HSM 541 Week 8 Final Exam Questions And Answers Verified 100% Correct

HSM 541 Week 8 Final Exam Questions And Answers Verified 100% Correct Question . . (TCO E). You are the VP for human resources and have been charged to recommend a new healthcare benefits plan that will improve healthcare services for your employees but manage costs effectively. You employ approximately 1,800 employees, and the current health plan provides traditional healthcare services. You want to expand reimbursement for wellness and prevention services so that you can improve the health of your employees, thereby saving monies in your illness coverage, as well as nonproductive time in sick days. You are meeting with the VP for finance and the president of the health system this afternoon. Discuss the pros and cons expanding the prevention benefits of the health plan, and describe what services would be offered. (Points : 25) Implementing and expanding employer w ellness programs may offer our organization the opportunity to not only improve the health of Americans, but also help control health care spending. The Affordable Care Act creates new incentives and builds on existing w ellness program policies to promote employer w ellness programs and encourage opportunities to support healthier w orkplaces. If the employee health plan qualifies, he/she can take advantage of a w ide range of preventive care services to help you avoid illness and improve the health–at no cost to them, so long as you receive these services from a health care provider w ithin your health plan's netw ork of doctors and hospitals. The employee w on't have to pay a co-payment at the office visit, and not a penny tow ard coinsurance or their deductible. Doctors and health care facilities continue to charge for these services. But now it's the health insurance companies that pay the costs. Essentially, preventive care becomes "free" for the policyholder, greatly increasing the incentive to take advantage of these services. There are many policies and companies out there to try on, and based on w ho offers the best, upon decision w ith the board, that could be chosen for the best of our employees. In this case it can help employers develop a comprehensive approach to health and w ellness offered by the benefits of w hichever insurance company w e could pick for our organization. Question . . (TCO F). You are the Corporate Vice President of Operations Management for Patient-First Healthcare System, a nonprofit hospital with seven rural satellite hospitals located within 250 miles of each other. Your organization has just approved new monies for developing new quality management initiatives. The individual hospitals have implemented their own quality management programs with varying levels of success. Some of their programs demonstrate stellar results and high levels of patient satisfaction, although others have much less impressive results. Your focus as the corporate VP of operations is to implement a corporate quality improvement program that will be standard throughout the company's hospitals. The plan must also be responsive to any local needs or issues. What will your quality plan entail? Specify what processes will be measured. Will it include JCAHO or another accreditation review? Why or why not? Finally, how will you measure the results? (Points : 40) This study source was downloaded by from CourseH on :16:39 GMT -06:00 Enhancing the association's capacity to convey excellent social insurance. For each doctor and human services association the most imperative objective is to guarantee the most ideal consequence of a tolerant consideration. Enhancing the association's capacity to catch persistent volume and enhance income. Draw ing in new patients specifically or through contracts w ith household and w orldw ide protection plans requires an in number picture of value consideration conveyance. Yet, it additionally requires a great deal more ID of the qualities, shortcomings. opportunities and dangers confronting the establishment; improvement of key arranges that beat the boundaries to achievement and exploiting the open doors recognized and effective usage of key arranges once they have been endorsed by the foundation's Board of Directors. To incorporate a better quality program you need an organizational structure, w hich is a process for integrating the people’s information and technology and serve it as a key structural element that w ill allow organizations to maximize values w ith an oversight roles and responsibilities. Enhancing the association's capacity to comprehend and deal w ith its expenses and income. Clinics and other human services foundations are greatly mind boggling associations. Deciding the expense of giving administrations and gathering the income connected w ith those administrations is once in a w hile simple. Question . (TCO G). You've just been hired as the compliance officer for the newly formed Gulf Coast Healthcare System. Your new employer was formed by the joining of four healthcare organizations – three acute care organizations and one long-term care agency. Two of the organizations have a history of various governmental regulatory violations, as well as suspected fraudulent billing practices. You've been hired to form a corporate compliance program that includes electronic billing and medical records that is HIPAA-compliant and will address all areas of compliance. This plan will not only clean up any issues from the past but will also position the new organization as an organization with an impeccable reputation for compliance. Articulate your vision for this plan and the components that are required for its success. How will you justify the expense associated with your plan? Keep in mind that you have a newly formed organization