MHA5020 WEEK 4 DISCUSSION AND PROJECT INSTRUCTIONS
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MHA5020HealthcareOrganizationsandAdministrationsWEEK4LECTURE.docxPage 2 of 2 WEEK4 MHA5020 HEALTHCARE ORGANIZATIONS AND ADMINISTRATIONS LECTURE
Understanding Knowledge Management
The management of health care system should be based on the understanding of how health services interact within the social environment. The understanding of how these services, strategies and health care needs are distributed requires a systematic approach to identify the objectives of a health care system.
Research is a systematic process of collecting information, analyzing information, and interpreting information to develop a discovery understanding. Scientific inquiry of health care research is a systematic process that aids healthcare managers in providing essential information about complex health care issues. The application of the scientific inquiry process is a useful and effective strategy to help identify problems and provide logical solutions to health care challenges.
The ability of a healthcare organization to translate the information gained from the scientific method is a key function of knowledge management. Knowledge transfer throughout an organization is a valuable resource in continuous improvement in health care performance. An organization of continuous improvement is a learning organization. Successful healthcare organization provides an outlet for employees to share best practices through scientific injury. In addition, a learning organization supports a culture that encourages the improvement process by keeping records of accurate and valid data and information, maintaining safe data warehousing, and promoting the efforts of knowledge sharing through the availability of protocols, updated processes and training materials. The new knowledge gained from this process supports an evidence-based culture of best practices in the development of health care services, strategic plans, improved work processes and operational stability.
Additional Material
From your course textbook, The Well-Managed Healthcare Organization, read the following chapter:
· Knowledge Management
Issues in Population Health Management
In population health management, there is a greater conceptual framework for studying health and socioeconomic relationships in a culture. When examining outcomes over time or making predictions of outcomes, it is important to evaluate any social, economic or political change of the environment. Critical issues in population health management are: aging population, federal and state regulatory change, understanding financial changes in reimbursement models, evaluating the accessibility and needs of the community.
Medicare and Medicaid have long demonstrated America’s commitment in protecting its disabled, poor, and elderly citizens from the economic consequences of serious illness. Traditional Medicare was designed to provide limited efficiency incentive to either beneficiaries or providers of medical services. As a result of lack of financial incentive, providers were not concerned with appropriate coordinated care or minimization of services which eventually led to rapid increase in the utilization cost of Medicare and Medicaid.
One similarity in Medicare and Medicaid is the need to restructure the financial burden and redistribute the problems in an efficient and equitable approach. Decisions relative to the reforms of Medicare and Medicaid programs revolve around the adoptions of financially viable system, which enables eligible recipient’s benefits accessing medical care with the long term in mind. However, program requirements cannot negatively impact beneficiary access, quality of care of services and must be cost effective.
Finding a health care model with a comprehensive benefits package, providing the highest quality and access, and being affordable to all citizens may be financially inconceivable. In the public’s view the role of the governments in health care is to redistribute medical resources to those who are least able to purchase services and to improve the economic efficiency of heath care.
Additional Material
From your course textbook, The Well-Managed Healthcare Organization, read the following chapter:
· Population Health
Trends in Population Health Management
The new millennium of health care evolution is evolving into a viable health care system, from access to care, care to cost of care, and cost of care to quality of care. It is clear that the main idea underpinning insurance reform is to find out how to modify market structure and to achieve a transaction of fairer distribution of medical care and medical cost. Policymakers understand that health insurance modification is a fundamentally important process to understand the objective of insurance reform to promote efficiency in the administration of insurance and delivery of healthcare service. The provisions of the Patient Protection and Affordable Care Act (PPACA) met the needs of the underserved by providing coverage and access to healthcare providers.
The primary goal of the PPACA is to improve health and reduce health care costs. The provisions of the PPACA aim to reform the American health care system by focusing on preventative medicine, which in previous heath care reforms was virtually ignored. The need for legislative healthcare reform focuses on provisions of access to care and access to affordable care for many individuals who cannot afford or have been denied health care coverage.
With the expansion of the PPACA, executives must be aware of mixed perspective by examining trends, such as service forecasting in the healthcare industry. The parameters of the PPACA offer individuals’ within the program access to primary care providers for preventative care and services that would otherwise flood emergency departments with low complexity level of cases that may decrease overall quality of care for higher complexity levels. As a result, the utilization rate of annual primary care visits will increase over the next five years. In addition, in order to efficiently accommodate the increased level of access to providers as predicted, several thousand new providers are needed to adjust for increase in planned participant’s access to care.
Additional Materials
From your course textbook, The Well-Managed Healthcare Organization, read the following chapter:
· Population Health
Review the following article:
