Summarize three quality issues in the case that resulted in fraudulent billing and coding.
Describe three violations that were stated in the case, including how the violations applied based on regulations.
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.
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
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 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.
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.
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.