HSC 3020 Managed Care Utilization Management

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HSC 3020 Managed Care Utilization Management .The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality.Refer to the readings of this week and the Internet on the above information, answer the following questions:What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges?Differentiate between the three main processes of institutional utilization management.Determine the main purposes of each process of institutional utilization management? Which process do you think is the most important, and why?Research the role of the utilization management nurse.Explain the functions of the utilization management nurse, and compare and contrast the information from that organization.Explain your understanding of disease management and case management. What in your opinion are one major similarity and one major difference between the two types of management?Now, access information on disease and case management by searching the Internet by using the following keywords:Care Continuum AllianceCommission of Case Manager CertificationBased on your research, answer the following questions:What is the purpose or mission of these professional organizations?What standards do these organizations set for certification or membership?How do these organizations define disease or case management and do they differ from the text definitions?

Discuss 1-2 current trends in medical technology and how those trends are expected to impact the performance of the U.S. health care system and public health

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PAPER 1- minimum of 6 pgsWrite a paper that discusses the following 3 elements:Provide an overview of how health care in the United States has evolved since the postindustrial period.How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?Why has the United States been unsuccessful in evolving the current health care system into a national health care system?3 scholarly references.Please include in text citationsDUE 5/24/2017PAPER 2 minimum of 500 wordsComplete the following tasks: minimum ofResearch and discuss 1 piece of federal legislation that has affected the use of medical technology.Explain how changes in medical technology affect health care costs.Discuss 1-2 current trends in medical technology and how those trends are expected to impact the performance of the U.S. health care system and public health.2 references – minimum of 6 pgsWrite a paper that discusses the following 3 elements:Provide an overview of how health care in the United States has evolved since the postindustrial period.How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?Why has the United States been unsuccessful in evolving the current health care system into a national health care system?3 scholarly references.Please include in text citationsDUE 5/24/2017PAPER 2 minimum of 500 wordsComplete the following tasks: minimum ofResearch and discuss 1 piece of federal legislation that has affected the use of medical technology.Explain how changes in medical technology affect health care costs.Discuss 1-2 current trends in medical technology and how those trends are expected to impact the performance of the U.S. health care system and public health.2 references

Explain the importance of continuing education

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The health care industry, like other industries, is a very
competitive environment. As organizational behavior within health
care companies evolves, it will be even more important to consider
its future and the need for continuing education.
Create a 10- to 12-slide Microsoft PowerPoint presentation
that addresses the following:
Explain the importance of continuing education. Using the
company selected in Week One, describe the support it provides its
employees for continuing education. Describe the future of
organizational behavior. Based on the trends of the health care
industry, describe what you think the future holds for the company
selected in Week One.
Format your PowerPoint according to APA guidelines. Include a
title page, detailed speaker notes, and a references page.
Cite 2 peer-reviewed, scholarly, or similar references to
support your presentation.The health care industry, like other industries, is a very
competitive environment. As organizational behavior within health
care companies evolves, it will be even more important to consider
its future and the need for continuing education.
Create a 10- to 12-slide Microsoft PowerPoint presentation
that addresses the following:
Explain the importance of continuing education. Using the
company selected in Week One, describe the support it provides its
employees for continuing education. Describe the future of
organizational behavior. Based on the trends of the health care
industry, describe what you think the future holds for the company
selected in Week One.
Format your PowerPoint according to APA guidelines. Include a
title page, detailed speaker notes, and a references page.
Cite 2 peer-reviewed, scholarly, or similar references to
support your presentation.

How and why you believe it will improve patient outcomes and/or improve the delivery of health care

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IFSM 305

Topic:  Future of Health Care IT.
With everything that we have covered so far in class, and what we read and see in the world around us, it is obvious that major changes are happening all around us. And, changes seem to be occurring at an ever increasing rate. As part of these changes, there will be changes in how healthcare is delivered to the society. Many new technologies are becoming available, although some are not yet in common use. These advancements are likely to result in cheaper, easier access to healthcare and new paradigms in healthcare delivery.
GROUP 4:  Do some web research and find a new or emerging technology that you believe will improve patient outcomes and/or improve the delivery of health care.  Explain what the technology is and how and why you believe it will improve patient outcomes and/or improve the delivery of health care.  Please put the name of the technology in your subject line and choose something that has not already been reported on by another student.

Put the name of the technology in the Subject line for your posting.
From your research, explain:

What the technology is
How and why you believe it will improve patient outcomes and/or improve the delivery of health care.

GROUPS 1, 2 and 3:  For at least two postings:

Conduct your own research on the new or emerging technology discussed in the posting.
Identify and explain two issues or concerns related to its implementation and use.

I would like for each of you to think back over the class and share with us one new and / or important concept that you learned during this class AND, if applicable, how you may be able to apply this concept.  Also, if there are any recommendations to improve the next offering of the course please let me know either in this forum or via email.  You can also add any areas of improvement and / or things you liked about the course (so we know what to keep) in the end of course survey – which I hope everyone will complete. Your survey responses help us improve the next offering of the course.   Thank you for a great semester.
I look forward to reading your comments!

Stage 4 Assignment see attachment