Hsm 541 Enhance teaching / snaptutorial.com

HSM 541 Final Exam
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1. (TCO A). You are the newly hired chief knowledge officer (CKO)
for a mid-sized hospital in a semiurban area of the country. Your first
task is to develop the organization's strategic plan that will shape the
development of a comprehensive network of services for their
community.
Question 2. 2. (TCO B). You are the newly hired Vice President of
Human Resources for the Bayside Regional Health System. You
have the responsibility for all of the usual human resources functions,
including retention plans, the training and development function, and
the recruitment process. In addition, you have the additional
departments of volunteers and the hospital chaplaincy services.
Question 3. 3. (TCO C). Some physicians and for-profit healthcare
organizations in your area are refusing to treat Medicare and
Medicaid patients for a variety of reasons. These controversial
decisions present not only a major breakdown in the healthcare
delivery system but also in the financing of healthcare for many
individuals across the nation. Delineate at least three reasons that
physicians have for refusing to participate in these governmental
programs, as well as the impact this practice has on other areas of the
healthcare delivery system. (Points : 25)
Question 4. 4. (TCO D). As the newly hired director of public
relations for a national managed care company, you know that the
next decade in the delivery of healthcare services will bring about
revolutionary changes in your member organizations. Public outcry
for changes has been heard loud and long, Congress is calling for

reform, and providers are extremely frustrated with how you control
utilization and offer low reimbursements.
Question 5. 5. (TCO E). You are the VP for human resources and
have been charged to recommend a new healthcare benefits plan that
will improve healthcare services for your employees but manage costs
effectively. You employ approximately 1,800 employees, and the
current health plan provides traditional healthcare services. You want
to expand reimbursement for wellness and prevention services so that
you can improve the health of your employees, thereby saving monies
in your illness coverage, as well as nonproductive time in sick days.
Question 6. 6. (TCO F). You are the Corporate Vice President of
Operations Management for Patient-First Healthcare System, a
nonprofit hospital with seven rural satellite hospitals located within
250 miles of each other. Your organization has just approved new
monies for developing new quality management initiatives. The
individual hospitals have implemented their own quality management
programs with varying levels of success. Some of their programs
demonstrate stellar results and high levels of patient satisfaction,
although others have much less impressive results.
Question 7. 7. (TCO G). You've just been hired as the compliance
officer for the newly formed Gulf Coast Healthcare System. Your
new employer was formed by the joining of four healthcare
organizations – three acute care organizations and one long-term care
agency. Two of the organizations have a history of various
governmental regulatory violations, as well as suspected fraudulent
billing practices. You've been hired to form a corporate compliance
program that includes electronic billing and medical records that is
HIPAA-compliant and will address all areas of compliance. This plan
will not only clean up any issues from the past but will also position
the new organization as an organization with an impeccable
reputation for compliance. Articulate your vision for this plan and the
components that are required for its success. How will you justify the
expense associated with your plan? Keep in mind that you have a
newly formed organization and differing organizational cultures.
(Points : 40)
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HSM 541 Midterm Exam Guide (New)

Please check all Questions Below
1. (TCO A) Briefly discuss how characteristics of individuals or
populations may influence utilization of health services. Discuss how
these characteristics impact access, costs, and quality. Use an example
to support your point(s). (Points : 25)
Question 2. 2. (TCO D) Describe two state or federal programs that
provide health insurance benefits to a specific population. Detail at
least two strategies used by either agency to manage access, costs, or
quality. (Points : 20)
Question 3. 3. (TCO D) Describe the characteristics and
demographics of uninsured populations. Discuss the reasons why
Americans are uninsured. List at least one option to curb the growing
number of uninsured people. (Points : 25)
Question 4. 4. (TCO C) Discuss the differences between for-profit
and not-for-profit healthcare organizations. How do the missions and
values of each type of organization differ, and how are they similar?
(Points : 25)
Question 5. 5. (TCO B) Discuss whether government plays a role to
ensure an adequate healthcare workforce. Identify three ways that
local, state, or federal governments can positively impact workforce
shortages. (Points : 25)250 miles of each other. Your organization has
just approved new monies for developing new quality management
initiatives. The individual hospitals have implemented their own

