HTHS301 – Health Services Management
Sample Answer for HTHS301 – Health Services Management Included After Question
HTHS301 – Health Services Management l Portfolio Project Directions and Rubric
This Portfolio Project is worth 20% (5% weekly submission/15% final submission) of your grade. Completing this Assessment will help you to meet the following: Course Outcomes • Assess the role, trends, and challenges in health care management • Employ basic management techniques in health care organizations • Evaluate the critical role that communication plays in a health care organization • Demonstrate an understanding of financial responsibility and the budgetary process in healthcare Program Outcomes for Health Services Administration, B.S. • Evaluate and apply leadership skills, including recognizing and using soft skills in the health care environment Program Outcome for Human and Social Services, B.S. • Analyze the impact and interaction of public policy issues with human services, including legal considerations and funding mechanisms related to non-profit, private and public human services agencies. Institutional Outcomes • Information Literacy and Communication – Utilize appropriate current technology and resources to locate and evaluate information needed to accomplish a goal, and then communicate findings in visual, written and/or oral formats. • Relational Learning – Transfer knowledge, skills and behaviors acquired through formal and informal learning and life experiences to new situations. • Thinking Abilities – Employ strategies for reflection on learning and practice to adjust learning processes for continual improvement. • Quantitative and Scientific Reasoning – Follow established methods of inquiry and mathematical reasoning to form conclusions and make decisions. Scenario Healthcare management professionals should not take lightly the intricacies involved in delivering healthcare services. Regulations, third-party payer requisites, licensing, and accreditation standards contribute to these intricacies. The use of official policies and standardized procedures can mitigate the complexity by promoting workplace safety, regulatory compliance, and the delivery of safe, high-quality patient care. (Irving, 2014) In this scenario, you are a new program administrator of an outpatient chronic wound care center. You have held your role for a little over one year, and you manage a staff of 14 that consists of front office personnel, billing personnel, medical assistants, nurses, and several physicians. The wound center uses formalized, written policies and procedures that fulfill a number of important purposes such as: HTHS301 – Portfolio Project • • • • • • 2 Facilitate adherence with recognized professional practices. Promote compliance with regulations, statutes, and accreditation requirements, including HIPAA, EMTALA, CMS Conditions of Participation, and the Joint Commission. Reduce practice variation. Standardize practices across multiple wound clinics within a single wound care management company. Serve as a resource for staff, particularly new personnel. Reduce reliance on memory, which, when strained, has been shown to be a major source of human errors or oversights. (Irving, 2014) Recently you have been approached by staff members who have expressed concerns about one of the wound center physicians. The medical assistant mentioned that several patients have complained to her that the physician seems in a hurry and does not listen to their concerns. One of your nurses also stated that several patients have complained of increased pain after treatment and that their wounds appeared worse. Your clinical nurse leader has expressed that the physician is not documenting his clinic procedures daily. In fact, sometimes several days pass before he completes his notes in the patient’s medical record. Additionally, the billing associate has complained that the physician has not been filling out the procedures and diagnosis codes on the Superbill for each patient visit for reimbursement. In the last month you also have received several phone calls from the hospital’s outpatient billing department notifying you of payment denials on several wound center patient accounts. You decide to review the physician’s healing outcomes in the center’s clinical database and discover that his healing rates and quality indicator scores are far below the standardized expectations. Many of the physician’s entries in the patients’ charts are incomplete. As you review the physician’s documentation further, you see that his poor outcomes have been an ongoing trend intermittently over the last several years, and that he was counseled twice in two years by the former wound center administrator. After being counseled, the physician showed a slight improvement in outcomes and quality indicators each time. Subsequently, within several months after each counsel, a downward trend in quality measures reoccurred. Patient volumes are at an all time high in the clinic and the physician seems stressed. Patient satisfaction scores are declining. The purpose of developing this portfolio project is for you to