Select ONE organization from each of the TWO groups listed:
Group I:
Agency for Healthcare Research and Quality (AHRQ)
Institute for Healthcare Improvement (IHI)
Institute for Safe Medication Practices (ISMP)
Group II:
ANCC Magnet Recognition Program
Baldrige Performance Excellence Program
The Leapfrog Group
The Assignment:
In a 3- to 4-page paper (excluding title page and references):
Describe strategic health care quality initiatives in two of the organizations. Compare and contrast the purposes of the initiatives.
Analyze strategic quality issues and opportunities for improvement within the two organizations.
Evaluatewhich elements of the initiatives are crucial to the quality-improvement opportunities of your health care organization or an organization with which you are familiar.
RESOURCES:
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 4, "Quality Improvement: The Foundation, Process, Tools, and Knowledge Transfer Techniques" (pp. 83-107)
Griffith, J. R. (2015). Understanding high-reliability organizations: Are Baldrige recipients models? Journal of Healthcare Management, 60(1), 44-61.
May, E. L. (2013). The power of zero: Steps toward high reliability healthcare. Healthcare Executive, 28(2), 16-18, 20, 22.
PART 2 :
The Assignment:
To deliver health care services, an ACO needs to create a competent workforce that can provide health care to the patients that are in the ACO.
Some integrated ACO entities already have employed physicians and mid-level providers that receive salaries from the organization, whereas other non-integrated ACO entities need to invest in external relationships with independent physicians and other providers.
Since ACOs do not have managerial control over non-employed providers, additional controls and incentives may be necessary to ensure that efficiency is maximized.
ACOs also need to consider the number and mix of specialists (e.g., family practice vs internal medicine) and mid-level providers (e.g., physician assistants and nurse practitioners) in delivering primary care services that can promote value.
Maximizing value requires appropriate workforce decisions on supply and incentives to encourage providers to minimize costs.
For this Assignment, examine the Week 4 Assignment document and consider the efficiency in the supply of health services.
In a 2- to 3-page Word document that includes tables and/or calculations, make recommendations on the following:
1) number of physicians and nurse practitioners needed;
2) reimbursement method: salary or fee-for-service;
3) recommendations for financial incentives to address the challenges of supplier-induced demand and how to ensure efficiency.
Interpret the net profit from the ACO contract based on your recommendations.
Explain the rationale behind your recommendations, including the impact made by your financial calculations.
USE THESE RESOURCES FOR THIS ASSIGNMENT..
Getzen, T. (2015). Health economics for the healthcare administrator (Laureate custom edition). New York: Wiley.
Zelman, W. N., McCue, M. J., Glick, N. D., & Thomas, M. S. (2014). Financial management of health care organizations: An introduction to fundamental tools, concepts and applications (4th ed.). San Francisco, CA: Jossey-Bass.