How do quality standards for long-term care and home health care vary in comparison to quality standards for other types of health care organizations

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Part 3 Discussion: Quality Indicators in Long-Term Care and Home Health Care

How do quality standards for long-term care and home health care vary in comparison to quality standards for other types of health care organizations?

Many health care organizations are part of a general network or group of health care facilities that may include urgent and acute care centers as well as long-term care or home health care centers. Within the context of health care delivery, the focus usually tends to fall on hospitals and acute care centers. However, with advances in health care organizational structures and strides taken with the Accountable Care Organization (ACO) model, most health care organizations are more a reflection of integrated health systems that offer services for urgent, acute care and long-term care and home health care services.

Review the quality indicators for long-term and home health care organizations in the resources for this week. Reflect on the measures obtained and how this may relate to your role as a health care executive in promoting effective and efficient health care delivery.

Post in 2 or 3 paragraphs an explanation of how quality standards for long-term and home health care facilities might differ. Then, explain how you, as a health executive at a hospital, might determine potential partners for an integrated health system that includes long-term care and home health care. Explain how the potential partners may help to reinforce the mission and vision of your health care organization. Then, explain how this type of partnership or integration may be reflective of social change for consumer-driven health care. Be specific and provide examples.

REFERENCES:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (n.d.-a). About home health care compare data. Retrieved from https://www.medicare.gov/homehealthcompare/Data/About.html

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2015b). Nursing home quality initiative. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/index.html

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2016b). Home health compare datasets. Retrieved from https://data.medicare.gov/data/home-health-compare

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2016d). Nursing home compare. Retrieved from https://www.medicare.gov/nursinghomecompare/search.html

Advanced optimization techniques

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Part 2: More Advanced Optimization

Advanced optimization techniques are often necessary to solve real problems in health care. Techniques like goal programming and data envelopment analysis are often used to solve multiple objective problems, such as minimizing cost while maximizing access measures. Other advanced techniques are often required for problems that sometimes seem straightforward. Although you may not encounter the use of advanced optimization techniques on a day-to-day basis, understanding the methodology and application of these techniques is a valuable skill for the healthcare administration leader.

For this Assignment, review the resources for this week. Reflect on, and consider, the advanced optimization techniques highlighted. Think about how you might apply these advanced optimization techniques to healthcare delivery challenges in a health services organization.

The Assignment: (3–5 pages)

  • Complete Problem 80 (pharmaceutical company) and Problem 90 (brain tumor) on page 804 of your course text.

Note: You will be using Excel and Solver for this Assignment.

References:

Albright, S. C., & Winston, W. L. (2015). Business analytics: Data analysis and decision making (5th ed.). Stamford, CT: Cengage Learning.

  • Chapter 14, “Optimization Models” (pp. 718–811)

Bastian, N. D., McMurry, P., Fulton, L. V., Griffin, P. M., Cui, S., Hanson, T., & Srinivas, S. (2015). The AMEDD uses goal programming to optimize manpower planning decisions. Interfaces, 45(4), 305–324.

Optimization in Staffing

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Part 1: Optimization in Staffing

Oscar is a healthcare administration leader who oversees the management of an ambulatory care clinic. Over the past 2 months, patient inflows have dramatically increased due to a recent shutdown of a neighboring care clinic. The patient inflows require that 90{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119} of all nursing staff work overtime to ensure effective healthcare delivery. However, having 90{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119} of the nursing workforce work overtime could be problematic in terms of patient quality and sfety. Oscar would like to determine how he can best optimize his current staff holdings to ensure a balance between quality patient care and safety.

Review the resources and be sure to focus on the Bastian et al. (2015) article. Reflect on the optimization problem mentioned in the article.

Post a brief summary in 2 or 3 paragraphs of the optimization problem presented in the Bastian et al. (2015) article. Be sure to include an explanation of the objective function, as well as what the constraints actually mean. Then, explain what was done well in the article, and identify where you found shortcomings in the article. Be specific, and provide examples.

