Assignment: Adjustments to Transitions in Health Care Delivery Consider what you’ve learned so far...

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Assignment: Adjustments to Transitions in Health Care Delivery

Consider what you’ve learned so far about the transition from volume- to value-based reimbursement. Different organizations will respond to the impact of this change in various ways. Based on its actions, an organization may flourish, or it may fail as its reimbursement decreases. As reimbursement methodology changes, institutions must adapt.

To prepare for this Assignment:

Read Case 5: Middleboro Community Hospital in this week’s Learning Resources, and consider the actions taken by this organization. Review data tables regarding their case mix (top DRGs), Patient Days, and CMS Core Measures. These metrics address both qualitative and quantitative measures in this organization.

The Assignment:

Write a brief, 2-page executive summary of the impact of the transition from volume-based to value-based health care. Specifically, address how this change in reimbursement methodology impacts operational requirements and how it can be implemented. Recommend at least two adjustments to operations which may position the organization for success under value-based health care.

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Anju Lata · Accepted Answer

Running Head: Adjustments to Transitions in Healthcare Delivery
Adjustments to Transitions in Healthcare Delivery                                                                                       4
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Adjustments to Transitions in Healthcare Delivery
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Executive Summary
The dissatisfaction among the nurses resulted in massive resignations in 2010. The management of the Hospital ignored the staff seniority and emphasized job performance and competency. In the wake of transition from volume based to value-based healthcare, the board of Trustees considered a change in the bylaws to decrease the size of the board from 14 to 8 members only and enhance their tenure of appointment from 4 to 6 years only. The vice-Chairman of Board of Directors, Mr.Higgens clearly identified the strengths, weakness, and major issues of the hospital. The Hospital worked to achieve good inpatient occupancy and reduce the operational costs in the hospital. The hospital adopted plans to achieve low cost and high-quality services. It reduced the inpatient capacity and became more creative in recruiting and retaining the physicians.

Assignment: Adjustments to Transitions in Health Care Delivery Consider what you’ve learned so far about the transition from volume- to value-based reimbursement. Different organizations will respond...

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