Variations in Quality of Medical Practice
39120
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From: tamara kasey
Date: Fri, Sep 14, 2018 at 5:07 AM
Subject: USW1_MMHA_6900_week02_Dartmouth
I need this assignment by 12 noon today much for this assignment
Discussion: Variations in Quality of Medical Practice
Variations, too much or too little in health care, are an indication of poor quality in medical practice and often raise questions about the quality and efficiency of the use and allocations of resources, and they have important implications for health care and health policy.
In this Discussion, you will conduct an evaluation of the variation of issues affecting Medicare reimbursements to determine warranted or unwarranted variations. You will provide an analysis of those variation issues that may affect reimbursements and recommend ways to overcome the issue(s).
To prepare:
Read/review the Dartmouth Atlas Data document, containing key statistics per state, and the Learning Resources related to variations in quality in medical practices.
Dartmouth Atlas Data document (Excel spreadsheet)
Note: For this Discussion you are required to complete your initial post before you will be able to view and respond to your colleague’s postings. Begin by clicking on the “Post to Discussion” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!
The Discussion:
In an attempt to figure out why there is a tremendous difference between Medicare reimbursements between states, data were pulled from the top and the bottom of the list that include the following information adjusted for price, age, sex, and race. The 90th percentile group is at or above $10,578, and the 10th percentile group is at or below $7,497.
Post a cohesive response to the following:
Using the Excel spreadsheet (Dartmouth Atlas) and other Resources for the week, post your analysis of the variation issues that may affect diverse Medicare reimbursements and why. Recommend strategies for overcoming the issues.
References can be. Used
Burton, D. A. (2013). Driving out waste: A framework to enhance value in clinical care. Healthcare Financial Management, 67(6), 94–99.
Note: Retrieved from the Walden Library databases.
Moore, K. D., Eyestone, K., & Coddington, D. C. (2013). The healthcare cost curve can be bent. Healthcare Financial Management, 67(3), 78–84.
Note: Retrieved from the Walden Library databases.
Sabbatini, A. K., Nallamothu, B. K., & Kocher, K. E. (2014). Reducing variation in hospital admissions from the emergency department for low-mortality conditions may produce savings. Health Affairs, 33(9), 1655–1663.
Note: Retrieved from the Walden Library databases.
Trbovich, P. (2014). Five ways to incorporate systems thinking into healthcare organizations. Biomedical Instrumentation & Technology, 48(Suppl. 2), 31–4, 36.
Note: Retrieved from the Walden Library databases.
Tsai, T. C., Joynt, K. E., Orav, E. J., Gawande, A. A., & Jha, A. K. (2013). Variation in surgical-readmission rates and quality of hospital care. New England Journal of Medicine, 369(12), 1134–1142.
Note: Retrieved from the Walden Library databases.
Guterman, S. (2013). Leaving fee-for-service behind: Moving toward pay-for-performance. Retrieved from http://www.newsu.org/course_files/SRIpdfResources/Stuart_Guterman_Pay-for-Performance.pdf
Guterman, S., & The Commonwealth Fund. (2013). Leaving Fee-for-Service Behind: Moving Toward Pay-for-Performance. Retrieved from http://www.newsu.org/course_files/SRIpdfResources/Stuart_Guterman_Pay-for-Performance.pdf
Agency for Healthcare Research and Quality. (n.d.). Consumer assessment of healthcare providers and systems. Retrieved from https://cahps.ahrq.gov/
Hospital Consumer Assessment of Healthcare Providers and Systems. (2015). Retrieved from http://www.hcahpsonline.org/home.aspx
Porter, M. E., & Lee, T. H. (2013). The strategy that will fix health care. Harvard Business Review. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/70682691/70682693/d7c9bdb115860f08a4dbb6f39eede822
U. S. Department of Health and Human Services. (n.d.). Hospital compare. Retrieved from http://www.medicare.gov/hospitalcompare/search.html
Document: Dartmouth Atlas Data (Excel spreadsheet)
This document contains data needed to successfully complete this week’s Discussion, including key statistics per state.
Required Media
AJMCtv. (2015). Variations and consolidations of new healthcare delivery systems [Video file]. Retrieved from https://www.youtube.com/watch?v=E4edYvbxlwU
Note: The approximate length of this media piece is 8 minutes.
Healthcare Financial Management Association. (2012). Peter Orszag on reducing variation in healthcare cost and quality [Video file]. Retrieved from https://www.youtube.com/watch?v=xUuqCloYU3I
Note: The approximate length of this media piece is 3 minutes.
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