Hoha And Care Case Summary

Responsible for all aspects of the credentialing, re -credentialing and contracting for all medical providers and dental providers who give patient care at the HHD Clinics. Responsible for ensuring medical providers, dental providers, clinics, and programs have been enrolled with health plans and linked to all clinics. Keep data for each provider, clinic, and program to ensure prompt renewal of licenses and certifications. Start the contract process for HHD and potential payers by acting as liaison for HHD and medical payers to ensure contracts are generated for the City of Houston Legal team to review. Also, ensure all services that are given by HHD claims are filed in a prompt matter, follow up and identify any trends for payment to be

The split-department situation will have a huge effect on my efficiency as a manager. It will put my planning, delegation, and execution skills to the test. Both facilities need to be run smoothly as far as patient care, management, technology, and expenses go but because I won’t be able to monitor both places at once I will have to rely heavily on the staff I’m working with. Making sure everyone is competent and knows all aspects of the job is a must. I need to make sure me being absent from a location doesn’t cause a melt down with either company.

The concept generates images of large healthcare entities managing the administrative protocols of prior authorization or denials to the actual delivery of care through a facility or network of healthcare providers. Hacker and Marmor (1999) described several meanings of the term managed care with the most applicable to the menagerie of forms managed care can take being a combination of the financing and delivery of healthcare services. While this particular study is dated, the authors contend any managed care structure features administrative oversight, patient steerage to a particular provider entity or network and the amount of risk-sharing whether at an individual or group level. These features continue to be true today as organizations explore the benefits offered to employees through managed care structures such as preferred provider organizations, clinically integrated networks, and accountable care organizations. As a healthcare provider, the goal is to provide access to healthcare which is affordable, offers access to providers of choice and engages with providers who provide the highest quality

The American Hospital Association (AHA)represents a large number of member hospitals. This group has a significant voice in policy making. The CEO and CMO should actively engage the AHA and participate in efforts to present the issues to CMS. This engagement needs to be proactive and direct. There needs to active participation with AHA committees and task forces that are involved in this process. The System need to provide the resources need to facilitate this participation. In addition the system may need to consider financial support for the political action groups of the

The healthcare institutions are to initiate systems that review or analyze the compensation of the staff or workers of the Healthcare Corporations or institutions that is to make sure that the employees receive fair wage so as to do their work well as required by healthcare organizations. The staff should also be

HCA is a healthcare provider that was established in 1968. Their main focus is on offering cliental with a number of different services to include: inpatient, intensive care, outpatient, diagnostic and emergency services. To achieve these objectives they operate a variety of facilities such as: outpatient, psychiatric, surgery centers, freestanding emergency care facilities, diagnostic / imaging centers and comprehensive rehabilitation / physical therapy centers. They are structured to create increasing earnings for its policy and shareholders. This is achieved by contracting with private doctors to deliver services to its preferred providers members. At the same time, they receive fees from these entities and they negotiate lower group rates.

For backfill purposes, Urgent Care Department will need the following Ancillary FTE's to support 2017 anticipated membership growth and improve department budget status: 2.1 LVN's. Per November's YTD Budget Report department is overbudget by $2,431.443. Part of overbudget costs included replacing LVN's that were on medical leave, vacation,

Patient Outcomes. The best possible outcome for every patient is to be able to return home, without additional harm/infection during their hospital stay. The ultimate goal is for the patient to have the best possible chance of returning to the quality of life they had before the cause of their admission. A patient who experiences a HAPU is at a significantly greater risk of infection, sepsis, and even death, making HAPU prevention a priority outcome for patient, staff, family and facilities around the globe.

The impact of the Havasupai case further drew out the already existing negative relations between the medical community and native tribes. Nanibaa’ Garrison speaks on this relationship: “as a consequence of the Havasupai case and prior instances of genetic research injustices, many tribes continue to refuse participation in genetic research despite researchers’ ongoing efforts to recruit them” (Garrison 2013, 204). Many tribes including the Havasupai set up formal orders banishing researchers from stepping on to their reservations and halting all current and future research, “even that which might benefit the tribe” (204). Researchers and IRB members also show signs of wanting to take further action to protect themselves from lawsuits. Many mentioned that they would shift toward

Dr. Haviland requested an re-evaluation for patient who is a 18 year old female who presented to the ED with self harming behaviors or self mutilation, and homicidal ideations towards guardians. The patient has been non-aggressive since arrival to hospital. The patient currently reports still having thoughts of self-harm. The patient states, "I want to think positive, however I feel trapped in negative thoughts." The patient reports she does not feel she would be happy at guardians home because of the lack of communication and understanding of her point-of-view with wanting to have a healthy relationship with her two parents. The patient expresses issues with eating in relation to her experience taking care of her mother while her mother's

Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles

An employer that offers different types of insurance plans for the employee is not common in today’s world. When considering the insurance plan that is best for them, the Lawrence’s should consider a couple of different factors. A traditional health insurance plan is normally provided at a higher cost for the insured along with a higher deductible. However, the number of providers is usually larger and does not carry as many stipulations for the medical professionals that you can see. A HMO policy is a lower cost policy with a lower deductible amount. However, they could be constricted by the physicians that are available to them. Based on the amount of income they have above their living expenses, they should consider the cost and what

In order to gather the views of the community and identify the local needs, we have played an active role across the borough, making it easy for people to share their experiences of health and social care services.

In this case Ms. Smith might sue a building management for entering her apartment with out her consent or, at least, the notice. However, that statement might be rejected since the building manager had to act fast in order to prevent further damages, caused by flooding, for Ms. Smith’s and her neighbor’s apartments. There is no tort occurred because Mr. Johnson had a legal authority to enter Ms. Smith’s apartment.

In order to create the best experience for the end user, developers for HealthPhotoHurrah! (HPH) should consider making the app compatible with standards such as SMART and FHIR. If the company decides to create its own standards for HPH, then the company may face the potential pitfalls of (1) low use adoption for the app or (2) financial impacts on the company.