Assume the role of a health care leader at a managed care company. Your organization contracts with a wide array of providers. The team approach is essential for determining future str
Assume the role of a health care leader at a managed care company. Your organization contracts with a wide array of providers. The team approach is essential for determining future strategic planning and ensuring quality for your providers. Recently, your organization has increased emphasis on preventative medicine and patient education as a way of reducing unnecessary claims and improving overall health of your managed care participants. The organization is also working to improve on its quality assurance guidance to its providers.
Using Public Health Data to Meet Community Needs
Introduction
For this assignment, assume the role of a health care leader at a managed care company. Your organization contracts with a wide array of providers. The team approach is essential for determining future strategic planning and ensuring quality for your providers. Recently, your organization has increased emphasis on preventative medicine and patient education as a way of reducing unnecessary claims and improving overall health of your managed care participants. The organization is also working to improve on its quality assurance guidance to its providers.
You have been assigned to head a team that will gather important public health data and best practices for preventable diseases and thus reduce disease risk. Your team has to first determine the approach to be taken in gathering, analyzing, and articulating this information. To be successful in this program, the team must be able to apply statistical methods that can help transform the data into workable information. Ultimately, the managed care organization hopes to equip its providers with clinical practice guidelines based on the most accurate and current research.
The project requires that you lead a team of professionals and make recommendations including budget recommendations to the long-term approach. As a leader, you must understand the behaviors that foster quality improvement and be able to apply best practices to team leadership.
Instructions
To be successful in this assignment, you need to complete the following:
· Research criteria for priority assessment using current best practices, such as using data available from past performance to assess gaps; involving stakeholders for input; et cetera.
· Present current best practices for statistical analysis of health care data.
· Describe how statistical tools, models, and approaches are used to transform data into workable information.
· Develop a plan to transform data into useful information that aids with quality improvement and process improvement.
For this assignment, develop an APA-formatted executive summary. In your summary:
· Discuss current best practices for leadership, team development, and conflict resolution related to quality improvement teams.
· Provide recommendations on the following:
. The criteria needed for priority assessment.
. The use of data available from past performance to assess gaps.
. How to best gather stakeholder input.
. Any other needed strategic approaches you deem as appropriate.
· Describe how your team would apply statistical approaches to ensure providers are given the most recent, accurate, and effective information about prevention and quality improvement.
· Make recommendations for the managed care company on how to budget and strategize for this project.
· Develop and explain 3–5 strategic approaches that enable others to achieve goals and objectives in support of quality performance improvement.
Pay attention to the critical elements that form part of the grading criteria for this assignment:
· Establish priorities for quality performance improvement.
· Identify criteria for priority assessment using current best practices, such as using data available from past performance to assess gaps; involving stakeholders for input; et cetera.
· Analyze current best practices for leadership, team development, and conflict resolution related to quality improvement teams.
· Identify behaviors that support quality performance improvement.
· Develop a plan to transform data into useful information that aids with quality improvement and process improvement.
· Develop strategies that enable others to achieve goals and objectives in support of quality performance improvement.
Writing Requirements
Your paper should meet the following requirements:
· Length: 7–10 double-spaced pages (excluding the cover page and references list). Include page numbers, headings, and running headers.
· References: A minimum of five current peer-reviewed references.
· Formatting: Use current APA style and formatting, paying particular attention to citations and references.
· Font and font size: Times New Roman, 12 point.
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Using Public Health Data to Meet Community Needs Scoring Guide
Due Date: End of Unit 8. Percentage of Course Grade: 20%.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click on the linked resources for helpful writing information. CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Establish priorities for quality performance improvement. 15%
Does not develop priorities for quality performance improvement.
Develops priorities for quality performance improvement, but does not establish a foundation or reasoning for selecting the priorities.
Establishes priorities for quality performance improvement.
Establishes priorities for quality performance improvement and identifies assumptions underlying the proposed priorities.
Identify criteria for priority assessment using current best practices, such as using data available from past performance to assess gaps; involving stakeholders for input; et cetera. 15%
Does not identify criteria for priority assessment.
Identifies criteria for priority assessment, but does not use current best practices, such as using data available from past performance to assess gaps; involving stakeholders for input; et cetera.
Identifies criteria for priority assessment using current best practices, such as using data available from past performance to assess gaps; involving stakeholders for input; et cetera.
Identifies criteria for priority assessment using current best practices, such as using data available from past performance to assess gaps; involving stakeholders for input; et cetera, and evaluates the appropriateness of the criteria for priority assessment.
Analyze current best practices for leadership, team development, and conflict resolution related to quality improvement teams. 15%
Does not identify current best practices for leadership, team development, and conflict resolution related to quality improvement teams.
Identifies current best practices for leadership, team development, and conflict resolution related to quality improvement teams, but does not analyze the current best practices.
Analyzes current best practices for leadership, team development, and conflict resolution related to quality improvement teams.
Analyzes current best practices for leadership, team development, and conflict resolution related to quality improvement teams, and identifies assumptions on which the analysis is based.
Identify behaviors that support quality performance improvement. 15%
Does not identify behaviors that support quality performance improvement.
Identifies behaviors, but not all behaviors identified support quality performance improvement.
Identifies behaviors that support quality performance improvement.
Identifies behaviors that support quality performance improvement, and suggests criteria that could be used to evaluate the appropriateness of the identified behaviors.
Develop a plan to transform data into useful information that aids with quality improvement and process improvement. 15%
Does not develop a plan to transform data into useful information that aids with quality improvement and process improvement.
Develops a plan, but does not explain how it will transform data into useful information that aids with quality improvement and process improvement.
Develops a plan to transform data into useful information that aids with quality improvement and process improvement.
Develops a plan to transform data into useful information that aids with quality improvement and process improvement, and uses professionally validated criteria to evaluate the appropriateness of the plan.
Develop strategies that enable others to achieve goals and objectives in support of quality performance improvement. 15%
Does not develop strategies that enable others to achieve goals and objectives in support of quality performance improvement.
Develops strategies, but fails to document how they will enable others to achieve goals and objectives in support of quality performance improvement.
Develops strategies that enable others to achieve goals and objectives in support of quality performance improvement.
Develops strategies that enable others to achieve goals and objectives in support of quality performance improvement, and proposes criteria for evaluating the strategies.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. 5%
Does not write content clearly or logically, or with correct use of grammar, punctuation, and mechanics.
Writes content with errors in clarity, logic, grammar, punctuation, or mechanics.
Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.
Correctly format paper, citations, and references using APA style. 5%
Does not format paper, citations, and references using APA style.
Formats paper, citations, and references using APA style but with errors.
Correctly formats paper, citations, and references using APA style. Citations contain a few errors.
Correctly formats paper, citations, and references using APA style. Citations are free from all errors.
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