Questions and Answers of Introduction To Healthcare Quality Management

Define and explain the purpose of a value-based network of providers.
Explain why all three organizations discussed in the case study are building on past efforts to redesign and strengthen primary care. Give examples and comment on the effectiveness of their efforts.
All study sites have invested resources to deploy care managers, outreach workers, or virtual care teams to engage with and help improve outcomes for patients with complex needs or at risk of
The three sites recognized the value of engaging patients and families in care management to identify personal goals for lifestyle change or treatment and educating them about treatment options. Give
Understand that the US healthcare system has evolved over time
Understand the relationship between cost, quality, and access
Understand the importance of germ theory to the development of the US healthcare system
Understand the historical development of health insurance
Understand that public policy decisions affect the healthcare system
How did the bipartisan support for Medicare facilitate it becoming a critical part of the US healthcare system?
Provide a prognosis for the future of the ACA. What did you describe and why?
What might have happened had Wilbur Mills led the outright rejection of the Republican proposal?
Research the trends regarding employer-sponsored insurance from 1950 through 2000. What did you find? Explain how that trend might affect public policy as it relates to healthcare.
Research population trends. Look ahead 30 years, to when you will be in the prime of your career. What will the population graph look like then? Compare the number of people older than 65 to those
What will this new population distribution mean for your career as a health services administrator?
Should the federal government's role in the US healthcare system be greater than it is, or should it be less than it is? Explain why in either case.
Why is the “germ theory” of medicine still important today?
Other than generating a need for more long-term care facilities and organizations, what impact will the continuing aging of the population have on the healthcare system?
Understand the interrelationship of cost, quality, and access
Understand basic elements of the healthcare policymaking process
Explain why health policy is important to managers
Understand current costs and historical cost trends in the healthcare system
Understand the iterative nature of the public policy process
Why did other segments of the healthcare industry seemingly make greater sacrifice than prescription drug manufacturers?
Would it have been possible to alter the way drug companies do business as part of the ACA and still succeed in enacting the law? Why or why not?
Research which states have expanded Medicaid since the passage of the Affordable Care Act.How many are there? Have any states reversed course and repealed (or attempted to repeal) the expansion? What
Find several news articles about healthcare and health policy. What are the key issues? How do the issues you have identified relate to the ACA?
Give a general overview of the US healthcare system
Describe the differences between acute care and ambulatory care
Describe the different types of hospitals and their missions
Describe the difference between a hospital and an ambulatory surgery center and the movement of care from inpatient to outpatient
Understand the differences between long-term care, assisted living, and rehabilitation hospitals
Understand how “extenders” work and describe the differences between them
Discuss in general terms how healthcare is financed
Describe the difference between Medicare and Medicaid
Describe evolving payment systems
How can the healthcare system adequately provide primary care for Americans if there are not enough physicians?
Is the current trend of hospitals becoming part of larger health systems a positive development?Why or why not?
Is the development of walk-in clinics in drugstores (and other locations) helpful to the clinical integration of care for the patient? Why or why not?
Research the acquisitions of pharmacy benefit managers by insurance companies. What does this mean for the future of healthcare?
Select three prescription medications you see advertised on television. Research ways to obtain those same medications through Canadian websites. What do you observe about the price differences?
Understand the various sites of healthcare practice and the categories of healthcare services
Explain care coordination
Explain population health management
Define patient-centered medical homes
Understand the role of interprofessionalism
Describe the importance of the health services manager's participation as an equal member of the interprofessional team
Define patient experience
Explain the role of the patient as a member of the healthcare team
How does CenteringPregnancy address the fourth aim as presented by Bodenheimer and Sinsky(2014)?
Explain how CenteringPregnancy is a model that enhances the patient experience. (Refer to Strickland, Merrell, and Kirk [2016] regarding the North Carolina study.)
Explain how CenteringPregnancy reduces healthcare costs. (Retrieve the publication by Gareau and colleagues [2016] regarding their South Carolina study.)