Introduction to the U.S. Health Care Delivery System

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Question description

Introduction to the U.S. Health Care Delivery System

The overall goal of the Session Long Project is to examine health care delivery in the United States from a strategic perspective.

The Patient Protection and Affordable Care Act (PPACA) changed the landscape of the health care industry. For this assignment, read the “Three brutal facts that provide strategic direction for health care delivery systems: Preparing for the end of the health care bubble” by Nathan Kaufman. Kaufman discusses that the health care industry is heading for a fall and that organizations need to prepare now by focusing their strategies on new market realities. After reading the Kaufman article, write a paper to respond to the following questions.

  1. Why does Kaufman believe the health care bubble is going to burst? Explain whether you agree or disagree with his views.
  2. Discuss what he means by “Physician autonomy and the organized medical staff will become less relevant”. Do you believe this will improve patient care?
  3. Discuss what a prepared organization is to Kaufman. Do you believe this is what it will take to effectively deal with the health care bubble? What are some suggestions that you have based upon this article and your own research?

SLP ASSIGNMENT EXPECTATIONS LENGTH: LENGTH: SUBMIT A 3-PAGE PAPER. 3 CITED SOURCES

REQUIRED READING

Asaria, M., Ali, S., Doran, T., Ferguson, B., Fleetcroft, R., Goddard, M., & Cookson, R. (2016). How a universal health system reduces inequalities: lessons from England. Journal of Epidemiology and Community Health, 70(7), 637-643.

Beitsch, R. (2015). Hospitals oppose site-neutral outpatient pay proposal in Obama’s budget. Inside Washington Publishers’ Inside CMS, 18(5).

Beland, D., Rocco, P., & Waddan, A. (2016). Obamacare wars: Federalism, state politics, and the Affordable Care Act. Lawrence: University Press of Kansas. Retrieved from https://muse.jhu.edu/book/43112

Galarraga, J. E., & Pines, J. M. (2016). Costs of ED episodes of care in the United States. The American Journal of Emergency Medicine, 34(3), 357-365.

Harrison, S. (2015). Health care reform may drive higher comp costs. Business Insurance, 49(6), 4-4,22.

Foundation Recovery Network. (2016). The effects of the Affordable Care Act and outpatient treatment. Accessed fromhttp://www.outpatientcenters.org/affordable-care-a…

Gavil, A. I., & Koslov, T. I. (2016). A flexible health care workforce requires a flexible regulatory environment: Promoting health care competition through regulatory reform. Washington Law Review, 91(1), 147-197.

Joynt, K. E., Chan, D. C., Zheng, J., Orav, E. J., & Jha, A. K. (2015). The impact of Massachusetts health care reform on access, quality, and costs of care for the already-insured. Health Services Research, 50(2), 599–613

Kaufman, N. S. (2011). Three “brutal facts” that provide strategic direction for healthcare delivery systems: Preparing for the end of the healthcare bubble. Journal of Healthcare Management, 56(3), 163-8.

Kennedy, S. (2015, December 1). New health care jobs in Pennsylvania not at hospitals. The Morning Call. Retrieved from http://www.mcall.com/business/mc-health-care-emplo…

Mead, R. (2015). The obstacles to health care reform. Policy, 31(3), 12-13.

Merlo, G., Page, K., Ratcliffe, J., Halton, K., & Graves, N. (2015). Bridging the gap: Exploring the barriers to using economic evidence in healthcare decision making and strategies for improving uptake. Applied Health Economics and Health Policy, 13(3), 303-309.

Outpatient medical procedures save money. (2016). Healthcare Leadership Review, 35(5), 13.

Rich, G. (2015, March 30). Hospitals going out for profitable care: Outpatient sites cheap, serve paying patients, align with Obamacare. Investor’s Business Daily, p. A1.

Young, Q. D. (2016). Health care reform: A new public health movement. American Journal of Public Health, 106(6), 1023-1024.