quality management programs with varying levels of success. Some
of their programs demonstrate stellar results and high levels of patient
satisfaction, although others have much less impressive results.
Question 7. 7. (TCO G). You've just been hired as the compliance
officer for the newly formed Gulf Coast Healthcare System. Your
new employer was formed by the joining of four healthcare
organizations – three acute care organizations and one long-term care
agency. Two of the organizations have a history of various
governmental regulatory violations, as well as suspected fraudulent
billing practices. You've been hired to form a corporate compliance
program that includes electronic billing and medical records that is
HIPAA-compliant and will address all areas of compliance. This plan
will not only clean up any issues from the past but will also position
the new organization as an organization with an impeccable
reputation for compliance. Articulate your vision for this plan and the
components that are required for its success. How will you justify the
expense associated with your plan? Keep in mind that you have a
newly formed organization and differing organizational cultures.
(Points : 40)
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HSM 541 Week 1 DQ 1 Costs Quality and
Access
Week 1 – thread 1
Costs, Quality, and Access (graded)
Discuss the interrelationships between healthcare costs, quality, and
access from the Roemer model of health services systems. Make
suggestions on how one would maximize access and quality while

keeping costs low. Now, analyze why these suggestions have not been
put into place.
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HSM 541 Week 1 DQ 2 Illness vs Health
Promotion
Week 1 – Thread 2
Illness vs. Health Promotion (graded)
Criticism has been leveled at the curative rather than health
promotion/disease prevention focus of the U.S. healthcare system.
Should the focus change? Why or why not? Do you see evidence of a
shift occurring? If so, what do you think is contributing to that
change?
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HSM 541 Week 1to7 All DQs
HSM 541 Week 1 DQ 1 Costs, Quality, and Access
HSM 541 Week 1 DQ 2 Illness vs. Health Promotion
HSM 541 Week 2 DQ 1 Healthcare Workforce
HSM 541 Week 2 DQ 2 Government Programs
HSM 541 Week 3 DQ 1 Private Insurance

HSM 541 Week 3 DQ 2 The Uninsured
HSM 541 Week 4 DQ 1 Primary Care
HSM 541 Week 4 DQ 2 Managed Care
HSM 541 Week 5 DQ 1 Hospitals
HSM 541 Week 5 DQ 2 Employer Health Plans
HSM 541 Week 6 DQ 1 Errors, Safety
HSM 541 Week 6 DQ 2 Improving Quality
HSM 541 Week 7 DQ 1 Fraud and Abuse
HSM 541 Week 7 DQ 2 Healthcare Management
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HSM 541 Week 2 DQ 1 Healthcare Workforce
Week 2 – Thread 1
Healthcare Workforce (graded)
What do you see as the biggest workforce challenge(s) for hospitals
today? Are the issues any different for other types of healthcare
organizations? What strategies are being used by hospitals for
recruiting and retaining staff?
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HSM 541 Week 2 DQ 2 Government Programs
Week 2 – Thread 2

Government Programs (graded)
What are the roles of government-sponsored healthcare programs like
Medicare, Medicaid, Veterans Affairs (VA), Indian Health Services
(IHS), and Prison Health Services? How do they impact access, cost,
and quality? Do these government programs do a good job of meeting
the healthcare needs of the populations they are intended to serve?
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HSM 541 Week 2 You Decide Middlefield
Hospital (2 Papers)
This Tutorial contains 2 Papers of this Assignment
Scenario Summary
You are the new Chief Executive Officer (CEO) of Middlefield
Hospital. Middlefield Hospital is a 450-bed tertiary care facility in a
major urban area in the Northeast. The hospital is an integrated health
system that provides the full array of inpatient and outpatient services.
The hospital enjoys a reputation for quality care in the area.
As the new CEO, you have learned that the hospital's employee
turnover rate exceeds 20%, and there are over 100 nursing vacancies.
You have also learned the following facts that may be impacting these
workforce shortages:
A new hospital has recently opened in your market area that has
produced competition for Middlefield Hospital.
Employee morale has deteriorated over the last 12 months.

