The Board of Directors of a national Health Care System is considering which electronic health record (EHR) system to use and how to implement the EHR in all of its facilities. As a Health Care IT consultant, the student will work with various team members at the corporate level to gather information and analyze the efficacy, safety/security/legal factors, cost effectiveness, and cost-benefit factors of two possible new systems to help them decide whether or not to implement one of them. The student will also recommend a high-level implementation plan that considers system cutover and change management.
Bright Road Health Care System is experiencing financial problems, for example insurers with late payments, Medicare patients with high readmission rates within 30 days (lost Medicare reimbursement), high staff turnover increasing costs, and low admissions to its obstetrics service. The Chief Administrative Officer is very concerned as he knows this reflects on him and may affect his job. The student, a financial consultant, will work with Bright Road Health Care System staff members to review and analyze how operations in the Health Care System negatively affect its finances. Based on this information, the student will make recommendations for changes.
The Chief Executive Officer of the Health Care System wants to improve patient care survey results in the urgent care facilities within the Health Care System. The perceived quality of service is the lowest rated area on the survey. As a Change and Process Management consultant, the student will work with the Director of Quality Improvement of the Health Care System to analyze the current structure, process, and outcomes of the urgent care facilities. The student will provide current quality improvement data, and make recommendation for improvements.
The Board of Directors of the Health Care System is thinking of expanding services to include a home health agency in the community. The Health Care System is experiencing an increase in older adult patients and also has a problem with a high readmission rate within 30 days of discharge for Medicare patients. The Board of Directors has charged the Chief Executive Officer (CEO) to ask the student, their health care consultant, to help determine whether or not to develop this service. The student must analyze overall health care trends, population trends, disease trends, local trends and competitors, utilization of services, and other factors to determine whether or not to recommend opening a home care service. The recommendation will include specific services provided, staff required, financial concerns, and a plan to build patient referrals.
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