Health and Medical Managed Health Care Case Assignment

Health and Medical Managed Health Care Case Assignment

Instructions/Descriptions

Health and Medical Managed Health Care Case Assignment

1) Choose one of the historical milestones that were found in Chapter 1, Do the following

1. Begin your answer with the name of the milestone and the time period it occurred.
2.  Describe the milestone
3.  How does that milestone impact healthcare as we see it today (this is your perspective)

2) Under what circumstances do employers make the decision to be self-funded?

What steps can they take to protect themselves again unexpected high dollar loss?

3) Fee for service policies continue to decrease in prevalence. Why did insurance companies shy away from fee for service?

4) Describe the concept of cost shifting, why is this necessary…support your answer.

5) If you were able to take advantage of any healthcare system in the world, which country would you choose?  Support your answer with facts surrounding that country and why it would be your choice.

Patient Care Improvement Discussion Paper

705.3.4: Patient Care Improvement

The graduate interprets quality assessments and prioritizes patient care improvement needs.

INTRODUCTION

In this task, you will use a tracer methodology to track a patient’s care in order to evaluate the healthcare organization’s systems of providing care and services for a readiness audit. This methodology also makes it possible to assess the healthcare organization’s compliance with Joint Commission standards. This is part of the organization’s compliance with delivering safe, quality healthcare.

You will examine data for a patient that is found in the attached “Accreditation Audit Case Study – Task 3 Artifacts” and find any trends, patterns, and problems. Once these have been identified, you can remediate the concerns.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

1.  Review the tracer patient information from the attached Accreditation Audit Case Study – Task 3 Artifacts and do the following:
2.  Discuss an outstanding patient care issue for the organization made evident by the tracer patient.
3.  Develop a corrective action plan to address the patient care improvement needs for the organization using a keyword search in the Joint Commission electronic manual.

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