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Hospital And Ambulatory Care Case Study

Decent Essays

Hospitals and Ambulatory Care

1) The traditional management style of hospitals have been hierarchical and internally focused. What are the three important challenges that hospitals face to accommodate new payers and consumer expectations?
These hospitals are using the manual approach of relating with consumers as will as payers. Remittance to providers and disburse paper checks is prone to errors, costly and time consuming. It is required of payers to adopt the standardized electronic healthcare transactions according to the regulatory mandates. Electronic funds transfer (RFT) and Electronic Remittance Advice (ERA) are the recommended digital healthcare transactions that would reconcile the crisis at hand and reduce the administrative costs.
While the digital migration is implemented in the healthcare system, payers, health providers and consumers are faced with the challenge of …show more content…

What were some problems with the peer review process in judging the quality of hospital medical care?
Conflict of interests is a common problem associated with peer review process, which is contributed to by the internal politics. Economic competition and partner relationships also contribute to conflicts of interests because of the big focus on facts while ignoring the personal feelings and biases. Criticizing colleagues and eventually censuring the friends is a big challenge among doctors. This is because the process involves a lot of work which goes uncompensated. In addition, the process consumes time meant for attending to patients, leading to worse and substandard care. 3) Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and

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