

– Is it strictly cost that is moving our current healthcare system away from inpatient care and more toward outpatient care? Are there any dangers associated with this movement?

UMUC HMGT300WEEK 4 DISCUSSION

Let's add to our discussion the following topics from our lecture this week:

describe the evolution of hospitals in the United States

describe the role that medical technology has played in the growth of health care expenditures

identify various organizational models developed to curb health care expenditures

describe the benefits of integration within the health care system

UMUC HMGT300WEEK 5 DISCUSSION

Of the three aspects of healthcare: Cost, Quality and Access to Care – is there one that you find more important than the others?

Is there one that predetermines the others? If so how.

What has your experience with one of these “aspects” been and how did it affect your healthcare decisions?

UMUC HMGT300WEEK 6DISCUSSION

Please discuss the following points:

define meaningful use as it pertains to HIT

assess the benefits that widespread HIT may bring to the health care system

describe how ARRA and the HITECH Act promote the use of HIT

identify the categories of HIT applications

UMUC HMGT300WEEK 7DISCUSSION

define moral hazard, adverse selection, and cost-shifting

identify the major public programs for the financing of health care

compare and contrast Medicare and Medicaid

Above are our discussion points for week 7. Also, please include any personal experiences you have had or hear from a close relative regarding Medicare.

How how has Medicare “performed” for you or your relative? Where could they improve?

UMUC HMGT300WEEK 8DISCUSSION

In this final week, let's discuss population based health and let's also discuss how you feel the ACA has or will impact population based health

UMUC HMGT300Assignment USHCS Perspectives: Stakeholder

Select and investigate a stakeholder organization from the list below. Post your selection in the Assignment #1 Discussion section so that your fellow students are aware of your choice. Only one student per Stakeholder Organization!

In this assignment students will gain expertise in identifying and analyzing the role of stakeholders in the U.S. Health Care Sector, examining the health care sector from the perspective of stakeholders, and examining the leadership and management of a stakeholder organization.

This assignment calls for a 3-5 page report (not including title page or reference page). The student should address the following:

Name and provide a brief overview of the stakeholder organization. Identify and describe the key health care issue the stakeholder is influencing, who is being represented by the stakeholder, the desired impact of the stakeholder on the issue and what the stakeholder’s members or constituents stand to gain if the desired outcome is achieved.

Identify and explain the stakeholder organization perspective: Payer (insurers, government payers, and employers); Provider (entities and individuals providing services in the health care system); Patient (consumers); or Producer (a product developer) could also be examined in this assignment.

Identify an organization that the stakeholder partners with OR an organization that opposes the stakeholder and describe their perspective on the same issue.

Identify the most senior leader of the organization. Describe his or her educational and positional background. Identify the duties and responsibilities of this leadership position and why this position is important to the stakeholder organization and healthcare as a whole. Describe the knowledge and skills this position requires, list some of the other the stakeholders this individual would work with and describe the nature of the stakeholder relationships. Describe the impact a person in this career might have in improving the health care system.

As is the case with all academic papers, a well-organized paper will have a clear introduction to the topic, a body, and a conclusion or summary paragraph. In addition, a well-written paper will have minimal grammar, spelling, or sentence structure mistakes and it will fully conform to all APA formatting standards.

Select an organization to investigate from the list below:

• Robert W. Johnson Foundation www.rwf.org

• Health Care Management Foundation www.hcmf.org

• National Association for Health Care Quality www.nahq.org

• Kaiser Family Foundation (Health Reform Source) http://healthreform.kff.org/

• Institute of Medicine www.iom.edu

• American Association of Healthcare Administrative Management www.aaham.org/

• Office of the National Coordinator for Health Information Technology

• American Medical Association www.ama.org

• National Association of Dental Laboratories NADL www.nadl.org/

• Food & Drug Administration (FDA) www.fda.gov

• Pharmaceutical Researchers and Manufacturers of America (PHARMA) www.phrma.org/

• The Brookings Institution- health http://www.brookings.edu/research/topics/health

• National Mental Health Association www.thenationalcouncil.org/

• The American Association of Physician Specialists www.aapsus.org/

• Medical Device innovation, Safety & Security Consortium (www.mdiss.org

• AARP-Health www.aarp.org

• Centers for Medicare and Medicaid Services (select a topic)

• Public Health Department (state or local level)

• Children’s Health Insurance Program (state)

• National Business Coalition on Health

• American Academy of Physician Assistants (AAPA) www.aapa.org/

• Patient-Centered Primary Care Collaborative (www.pcpcc.net)

• America’s Health Insurance Plans www.ahip.org

• National Conference of State Legislators (choose issue)