demonstrate your leadership skills and knowledge as a health care administrator/manager in the areas of: trends and challenges that exist in health care management; the basic management techniques utilized in health care organizations; the role that communication plays in a health care organization; and the financial responsibility and budgetary process in health care. Your project will discuss issues and solutions in the scenario relating to: • Delivery of evidence-based health care treatment • Quality improvement processes • Financial improvement/costs reduction • Effective communication HTHS301 – Portfolio Project • 3 Formalized written policies and procedures The intended audience is your wound clinic physician, the clinical nurse leader, and the hospital executive team that includes the hospital’s President or Chief Executive Officer (CEO), Chief Nursing Officer (CNO), Medical Officer, Chief Financial Officer (CFO), and any other senior management team members you deem necessary. Scenario reference citation: Irving, Anne. (2014, October 13). Policies and Procedures for Healthcare Organizations: Risk Management Perspective. Patient Safety & Quality Healthcare (PSQH). https://www.psqh.com/analysis/policies-and-procedures-for-healthcare-organizations-arisk-management-perspective/ Directions Applying the information shared in the scenario above, each week you will analyze and critically evaluate the wound care center in written format to eventually provide a cohesive report that addresses actions, recommendations, the role of communication, finance, patient safety, quality of care, and policies and procedures. It will be important to support your findings with scholarly resources pursuant to each required deliverable. Requirements and Formatting Your Portfolio Project must be formatted according to APA requirements. Deadline Deliverable items for the Portfolio Project will be required at different points during the course. Details for each submission are included below in the Deliverable Descriptions. Deliverable Descriptions Week 2: Immediate Actions and Long-term Recommendations • Due by the end of Week 2 at 11:59 pm, ET. Write a minimum of 250-word report to the physician, nurse clinical leader, and hospital executive team that includes a brief restatement of the scenario and identifies the problem, immediate steps and long-term recommendations you will make to address the issues. Use at least one scholarly reference in your report to support your recommendations. Points to include as you write your report: • • • • Identify the problem(s) Provide immediate and long-term actions to address issues Outline basic management techniques you would use in addressing the issues in the scenario Technology and resources you used to evaluate the information needed to address the problem HTHS301 – Portfolio Project 4 Week 3: The Role of Communication • Due by the end of Week 3 at 11:59 pm, ET. Write a 250-word report to the physician, nurse clinical leader, and hospital executive team that describes the role of communication in addressing the issues described. Use at least one scholarly reference in your report to support your assertions. Points to include as you write your report: • • • Communication methods used with physician, nurse, and hospital executives Listening skills used o Hint – think about “Soft Skills” which are a combination of people skills, social skills, personality traits, attitudes, and social and emotional intelligence that help individuals navigate their environment, work well with others, perform well, and achieve their goals Managing patient complaints, concerns, and patient satisfaction o Hint – Healthcare organizations have processes for addressing patient complaints and grievances to follow federal regulations and accreditation standards, as well as to protect patients and reduce liability. Current trends in healthcare such as patient-centered care and patient satisfaction data make seeking and responding to patient feedback increasingly important components of risk management and patient safety programs. For example, patient complaints are associated with both clinical complications and increased risk of malpractice litigation. Week 4: Financial and Budgetary Aspects • Due by the end of Week 4 at 11:59 pm, ET. Write a minimum of 250-word report to the physician, nurse clinical leader, and hospital executive team that describes the financial and budgetary aspects that may be affected by the identified issues recently described. Use at least one scholarly reference to support your report. Points to include as you write your report: • Denials of payment and effect on wound center financials • How billing might affect your annual wound center budget • How patient volumes may affect quality of care • Quality and health care costs Hint – think about value-based care, implementation of Centers of Excellence, use of evidencebased clinical guidelines, and how improvements in quality could lower costs by reducing complications or hospital readmissions. Week 5: Patient Safety and Quality Care • Due by the end of Week 5 at 11:59 pm, ET. HTHS301 – Portfolio