Devry HSM541 Week 8 FInal Exam Latest 2015 November

Devry HSM541 Week 8 FInal Exam Latest 2015 November 1. Question : (TCO A). You are a healthcare consultant hired by the Eastcoast Healthcare System to assist in evaluating an organization’s strategic plan for the next 5 years. The plan will shape the development of a comprehensive network of services for the community. You’ve been asked to give a presentation to the board of directors on options for restructuring the local delivery of healthcare services. The hospital’s president has asked you to focus your presentation on the common elements of a comprehensive delivery system and to highlight innovative methods to restructure. The presentation will lay out the requirements of an integrated healthcare delivery system and include how much emphasis should be placed on what types of primary secondary tertiary long-term care and palliative care services and why. Question 2. Question : (TCO B). You are the newly-hired Vice President of Human Resources for the Bayside Community Health System. You’ve been on the job for just 3 months and have considerable experience in human resource functions. You have responsibility for all of the usual human resources functions including the recruitment process the training and development functions and the retention plan. In addition you have the additional departments of volunteers and the hospital chaplain services. You’ve identified a number of serious organizational issues that are impacting the hospital. Turnover is high there are many vacant positions and the organization has a very high number of positions that are considered hard-to-fill positions because of national workforce shortages in nursing pharmacy and radiology. The board of directors and the president know that they have serious human resource issues that will have to change in order for them 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 to decrease 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 tell them in your presentation to address the retention and recruitment problems? Question 3. Question : (TCO C). You are the administrator of a small nonprofit rural hospital. You have been approached by a large for-profit healthcare system located about 75 miles away for talks about a possible merger. You know that the for-profit system limits the amount of Medicare and Medicaid patients treated for economic reasons. These controversial decisions present not only a major breakdown in the healthcare delivery system but also in the financing of healthcare for many individuals in the U.S. Discuss the pros and cons of becoming part of this urban system. Question 4. Question : (TCO D). As the Executive Director of the National Association for Managed Care Organizations you know that national healthcare reform will bring about revolutionary changes in your member organizations. Public outcry for changes has been heard loud and long Congress is calling for reform and providers are extremely frustrated with how you pay and control the utilization of services. You have been invited by a congressional panel to discuss how the managed care industry can be overhauled to provide a more customer-responsive product and address the issue of national healthcare costs. What are the high-priority issues that will need to be discussed to overhaul the managed care industry? What stakeholders must be considered in the planning process? Question 5. Question : (TCO E). You are the new director of human resources for a long-term care facility and have been charged by your nursing home administrator to come up with a new healthcare benefits plan that will improve healthcare services and provide them cost effectively. You employ approximately 1 800 employees and provide traditional healthcare services. You want to have wellness and prevention services covered so that you can hopefully 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 administrator this afternoon. What will you propose to revise the health plan and to take a more preventative and wellness approach to employee benefits? Question 6. Question : (TCO F). You are the Corporate Vice President for Quality for the Patient-First Healthcare System a national system of acute care hospitals located throughout the U.S. Your organization has just approved additional monies for developing a new quality management system. Each hospital has implemented its own quality management program. Some of the programs demonstrate stellar results and high levels of patient satisfaction whereas other hospitals have less impressive results. Your focus as the corporate VP for quality is to develop a corporate quality improvement program that will be standard throughout all of the company’s hospitals. It must also be responsive to any local needs or issues. How will you craft that plan? What will you include in your plan? Include some specific examples of what you might measure. How will you get buy-in from your individual organizations that already have their own plan? Question 7. Question : (TCO G). You’ve just been hired as the chief operating officer (COO) for a new orthopedic physician practice. The new practice was created by two previously independent practice groups that had fines for governmental regulatory violations as well as suspected fraudulent billing practices. You just received a subpoena to appear in court and testify as to your role in the organization and knowledge of billing practices. All you know is that the clinic has recently purchased a new electronic billing and medical records system that is HIPAA-compliant. One goal of this electronic system is to address all areas of compliance and to clean up any issues from the past. It is also intended to 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.