Marsha McMillen Unit 3 Healthcare Compliance Assignment Discuss what you would do as the administrator of this hospice and the five nurses worked for you. If I had been the administrator for this hospice, I would have trained my nurses in the importance of not committing fraud. I would have been very adamant about teaching my staff about the consequences of not being compliant in following the rules and law in reference to fraud. We would have had meetings to go over the compliance rules at least once a week.…
In August of 2006, President George W. Bush signed an executive order to promote the overall efficiency and quality of healthcare. The goal for this order was to increase information available among patients, medical providers, and insurance carriers; and to decrease medical errors. Meeting this goal would help control rising costs of healthcare for both the patient and insurance carriers. In 2011 an incentive program was established by the name of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program to encourage eligible professionals and eligible hospitals to adopt, implement, to upgrade, and demonstrate meaningful use of certified electronic health records. "Meaningful Use" is a term describing documentation…
Glynn arranges most of his article in chronological order and goes by sequence. He starts by with the cognitive benefits and then motivational and emotional benefits. In his argument proving the cognitive benefits, he includes evidence from a meta-analysis that shows the players spatial skills improve after playing. He uses credible evidence from a study that used a functional MRI to show that gamers were better at controlling their attention and making fast decisions because of their experience doing this in the video games.…
7. Managed care seeks to control health care costs through controls on price, demand, and supply. Describe at least 5 common strategies by which it does this. Include some discussion of each to at least identify the mechanism and intent of the strategy. Health Maintenance Organizations (HMOs)…
Health care is a complex system that contains high risk for all individuals who are involved in the health system. The complexities of healthcare can be reduced by focusing on the systems-thinking. The Thinking system consist of five ways to incorporate the system into healthcare organizations. The first way is to apply a universal approach to solving problems. Problem solving can be difficult and health organizations lack a systematic approach to address the issues surrounding the delivery of care.…
Managed Care is a health care delivery system set up to manage cost, quality, and utilization. Medicaid Managed care allows for the delivery of Medicaid health benefits and additional services through contracted arrangements between Medicaid agencies and Managed Care Organizations (MCOs), that accept a set number per member per month (capitation) payment for services. By contracting with various types of MCOs to deliver Medicaid program services to beneficiaries, states can reduce Medicaid program costs and manage utilization of healthcare services. Keep in mind the goal is to improve health plan performance, quality, and outcomes.…
Healthcare Compliance Week 3 Assignment Discuss what you would do as the administrator of this hospice and the five nurses worked for you. - As an administrator, I would be a good leader to the five nurses worked for me. For planning, directing, coordinating, and supervising to ensure we give the quality care as a team for the patients such as inpatient treatments, home care services, and bereavement follow-ups for grieving families. I will approach the individual with respect, friendly but professional ways when providing guidelines they needed to make sure we are all at the same page when it comes to give care to the patients.…
The importance of patient participation in healthcare decision making is extremely important it keeps patients involved with the care they are receiving, it empowers them, and improves services and health outcomes. Health care professionals such as doctor-patient relationship, recognition of patient’s knowledge, allocation of sufficient time for participation, and also factors related to patients such as having knowledge, physical and cognitive ability, and emotional connections, beliefs, values and their experiences in relation to health services. Shared decision making aims to support patients to articulate their understanding of their condition and what they want to achieve from treatment, inform patients about their condition and the pros…
1. Why does the Medicaid program receive a great deal of attention each year in the state of Florida? From legislators? From providers? From health plans?…
1. There are two main types of third party payers: private insures and public programs. Private payers sell insurance as a product in order to invest into health benefits, where the provider gets paid for the delivered healthcare service. Commercial insurers, Bleu Cross Blue Shield and self-insures are the main private insures in the country. BCBS is a set of independent companies that are required to follow the rules of the main nationwide association in order to be part of it.…
In addition, discuss the impact that managed care is likely to have on your career in healthcare. Overshadowing every new bit of technology is the promise of the revolution to come, when the Internet will become the new platform that will allow doctors, hospitals, and health plans to operate in unison, and the EMR becomes an Internet-based chart that can be opened immediately from nearly any location, helping reduce medical errors and improve efficiency.…
Most information technology in managed care has been profoundly unique and advanced in today’s health care world. As managed health care continues to grow, we must conform to the beneficial ways of information technology for improving patients’ lives. There is good and bad ways to use technology or information technology, but it’s desired to know how and why it’s used in managed health care. Additionally, having the tools and background knowledge to accomplish the goals in managed healthcare and knowing how it can benefit physician and patient for the long-term. Several sources and examples will be able to portray and shed light on the growing use of information technology and the constant desire in managed health care.…
The positive effect has been shown that today these players can prevent all different single units from being able to have control to take over any of the other systems. A negative effect is that cost can be difficult to get because of the many different parts that go into payment. The main roles of the government in the US health services system was once limited to protecting us from outbreaks of diseases. The worst!…
Second Skin The film called Second Skin is an interesting documentary that only informs the public but also make awareness of the ever growing issue of people becoming addicted to online games. The reason is since the invention of technology where it became portable and affordable to the public people have become obsessed with it. For example, if you ask an elder at what age they got a phone they would usually say when they were young adults. However, if a person asks a kid in the present day they would say a kid would get a phone as young as ten years old.…
Why The Extensive Use Of Video Games Is Bad For Your Health There has been a lot of controversy about the effects video games can have on a person 's health. Many argue that they stimulate the brain and increase intelligence. But others point out the negative side effects that the majority of gamers choose to ignore. Though everyone may not visibly suffer from any problems, that doesn’t necessarily mean that they won’t eventually. A lot of these issues are permanent; few are temporary.…