Project 5 Write a 250-word report to the physician, nurse clinical leader, and hospital executive team that describes patient safety and quality care aspects that are affected by the identified issues. Use at least one scholarly reference to support your report. Points to include as you write your report: • Were clinical practice guidelines (evidence-based medicine) observed by the physician • How might patient satisfaction be affected • Technology and resources you used to evaluate the information needed to address the problem Week 6: Written Policies and Procedures • Due by the end of Week 6 at 11:59 pm, ET. Write a minimum of a 250-word report to the physician, nurse clinical leader, and hospital executive team that describes the importance and use of formalized written policies and procedures in the health care setting of the wound center. Use at least one scholarly reference to support your report. Points to include as you write your report: • • • How formal policies might facilitate adherence to recognized professional practices How policies and procedures (P&P) satisfy compliance with regulations, statutes, and accreditation agencies in the wound center Why standardized procedures might reduce practice variation Hint – P&Ps should be standardized across multiple wound clinics within a single wound care management company; P&Ps serve as a resource for staff; P&Ps reduce reliance on memory, and stressed workers have been shown to be a major source of human errors or oversights. Week 7: Final Submission to ePortfolio • Due by the end of Week 7 at 11:59 pm, ET. This week is the final submission of your Portfolio Project. Combine all five of the weekly deliverables into one cohesive paper that flows together into a logical report. Incorporate instructor feedback, make any added corrections, and then submit it to your ePortfolio. Upload your Portfolio Project to the Program Outcome in your ePortfolio listed below for Health Services Administration Degree. Use the following naming convention: HTHS301 – Portfolio Project: • Evaluate and apply leadership skills, including recognizing and using soft skills in the health care environment. HTHS301 – Portfolio Project 6 Upload your Portfolio Project to the Program Outcome in your ePortfolio listed below for Health and Human Services Degree. Use the following naming convention: HTHS301 – Portfolio Project: • Analyze the impact and interaction of public policy issues with human services, including legal considerations and funding mechanisms related to non-profit, private and public human services agencies. For directions on how to upload your project to your ePortfolio, please see Student Resources in Blackboard on the navigation pane. Week 7.5: Reflection • Due by the end of Week 7.5 at 11:59 pm, ET. For the final piece of your Portfolio Project, you will reflect upon the course and how it directly relates to your future workplace. This reflection will be delivered as a Word document 1-2 pages in length. For this reflection: a) Analyze the importance of this project to your future career. b) In your own words reflect on how this project meets the Program and Institutional outcomes as stated on the first page. Upload and submit your final reflection. Reflection Grading Criteria For specific grading information, please refer to the Portfolio Project Grading Rubric. HTHS301 – Portfolio Project 7 Criteria HTHS301 – Portfolio Project Grading Rubric – Weekly Assessments Exceeds Expectations Meets Expectations Needs Improvement Content 70 points 63 – 70 points Fully analyzes the given scenario including all “points to include.” Properly addresses the correct audience. Word count is 250 or more. 49 – 62 points Provides an overall analysis of the scenario. Details are missing that define some areas. Somewhat addresses the proper audience. Word count between 150-249. 0 – 48 points Demonstrates a limited ability to analyze the given scenario. Does not address the correct audience. Many details are missing. Word count less than 150. 18 – 20 points The document is formatted correctly per APA guidelines. At least one reference and intext citations are included. 14 – 17 points The document is mostly formatted correctly per APA guidelines. Document contains at least one reference. 0 – 13 points The document is not formatted correctly per APA guidelines. Document contains no reference 9-10 points Contains one or no spelling and/or grammatical errors. 7 – 8 points Contains two to four spelling and/or grammatical errors. 0 – 6 points Five or more spelling and/or grammatical errors are present. APA Formatting 20 points Mechanics 10 points Instructor Comments Total Points: Points Click here to enter text. Click here to enter text. HTHS301 – Portfolio Project Criteria Content 70 points APA Formatting 20 points Mechanics 10 points Instructor Comments 8 HTHS301 – Portfolio Project Grading Rubric – Final Submission Meets Expectations Average Needs Improvement 63 – 70 points The final submission fully addresses each topic that was required in the weekly deliverables. The submission is written as a cohesive document with transitions and includes a thorough analysis of each of the required topics. A strong understanding of the scenario and the role of management is demonstrated in the submission. Word count is 1250 or more. 18 – 20 points The document is formatted correctly per APA guidelines. At least three scholarly resources are included with correct use of in-text citations. 