What other healthcare initiatives might take advantage of lessons learned from CenteringPregnancy to improve the patient and provider experience?
As you prepare to become a healthcare manager, explain how you envision your role on an interprofessional team. Give an example to illustrate.
As a student in a healthcare management program, what do you think are important factors to consider when selecting your internship site? What type of work environment do you prefer(e.g.,
Identify a health promotion activity conducted by your local health center, hospital, or clinic.Read the organization's website regarding what it is doing about that health promotion activity.How is
What were the most pressing environmental forces causing Dr. Pate and his leadership team to pursue transformational change?
In what ways did Dr. Pate and his team demonstrate transformational leadership?
Explain and justify the change model St. Luke's leaders used to pursue transformational change.
What evidence demonstrates that St. Luke's stakeholders exemplified effective teamwork in pursuing transformational change?
What actions, including methods of organizational communication, did Dr. Pate employ to gain his stakeholders’ trust and support?
Identify areas where conflict might have paralyzed St. Luke's progress in fulfilling its mission and realizing its vision to provide exceptional, patient-centered care.
Understand the evolution of leadership theory
Identify leadership models
Understand the reasons change is essential in leadership
Understand the motivation behind resistance to change
Apply a leadership model to a factual situation
What is the problem, and what is causing it?
What should Hank do to gain Anne's endorsement? What recommendations do Kanter (2001), Kouzes and Posner (2017), and Goleman (2014) make that might help Hank?
Recommend a solution to the problem. Why do you think your solution will work?
What are some of the similarities among the leadership models discussed in the chapter? Is there one model that is better than the others? Why?
How would you describe your leadership style? Justify your conclusion. Does it fit closely with one of the models discussed here?
Research one of your favorite heroes in history—someone like Abraham Lincoln, Martin Luther King Jr., or Harriet Tubman. How would you describe their leadership style?
Research one of history's villains. How would you describe their leadership style? Contrast that to your conclusions about the style you observed in question 1.
Explain what it means to be a member of a profession
Explain the concept of professionalism
Describe the foundations of scientific management and its application to healthcare management research and theory
Understand the function and value of professional associations
Understand the significance of diversity in the workplace
Reflect on Mark Barton's and Kimberly Lauren's stories described in the opening case study,“First Day.” Both have chosen career paths that fit with their skill set and professional goals.What is
In the professions, the notion that employees are on the receiving end of sexual harassment is egregious. Consider the #MeToo movement that has become a way for people who have experienced sexual
Elaborate upon the point to remember, “Mastering professionalism continues throughout your career.” Think about people you know who are at a different level of their career and who also exhibit
Healthcare leaders such as Jack Bovender, retired CEO of the Nashville-based Hospital Corporation of America (HCA), demonstrated his understanding of diversity when he launched HCA's chief operating
Bovender's efforts represent one step forward regarding support for diversity in healthcare settings. Conversely, findings from a 2017 management study indicate we may also be taking one step back.
Explain the importance of effective verbal and nonverbal communication
Identify clear and concise communication
Identify the components of communication: sender, receiver, and message
Recognize the value of attentive listening
Provide and receive constructive feedback
Explain ways to manage conflict
Explain relationship management
Explain the significance of emotional intelligence for effective communicating
With reference to the concept of emotional intelligence, whom do you think will receive the position?
Why do you think Evan will or will not receive the position?
Why do you think Catherine will or will not receive the position?
Emotional intelligence was presented as an important concept regarding relationship management. Describe how the areas of self-awareness, self-management, social awareness, and relationship
Give some examples of verbal and nonverbal clues. How do they help or hinder effective communication?
Offer an example of conflict that you have experienced that was a positive force. Why do you consider it to be so?
Communication flows downward, laterally, and upward. Offer an example of lateral communication and discuss how managers might use it to their benefit.
Explain how power, criticality, and confrontation are important factors to consider when addressing conflict.

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