Essex University (a local college) is considering eliminating its
nursing degree program because there is continual difficulty in
recruiting well qualified instructors.
Your Role/Assignment
The board of directors has asked that you provide a 750-word report
detailing your strategies and recommendations to overcome the
workforce shortages and to improve employee morale. The strategies
and recommendations should be as specific as possible and include
the resources needed for implementation. Your primary text and
journal/website research must be used as a reference to support your
analysis.
Available Resources
Review the points of view of the following people to obtain further
insights on this assignment.
K E Y P L A Y E R S
Dr. Rusty Gates – Internist
I have been admitting patients to Middlefield Hospital for 5 years.
However, I recently moved my practice to the new hospital across
town. The new hospital has much better facilities and the technology
is state of the art. The staff appear much more invested in the quality
of patient care and my patients seem happier.
Eileen Wright – Board Member for Middlefield Hospital
From my perspective, the employee morale at Middlesex has declined
over the last 12 months. More and more employees are leaving
Middlesex to go to the new hospital, and we have staffing shortages in
most areas. The director of nursing is a great leader, but he is having

difficulty retaining nursing staff. I am not sure what to do, but I don't
want the reputation of the hospital to suffer.
Anne Teaks – Registered Nurse for Middlefield Hospital
I have worked for Middlefield Hospital for 22 years. This hospital has
always been committed to high quality in patient care. These nursing
shortages have occurred many times through the years, and we will
get through this one as well. I don't like that we are short of staff on
many shifts, but we all have to pitch in and make sure our patients get
the care they need.
Y O U D E C I D E
Activity
Submit your strategy and recommendation report to the Dropbox.
***********************************
HSM 541 Week 3 Assignment Non Profit vs For
Profit Organizations (2 Papers)
This Tutorial contains 2 Papers
HSM 541 Week 3 Assignment Non-Profit vs For-Profit
Organizations.
***********************************
HSM 541 Week 3 DQ 1 Private Insurance

Week 3 – Thread 1
Private Insurance (graded)
Let’s consider the general concept of insurance. How does health
insurance differ from other kinds of insurance? What are the
similarities and differences between them?
Next, let’s consider some of the issues that employers face in
providing health insurance to their employees. Why has the cost of
employer-sponsored health plans increased significantly over the last
5 years?
***********************************
HSM 541 Week 3 DQ 2 The Uninsured
Week 3 – Thread 2
The Uninsured (graded)
It is estimated that there are 48 million Americans with no health
insurance. What are the demographics of the uninsured population?
Who makes up this population, and what are the factors that
contribute to being uninsured?
What strategies can be adopted at the local, state, and federal levels to
overcome the problem of uninsured Americans?
***********************************
HSM 541 Week 4 DQ 1 Primary Care

Week 4 – Thread 1
Primary Care (graded)
How would you define the role of primary care from the perspectives
of health promotion and health protection? Why are these facets of
primary care important, and how do they influence healthcare costs?
***********************************
HSM 541 Week 4 DQ 2 Managed Care
Week 4 – Thread 2
Managed Care (graded)
What are the positive effects of managed care on our healthcare
system? What are some of the problems created by managed care that
have been identified by patients, providers, and interest groups?
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HSM 541 Week 4 Midterm Set 1
Question :

(TCO A) Differentiate between urban and rural healthcare in
America. Briefly discuss how rural healthcare is different in terms of
access, costs, and quality. Use an example to support your point(s).
2.
Question :
(TCO D) Differentiate between Medicare and Medicaid roles in the
healthcare system, and detail how each agency impacts costs, quality,
and access in the delivery of medical care in America. Which
program is doing a better job balancing these issues, and why?
3.
Question :
(TCO D) Describe the characteristics and demographics of uninsured
populations. Discuss the reasons why Americans are uninsured. List
at least one option to curb the growing number of uninsured people.
4.
Question :
(TCO C) Discuss whether you see marketplace competition as a
positive or negative influence on the development of hospitals and
health services in the U.S. Defend your position; offer example(s) to
support your points.
5.
Question :
(TCO B) Discuss whether government plays a role to ensure an
adequate healthcare workforce. Identify three ways that local, state, or
federal governments can positively impact workforce shortages.X?
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HSM 541 Week 5 Assignment HIPAA (2 Papers)
HSM 541 Week 5 HIPAA

