To help you to better understand why case mix is important to managed care and r
ID: 247343 • Letter: T
Question
To help you to better understand why case mix is important to managed care and reimbursement methods; here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%.
Hospital
Mortality Rate
National Mortality Rate
Hospital A
16.1%
16%
Hospital B
18.6%
Hospital C
15.7%
Part I
Write a brief report in which you answer the following questions:
Explain case mix and why it is important in evaluating different health care providers.
Refer to the table of heart attack mortality rates for Hospitals A, B, and C. From your reading this week, what variables might be impacting the rates in the table? Please explain and discuss the use of data analysis for evaluating this kind of information.
Part II
You are a staff member at Hospital B, which has the worst mortality rate from heart attacks as seen in the table. Imagine that the administrator for Hospital B has asked you to appear at a Press Conference to share your knowledge about case mix.
Hospital
Mortality Rate
National Mortality Rate
Hospital A
16.1%
16%
Hospital B
18.6%
Hospital C
15.7%
After participating in the Press Conference, write a 1-page summary to explain the use of date for decision-making purposes, and how the technology department performs critical core business processes essential to the managed care organization.
Hospital
Mortality Rate
National Mortality Rate
Hospital A
16.1%
16%
Hospital B
18.6%
Hospital C
15.7%
Explanation / Answer
PART 1
Potential ways to boost care might embody increasing patient awareness of coronary failure symptoms, reducing delays for treatment once symptoms begin, and coronary failure is recognized.
Door to balloon time describes the quantity of your time between once a patient arrives at the hospital plagued by a coronary failure and after they receive transdermic coronary intervention, appreciate surgery, during which a tube with atiny low is inserted and inflated artery.
The findings show the results of collaboration and cooperation among groups crystal rectifier by cardiologists, medicine physicians and emergency medical services to scale back to treat a coronary failure.
Dietary factors create the biggest contribution to the chance behavioral risk factors. High heartbeat vital sign makes the biggest contribution of all the medical risk factors.
Over the past 3 decades, fruit consumption has magnified overall across Europe and overall within the EU, whereas vegetable consumption has magnified slightly in Europe as an entire, however has remained comparatively stable within the EU.
Fat consumption and energy consumption in Europe have magnified, driven chiefly by trends in jap Europe. Smoking remains a key public health issue in Europe. Smoking rates have weakened across abundant of Europe, though has slowed and rates stay stable or area unit rising in some countries, significantly among girls.
The highest rates area unit found in countries of the previous state, whereas among girls smoking rates area unit comparatively low. The occurrence within the EU is under in Europe as an entire among men however over in Europe among girls.
Women area unit currently smoking nearly the maximum amount as men in many Northern and Western European countries and women ofttimes smoke over boys.
PART 2
Advances in computer-based info technology in recent years have crystal rectifier to a large sort of systems that managers area unit currently victimization to create and implement selections. By and huge, these systems are functions and dissent considerably from customary electronic processing systems. Too often, sadly, managers have very little say within the development of those call support sysems; at a similar time, non-managers UN agency do develop them have a restricted read of however they'll be used. In spite of those variety of the fifty six systems he studied area unit winning. and therefore the distinction is that the extent to that managers will use the system to extend their effectiveness inside their organizations. Thus, the author suggests that this can be the criterion designers and managers ought to conjointly judge to in exploiting the capabilities of today’s technologies.
Everyone is aware of, to Illustrate, that computers area unit nice at listing assets. however what concerning all the guarantees and every one the speculations over the past few decades concerning the role of the pc in management whereas there are advances in basic info retrieval, processing, and show fifty six processed call knowledge that only a few management functions have really been machine-driven thus far and every one indications area unit that the majority can not be. instead of to exchange him. In different words, individuals in a very growing range of organizations area unit victimization what area unit usually known as call support systems to boost their social control effectiveness.
Unfortunately my analysis conjointly bore out the very fact that whereas additional and additional sensible applications area unit being developed for the employment of call manufacturers, 3 sizable obstacles still substitute the approach of others UN agency may enjoy them. First, managers and laptop users in several organizations area unit acquainted with solely a number of of the kinds of systems currently in use. Second, and closely regarding my initial to focus on technical characteristics.
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