Principles of Healthcare Management
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Principles of Healthcare Management. HCM-401 Kemal Erkan, FACHE. HCM-401 Week I. Syllabus Overview Group Project Case Study Midterm and Final Pre-test Group Project Outline Kyle Bain EMR Incentive Presentation Meaningful Use Core Measure Week I presentation by Kemal Erkan.

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Principles of Healthcare Management

HCM-401

Kemal Erkan, FACHE


Hcm 401 week i
HCM-401 Week I

  • Syllabus Overview

    • Group Project

    • Case Study

    • Midterm and Final

  • Pre-test

  • Group Project Outline

  • Kyle Bain

    • EMR Incentive Presentation

    • Meaningful Use Core Measure

  • Week I presentation by Kemal Erkan

  • Changing the Behavior


    Changing t he behavior of responsible parties
    Changing The Behavior of Responsible Parties

    Changing the Behavior




    United medical community model
    United Medical Community Model

    PATIENT

    ONE

    Hospitals

    CCHS

    Bayhealth

    AI DuPont

    Beebe

    CHART

    • Advanced Surgery

    • Cardiology

    • Dermatology

    • Family Practice

    • Gastroenterology

    • Hospitalists

    • Internal Medicine

    • Nephrology

    • OB/GYN

    • Ophthalmology

    • Optometrist

    • Pediatrics

    • Psychiatry

    • Physical Pain & Rehab

    • Podiatry

    • Pulmonary Disease

    • Radiology

    • Rheumatology

    • Sports Medicine

    • Urology

    United Medical Network

    DHIN

    Labs

    Other DHIN Organizations

    • Patient Demographics

    • Medication History

    • Allergies

    • Progress Notes

    • Flow Charts

    • Immunizations

    • All Other Patient Related Records

    Changing the Behavior


    United medical aco qualifications based on cms aco guidelines
    United Medical ACO Qualifications based on CMS ACO Guidelines

    • ACOs must have a formal legal structure to receive and distribute shared savings to participating providers.

    • Each ACO must employ enough primary care professionals to treat their beneficiary population (minimum of 5,000 beneficiaries) as deemed sufficient by CMS.

    • Each ACO must agree to at least three years of participation in the program.

    • Each ACO will have to develop sufficient information about their participating health care professionals to support beneficiary assignment and for the determination of payments for shared savings.

    • ACOs will be expected to include a leadership and management structure that includes clinical and administrative systems.

    • Each ACO will be expected to have defined processes to promote evidence-based medicine, report on quality and cost measures, and coordinate care.

    • ACOs will also be required to produce reports demonstrating the adoption of patient-centered care.

    Changing the Behavior


    30 day readmission cost study
    30 DAY READMISSION COST STUDY

    Estimated # of Total Readmissions in 12 months 5,437

    Average Length of stay (4 days: 5437*4) 21,748

    # of Total Discharges 5,437

    Total Encounters-Days 32,622

    Average payment per encounter $ 80.00

    Total Payment for professional Services $ 2,609,760.00

    (=32,622*80.00)

    Total Payment for Hospital Stay $ 150,789,758.00

    (=5,437*27,734.00)

    This Estimate study does not take the reduction on the initial admissions in consideration but only focuses on 30 day Readmissions.

    Changing the Behavior


    Organizational Structure

    Board of Partners

    Executive Committee (EC)

    Doctors & Directors

    Executive Director

    Accounting

    Operations

    Legal



    Old Method Of Reporting Sample

    Changing the Behavior








    Balance sheet 2011
    Balance Sheet 2011 Maintenance

    Changing the Behavior


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