Using Data to Address Quality Measures

Explain the measures and corresponding data listed in the table. Provide the data table listing the measures and corresponding data points within the presentation. Analyze 2 sources, in addition to Hospital Compare, that you would use to find public information on facilities regarding the measures presented in the scenario. Select 1 measure from the data … Read more

Week 2 Discussion Discussion Topic

  Introduction: The 1986 Health Care Quality Improvement Act established a database that is intended to improve the quality of healthcare in this country. Two other databases have merged with it and now offer many potential advantages. Tasks: Describe the National Practitioner Data Bank (NPDB). Identify the uses of the NPDB. Analyze any limitations of … Read more

insurance

   1. Provide a link to an insurance agent or agency that you think would be good to work with and explain why you selected that agent. 2. Provide a link to an actuarial firm and describe how they present themselves. Do you understand from their website what they do? 3. Provide a link to … Read more

Examining A Health Insurance Company

Utilizing the internet locate a health insurance company’s (e.g. UnitedHealth, Aetna, etc.) website. In three- to five-page double-spaced pages, address the following: Describe member services and incentives. Discuss new/current/upcoming technology. Examine provider network and outreach. Explain the insurance company’s commitment to excellence and quality. List its accreditation and/or certification. Generate two recommendations for improving the … Read more

Pay for Performance (P4P)

The U.S. healthcare system has been criticized for high cost, inefficacy, and issues with quality. P4P is an approach to incentivize physicians and health care provider organizations to achieve improved performance by increasing the quality of care and reducing costs. In three to five double-spaced pages, address the following: · Define the challenges in designing … Read more

Healthcare Plan Analysis

In 400 to 500 words, address the following: • Select a managed care plan such as an HMO, PPO, POS, or EPO and discuss its advantages and disadvantages. • Explain the main features of a consumer-directed health plan (CDHP). • Examine one real-life example of a CDHP plan (e.g., Cigna 1500) and another for the … Read more

Critical Care – Westview in Crisis

You are the newly hired Director of Risk Management for Westview Clinical Center, New York City’s largest clinical research medical center (“Westview”); a medical facility that is in crisis. Westview’s 3,000-bed main hospital facility is located in central Manhattan. The remainder of the clinical center, consisting of an Oncology Center, Radiology Center, medical school, pediatrician … Read more