***********************************
HSM 541 Week 5 Assignment HIPAA (2 Papers)
HSM 541 Week 5 HIPAA
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HSM 541 Week 5 DQ 2 Employer Health Plans
Week 5 – Thread 2
Employer Health Plans (graded)
What are the components of a comprehensive healthcare plan offered
by employers? What outcomes are desired by the employer after
implementation of the health plan? How would these outcomes be
measured?
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HSM 541 Week 5 You Decide AHA Issues (2
Papers)

Analysis of the Health Insurance Portability and Accountability
(HIPAA): Security Standards
Written Assignment: Go to the website for the American Hospital
Association (AHA) at the following web address:http://www.aha.org/.
Click on the Issues tab that is at the top of the page. Under this tab,
there are 23 issues being addressed by the AHA (access and coverage,
affordability, etc.). Choose one of these issues and complete a 750-
word paper related to why this is an issue and how it impacts the U.S.
healthcare delivery system. Describe the problems associated with the
issue and what is being done by the AHA and other stakeholder
groups to address it. Finally, choose one recommendation that you
believe would be most effective in resolving the issue. Justify your
recommendations and be as specific as possible.
Your resultant written paper should be 750 words, double spaced, and
in APA or other approved Devry-Keller format/style. Your primary
text and the journal/website research article must be used as
references to support your analysis/summary paper. You must use at
least three professional references.
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HSM 541 Week 6 DQ 1 Errors Safety
Week 6 – Thread 1
Errors, Safety (graded)
Since the IOM published To Err Is Human, a groundbreaking report
that boldly pointed out the problem of medical errors, concerns
regarding patient safety and the need to reduce errors have come to
the forefront of the U.S. healthcare system.

What initiatives have accreditation organizations and other external
agencies undertaken to address these issues? What strategies have
been used by healthcare institutions to reduce medical errors? Do you
think these efforts have been effective?
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HSM 541 Week 6 DQ 2 Improving Quality
Week 6 – Thread 2
Improving Quality (graded)
What do you see as the biggest challenge(s) ahead for us as we
attempt to improve the quality of our healthcare delivery system in the
U.S.?
Are existing programs and efforts to improve the quality of care
supported by the Institute of Medicine, Agency for Healthcare
Research and Quality, and Joint Commission effective? Why or why
not?
***********************************
HSM 541 Week 6 You Decide Middlefield
Hospital (2 Papers)

You have been the CEO of Middlefield Hospital for 2 1/2 years and
finally resolved the workforce challenges that plagued the hospital
when you first arrived. In a recent meeting, the chief financial officer
(CFO) indicated that the financial performance of the hospital has
been deteriorating over the last 6 months. The hospital is not meeting
its budget and he is concerned about the future. The new facility
across town has continued to cut into Middlefield’s market share by
admitting more patients. The number of admissions to Middlefield
Hospital is declining each month, and more uninsured patients are
seeking services at your facility. You convene the Middlefield
Hospital management team and discover a few interesting facts,
which are identified below.
The payer mix of Middlefield Hospital is comprised of more and
more Medicare, Medicaid, and uninsured patients, and fewer patients
have commercial insurance. This is reducing overall reimbursement
and net income for the hospital. The nearby hospital that competes
with Middlefield has opened a wellness center that offers a
comprehensive array of preventative and wellness services to the
community. This facility is attracting young families to seek services
at this location. Most of Middlefield’s managed care contracts are
more than 2 years old. There are little reliable utilization and
reimbursement data available. No one at Middlefield Hospital is
assigned to manage these contracts or maintain ongoing relationships
with managed care companies. The Joint Commission survey is
scheduled for next year, and there are significant problems with the
hospital’s quality improvement program. The health plan offered to
employees is getting more expensive each year. In fact, the costs are
increasing at a rate of 20% each year. This is adding significantly to
the hospital’s operational costs. The inpatient mental health services
and neo-natal intensive care unit continue to lose money for the
hospital.
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HSM 541 Week 7 Course Project (2 Papers)

