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Flashcards in HSM 541 KELLER Complete Class,HSM 541 KELLER Assignment,HSM 541 KELLER Course Deck (10):
1

HSM 546 Week 3 DQ 1 Payment Mechanisms
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HSM 546 Week 3 DQ 1 Payment Mechanisms
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Compare and contrast payment methodologies between FFS and MCO plans.

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2

HSM 541 Week 7 Course Project Due
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HSM 541 Week 7 Course Project Due
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3

HSM 541 Week 6 You Decide Recommendations Memo
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HSM 541 Week 6 You Decide Recommendations Memo
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You have been the CEO of Middlefield Hospital for 2 1/2 years and finally resolved the workforce challenges that plagued the hospital when you first arrived. In a recent meeting, the chief financial officer (CFO) indicated that the financial performance of the hospital has been deteriorating over the last 6 months. The hospital is not meeting its budget and he is concerned about the future. The new facility across town has continued to cut into Middlefield’s market share by admitting more patients. The number of admissions to Middlefield Hospital is declining each month, and more uninsured patients are seeking services at your facility. You convene the Middlefield Hospital management team and discover a few interesting facts, which are identified below.

The payer mix of Middlefield Hospital is comprised of more and more Medicare, Medicaid, and uninsured patients, and fewer patients have commercial insurance. This is reducing overall reimbursement and net income for the hospital. The nearby hospital that competes with Middlefield has opened a wellness center that offers a comprehensive array of preventative and wellness services to the community. This facility is attracting young families to seek services at this location. Most of Middlefield’s managed care contracts are more than 2 years old. There are little reliable utilization and reimbursement data available. No one at Middlefield Hospital is assigned to manage these contracts or maintain ongoing relationships with managed care companies. The Joint Commission survey is scheduled for next year, and there are significant problems with the hospital’s quality improvement program. The health plan offered to employees is getting more expensive each year. In fact, the costs are increasing at a rate of 20% each year. This is adding significantly to the hospital’s operational costs. The inpatient mental health services and neo-natal intensive care unit continue to lose money for the hospital.

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4

HSM 541 Week 5 Assignment HIPPA
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HSM 541 Week 5 Assignment HIPPA
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5

HSM 541 Week 4 Midterm
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HSM 541 Week 4 Midterm
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(TCO A) Differentiate between urban and rural healthcare in America. Briefly discuss how rural healthcare is different in terms of access, costs, and quality. Use an example to support your point(s).

(TCO D) Differentiate between Medicare and Medicaid roles in the healthcare system, and detail how each agency impacts costs, quality, and access in the delivery of medical care in America. Which program is doing a better job balancing these issues, and why?

(TCO D) Describe the characteristics and demographics of uninsured populations. Discuss the reasons why Americans are uninsured. List at least one option to curb the growing number of uninsured people.

(TCO C) Discuss whether you see marketplace competition as a positive or negative influence on the development of hospitals and health services in the U.S. Defend your position; offer example(s) to support your points.

(TCO B) Discuss whether government plays a role to ensure an adequate healthcare workforce. Identify three ways that local, state, or federal governments can positively impact workforce shortages.

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6

HSM 541 Week 3 Assignment Non Profit vs Profit
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HSM 541 Week 3 Assignment Non Profit vs Profit
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7

HSM 541 Week 2 Assignment You Decide Activity
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HSM 541 Week 2 Assignment You Decide Activity
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You are the new Chief Executive Officer (CEO) of Middlefield Hospital. Middlefield Hospital is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area.

As the new CEO, you have learned that the hospital’s employee turnover rate exceeds 20%, and there are over 100 nursing vacancies. You have also learned the following facts that may be impacting these workforce shortages:

A new hospital has recently opened in your market area that has produced competition for Middlefield Hospital.

Employee morale has deteriorated over the last 12 months.

Essex University (a local college) is considering eliminating its nursing degree program because there is continual difficulty in recruiting well qualified instructors.

Your Role/Assignment

The board of directors has asked that you provide a 750-word report detailing your strategies and recommendations to overcome the workforce shortages and to improve employee morale. The strategies and recommendations should be as specific as possible and include the resources needed for implementation. Your primary text and journal/website research must be used as a reference to support your analysis.

Available Resources

Review the points of view of the following people to obtain further insights on this assignment.

