Health Care Delivery and Models
Categorize the organization as an MCO or ACO.
Provide a rationale for the categorization.
Provide a comprehensive explanation of services that will be offered by the organization/facility. Note: Services offered should meet the needs of the population identified and the dynamics of the organization/facility.
Inpatient, outpatient, and/or ancillary services.
Include E-Health Services.
Prepare a map detailing the delivery of care (services) in the organization/facility. (See Burton, 2017, for a sample map.)
Interpret and provide an explanation of the map you prepare.
Describe the systems used in the organization/facility that will manage health care data.
How will information be collected, stored, and managed?
Identify standards, policies, and security measures used. Include a plan of how this information will be disseminated throughout the organization to ensure all employees are knowledgeable of all guidelines.
Explain how the organization/facility will promote interoperability.
Construct and explain two simple organizational process maps that outline two quality processes that are important in health care operations management and assist with problem solving and decision making in your organization
Develop two process maps to reflect inputs, outputs, and process steps in your organization. Be sure to utilize the correct symbols when developing your process map. Exhibit 6.6 identifies each symbol and reflects its use (pp. 140-150 of McLaughlin & Olson, 2017). Some example processes are activities in a clinic or hospital to measure wait time, utilization of resources, cause and effect, or development of an emergency plan. Visual examples are under exhibits 6.4, 6.5, 6.7, 6.8, 6.9, 6.10, 6.11. Please be creative and do not copy an example from the reading, but align your maps with your facility functions.
Using the Operational Excellence Scale provided by McLaughlin & Olson (2017, pp. 405-406), rationalize in detail the operational tools your organization/facility will use to be a “level 4” organization.
Quality Assurance & Accreditation
Rationalize specifically how the 6 domains of Health Care Quality (by the AHRQ) are fully addressed within the organization/facility.
Create a detailed risk management and patient safety plan for the organization/facility. Each component should be broad and descriptive. The safety plan should be inclusive, but not limited to, the following components:
Role of the Risk Manager
Include ongoing systematic approaches to achieve goals
Leadership Roles and Responsibilities at each level of the organization
Reporting and identification of Harm
Duty to Report
Identify and explain two leading methods of continuous quality improvement (Plan-Do-Study-Act, Rapid Cycle Improvement, FOCUS-PCDA, Lean, Six Sigma, and/or the FADE Model) that will be used in the organization/facility.
Rationalize how the methods will be used to ensure that quality and safety are kept at/above the safety rating of major hospitals in the area of the organization/facility.
You may use the following source to find the Leapfrog Hospital Safety grade for hospitals in your area: https://www.hospitalsafetygrade.org/
Assume the new organization/faciality is seeking Joint Commission (https://www.jointcommission.org/en/) accreditation. Identify and explain the major competencies this will require from management and staff.
Conclusions and Recommendations
Bring this section to a close and provide 2 or 3 recommendations for your organization based on the information researched and identified.
Health Care Delivery and Models Categorize the organizatio
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Health Care Delivery and Models
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