This course project gives you the opportunity to select a
problem that currently exists in our healthcare system and analyze its
implications on our healthcare system. The paper should critically
analyze the
issues related to the topic and identify key strategies for improvement.
In
order to meet the project requirements, it is important to identify an
issue
or problem within the healthcare system. Please analyze and review
the grading
rubric to understand why this is important. Both web references and
professional
journals should be considered as references. Don’t overlook the
Online
Library as an important source of information for your paper. The
paper should
include 8–10 references in APA or another approved format.
See a more detailed Grading Rubric below.
The length of the final paper should be approximately 8–10
pages, double-spaced in MS Word.
Possible Course Project
Topics
Describe the problems with our multiple
reimbursement systems. Discuss how a single-payer system may
improve access and
cost containment in the U.S. healthcare system. Evaluate the lack of
reimbursement environments for preventive healthcare

programs, and evaluate the effectiveness of the current reimbursement
patterns.
Propose solutions for expanding these programs. Describe the
problems in the U.S. healthcare system and how we might use
another nation's healthcare system for reform. Evaluate how a new
system would
improve access to care, quality of care, and the efficient utilization
of resources. Choose one particular form of complementary
(nontraditional, alternative)
medicine and explain why it may not be accepted by insurance
providers or
reimbursed by insurance companies. Describe its clinical approach
and
effectiveness, evaluate its economic impact, and review its potential
for
mainstream use, including future licensing and third party
reimbursement. Evaluate the problem of fraud and abuse in the
current U.S. healthcare
system. Analyze the effectiveness of the OIG’s Healthcare Fraud and
Abuse
Program, and analyze effective actions healthcare organizations can
take to
decrease their liability in this area, offering examples. Critically
evaluate the readiness and the effectiveness of the U.S.
Healthcare Delivery System in responding to a widespread
bioterrorism event;
propose changes as appropriate to your analysis. Discuss some of the
problems in measuring quality in the
healthcare environment and investigate quality measurement. Provide
options for
quality measurement and the processes that could be measured in a
healthcare
setting. Critically evaluate the use of technology in healthcare and the
challenges
it presents in healthcare delivery. Offer specific examples or
situations

addressing technology’s contributions to improving the quality of
health and
healthcare; consider impact on healthcare costs and analyze trade-
offs. Describe the problem of medical errors in our delivery system.
Evaluate the
effectiveness of selected programs aimed at reducing medical errors
in the U.S.
healthcare system; discuss one or more of the most effective measures
identified
to date and make recommendations for additional action.
NOTE: Other topics related to course content/TCOs will be
considered, but only as approved in advance by your instructor.
Grading
Rubrics Introduce the issue. Define the problem. Search the literature.
Analyze the problem. Offer possible solutions. Propose a single
solution. Develop an implementation plan. Justify why/how if your
solution will solve the identified
problem.
Your paper must include, but is not limited to, the following
sections:
Category Points Description BACKGROUND 10 Describe the
problem, organization, or situation you selected;
identify the specific issues of interest or controversy; and present
background/facts of the problem, organization, or situation that will
enable the
reader to clearly understand the issue. DEFINE THE PROBLEM 10
Identify and clearly state the problem, the management issue, in
which an element of the identified problem or situation is not meeting
expectations. Remember that what appears to be the problem may
actually be just
a symptom of a bigger problem – dig deep to be sure you've identified
the real

problems. If there appears to be more than one problem/issue, decide
if they are
separate or related issues.
State the problem in the form of a question. For example, if a
work group is not performing effectively, an effective problem
statement might
be "How can the staff shortage improve?" rather than simply "Short
Staff
problems."
LITERATURE REVIEW 35
Present what you discovered in your search of the literature.
Review issues, theories, concepts, and studies discussed in class and
in our
textbook, and review what other writers/researchers have to say about
the
subject of your analysis. Discuss the concepts, ideas, or insights that
are most
valuable in helping you make sense of your project. What theories can
you use?
What writers say something of value? Why is it of value? Which
models are the
least helpful, and why? What theories or concepts will you challenge
or
criticize because your findings are different? In short, demonstrate an
understanding of the literature and apply it sensibly to the problem.
This is
not a course in applied commonsense; however, such practical
intelligence is
important, especially in the application stage.
A literature review is like playing a video game in which you
are in a chamber with many doors. As you open each door, you
uncover clues to