9-10 points The final submission contains one to no spelling and/or grammatical errors. 49 – 62 points The final submission does address each of the required topics that were presented in the weekly directions. The submission may lack logical transitions between topics. There are some topics that could have been further developed to demonstrate the function of management skills based on the scenario. Word count is between 1000 to 1249. 0 – 48 points The final submission does not address each of the required topics or the topics are not fully examined. The submission is not a cohesive document addressing all topics. There are many missing details and a lack of understanding of the scenario and the role of management was demonstrated. Word count is below 1000. 14 – 17 points The document is mostly formatted correctly per APA guidelines. The submission contains two scholarly resources and correct use of intext citations. 0 – 13 points The document is not formatted correctly per APA guidelines. There are one or no scholarly resources used or the submission fails to demonstrate proper in-text citation. 7 – 8 points The final submission contains two to four spelling and/or grammatical errors. 0 – 6 points The final submission contains five4or more spelling and/or grammatical errors. Total Points: Points Click here to enter text. Click here to enter text. HTHS301 – Portfolio Project 9 HTHS301 Portfolio Project Reflection Grading Rubric Criteria/Achievement Level Content 80 points Writing Conventions 20 points Instructor Feedback Meets Expectations Average Needs Improvement 72-80 points Reflection addresses more than the minimum number of required elements. Provides a deep, thoughtful reflection on the role the project will play in the student’s current or future career. Provides a thorough and deep examination of the strategies used to complete the portfolio project by addressing specific thinking strategies used and evaluating their effectiveness. Additionally, the student provides insightful discussion related to the achievement of Program and/or Institutional Outcomes. 56-71 points Reflection addresses the minimum number of required elements. Student reflects on the role the project will play in a future career. Discusses strategies used to complete the portfolio project by addressing specific thinking strategies used in creating the portfolio project. The student addresses Program and/or Institutional Outcomes. 0-55 points Reflection does not address all the required elements. The student does not make clear connections between the project and his or her future workplace. The discussion related to the importance of reflection may be confused or unclear. The student does not address Program and/or Institutional Outcomes. 18-20 points Makes 0-1 errors in grammar, spelling, and punctuation. All writing is of a professional level, with no “text” or “chat” language. 14-17 points Makes minimal errors (2-4) in grammar, spelling, and punctuation. Writing is clear with no “text” or “chat” language. Errors do not distract reader. 0-13 points Makes several errors (5 or more) in grammar, spelling, and punctuation. Errors distract reader and cloud meaning of the message. Some “text” or “chat” language is used. Total Points: Points Click here to enter text. Click here to enter text. HTHS301 – Health Services Management l Week 1 Essay Directions and Rubric This Assessment is worth 10% of your grade. Deadline Due by the end of Week 1 at 11:59 pm, ET. Completing this Assessment will help you to meet the following: Course Outcomes • Describe the current health care system from a global perspective. Directions Create a 750-word essay describing the current U.S. health care system from a global perspective. The following components must be discussed in your essay: • • • • • Health expenditure per capita compared to other advanced countries or emerging economies o Identify at least two drivers of health care spending in the U.S. Health insurance coverage in the U.S. compared to other advanced countries or emerging economies Quality of U.S. health care in an international context o Name at least two measures of population health or health outcomes o Compare this measure or outcome of the U.S. to one other advanced country Format essay per APA guidelines Include at least two scholarly references and in-text citations Several scholarly sources are provided below for your use. The references are in correct APA format per APA guidelines. The list is optional, you may use these sources or search for your own in the B&SC library. HTHS301 Essay Assessment 2 Squires, D., & Anderson, C. (2015). U.S. health care from a global perspective: spending, use of services, prices, and health in 13 countries. Issue Brief, 15, 1–15. Retrieved from