K E Y P L A Y E R S

Dr. Rusty Gates – Internist

I have been admitting patients to Middlefield Hospital for 5 years. However, I recently moved my practice to the new hospital across town. The new hospital has much better facilities and the technology is state of the art. The staff appear much more invested in the quality of patient care and my patients seem happier.

Eileen Wright – Board Member for Middlefield Hospital

From my perspective, the employee morale at Middlesex has declined over the last 12 months. More and more employees are leaving Middlesex to go to the new hospital, and we have staffing shortages in most areas. The director of nursing is a great leader, but he is having difficulty retaining nursing staff. I am not sure what to do, but I don’t want the reputation of the hospital to suffer.

Anne Teaks – Registered Nurse for Middlefield Hospital

I have worked for Middlefield Hospital for 22 years. This hospital has always been committed to high quality in patient care. These nursing shortages have occurred many times through the years, and we will get through this one as well. I don’t like that we are short of staff on many shifts, but we all have to pitch in and make sure our patients get the care they need.

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8

HSM 541 Week 1 To Week 7 DQ’s
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HSM 541 Week 1 To Week 7 DQ’s
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HSM 541 Week 1 DQ 1 Costs, Quality, and Access

HSM 541 Week 1 DQ 2 Illness vs. Health Promotion

HSM 541 Week 2 DQ 1 Healthcare Workforce

HSM 541 Week 2 DQ 2 Government Programs

HSM 541 Week 3 DQ 1 Private Insurance

HSM 541 Week 3 DQ 2 The Uninsured

HSM 541 Week 4 DQ 1 Primary Care

HSM 541 Week 4 DQ 2 Managed Care

HSM 541 Week 5 DQ 1 Hospitals

HSM 541 Week 5 DQ 2 Employer Health Plans

HSM 541 Week 6 DQ 1 Errors, Safety

HSM 541 Week 6 DQ 2 Improving Quality

HSM 541 Week 7 DQ 1 Fraud and Abuse

HSM 541 Week 7 DQ 2 Healthcare Management

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9

HSM 541 Final Exam
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HSM 541 Final Exam
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(TCO A) Differentiate between urban and rural healthcare in America. Briefly discuss how rural healthcare is different in terms of access, costs, and quality. Use an example to support your point(s).

(TCO D) Differentiate between Medicare and Medicaid roles in the healthcare system, and detail how each agency impacts costs, quality, and access in the delivery of medical care in America. Which program is doing a better job balancing these issues, and why?

(TCO D) Describe how the growing number of uninsured Americans is impacting the U.S. healthcare system. List at least one strategy used at the local, state, or federal level to curb the growing number of uninsured, and describe why it has not yet been implemented.

(TCO C) How does competition among several hospitals impact a community? Identify at least two ways that competition would have a positive impact and two ways that it would have a negative impact on the community.

(TCO B) Discuss whether government plays a role to ensure an adequate healthcare workforce. Identify three ways that local, state, or federal governments can positively impact workforce shortages.

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10

HSM 541 Entire Course With Final Exam
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HSM 541 Week 1 DQ 1 Costs, Quality, and Access

HSM 541 Week 1 DQ 2 Illness vs. Health Promotion

HSM 541 Week 2 You Decide Activity

HSM 541 Week 2 DQ 1 Healthcare Workforce

HSM 541 Week 2 DQ 2 Government Programs

HSM 541 Week 3 Assignment Non Profit vs Profit

HSM 541 Week 3 DQ 1 Private Insurance

HSM 541 Week 3 DQ 2 The Uninsured

HSM 541 Week 4 Midterm

HSM 541 Week 4 DQ 1 Primary Care

HSM 541 Week 4 DQ 2 Managed Care

HSM 541 Week 5 Assignment HIPAA

HSM 541 Week 5 DQ 1 Hospitals

HSM 541 Week 5 DQ 2 Employer Health Plans

HSM 541 Week 6 You Decide Recommendations Memo

HSM 541 Week 6 DQ 1 Errors, Safety

HSM 541 Week 6 DQ 2 Improving Quality

HSM 541 Week 7 Course Project Due

HSM 541 Week 7 DQ 1 Fraud and Abuse

HSM 541 Week 7 DQ 2 Healthcare Management

HSM 541 Final Exam

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