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Grantham University Healthcare IT Discussion

Building the Physician Organization
Building the Physician Organization After some years experience with an integrated health system, you apply for a post as executive director of a new moderate-sized physician organization attached to one of the system s hospitals. You will be interviewed by a panel of the governing board, including several physicians representing primary and referral specialties. About a week before the interview, the spokesperson for the search committee tells you:We want to build a group that attracts the best doctors and makes quality a habit. We want a say in our destiny. And we want to make competitive incomes, and take paying patients from all forms of insurance. We ve gotten everybody signed up, both legally and emotionally, on those ideas.We think we have good doctors, and we have good malpractice records, thank heaven. But we haven t really gotten into some important questions we know we ll have to address, such as how big we should be, how we should control our referral specialist numbers, and what specialties we ought to include.We copied the hospital s credentialing system verbatim, and we re not sure that s all we need because it doesn t do much for outpatient care. Some doctors think we should have specialty departments like the hospital, others want geographic directors or leaders, and frankly a lot would like total autonomy.Now we are in the pay-for-performance era. The system is giving us HEDIS reports, a bunch of patient satisfaction data, and some process measures like scheduling delays. We re doing okay on these, but the system says they want benchmark performance on a bunch of them within three years. They also give us cost reports that show we are a little over the system average for many common problems. They want overall costs down 15 percent in two years. Some of our doctors think these goals are impossible, but the system shows us data from other cities and competitive information where the goals have already been met. We think we re going to have to meet those goals, but honestly I don t have a clue how we ll do it.Tell us how we should organize to get all this done.From your experience with the system, you know the search spokesperson outlined the right agenda. The market is demanding cost and quality improvement, and the system will not tolerate much failure on the goals. You decide to outline your response in detail, making sure you hit all the points and give answers that will get you the job as well as establish a basis for doing the work. 2006 John R. Griffith and Kenneth R. White
Health-related quality of life qualitative annotated bibliography
Health-related quality of life qualitative annotated bibliography Qualitative Annotated BibliographyFor this assignment you will continue to review current research and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue s OWL: Purdue Online Writing LabA total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a qualitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.Each annotation must address the following critical elements:Explanation of the main purpose and scope of the cited workBrief description of the research conductedValue and significance of the work (e.g., study s findings, scope of the research project) as a contribution to the subject under considerationPossible shortcomings or bias in the workConclusions or observations reached by the authorSummary as to why this research lends evidence to support the potential problem identified specific to your role specialization.Attached you will find my two articlesThank

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