Health Care

Week 9 Case Study - Healthcare Quality

Week 9 Case Study - Healthcare Quality

Read the Department of Justice story, “South Jersey Doctor Charged in Health Care Fraud Billing Scheme.” Then, write a 1–2 page report in which you:

  1. Summarize three quality issues in the case that resulted in fraudulent billing and coding.
  2. Describe three violations that were stated in the case, including how the violations applied based on regulations.
  3. Illustrate how this case could be used as a training tool for your organization. You may base your work on the Department of Health and Human Services Office of Inspector General (DHHS-OIG), the Center for Medicare and Medicaid Services (CMS), and the Department of Justice (DOJ) information on quality, fraudulent billing, and so on.

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discussion post 1

discussion post 1

    1. Develop research questions related to a relevant health care issue.
    For your assignment this week, you will be developing a research question. Share with the class three possible research questions that you are considering in order to obtain feedback from your peers. Provide rationale and justification for each. Include at least one scholarly article to support one of the proposed topics.
Introduction to Health Research Methods: A Practical Guide

Jacobsen, K. H. (2017). Introduction to health research methods: A practical guide (2nd ed.) Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284094381

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HCA340 Week 4 Organizational Transformation

HCA340 Week 4 Organizational Transformation

For this assignment, you will prepare a 15- to 20-slide PowerPoint presentation with detailed speaker’s notes of 100 to 150 words for each slide, not including the title and reference slides.The presentation will be created from the perspective of an upper-level administrator of one of the following types of health care organizations:

Over the past year, the organization has received numerous negative reviews from patients and clients using the services at your chosen organization. Overall, the organization’s reputation in the community has suffered due to

  • poor quality of service,
  • lack of empathy of the care providers and administrative staff including biases in care,
  • difficulties in obtaining an open appointment or a bed space in the long-term care unit,
  • poor patient or client care management in terms of effective treatment, and
  • poor health outcomes for patients and clients who have received care from the organization.

Further, the employees are also struggling with burnout due to a heavy workload and poor management methods.

In the presentation, you must identify the key issues that are causing the negative survey results and then address the sequence of steps needed to create the organizational change necessary for improving the customer experience.

In your PowerPoint Presentation, address the following:

Leadership and management

  • Analyze the role of leadership that contributes to the organizational culture. For example, upper leadership knows problems exist, but do nothing to stop the behavior.
  • Discuss the semi-controllable and non-controllable forces that influenced the performance issues identified in the surveys.

Strategic plan

  • Create three new strategic goals for the organization.
    • Explain the projected outcomes for each goal.

Motivation

  • Discuss three methods of motivating the employees to adopt the new strategies and overcome the resistance to the recommended changes.
    • Explain your reasons for choosing the methods identified.

Human resources management

  • Create a new job description to oversee the plan.
    • Define the qualifications and traits this person will need to fulfill the duties.
    • Discuss the pros and cons of hiring from within the organization versus hiring externally.

Cultural competency

  • Discuss the role bias in care has on the survey results.
  • Explain the value of having a culturally diverse staff.
  • Discuss the communication barriers that may exist in a culturally diverse staff.
    • Examine at least two methods to overcome those barriers.

Strategic alliances

  • Identify two other types of organizations with which your health care organization can partner to address the issues identified in the surveys.
    • Discuss the services offered and how those services will support the needed changes within your organization.

Community reputation

  • Analyze how the changes will impact the organization’s reputation in the community.

The Organizational Transformation assignment

  • Must be 15 to 20 slides in length (not including title and references slides) and formatted according to APA Style (Links to an external site.) as outlined in the Writing Center’s How to Make a PowerPoint Presentation (Links to an external site.) resource.
  • Must include a separate title slide with the following:
    • Title of presentation in bold font
      • Space should be between title and the rest of the information on the title page.
    • Student’s name
    • Name of institution (University of Arizona Global Campus)
    • Course name and number
    • Instructor’s name
    • Due date
    • Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
    • Must use at least seven credible sources, one of which may be the course text.

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Create teaching material for community health projects

Create teaching material for community health projects

  1. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
  2. Create an infographic teaching tool for the community educational project. View these links on how to create infographics:

Submit an 8 X 11.5 color (one page Word or pdf. document) infographic teaching tool for your chosen community. Please also submit a reference page in APA format with at least two references you used as sources for the information on the infographic.

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Program Evaluation

Program Evaluation

Evaluate the hypothetical program that you created (DOMESTIC ABUSE in PUBLIC HEALTH) using the following types of evaluation: formative, process, outcome, and impact. Identify each type of evaluation that you are using and the part of the program to which it applies, program goals, and program accomplishments. Describe successful areas of the program and areas that need improvement. For the areas requiring improvement, present the changes that will be made, the anticipated outcomes, and how those changes would be evaluated.

Write a 15 page, double-spaced paper in Word format. Apply APA standards to citation of sources.

Utilize at least 7 scholarly sources in your research and be sure to include a references page. Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

Submission Details

  • Support your statements with scholarly references and appropriate examples.
  • Cite all sources using the APA format

Requirements: 15 pages, double-spaced

Please make sure that the scholarly references are peer reviewed. Also keep in mind, that this is my final paper so, everything has to be grammarly correct, concise and as detailed as possible.

My professor posted this as a guideline for this project:

TIPS/GUIDELINES:

Evaluate the hypothetical program that you created using the following types of evaluation: formative, process, outcome, and impact. Remember the meaning of each of the evaluation processes:

Formative: Ensures that a program or program activity is feasible, appropriate, and acceptable before it is fully implemented. To what extent is the need being met? What can be done to address this need?

Process: Evaluating how the process of implementing a project fared. Were the components of the intervention implemented as planned?

Impact: Effects of a program. What short-term or immediate effect did the intervention have?

Outcome: The real health impact of a program, and to theoretical links made between short-term impact and long-term outcome. Did the intervention affect the health problem/issue that was the ultimate target?

 

Identify each type of evaluation that you are using and the part of the program to which it applies, program goals, and program accomplishments.

Using your developed program, explain how each type of evaluation will be used, when it will be used, and how it affects (shows) the program goals and accomplishments.

 

Describe successful areas of the program and areas that need improvement. For the areas requiring improvement, present the changes that will be made, the anticipated outcomes, and how those changes would be evaluated.

Hypothetically, complete the evaluation process for the outcome and the impact evaluations to determine areas of success and areas needing additional improvement. You must state at least one of each in order to continue with the assignment. For those items needing improvement, what changes can be made to improve them, how will those changes affect the outcomes, what will now be the anticipated outcomes, and how those new items will be evaluated (what evaluation type, when it will be used, and how it will be used). Use published, scholarly, peer-reviewed journal articles to support your claims.

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