I Am Not Employed At A Healthcare Organization

Nebraska Catholic Health Initiatives is a non-profit organization and faith-based health system. This is a large corporate organization across the country. The reason why l chose this organization is because I am currently employed as a provider relations coordinator. This is a catholic based organization, moreover it’s the largest non-profit health system in Nebraska. It operates a total of ten hospitals across the state, one academic center in Omaha, home health agencies, nursing homes, and community health centers. This organization was formed in 1996 by catholic health system who had the same mission of nurturing healthy communities -across the nation where it provides care. CHI also provides

Some of the preconditions of Triple Aim is enrollment of a particular population as well as a commitment to universality to its members (Berwick, Nolan, &Whittington, 2004). Hospitals typically serve the entire community in which they are based, regardless of population (excepting specialty hospitals such as pediatric or oncological hospitals). Increasingly, hospitals have been accepting more responsibility for their communities than recorded historically. Community Health assessments are required by the Affordable Care Act, As a result, an increased number of hospitals are becoming involved with home health programs, community-based exercise programs, and health fairs (AHA,

As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the next year, It is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.

Peace Memorial Hospital is a 600-bed, independent, not-for-profit, general hospital located on the southern periphery of a major western city. It is one of six general hospitals in the city and twenty in the county. After doing much research, the Board of Directors has decided that they should open an ambulatory location in the downtown area, to be known as the Downtown Health Clinic (DHC). The clinic will have 4 major objectives: “1. To expand the hospital’s referral base, 2. To increase referrals of privately insured patients, 3. To establish a liaison with the business community by addressing employers’ specific health needs, and 4. To become self-supporting three years after opening” (Kerin

To add to the dilemma, the rising cost of healthcare will not adequately be addressed by any new healthcare system. The costs of healthcare in America are staggering and currently represent over 17% of our national GDP with the expectation of that number rising to 20% in less than 5 years. These costs are direct hits on the revenues received by hospital which affect their ability to remain operational. As the hospital’s revenues and profit margin decrease, so does the expected longevity of the hospital.

During which, I learned that several communities in this vicinity were lacking appropriate health care options. While investigating what needs I could fulfill, I found information about an organization called Remote Area Medical (RAM). After researching the services offered, I promptly joined the organization. Without volunteers to operate the free clinic services, many individuals would suffer medical conditions without recognition or treatment putting the health of the community at risk. The most valuable concept that I learned is the state of health is not measured by individual situations alone, but also measured as a whole, and collaborative efforts of all community members are needed to maintain community health3.

Transitioning to this model is not as easy as it seems. Businesses such as hospitals will have to educate all health care workers on the foundations of a value based care system so that the highest quality of care is obtained for each patient and a satisfactory rate of patient outcomes are optimized. Health care providers may have trouble transitioning because there not used to being rewarded off patients outcomes, but rather off increasing revenue by preforming as many procedures as possible, some not even under the scope of evidenced based practice and medicine. Smaller

Currently, I work as a patient access representative, at Memorial Health University Medical Center. Even though, I work at Memorial, I work for Conifer Health Solutions, a revenue cycle company. There are many of hospitals that contract out their revenue cycle departments to companies like Conifer Health Solution, which are known to be efficient in the revenue cycle. “The revenue cycle is all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. In other words, it is a term that includes the entire life of a patient account from creation to payment.”(n.d) In addition, Conifer health Solution, hire a patient access team to work at the hospital. Furthermore, the goal for the patient access team is to identify the patient, and create a hospital account. Also, the team has to gather consent for medical treatment, collect payments, and add third party payers. The most important is to identify the patient as soon as the come into the hospital, so the healthcare professional can know who their treating. In the emergency department, a patient access representative has to identify the patient, and enter them in the electronic record system, if the patient has been to there before, we would have to find their account. This is very important to the medical team, because that account may have notes about their past health issues. That information can help them decide on diagnosis, and preform useful

A cost centre is a department within a company that does not produce direct profit and adds to the cost of running a company. However, all cost centres perform an important job. It improves the satisfaction of customers and indirectly increases sales.[1] The manager and employees of cost centre are not accountable for its profit and investment decision but they are responsible for its cost.[2] They are liable for keeping their cost in line or below budget because cost centre does not produce directly from its activities.[3] The performance of the managers is assessed by comparing the actual expenses incurred with the budgeted expenses for the cost centre. Basically cost is the control data in the cost centre. [

What is the agency you selected, and what is your rationale for choosing this particular agency? The center for health care services. I chose this agency because I like what it has to offer not only for its employees, but for the community.

Healthcare has been an every changing service as different leaders have tried to find better ways to streamline the system as costs continue to increase on an annual basis. One thing is becoming clear as Healthcare continues to evolve in that Healthcare is moving to a performance based system in which higher performing plans will get financed a lot quicker than low performing plans.

I am very impressive with your organization. Moreover, the statement of your organization’s commitment “making the connections, listening to understand and honoring commitments” is rather loathly, and distinctive. Furthermore, I have not heard of a hospital making such claims.

From prior work experience at the for-profit organization, health care is provided by for-profit, not-for-profit and governmental companies. Every consumer is different, and will possess diverse health care needs. The health care reimbursement system is one of the most complex systems out there, and it’s our duty to make it simple for consumers. The third-party payers are responsible for paying health care service providers for rendered services. There are numerous payments to explain and to put into simple terms for the patients is feasible. To demonstrate, the delivery of service goes to a patient, and then the process of a bill becomes generated. Providers negotiate their rates with insurance companies. A patient who has insurance they are required to pay the bill right to the provider and at times send to insurer for reimbursement. Then, a patient is liable for the deductible of the percentage of cost. Once the provider their payment, then the payment cycle is complete.

I will have to discuss this case with Sierra tomorrow b/c I saw that the patient insurance paid for the services and on the EOB said that the copay is the pt. responsability,but I'm not sure if we need to adjusted off or bill the patient since the Insurance paid already for the visit. Sorry for don't respond your question at this moment, but I want to make sure and double check with Sierra before me provide you the correct

Provide a brief summary of the location, services, and activities of your chosen health care organization.