Managerial Epidemiology Third edition. Chapter one textbook solutions. home / st

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Managerial Epidemiology Third edition. Chapter one textbook solutions.

home / study / business / operations management / operations management questions and answers / Fter Reading Case Study 1.1 Group Health East (GHE), Managed Care Organization (MCO), In The ...

Question: Fter reading Case Study 1.1 Group Health East (GHE), Managed Care Organization (MCO), in the text...

fter reading Case Study 1.1 Group Health East (GHE), Managed Care Organization (MCO), in the textbook chapter "An Introduction to Managerial Epidemiology," explore the case scenarios and then address the following questions. Make sure you use scholarly references to support your work and increase the validity of your recommendations. Case scenario: Mr. Jones is wrestling with a number of critical and fundamental questions at this juncture:

Will the new structure increase or decrease physician productivity?

What kinds of data are necessary to determine staffing needs with regard to nurse practitioners at satellite clinics?

What kinds of needs assessment approaches should be used?

What measures of morbidity can be used to predict the demand for clinic services?

How should risk factors of disease enter into the needs assessment?

What different kinds of studies support the relationship between obesity and disease?

How can one tell the difference between a good study and a bad one?

Explanation / Answer

Yes. The new structure will increase the physician productivity because the GHE is willing to pay incentives to the physicians.Although GHE negotiates payment contraction and withhold 20% of capitation payment ,it needs quality care and patient outcome.Physicians is required in each setting of product line separately..

As GHE faces a lot of staffing problem particularly with regard to nurse practitioners in satellite clinics.Mr.john needs to assess the number of enrollment staff required at each product line.He has to assess the requirement of generalists and specialists in each section.Analyse the workload of each practitioner and therefore increase the staff member in satellite clinics.

Mr.Jones has to analyse the baseline data of population needs.Measure the outcomes of health status based on physical, mental and general scales.Categorize the service into totally preventable, primary care and chronic disease.it will identify the potential target of intervention for the population and to decrease the hospital costs.

Assessment of past morbidity rate, behavioral risk factors, and use of surveys helps to estimate the future morbidity risks in the population.Medicare and medicaid claims provide data of poor and elderly members and to predict future planning.

The relationship between the morbidity associated with risk factors and the outcomes helps to determine the prevalence of disease.Risk factors can bring under control by health education, and through other programs.These discussions will lead to high capitation rate.

Different kinds of studies such as cohort studies, case-control study determines the risk of disease associated with obese.Relative risk of obesity, such as heart disease are more prone to occur in obese person than normal person. Control of obesity can be achieved by various weight reduction programs in GHE population.

A good study must improve one's learning and increase the ability to make decision and to solve the problems.Managerial epidemology makes Mr.jones for positive approach towards the management and to reach the goal of overall health of population.

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