and differing organizational cultures. (Points : 40) Management & Information System, and the Health Care’s IT is generally know n to manage the very critical information related to maintenance of patient record, claim & the other health care related information. The technology needs of the health care division are based on the management of information based on guidelines given by HIPAA (Health Insurance’s Portability & Accountability Act). This ensures that all the data related to patient has been correctly exchanged betw een health care facilitators, patients, providers and insurers. The Information Management Systems is valuable in health care’s industry because these help the administrators as w ell as health care provider for doing the jobs much efficiently & effectively. The patient care may be enhanced because of performance of the information management system. Archiving the information is very important and so data base management systems w ithout any compromise has to be implemented w ith high levels of security. The management of information w ill be in the hands of the chief information officer and chief technology officer w ho w ill ensure that highest level of security is kept up. Compliance manger w ill look at compliance issues w ith regard to health care information systems. Since this is a very important item of expenditure it has to be budgeted for mandatorily and accounted for its viability. There w ill be elaborate training given to all w ho are going to w ork on the system and those w ho w ill be making decisions on the basis of this report. This study source was downloaded by from CourseH on :16:39 GMT -06:00 . (TCO A). You are the newly hired chief knowledge officer (CKO) for a mid-sized hospital in a semiurban area of the country. Your first task is to develop the organization's strategic plan that will shape the development of a comprehensive network of services for their community. The organization provides the usual array of inpatient services expected in a moderate-sized community hospital. A local nursing home and retirement community is for sale, and the organization is considering the purchase of that agency. Several physician practices are also interested in alliances with the hospital. There is a local county health department that provides some clinic services, primarily for the uninsured. You've been asked to give a presentation to the board of directors on options to restructure the local delivery of healthcare services. The hospital's president has asked you to focus your presentation on the common elements a comprehensive delivery system attempts to accomplish and to highlight innovative methods of restructuring. The presentation will lay out the requirements of an integrated healthcare delivery system. (Points : 25) breakthrough results in the design process and make the most of one of the large capital investments. Designing a new ly integrated healthcare delivery system requires time, planning and lots of brainstorming. IFD includes representatives from the core services: internal medicine, physicians, lab, radiology and pharmacy in the planning and implementation. The process also includes facilities personnel, as w ell as patients and architects. The IFD approach in w orking w ith patients, physicians, design teams, management, staff and partners has made an indelible impact. Innovations in the creation of patient value expand the scope from the core clinical processes to consider a w ide array of issues, including patient preferences, technological possibilities, financial arrangements and integrated patient journeys. One example could be the follow ing: Standardizing rooms can result in less patient w aiting and less w asted provider care time. By know ing how many of each item should be in the exam room every day, organizations can centralize inventory, restocking and ordering medical supplies through a facilities department. Another example is that a clinic can have plans to open a new location. If an original plan is based on 45,000 square feet. Through the IFD design process this could be draw n out dow n to maybe 35,000 square feet, w ith ability to save more than a $1 million in costs and have almost the same plan as the original. Not in terms of lots, but in terms of space saving for other not needed things. Question 2. 2. (TCO B). You are the newly hired Vice President of Human Resources for the Bayside Regional Health System. You have the responsibility for all of the usual human resources functions, including retention plans, the training and development function, and the recruitment process. In addition, you have the additional departments of volunteers and the hospital chaplaincy services. You've identified a number of serious organizational issues. Turnover is high, there are many job vacancies, and a very high number of positions are considered hard-to-fill positions because of national workforce shortages. There are also a very high number of EEOC complaints over the past 5 years for an organization of this size. Employees were blunt in their criticisms of the organization and its management in an employee survey conducted just prior to your arrival. The board of directors and the president know that they have serious human resource issues. They understand that management practices have to change in order to compete in the local healthcare market as an employer-of-choice. As in any healthcare organization, fiscal resources are limited, but the board is firmly committed to investing in a well developed human resources plan that will decrease the turnover and stem the ever-growing turnover and vacancy rates. The president has asked you to attend the next board of directors meeting to share your plan for addressing these serious issues. What will you