CRIT THINK 3 MTH 410 Quantitative Business Analysis

The HCAHPS survey asks discharged patients 27 questions about their recent hospital experience. The survey contains 18 core questions about critical aspects of patients ' hospital experiences: communication with nurses and doctors, the responsiveness of hospital staff, the cleanliness and quietness of the hospital environment, pain management, communication about medicines, discharge information, overall rating of hospital, and would they recommend the hospital.

In 1974, the federal government adopted the Uniform Hospital Discharge Data Set (UHDDS) as the standard to help improve the uniformity and comparability of hospital discharge data, the principal diagnosis, and other diagnoses for hospital procedures; including comparable data that could help to determine which hospitals were best at treating patients and for reporting inpatient data in acute care, short-term care, and long-term care hospitals. This dataset works towards a standardized system of reimbursement for the federal government nationwide which in turn could lower costs, UHDDS helps in collecting general information pertaining the patient and the specific care including the age, sex, and race of the patient. The data elements are collected

The basic reason for this study is to identify ways to improve the quality of healthcare among patients through bedside reporting method.This will better satisfaction and services delivered at the hospitals. The ever increasing specialization to improve patient outcomes and better health care delivery can contribute to the serious riskof fragmentation of care and problems with handoffs. These are some of the issues associated with emergency room reporting method (Radtke, 2013). There is need to evaluate the handoff method used in hospitals and understand which is the best way to use that increases patient satisfaction. Bedside handoff gives the patient an opportunity to contribute to his or her plan of care. It allows the nurse to visualize the client and as necessary questions regarding their health status. This is the reason there is a need to conduct research on bedside reporting.

Quality of service should be one of the most important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors

Patient satisfaction: This issue can affect funding, revenue and reimbursement from insurance providers. Patient satisfaction can be affected by nearly any aspect of the hospital experience, surveys are done randomly to gain insight on the patients overall treatment at the facility. Negative feedback can cause assumptions about treatment and quality by the HCO as well as decrease in incoming patients.

Question 9: Compare using a chart the classifications, taxonomies, nomenclatures, terminologies and clinical vocabularies used in healthcare claims processing.

If a patient or carer wants to complain I would see if I could deal with it personally. If I was unable to resolve the issue, I would advise them to call or email PALS the hospital complaints department.

Criteria: setting evaluation, contact was it direct or indirect, is patient a child or infant, service provided, is the patient established/new. Service level consist of three components, which is the history, exam, and decision made at the time of visit. Patient that has seen the doctor for three year is established. One that has not seen the doctor is new. There are four levels of making a decision. HPI factors relate to the issue the patients is dealing with. ROS factors relates to the sign of illness. PFSH factors deals with the history of the patient and history of the

Survey of patient’s experiences is important source of information of the quality of health care provided by the particular hospital, which allows patients to compare the hospitals in the area. The HCAHPS star rating of Gulf Coast Hospital and Bay Medical Center is two stars, while Sacred Heart Hospital is rated with four stars on the excellence of care. The outliner indicators for Gulf Coast Medical Center in the survey of patients’ experiences on the question: “How often did patients receive help quickly from the hospital staff?” shows that 74% patients pick the answer “always communicated well”, that is slightly lower than national average with 79%. The survey question “How often were the patients’ rooms and bathrooms kept clean” only 61% of the patients pick that their bathroom and room were “always clean” that is much lower than the national average 74% and only 47% of the patients understood the care that was provided when they were

Post-discharge follow-up visit remains a critical factor in ensuring that patients continue to do well after they leave the hospital. The success of the team was measured based on data collected after 6 months of revamping the discharge clinic and implementing a phone call system to patients. They had been given a choice of a phone call for discharge follow up or to come in within 7-14 days and be evaluated post discharge.

This section is to identify three client health problems the patient has and sort by prioritization.

These measurements provide feedback of a patient’s experience with the care offered at a given hospital. These measurements assess a wide range of factors including interpersonal aspects of care, clarity of - and ease of access to - information provided by the physician, speed of medical staff’s response to the patient’s urgent care needs, among other factors. These measurements are used by patients in their subjective evaluation during their process of choosing a hospital for emergency care or

3.) Strong presence in high margin health services business. In addition to UnitedHealth Group’s leadership position in the health benefits market segment, UnitedHealth Group has strong information and technology based health services platform through its business segments which is Ingenix, OptumHealth and PrescriptionSolutions. The “CNN MONEY” (2012) website states Ingenix is one of the largest health information, technology and consulting companies in the world. The UnitedHealth Group derived $2.3 billion of revenues from Ingenix which contributed $284 million (excluding $200 million in goodwill impairment and business line deposition charges) of operating profit, and an operating margin of 12.1% during FY2010.

The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to

There were 8,000 complaints made in 1997 and that number increased to 9,000 by 2000 and has stayed in that range since (Anell et al, pg.47). In 2004 $44,880,500 in compensation was paid to patients who had suffered preventable injuries. (Anell et al, pg. 47) Overall satisfaction with care seems to be high after services are rendered, however wait times seem to be a major problem.