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Healthcare operations management quizlet
Operation management in health care
Operation management in health care
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FRESENIUS CORE VALUES:
Fresenius Medical Care is a people business. Our success depends on having the best and brightest employees, and helping them attain their personal and professional goals while delivering excellence in patient care and business results. Our employees embody our culture which is based on six core values: patients and partners first, honesty and integrity, quality and compliance, collaboration, no-limits mindset and results oriented. These values support our promise to improve the quality of life of every patient every day.
PURPOSE AND SCOPE:
The Contract Administrator provides analytical and specialized administrative support on a daily basis to the assigned team(s). The incumbent’s primary responsibilities include
the maintenance of service agreements and technical training classes within the assigned function(s). PRINCIPAL DUTIES AND RESPONSIBILITIES: • Under general supervision, complete, distribute and file service agreements for applicable equipment within the assigned function(s) in a timely and accurate manner; maintaining the applicable database(s) to ensure service agreements are managed in compliance with company policies and procedures. • Manage technical training class schedules on a routine basis. • Ensure data accuracy and integrity in the completion of billing processes within the assigned function(s). • Prepare assigned reports for management review on a routine basis. • Perform diverse administrative activities to support management as necessary. • Maintain various confidential and/or health information in compliance with company policies and procedures, HIPAA and other regulatory requirements. • Assist with various projects as assigned by direct supervisor. • Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Exposure to blood borne pathogens and/or hazardous materials may be possible. SUPERVISION: • None EDUCATION: • High School Diploma required EXPERIENCE AND REQUIRED SKILLS: • 1 – 2 years’ related experience. • Possess strong administrative support skills. • Great computer skills with demonstrated proficiency in word processing, spreadsheet, presentation and email applications. • Strong time management skills with the ability to multitask concurrent priorities in an organized manner. • Great customer service skills with the ability to handle confidential information with professionalism, discretion and tact. • Strong interpersonal skills to work cohesively within a team environment. • Strong oral and written communication skills to effectively communicate with all levels of management. ACKNOWLEDGEMENT: Review and comply with the Code of Business Conduct and all relevant Company and Division policies and procedures, and local, state, and Federal laws and regulations. Employees with supervisory responsibility ensure staff understand and comply with the Code of Business Conduct and all relevant Company and Division policies and procedures, and local, state, and Federal laws and regulations, and establish effective internal systems and controls to promote such compliance. I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
Memorial Medical Center was situated “three feet below sea level, which is on one of the low points in the bowl in New Orleans (Fink, Sheri, 2009).” This hospital served as a “shelter whenever hurricanes threatened: employees would bring their families and pets, as well as coolers packed with food (Fink, Sheri, 2009).” Having 2,000 people taking shelter in this hospital on top of 200 patients, and over 600 workers in one place during a category 5 hurricane, ran a huge risk. This was not something that was assessed, because the author stated, “this is something that citizens who live around the hospital normally do during a crisis like this (Fink, Sheri, 2009).” I also do not think that individuals believed that Hurricane Katrina would have been as bad as it was, because this is the storm that is considered to be a “lesson learned (President George W. Bush, 2005)”.
Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive patient care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
... caring for everyone within the community, including their employees and stakeholders, creating a environment for more caring and healing for the patients and families.
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
The wide spread writings of Marco Polo and William of Rubruck provide an early account of world travel during the 13th Century. These dual accounts give readers a different perspective of the Mongol’s way of life, their social hierarchy, and their method of commerce. The Mongols, whether beheld as barbaric conquerors or as an Empire for its multiplicity, were transcribed in the writings of Polo and Rubruck. Details are important to establish a sense of place and their surrounding peoples as well as a personal view of foreign people. Polo’s lack of makes Rubruck’s account equally more reliable with his daily interactions with the social life and his descriptive nature of his trips.
If I was to become the CEO of a large health care organization, I would investigate and analyze all the information to determine what needs to be improved within the organization in order to make the best decision for the company. There are three major elements of quality: structure, process, and outcome”(Burns, Bradley, & Weiner, 2011, pg 251). One way to improve the quality of care in my organization is to be passionate and excited about the engagement of consumers. The patients need to be able to have access to the right information to educate themselves about their health care decisions. If they are active working with the physicians it can reduce emergency hospital visits and improve treatment and quality of life that is associated with different chronic diseases (Aulbach, 2015). As for my staff, I would ensure that they have all the equipment as well as the
Patients make up a huge part in achieving service excellence for the healthcare industry. My healthcare facility helps the patients redeem themselves and correct with sensitivity. The patients are my customers, and my healthcare facility must remember our mission and vision of giving spectacular healthcare to our customers who are our priority. By giving quality customer service, my healthcare facility earns the gratitude and patronage of its patients. The patients pass their experiences to their families and that keeps my healthcare facilities’ reputation successful
care. This high standard of care is fought for by health professionals who keep their patients
Professional values that are incorporated into my nursing practice include veracity, kindness, support and understanding. It is important to be honest with patients and help them set realistic goals during their recovery process. It is also important to be kind to those that are ill, as they may not have the best attitude at tim...
This views all subordinates equally and recognizes individual values and strengths of all members. Creating an environment where patients are respected, well-informed and empowered acknowledges their needs and goals as paramount (Marquis & Huston, 2015). Personal persuasion and reward is usually used rather than coercive power to influence others in a healthcare setting to get tasks at hand completed.
Pettersen (2011) the autonomous relation a father would have with their child. The ethics of care would define self through interpersonal relations rather than autonomous interactions.
High standards of care are expected by patients and families regarding any type of health care. Creating a culture of excellence within an organization is needed to increase patient satisfaction and improve patient outcomes. This paper will examine a hospital that is creating a culture of excellence within the organization to ensure theses outcome. Committees within the organization have been implemented to examine all aspects of the hospital, and its operations to receive input to create change. This corporation is implementing high standards of care and practice that provide a culture of excellence. Reviewing current articles to understand what defines excellence, and the importance it has on an organizations. This paper will also summarize and analyze the interview of a unit manager involved with implementing a culture of excellence. Also this author will discuss nursing theories and standard of practice that lead to the evaluation of this particular topic. This paper will also look at how the author’s journey through the bachelors program has changed her nursing profession, and the opportunities it will open in the future.