Julie, as you indicated, segmentation allowed CHS to provide services specifically selected to meet the needs of the seven defined population groups. Analyzing all of these data points helped them to get a comprehensive look at their patient population and the factors that affect their healthcare. Segmentation helped to improve patient outcomes by targeting specific risk factors in a given population, as well as estimate the cost of providing care, which helped them with payer contract negotiations (Quelch & Rodriquez, 2015). Other healthcare organization have used segmentation to provide care to specific patient populations. However, segmentation will often look at clinical and financial data to identify patients with chronic conditions,
In addition to the volume of patients, it is very important what kind of patients are seen by the healthcare organization, whether the patients are outpatient or admitted, and the type of insurance they have. Since Medicare
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This paper will propose how TriCity Medical Center will monitor performance, achieve regulatory and accreditation compliance, and improve overall organizational performance. It will describe ways TCMC will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies. Also it will determine how compliance with the regulations and development of risk- and quality-management systems for the organization contributes to the organization’s overall performance-management system.
Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of
Studies have found that coded data collected with a sole focus on reimbursement can poorly affect the use of the data for other purposes. Coded data goes farther and does more than ever before, making it imperative that professionals stay up to date of many rapid changes. One of the biggest changes is the expansion of coding from its traditional role of translating narrative clinical text into diagnosis and procedure codes. Coded data are now used for purposes such as severity adjustment, quality of care assessment, patient safety evaluation, public health surveillance, and decision support process development. Coding must meet an emerging need to capture healthcare data in a standard format that has universal meaning and can be applied both at the individual and aggregate levels. With this expansion come additional new responsibilities, such as entry of health information into a database and the need to understand how the quality and accuracy of the data are
This case study will focus on the HCAPHS scoring time frame between September, 2014 and September, 2015, and occurred in a community based, not-for profit, 451 licensed bed hospital. The particular unit in this study is located on the ninth floor of the hospital’s pavilion and is a 60 bed orthopedic unit. Dawn, the manager of this unit was new to the facility at the time. Her first managerial task of planning, was to systematically determine the goals, objectives, policies, procedures, budget, and any other information that she would need to achieve the hospitals goals (Dunn, 2010). Dawn then set-up a meeting with her Senior Director to establish expectations.
According to Horner and Swarbrooke (2005: 39), Segmentation may be defined as the process of dividing a whole market into subgroups or segments for marketing management purposes. Market segmentation is the division of the overall market for a service into various categories with common characteristics. In response to different segments, organisations facilitate the available resources to achieve greater efficiency, in order to satisfy specific needs of customers.
Nursing theories and ethical principles serve as the foundation of nursing practice, education, and research (Colley, 2003; Antipuesto, 2011). This paper’s purpose is to elaborate on the author’s discussion of her phenomenon of interest (POI) on newborn screening for Critical Congenital Heart Defects (CCHD). The objectives of this paper are to discuss the metaparadigm of nursing as it relates to the author’s POI, to discuss the Neuman system model and discuss the POI within its framework, to discuss the inter-related concepts in the UCSF symptom management model and associate it with the Neuman system model, examine the POI as it relates to the complexity science framework, and to distinguish ethical
Segmentation describes the division of a population into more or less homogenous segments based on their acceptance and buying patterns of products or services. This JB market can be broken down into the following market segments and sub-segments.
My observations in my role at CHS leaves me saddened at the current state of the health care industry. While working on the clinical side of health care, I basically only saw things from the patient care perspective. I did not understand why insurance companies would refuse coverage to patients or denied payment to the providers. I have witnessed the sick versus the healthy leading to disparity in health insurance coverage. Insurance companies tend to ostracize or avoid the sick people that need the coverage while covering the healthy people instead (Morone, Litman, & Robins, 2009). I thought that the payers were only concerned with not paying for health care. However, once I came to the financial side, I learned of how much hospitals
The purpose of a comprehensive health assessment and physical examination is to get a better understanding of the patient, the patient’s physical health, and any other factors or historical information that may be of use in diagnosing or maintaining adequate health. According to Bickley (2013), a comprehensive assessment should usually be done when initially seeing a new patient “and includes all elements of the health history and the complete physical examination” (p. 4). For example, if a brand new female patient came into the doctor’s office and complained of a breast lump the nurse practitioner would want to do a full comprehensive health assessment to figure out any family history or any other issues within the body
Demographic Segmentation means dividing markets into objective quantifiable characteristics. In the case, energy bar business is divided by age, gender, calories need, preference and so on.
They also understand who is the most powerful group in their business so that they can work on reaching their needs and with these information it was possible to work out the segmentation options.
Segmentation is a tool; purpose is to choose target market.Segmentation comes prior to target market Many different tasks are involved other than segmentation when choosing target market Look at each segment on its own as an individual marketing opportunity. Potential worth of each segment To examine whether the whole market should be chosen or only few segments To find segments which are less satisfied in market from competitor brand.
Market segmentation is an approach used by a company to select their target market and provide data for a marketing plan. “Market segmentation consist of a two-step process; naming broad product markets and segmenting these broad products-markets in order to select target markets and develop suitable marketing mixes” (Perreault, Cannon, & McCarthy, 2014, p.97). There are 4 categories pertaining to market segmentation; behavioral, geographic, demographic, and behavioral.