help you progress to the next level. Similarly, in a literature review,
your
objective is to open the doors that can point the way to solving your
business
problem. Begin your literature review with a broad look at your field
of
interest, then narrow your focus until you zero in on the essential
issues of
concern.
NOTE: A literature review is a required element of this
assignment. A good rule of thumb is to review at least 10 resources,
beyond the
textbook and class readings, to ensure the effectiveness of your
research.
SUGGESTION: Begin your literature survey by accessing
PROBLEM ANALYSIS 30 This section should provide a detailed
analysis of the causes
of the problem(s) or issue(s) you identified in Section II. A major
objective is
to clearly illustrate how you are using the healthcare course concepts
(as well
as what your learned from your literature review) to better understand
the
causes of the problem(s) or issue(s). Show that you are applying
course
material! (Note: Use subheadings to identify each factor you
address.) POSSIBLE SOLUTIONS 30 Explore three solutions that
could be appropriate ways to solve
the identified problem/issue. Be sure these solutions are logical based
on your
analysis and that they each would effectively treat the problem, not
the

symptoms. Also, discuss the anticipated outcomes (both positive and
negative) of
implementing each of the possible solutions you identified.
SOLUTION AND ITS IMPLEMENTATION 35 Outline your
recommended solution to the problem/issue, one of
the alternatives explored in Section V, or a combination of those
alternatives.
State your solution clearly and specifically. Describe exactly what
should be
done and how it should be done, including by whom, with whom, and
in what
sequence. Here are some points to keep in mind as you write this
section:
Have I indicated an awareness of the problem of implementation
(the how aspect)? Have I been specific enough? For example, a
general solution
might state, "The healthcare manager needs to realize that his or her
style
should match the situation." A specific solution would state what style
is most appropriate
for the situation and how you will attempt to the have the manager
realize the
appropriate style. What aspects of the problem remain unresolved by
my
solution? Does my recommended solution and implementation plan
address
the problem/issues and causes identified in the previous sections?
Does my solution consider and resolve the identified pros and
cons? How will I evaluate the effectiveness of the implemented
recommended solution? What process checks or procedures will I put
in place to
institutionalize the improvement? Could my solution cause other
problems/issues? What risks are
inherent in the solution you recommend? What contingency plans do
you

recommend? Assess the realism of your proposed action plan. For
example,
is there adequate time, money, or other resources for your solution? In
addition, does your solution place too much reliance on other people
being
reasonable or what you think is reasonable? JUSTIFICATION 25
Justify why your recommended solution and its implementation
will solve the identified problem/issue in the organization/unit you
selected.
An important element of this section is to show very clearly how you
applied
course concepts to arrive at a workable solution and a successful
implementation. Apply appropriate course material; support your
conclusions with
appropriately referenced facts, quotes, and readings; and be sure your
justification addresses identified pros and cons. REFERENCES 25
All citations in the paper must appear in the reference list,
and all references must be cited in the text of the paper. Choose
references
judiciously and cite them accurately. Citations of an author's work in
the text
documents your work, briefly identifies the source for readers, and
enables
readers to locate the source of information in the alphabetical
reference list
at the end of the paper. To use the ideas or words of another without
crediting
the source is plagiarism.
Plagiarism, in its purest form, involves copying of
entire passages either verbatim or nearly verbatim, with no direct
acknowledgment of the source. The most common (and unconscious)
form of
plagiarism is when a direct quotation is simply paraphrased.
Paraphrasing does
not relieve you of the obligation to provide proper identification of
source

data. The best way to avoid plagiarism is to make sure all quotes,
ideas, or
conclusions not your own are given proper acknowledgment in your
text. Total 200
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HSM 541 Week 7 DQ 1 Fraud and Abuse
Week 7 – Thread 1
Fraud and Abuse (graded)
Briefly describe a healthcare situation (real or hypothetical) in which
potential for fraud or abuse is a concern. How would you advise a
colleague who came to you concerned about a similar issue of fraud
or abuse in an organization where you work or one that you do
business with? What questions would you ask? What are some key
issues to consider? What might you tell him or her to do in this
situation?
***********************************
HSM 541 Week 7 DQ 2 Healthcare
Management
Week 7 – Thread 2
Healthcare Management (graded)

Healthcare management has become increasingly challenging and
complex in the 21st century. How do leadership strategies differ in
healthcare organizations as compared to other types of organizations?
What are the characteristics of healthcare organizations that make
leadership more difficult?
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