• Healthcare.gov (choose Medicaid or Medicare)

• National Association of Healthcare Access Management www.naham.org/

• American Health Information Management Association www.ahima.org/

• Alliance for Advancing Nonprofit Health Care www.nonprofithealthcare.org

•Health Care Administrators Association www.hcaa.org/

• Pharmacy Quality Alliance www.pqa.org

• Special interest group on Behavior health www.pcpcc.net/behavioral-health

• Population Health Alliance http://www.populationhealthalliance.org

• National Coalition on Care Coordination

• National Association of Area Agencies on Aging http://www.n4a.org/

• The Alzheimer’s Association http://www.alz.org/about_us_about_us_.asp

• Health Insurance Counseling and Advocacy Program https://www.aging.ca.gov/hicap/

• National Health Care for the Homeless http://www.nhchc.org/

• Immunization Action Coalition http://www.immunize.org/hcw/

• National Products Association http://www.npainfo.org/

• Healthy Americans: Wellness and Prevention in Health Reform http://healthyamericans.org/pages/?id=271

• Corporate Health & Wellness Association http://www.healthandwellnessassociation.com/

• US Food & Drug Administration- FDA Adverse Event Reporting Systems http://www.fda.gov/Safety/MedWatch/default.htm

• Mental Health Association of America http://www.nmha.org/

• Mobile Health Interlink http://www.healthinterlink.com/about.html

UMUC HMGT300Assignment # 2 Diagram The Health Care System: Linkages & Alliances

Organizations operating in the U.S. Health Care Sector (USHCS) are a part of a larger system of services. Identify a health care delivery organization, note how that organization is linked to other health care organizations in the delivery system. Every organization has a source of referral and a place they release their patients.

For this assignment, you will explore linkages and alliances. To this end, your paper should include:

A Title page

A 2-3 page (double spaced) description of the organization;

graphical representation of the linkages between the organization and other organizations/stakeholders. If you do a Google image search for organizational linkages, you will see plenty of examples of how they might look. You are not required to use a specific type of graphical representation; the key is to be able to understand the relationships between organizations by looking at your linkage graphic;

A properly formatted reference page.

As is the case with all academic papers, a well-organized paper will have a clear introduction to the topic, a body, and a conclusion or summary paragraph. In addition, a well-written paper will have minimal grammar, spelling, or sentence structure mistakes and it will fully conform to all .

UMUC HMGT300Assignment #4 Final Project-AMBULATORY SURGERY CENTER CASE STUDY

In the final project, students will apply the knowledge gained in this course to a case example.

Each student will select one of the scenarios below and develop a 10-12 slide PowerPoint presentation to discuss the current status of the organization, provide an overview of the organization, and make recommendations on how to manage the selected problem. You must include one or more slides that address the degree to which the Affordable Care Act might impact these services. Use APA formatting references and your reference slides. For this presentation, your title slide does not have to be in APA format.

Info on ASC’s here:

http://www.ascassociation.org/

SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of an ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical assumptions. Make brief recommendations as to a reasonable solution to the problem in the scenario.

POINT OF CLARIFICATION: You will use an established independent ASC for either of the four scenarios listed below. Your presentation should be drafted as the administrator of the surgery center working to address one of the four scenarios. In your response, please be sure to address all components of the scenario.

1) One of the greatest challenges facing ASCs is maintaining and increasing volume. With all the external pressures, i.e. physicians pressured to become employees, mergers, decreasing payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the number of cases and keep patients satisfied.What are some strategies you would use to increase referrals to your ASC while maintaining high patient satisfaction scores?

2) Another challenge facing ambulatory surgery centers is the recruitment of new physicians. Following a national trend, many local hospitals and health systems are purchasing physician practices, which could eventually lead to doctors referring surgical cases to a hospital’s same day surgery department. Assuming there is ample opportunity to increase surgical volume, how do you intend to recruit physicians to practice via your ASC? What are some strategies/offerings you could employ?

3) The ASC you are currently managing is experiencing out of network challenges. Additionally, the proposed reimbursement rates from payers do not match Medicare rates for your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a case-by-case basis. What strategies could you employ as you work with payors to contract for reasonable rates that could save you both money in the short term?

4) In this changing environment, you are required to do more with less. Reimbursement rates are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other operating costs are increasing and there are more regulatory requirements i.e., increased standards for accreditation (Joint Commission's additional requirements as an example), ICD-10, adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to register, bill, code, schedule and assist with back house operations. What strategies and tools can you implement to increase productivity, reallocate resources and boost employee morale?

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