4-2 Project Preparation

4

2-2 Project Preparation

Content

Strategic Planning

· Benzaghta, M. A., Elwalda, A., Mousa, M. M., Erkan, I., & Rahman, M. (2021). SWOT analysis applications: An integrative literature review.  Journal of Global Business Insights,  6(1), 55-73.

· Nguyen, T. L. H., & Nagase, K. (2019). The influence of total quality management on customer satisfaction.  International journal of healthcare management,  12(4), 277-285.

Healthcare Reimbursement

· Fainman, E. Z., & Kucukyazici, B. (2020). Design of financial incentives and payment schemes in healthcare systems: A review.  Socio-Economic Planning Sciences,  72, 100901.

· Guo, P., Tang, C. S., Wang, Y., & Zhao, M. (2019). The impact of reimbursement policy on social welfare, revisit rate, and waiting time in a public healthcare system: Fee-for-service versus bundled payment.  Manufacturing & Service Operations Management,  21(1), 154-170.

Revenue Cycle Process

· Atluri, H., & Thummisetti, B. S. P. (2023). Optimizing Revenue Cycle Management in Healthcare: A Comprehensive Analysis of the Charge Navigator System.  International Numeric Journal of Machine Learning and Robots,  7(7), 1-13.

· Johnson, M., Albizri, A., & Harfouche, A. (2023). Responsible artificial intelligence in healthcare: Predicting and preventing insurance claim denials for economic and social wellbeing.  Information Systems Frontiers,  25(6), 2179-2195.

Reimbursement Compliance

· Lin, J. C., Kavousi, Y., Sullivan, B., & Stevens, C. (2020). Analysis of outpatient telemedicine reimbursement in an integrated healthcare system.  Annals of vascular surgery,  65, 100-106.

· Van Erp, J., Wallenburg, I., & Bal, R. (2020). Performance regulation in a networked healthcare system: from cosmetic to institutionalized compliance.  Public Administration,  98(1), 46-61.

Relevance

Strategic Planning:

1. Benzaghta et al. (2021) offer a structured approach to SWOT analysis, facilitating the identification of organizational factors crucial for strategic planning in healthcare.

2. Nguyen and Nagase (2019) emphasize the significance of Total Quality Management (TQM) in guiding strategic decisions towards improving patient care outcomes and organizational performance.

Healthcare Reimbursement:

1. Fainman & Kucukyazici (2020) provide insights into diverse reimbursement strategies, aiding in the selection of appropriate payment models to enhance revenue collection within healthcare organizations.

2. Guo et al. (2019) highlight the impact of reimbursement policies on healthcare delivery efficiency and patient satisfaction, supporting informed decision-making in reimbursement management.

Revenue Cycle Process:

1. Fainman & Kucukyazici (2020) provide insights into diverse reimbursement strategies, aiding in the selection of appropriate payment models to enhance revenue collection within healthcare organizations.

2. Guo et al. (2019) highlight the impact of reimbursement policies on healthcare delivery efficiency and patient satisfaction, supporting informed decision-making in reimbursement management.

Reimbursement Compliance:

1. Fainman & Kucukyazici (2020) provide insights into diverse reimbursement strategies, aiding in the selection of appropriate payment models to enhance revenue collection within healthcare organizations.

2. Guo et al. (2019) highlight the impact of reimbursement policies on healthcare delivery efficiency and patient satisfaction, supporting informed decision-making in reimbursement management.

Credibility

The credibility of the selected sources is supported by their publication in well-known academic journals characterized by the rigorous peer review process. Some of the journals in which these sources are published include the “Journal of Global Business Insights”, the “International Journal of Healthcare Management” and the “Annals of Vascular Surgery”. Thus this ensures that the research was carefully assessed and reviewed by the experts before being placed before Furthermore, all these three resources are newly published, which ensures the provision of recent information and developments in healthcare management and reimbursement, which is extremely important in health care which is constantly changing. Moreover, the authors, among them Benzaghta, Nguyen, Fainman, and Lin, are affiliated with prominent academic institutions, using their expertise and experience to support the study’s legitimacy. Their commitment to scientific rigor in research methodologies, data analysis, and publication of results also adds more credibility to the information presented. By following the ethical academic norms including citation of sources, detailed descriptions of methodologies and discussions on limitations, these sources stress the reliability and worth of the outcome, heightening their value in the academic and professional horizons.

Gap Assessment

In assessing the gaps in the research study, we understand that the included resources provide essential information on strategic planning, health care reimbursement, revenue cycle, and compliance with reimbursement practice. Nevertheless, we need to engage in further study on some areas to get a holistic understanding of the topics. Thus, it is necessary that the research focus on the SWOT analysis strategies that are applicable in healthcare organizations in more details with the use of case studies or practical examples from the literature review of Benzaghta et al. (2021). In a similar way that the selected resources present the various reimbursement policies and compliance components, more research could be conducted to analyze trends including value-based reimbursement and regulations that affect reimbursement compliance. So, in order to address these gaps, further research can be conducted by checking other scholarly journal articles, organization reports or guidelines generated by reputable sources such as government agencies or professional group. Moreover, holding discussions with the experts of the field or compiling an empirical study enables us to reach the primary data and not only get an idea about the practices and problems of healthcare facilities but also understand this subject more in-depth.