https://www.commonwealthfund.org/publications/issue-briefs/2015/oct/us-healthcare-global-perspective Bauchner, H., Fontanarosa, P. B. (2018). Health care spending in the United States compared with 10 other high-income countries: What Uwe Reinhardt might have said. JAMA, 319(10):990–992. doi:10.1001/jama.2018.1879 Retrieved from http://libproxy.bryantstratton.edu:2048/login?url=http://search.ebscohost.com/login. aspx?direct=true&AuthType=cookie,ip,uid,url&db=mdc&AN=29536083&site=eds-live Schoen, C., Osborn, R., Squires, D., & Doty, M. M. (2013). Access, affordability, and insurance complexity are often worse in the United States compared to ten other countries. Health Affairs, 32(12), 2205–2215. https://doi.org.libproxy.bryantstratton.edu/10.1377/hlthaff.2013.0879 ✓ Full text available at https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2013.0879 Laugesen, M. J., & Glied, S. A. (2011). Higher fees paid to US physicians drive higher spending for physician services compared to other countries. Health Affairs, 30(9), 1647–1656. https://doi.org.libproxy.bryantstratton.edu/10.1377/hlthaff.2010.0204 ✓ Full text available at https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2010.0204 Cobham, K. (2004, August). Studies find U.S. health care no better than other countries. Nation’s Health, p. 16. Retrieved from http://search.ebscohost.com.libproxy.bryantstratton.edu:2048/login.aspx?direct=true& AuthType=cookie,ip,uid,url&db=heh&AN=13997506&site=eds-live Spithoven, A. H. G. M. (2009). Why U.S. health care expenditure and ranking on health care indicators are so different from Canada’s. International Journal of Health Care Finance and Economics, 9(1), 1–24. https://doi.org.libproxy.bryantstratton.edu/10.1007/s10754-0089044-0 Health Policy Reform: Beyond the 2008 Elections: A Resource for Journalists from The Commonwealth Fund. (2008). Columbia Journalism Review, 46, 1. Retrieved from http://search.ebscohost.com.libproxy.bryantstratton.edu:2048/login.aspx?direct=true& AuthType=cookie,ip,uid,url&db=f5h&AN=31298491&site=eds-live Ho, J. Y., & Preston, S. H. (2010). US mortality in an international context: Age variations. Population & Development Review, 36(4), 749–773. Retrieved from https://doi.org.libproxy.bryantstratton.edu/10.1111/j.1728-4457.2010.00356.x Mahoney, J. D. (2017). America’s exceptional safety net. Harvard Journal of Law & Public Policy, 40(1), 33–39. Retrieved from http://search.ebscohost.com.libproxy.bryantstratton.edu:2048/login.aspx?direct=true& AuthType=cookie,ip,uid,url&db=lgh&AN=122286533&site=eds-live HTHS301 Essay Assignment Criteria 3 HTHS301 Essay Grading Rubric Meets Expectations Average Needs Improvement Content 80 points 72 – 80 points Describes current U.S. health system from global perspective including health expenditure per capita and compares to other advanced countries; cites two drivers of health spending in U.S.; compares health insurance coverage in the U.S. to other advanced countries; describes quality of U.S. healthcare in an international context; gives two measures of population health or outcomes; compares the measure or outcome between the U.S. and another advanced country. Word count is at least 750 words. 65 – 71 points Provides overall portrayal of current U.S. health system from a global perspective, but details are missing in one of the following: health expenditure per capita compared to other advanced countries; two drivers of healthcare spending in the U.S.; health insurance coverage in the U.S. compared to other advanced countries; quality of U.S. healthcare in an international context; two measures of population health or outcomes; compares measure between U.S. and other advanced country. Word count is 650 – 749 words. 0 – 64 points Demonstrates a limited ability to describe the current U.S. health system from a global perspective. Many details missing. Student does not show clear understanding of U.S. health expenditure per capita compared to other advanced countries; drivers of health spending in U.S.; health insurance coverage in the U.S. compared to other advanced countries; quality of U.S. healthcare in an international context; measures of population health or outcomes compared to another advanced country. Word count is below 649 words. Mechanics 10 points 9 – 10 points Minimal spelling, punctuation, and/or grammatical errors (0-1 errors). 7 – 8 points 2-3 spelling, punctuation, and/or grammatical errors. 0 – 6 points 4 or more spelling, punctuation, and/or grammatical errors. 10 points The document is formatted correctly per APA guidelines. At least two scholarly references and in-text citations are included. 7 – 9 points The document is mostly formatted correctly per APA guidelines. Document includes one to two scholarly references and in-text citations, and/or sources are not scholarly. 0 – 6 points The document is not formatted correctly per APA guidelines. Document includes one or less scholarly references and in-text citations, and/or sources are not scholarly. APA Format 10 points Total Points: Instructor Comments: Points
A Sample Answer For the Assignment: HTHS301 – Health Services Management
Title: HTHS301 – Health Services Management
